389 research outputs found
Power grip, pinch grip, manual muscle testing or thenar atrophy - which should be assessed as a motor outcome after carpal tunnel decompression? A systematic review
<p>Abstract</p> <p>Background</p> <p>Objective assessment of motor function is frequently used to evaluate outcome after surgical treatment of carpal tunnel syndrome (CTS). However a range of outcome measures are used and there appears to be no consensus on which measure of motor function effectively captures change. The purpose of this systematic review was to identify the methods used to assess motor function in randomized controlled trials of surgical interventions for CTS. A secondary aim was to evaluate which instruments reflect clinical change and are psychometrically robust.</p> <p>Methods</p> <p>The bibliographic databases Medline, AMED and CINAHL were searched for randomized controlled trials of surgical interventions for CTS. Data on instruments used, methods of assessment and results of tests of motor function was extracted by two independent reviewers.</p> <p>Results</p> <p>Twenty-two studies were retrieved which included performance based assessments of motor function. Nineteen studies assessed power grip dynamometry, fourteen studies used both power and pinch grip dynamometry, eight used manual muscle testing and five assessed the presence or absence of thenar atrophy. Several studies used multiple tests of motor function. Two studies included both power and pinch strength and reported descriptive statistics enabling calculation of effect sizes to compare the relative responsiveness of grip and pinch strength within study samples. The study findings suggest that tip pinch is more responsive than lateral pinch or power grip up to 12 weeks following surgery for CTS.</p> <p>Conclusion</p> <p>Although used most frequently and known to be reliable, power and key pinch dynamometry are not the most valid or responsive tools for assessing motor outcome up to 12 weeks following surgery for CTS. Tip pinch dynamometry more specifically targets the thenar musculature and appears to be more responsive. Manual muscle testing, which in theory is most specific to the thenar musculature, may be more sensitive if assessed using a hand held dynamometer – the Rotterdam Intrinsic Handheld Myometer. However further research is needed to evaluate its reliability and responsiveness and establish the most efficient and psychometrically robust method of evaluating motor function following surgery for CTS.</p
Uniform electron gases
We show that the traditional concept of the uniform electron gas (UEG) --- a
homogeneous system of finite density, consisting of an infinite number of
electrons in an infinite volume --- is inadequate to model the UEGs that arise
in finite systems. We argue that, in general, a UEG is characterized by at
least two parameters, \textit{viz.} the usual one-electron density parameter
and a new two-electron parameter . We outline a systematic
strategy to determine a new density functional across the
spectrum of possible and values.Comment: 8 pages, 2 figures, 5 table
Search for rare quark-annihilation decays, B --> Ds(*) Phi
We report on searches for B- --> Ds- Phi and B- --> Ds*- Phi. In the context
of the Standard Model, these decays are expected to be highly suppressed since
they proceed through annihilation of the b and u-bar quarks in the B- meson.
Our results are based on 234 million Upsilon(4S) --> B Bbar decays collected
with the BABAR detector at SLAC. We find no evidence for these decays, and we
set Bayesian 90% confidence level upper limits on the branching fractions BF(B-
--> Ds- Phi) Ds*- Phi)<1.2x10^(-5). These results
are consistent with Standard Model expectations.Comment: 8 pages, 3 postscript figues, submitted to Phys. Rev. D (Rapid
Communications
1,1-Bis(3'-indolyl)-1-(p-biphenyl)methane inhibits basal-like breast cancer growth in athymic nude mice
Longitudinal neuroanatomical and cognitive progression of posterior cortical atrophy
Posterior cortical atrophy is a clinico-radiological syndrome characterized by progressive decline in visual processing and atrophy
of posterior brain regions. With the majority of cases attributable to Alzheimer’s disease and recent evidence for genetic risk factors
specifically related to posterior cortical atrophy, the syndrome can provide important insights into selective vulnerability and
phenotypic diversity. The present study describes the first major longitudinal investigation of posterior cortical atrophy disease
progression. Three hundred and sixty-one individuals (117 posterior cortical atrophy, 106 typical Alzheimer’s disease, 138 controls) fulfilling consensus criteria for posterior cortical atrophy-pure and typical Alzheimer’s disease were recruited from three
centres in the UK, Spain and USA. Participants underwent up to six annual assessments involving MRI scans and neuropsychological testing. We constructed longitudinal trajectories of regional brain volumes within posterior cortical atrophy and typical
Alzheimer’s disease using differential equation models. We compared and contrasted the order in which regional brain volumes
become abnormal within posterior cortical atrophy and typical Alzheimer’s disease using event-based models. We also examined
trajectories of cognitive decline and the order in which different cognitive tests show abnormality using the same models.
