155 research outputs found
Political motivation is crucial for parliamentary behaviour in the EU’s Early Warning System
Since the ratification of the Lisbon Treaty, national parliaments have had the right to intervene early on in the decision making process of European Union. Katjana Gatterman and Claudia Hefftler share research which shows that parliamentary activity in what is called the Early Warning System is particularly triggered by party political contestation over EU integration and is largely dependent on the salience and urgency of the draft legislation itself
Theory of mirror benchmarking and demonstration on a quantum computer
A new class of protocols called mirror benchmarking was recently proposed to
measure the system-level performance of quantum computers. These protocols
involve circuits with random sequences of gates followed by mirroring, that is,
inverting each gate in the sequence. We give a simple proof that mirror
benchmarking leads to an exponential decay of the survival probability with
sequence length, under the uniform noise assumption, provided the twirling
group forms a 2-design. The decay rate is determined by a quantity that is a
quadratic function of the error channel, and for certain types of errors is
equal to the unitarity. This result yields a new method for estimating the
coherence of noise. We present data from mirror benchmarking experiments run on
the Honeywell System Model H1. This data constitutes a set of performance
curves, indicating the success probability for random circuits as a function of
qubit number and circuit depth
ANTECEDENTES DA LEALDADE: UM ESTUDO LONGITUDINAL
Este trabalho aprofunda o conhecimento a respeito do construto de lealdade, avaliando as relações entre a confiança e o valor percebido e seu papel como antecedente da lealdade ao longo do tempo, em três diferentes situações de consumo: cerveja, posto de gasolina e supermercado. As análises foram realizadas através do teste de um modelo teórico, com o uso de modelagem em equações estruturais, a partir de amostras pareadas de consumidores em dois momentos no tempo, separados por um período de sete meses. Os resultados encontrados apontam para a estabilidade de ajustamento do modelo, tanto transversal quanto longitudinalmente. A verificação da intensidade das relações modeladas revelou algumas diferenças entre os produtos, especialmente no caso da cerveja, onde a percepção anterior de valor não apresentou impacto significativo na lealdade posterior. A partir destes resultados, são analisadas implicações acadêmicas e gerenciais do estudo
Illustrating risk difference and number needed to treat from a randomized controlled trial of spinal manipulation for cervicogenic headache
<p>Abstract</p> <p>Background</p> <p>The number needed to treat (NNT) for one participant to benefit is considered a useful, clinically meaningful way of reporting binary outcomes from randomized trials. Analysis of continuous data from our randomized controlled trial has previously demonstrated a significant and clinically important difference favoring spinal manipulation over a light massage control.</p> <p>Methods</p> <p>Eighty participants were randomized to receive spinal manipulation or a light massage control (n = 40/group). Improvements in cervicogenic headache pain (primary outcome), disability, and number in prior four weeks were dichotomized into binary outcomes at two thresholds: 30% representing minimal clinically important change and 50% representing clinical success. Groups were compared at 12 and 24-week follow-up using binomial regression (generalized linear models) to compute the adjusted risk difference (RD) between groups and number needed to treat (NNT) after adjusting for baseline differences between groups. Results were compared to logistic regression results.</p> <p>Results</p> <p>For headache pain, clinically important improvement (30% or 50%) was more likely for spinal manipulation: adjusted RD = 17% to 27% and NNT = 3.8 to 5.8 (p = .005 to .028). Some statistically significant results favoring manipulation were found for headache disability and number.</p> <p>Conclusion</p> <p>Spinal manipulation demonstrated a benefit in terms of a clinically important improvement of cervicogenic headache pain. The use of adjusted NNT is recommended; however, adjusted RD may be easier to interpret than NNT. The study demonstrated how results may depend on the threshold for dichotomizing variables into binary outcomes.</p> <p>Trial Registration</p> <p>ClinicalTrials.gov NLM identifier NCT00246350.</p
Implementing Fault-tolerant Entangling Gates on the Five-qubit Code and the Color Code
We compare two different implementations of fault-tolerant entangling gates
on logical qubits. In one instance, a twelve-qubit trapped-ion quantum computer
is used to implement a non-transversal logical CNOT gate between two five qubit
codes. The operation is evaluated with varying degrees of fault tolerance,
which are provided by including quantum error correction circuit primitives
known as flagging and pieceable fault tolerance. In the second instance, a
twenty-qubit trapped-ion quantum computer is used to implement a transversal
logical CNOT gate on two [[7,1,3]] color codes. The two codes were implemented
on different but similar devices, and in both instances, all of the quantum
error correction primitives, including the determination of corrections via
decoding, are implemented during runtime using a classical compute environment
that is tightly integrated with the quantum processor. For different
combinations of the primitives, logical state fidelity measurements are made
after applying the gate to different input states, providing bounds on the
process fidelity. We find the highest fidelity operations with the color code,
with the fault-tolerant SPAM operation achieving fidelities of 0.99939(15) and
0.99959(13) when preparing eigenstates of the logical X and Z operators, which
is higher than the average physical qubit SPAM fidelities of 0.9968(2) and
0.9970(1) for the physical X and Z bases, respectively. When combined with a
logical transversal CNOT gate, we find the color code to perform the
sequence--state preparation, CNOT, measure out--with an average fidelity
bounded by [0.9957,0.9963]. The logical fidelity bounds are higher than the
analogous physical-level fidelity bounds, which we find to be [0.9850,0.9903],
reflecting multiple physical noise sources such as SPAM errors for two qubits,
several single-qubit gates, a two-qubit gate and some amount of memory error
