The Applicability of the Framingham coronary heart disease prediction function to black and minority ethnic groups in the UK

In the UK, coronary heart disease (CHD) morbidity and mortality is higher among the black and minority ethnic groups (BMEG). A number of clinical tools are available to calculate an individual’s absolute risk of developing CHD. These are based upon data derived from the Framingham heart study (FHS), the participants of which were white, middle class Americans. The prediction functions derived from the FHS data are multivariable mathematical weightings applied to major CHD risk factors to produce a probability estimate of developing CHD within a timeframe, and limitations are acknowledged when applying the Framingham data to other populations.\ud \ud Currently, data from UK cohort studies do not exist to test these functions among the BMEGs.\ud \ud The aim of this study is to assess the applicability of the Framingham prediction function to BMEGs, by comparing the summary CHD risk scores between BMEG and whites, generated after application of the Framingham prediction function to individual cardiovascular risk factor data, and then to compare the relative summary risk scores with previously published measures of CHD mortality

The breaking of the flavour permutational symmetry: Mass textures and the CKM matrix

Different ansaetze for the breaking of the flavour permutational symmetry according to S(3)L X S(3)R in S(2)L X S(2) give different Hermitian mass matrices of the same modified Fritzsch type, which differ in the symmetry breaking pattern. In this work we obtain a clear and precise indication on the preferred symmetry breaking scheme from a fit of the predicted theoretical Vckm to the experimentally determined absolute values of the elements of the CKM matrix. The preferred scheme leads to simple mass textures and allows us to compute the CKM mixing matrix, the Jarlskog invariant J, and the three inner angles of the unitarity triangle in terms of four quark mass ratios and only one free parameter: the CP violating phase Phi. Excellent agreement with the experimentally determined absolute values of the entries in the CKM matrix is obtained for Phi = 90 deg. The corresponding computed values of the Jarlskog invariant and the inner angles are J = 3.00 X 10^-5, alpha= 84 deg, beta= 24 deg and gamma =72 deg in very good agreement with current data on CP violation in the neutral kaon-antikaon system and oscillations in the B-Bbar system.Comment: 21 pages, 1 fig. Content enlarged, references added and typos corrected. To be published in Phys Rev

AI at the disco: Low sample frequency human activity recognition for night club experiences

Human activity recognition (HAR) has grown in popularity as sensors have become more ubiquitous. Beyond standard health applications, there exists a need for embedded low cost, low power, accurate activity sensing for entertainment experiences. We present a system and method of using a deep neural net for HAR using low-cost accelerometer-only sensor running at 0.8Hz to preserve battery power. Despite these limitations, we demonstrate an accuracy at 94.79% over 6 activity classes with an order of magnitude less data. This sensing system conserves power further by using a connectionless reading - -embedding accelerometer data in the Bluetooth Low Energy broadcast packet - -which can deliver over a year of human-activity recognition data on a single coin cell battery. Finally, we discuss the integration of our HAR system in a smart-fashion wearable for a live two night deployment in an instrumented night club

The club of the future: Participatory clubbing experiences

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Histology of portal vascular changes associated with idiopathic non-cirrhotic portal hypertension: nomenclature and definition.

Idiopathic non-cirrhotic portal hypertension (INCPH) is a rare vascular liver disease that has attracted new interest in recent years. It is characterised by clinical signs of portal hypertension in the absence of cirrhosis or severe fibrosis and any known cause of portal hypertension. As much uncertainty exists about INCPH pathophysiology, and no definite diagnostic tests are available, liver biopsy is an essential tool for achieving a definite diagnosis. Unfortunately, the histological diagnosis of INCPH is not always straightforward, as the characteristic lesions are unevenly distributed, vary greatly in their severity, are often very subtle, and are not all necessarily present in a single case. Furthermore, specifically for the characteristic portal vessel changes observed in INCPH, the terminology and definition are ambiguous, which adds complexity to the already complex clinicopathological scenario. An international study group of liver pathologists and hepatologists pursued a consensus on nomenclature for the portal vascular lesions of INCPH. Such standardisation may assist pathologists in the recognition of such lesions, and will possibly facilitate further advancement in this field