Temporally aligned trajectories for eight regions of interest revealed distinct (P5 0.002) patterns of progression in posterior
cortical atrophy and typical Alzheimer’s disease. Patients with posterior cortical atrophy showed early occipital and parietal
atrophy, with subsequent higher rates of temporal atrophy and ventricular expansion leading to tissue loss of comparable
extent later. Hippocampal, entorhinal and frontal regions underwent a lower rate of change and never approached the extent
of posterior cortical involvement. Patients with typical Alzheimer’s disease showed early hippocampal atrophy, with subsequent
higher rates of temporal atrophy and ventricular expansion. Cognitive models showed tests sensitive to visuospatial dysfunction
declined earlier in posterior cortical atrophy than typical Alzheimer’s disease whilst tests sensitive to working memory impairment
declined earlier in typical Alzheimer’s disease than posterior cortical atrophy. These findings indicate that posterior cortical atrophy
and typical Alzheimer’s disease have distinct sites of onset and different profiles of spatial and temporal progression. The ordering
of disease events both motivates investigation of biological factors underpinning phenotypic heterogeneity, and informs the selection of measures for clinical trials in posterior cortical atrophy
A Precision Measurement of the Lambda_c Baryon Mass
The baryon mass is measured using and decays reconstructed in 232
fb of data collected with the BaBar detector at the PEP-II
asymmetric-energy storage ring. The mass is measured to
be . The dominant systematic uncertainties
arise from the amount of material in the tracking volume and from the magnetic
field strength.Comment: 14 pages, 8 postscript figures, submitted to Phys. Rev.
Expression of VEGF and semaphorin genes define subgroups of triple negative breast cancer.
PMC3648524Triple negative breast cancers (TNBC) are difficult to treat due to a lack of targets and heterogeneity. Inhibition of angiogenesis is a promising therapeutic strategy, but has had limited effectiveness so far in breast cancer. To quantify heterogeneity in angiogenesis-related gene expression in breast cancer, we focused on two families--VEGFs and semaphorins--that compete for neuropilin co-receptors on endothelial cells. We compiled microarray data for over 2,600 patient tumor samples and analyzed the expression of VEGF- and semaphorin-related ligands and receptors. We used principal component analysis to identify patterns of gene expression, and clustering to group samples according to these patterns. We used available survival data to determine whether these clusters had prognostic as well as therapeutic relevance. TNBC was highly associated with dysregulation of VEGF- and semaphorin-related genes; in particular, it appeared that expression of both VEGF and semaphorin genes were altered in a pro-angiogenesis direction. A pattern of high VEGFA expression with low expression of secreted semaphorins was associated with 60% of triple-negative breast tumors. While all TNBC groups demonstrated poor prognosis, this signature also correlated with lower 5-year survival rates in non-TNBC samples. A second TNBC pattern, including high VEGFC expression, was also identified. These pro-angiogenesis signatures may identify cancers that are more susceptible to VEGF inhibition.JH Libraries Open Access Fun
Measurements of branching fractions and dalitz distributions for B-0 ->(DK0)-K-(*)+/-pi(-/+) decays
We present measurments of the branching fractions for the three-body decays B-0 -> D((*) -/+)K(0)pi(+/-) and their resonant submodes B0 -> D(*)K-/+*(+/-) usinga sample of approximately 88 x 10(6) B (B) over bar pairs collected by the BABER detector at the SLAC PEP-II assymetric energy storage ring. We measure: B(B-0-> D(-/+)K(0)pi(+/-)) = (4.9 +/- 0.7(stat) +/- 0.5(syst)) x 10(-4), B(B-0 -> D*(-/+)K(0)pi(+/-)) = (3.0 +/- 0.7(stat) +/- 0.3(syst)) x 10(-4), B(B-0 -> D-/+K*(+/-)) = (4.6 +/- 0.6(stat) +/- 0.5(syst)) x 10(-4), B(B-0 -> D*K-/+*(+/-) = (3.2 +/- 0.6(stat) +/- 0.3(syst)) x 10(-4). From these measurements we determine the fractions of resonant events to be f(B0 -> D+/-K*(-/+)) = 0.63 +/- 0.08(stat) +/- 0.04(syst) and f(B-0 -> D*K-/+*(+/-)) = 0.72 +/- 0.14(stat) +/- 0.05(syst)
Measurement of branching fractions and resonance contributions for B-0 ->(D)over-bar(0)K(+)pi(-) and search for B-0 ->(DK+)-K-0 pi(-) decays
Using 226x10(6) Upsilon(4S)-> B (B) over bar events collected with the BABAR detector at the PEP-II e(+)e(-) storage ring at the Stanford Linear Accelerator Center, we measure the branching fraction for B-0->(D) over bar (0)K(+)pi(-), excluding B-0-> D*-K+, to be B(B-0->(0)K(+)pi(-))=(88 +/- 15 +/- 9)x10(-6). We observe B-0->(D) over bar K-0(*)(892)(0) and B-0-> D-2(*)(2460)K--(+) contributions. The ratio of branching fractions B(B-0-> D*-K+)/B(B-0-> D(*-)pi(+))=(7.76 +/- 0.34 +/- 0.29)% is measured separately. The branching fraction for the suppressed mode B-0-> D(0)K(+)pi(-) is B(B-0-> D(0)K(+)pi(-))< 19x10(-6) at the 90% confidence level
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