Viral suppression among persons in HIV care in the United States during 2009–2013: sampling bias in Medical Monitoring Project surveillance estimates

Purpose: To assess sampling bias in national viral suppression (VS) estimates derived from the Medical Monitoring Project (MMP) resulting from use of an abbreviated (four-month) annual sampling period. We aimed to improve VS estimates using cohort data from the North American AIDS Cohort Collaboration on Research and Design (NA-ACCORD) and a novel cohort-adjustment method. Methods: Using full calendar years of NA-ACCORD data, we assessed timing of HIV care attendance (inside vs. exclusively outside MMP's four-month sampling period), VS status at last test (<200 vs. ≥200 copies/mL), and associated demographics. These external estimates were used to standardize MMP to NA-ACCORD data with multivariable regression models of care attendance and VS, yielding adjusted 2009–2013 VS estimates with 95% confidence intervals. Results: Weighted percentages of VS among persons in HIV care were 67% in 2009 and 77% in 2013. These estimates are slightly lower than previously published MMP estimates (72% and 80% in 2009 and 2013, respectively). The number of persons receiving HIV care was previously underestimated by 20%, because patients receiving care exclusively outside the MMP sampling period did not contribute toward the weighted population estimate. Conclusions: Careful examination of national surveillance estimates using data triangulation and novel methodologies can improve the robustness of VS estimates

Trends in Outcomes for Neonates Born Very Preterm and Very Low Birth Weight in 11 High-Income Countries

Objective To evaluate outcome trends of neonates born very preterm in 11 high-income countries participating in the International Network for Evaluating Outcomes of neonates. Study design In a retrospective cohort study, we included 154 233 neonates admitted to 529 neonatal units between January 1, 2007, and December 31, 2015, at 24(0/7) to 31(6/7) weeks of gestational age and birth weight <1500 g. Composite outcomes were in-hospital mortality or any of severe neurologic injury, treated retinopathy of prematurity, and bronchopulmonary dysplasia (BPD); and same composite outcome excluding BPD. Secondary outcomes were mortality and individual morbidities. For each country, annual outcome trends and adjusted relative risks comparing epoch 2 (2012-2015) to epoch 1 (2007-2011) were analyzed. Results For composite outcome including BPD, the trend decreased in Canada and Israel but increased in Australia and New Zealand, Japan, Spain, Sweden, and the United Kingdom. For composite outcome excluding BPD, the trend decreased in all countries except Spain, Sweden, Tuscany, and the United Kingdom. The risk of composite outcome was lower in epoch 2 than epoch 1 in Canada (adjusted relative risks 0.78; 95% CI 0.74-0.82) only. The risk of composite outcome excluding BPD was significantly lower in epoch 2 compared with epoch 1 in Australia and New Zealand, Canada, Finland, Japan, and Switzerland. Mortality rates reduced in most countries in epoch 2. BPD rates increased significantly in all countries except Canada, Israel, Finland, and Tuscany. Conclusions In most countries, mortality decreased whereas BPD increased for neonates born very preterm

A search for the decay B+→K+ννˉB^+ \to K^+ \nu \bar{\nu}

We search for the rare flavor-changing neutral-current decay $B^+ \to K^+ \nu \bar{\nu}$ in a data sample of 82 fb$^{-1}$ collected with the {\sl BABAR} detector at the PEP-II B-factory. Signal events are selected by examining the properties of the system recoiling against either a reconstructed hadronic or semileptonic charged-B decay. Using these two independent samples we obtain a combined limit of ${\mathcal B}(B^+ \to K^+ \nu \bar{\nu})<5.2 \times 10^{-5}$ at the 90% confidence level. In addition, by selecting for pions rather than kaons, we obtain a limit of ${\mathcal B}(B^+ \to \pi^+ \nu \bar{\nu})<1.0 \times 10^{-4}$ using only the hadronic B reconstruction method.Comment: 7 pages, 8 postscript figures, submitted to Phys. Rev. Let