Searching biomedical databases on complementary medicine: the use of controlled vocabulary among authors, indexers and investigators
BACKGROUND: The optimal retrieval of a literature search in biomedicine depends on the appropriate use of Medical Subject Headings (MeSH), descriptors and keywords among authors and indexers. We hypothesized that authors, investigators and indexers in four biomedical databases are not consistent in their use of terminology in Complementary and Alternative Medicine (CAM). METHODS: Based on a research question addressing the validity of spinal palpation for the diagnosis of neuromuscular dysfunction, we developed four search concepts with their respective controlled vocabulary and key terms. We calculated the frequency of MeSH, descriptors, and keywords used by authors in titles and abstracts in comparison to standard practices in semantic and analytic indexing in MEDLINE, MANTIS, CINAHL, and Web of Science. RESULTS: Multiple searches resulted in the final selection of 38 relevant studies that were indexed at least in one of the four selected databases. Of the four search concepts, validity showed the greatest inconsistency in terminology among authors, indexers and investigators. The use of spinal terms showed the greatest consistency. Of the 22 neuromuscular dysfunction terms provided by the investigators, 11 were not contained in the controlled vocabulary and six were never used by authors or indexers. Most authors did not seem familiar with the controlled vocabulary for validity in the area of neuromuscular dysfunction. Recently, standard glossaries have been developed to assist in the research development of manual medicine. CONCLUSIONS: Searching biomedical databases for CAM is challenging due to inconsistent use of controlled vocabulary and indexing procedures in different databases. A standard terminology should be used by investigators in conducting their search strategies and authors when writing titles, abstracts and submitting keywords for publications
A randomised controlled trial of preventive spinal manipulation with and without a home exercise program for patients with chronic neck pain
<p>Abstract</p> <p>Background</p> <p>Evidence indicates that supervised home exercises, combined or not with manual therapy, can be beneficial for patients with non-specific chronic neck pain (NCNP). The objective of the study is to investigate the efficacy of preventive spinal manipulative therapy (SMT) compared to a no treatment group in NCNP patients. Another objective is to assess the efficacy of SMT with and without a home exercise program.</p> <p>Methods</p> <p>Ninety-eight patients underwent a short symptomatic phase of treatment before being randomly allocated to either an attention-group (n = 29), a SMT group (n = 36) or a SMT + exercise group (n = 33). The preventive phase of treatment, which lasted for 10 months, consisted of meeting with a chiropractor every two months to evaluate and discuss symptoms (attention-control group), 1 monthly SMT session (SMT group) or 1 monthly SMT session combined with a home exercise program (SMT + exercise group). The primary and secondary outcome measures were represented by scores on a 10-cm visual analog scale (VAS), active cervical ranges of motion (cROM), the neck disability index (NDI) and the Bournemouth questionnaire (BQ). Exploratory outcome measures were scored on the Fear-avoidance Behaviour Questionnaire (FABQ) and the SF-12 Questionnaire.</p> <p>Results</p> <p>Our results show that, in the preventive phase of the trial, all 3 groups showed primary and secondary outcomes scores similar to those obtain following the non-randomised, symptomatic phase. No group difference was observed for the primary, secondary and exploratory variables. Significant improvements in FABQ scores were noted in all groups during the preventive phase of the trial. However, no significant change in health related quality of life (HRQL) was associated with the preventive phase.</p> <p>Conclusions</p> <p>This study hypothesised that participants in the combined intervention group would have less pain and disability and better function than participants from the 2 other groups during the preventive phase of the trial. This hypothesis was not supported by the study results. Lack of a treatment specific effect is discussed in relation to the placebo and patient provider interactions in manual therapies. Further research is needed to delineate the specific and non-specific effects of treatment modalities to prevent unnecessary disability and to minimise morbidity related to NCNP. Additional investigation is also required to identify the best strategies for secondary and tertiary prevention of NCNP.</p> <p>Trial registration</p> <p>ClinicalTrials.gov: <a href="http://www.clinicaltrials.gov/ct2/show/NCT00566930">NCT00566930</a></p
Australian chiropractic sports medicine: half way there or living on a prayer?
Sports chiropractic within Australia has a chequered historical background of unorthodox individualistic displays of egocentric treatment approaches that emphasise specific technique preference and individual prowess rather than standardised evidence based management. This situation has changed in recent years with the acceptance of many within sports chiropractic to operate under an evidence informed banner and to embrace a research culture. Despite recent developments within the sports chiropractic movement, the profession is still plagued by a minority of practitioners continuing to espouse certain marginal and outlandish technique systems that beleaguer the mainstream core of sports chiropractic as a cohesive and homogeneous group. Modern chiropractic management is frequently multimodal in nature and incorporates components of passive and active care. Such management typically incorporates spinal and peripheral manipulation, mobilisation, soft tissue techniques, rehabilitation and therapeutic exercises. Externally, sports chiropractic has faced hurdles too, with a lack of recognition and acceptance by organized and orthodox sports medical groups. Whilst some arguments against the inclusion of chiropractic may be legitimate due to its historical baggage, much of the argument appears to be anti-competitive, insecure and driven by a closed-shop mentality.sequently, chiropractic as a profession still remains a pariah to the organised sports medicine world. Add to this an uncertain continuing education system, a lack of protection for the title 'sports chiropractor', a lack of a recognized specialist status and a lack of support from traditional chiropractic, the challenges for the growth and acceptance of the sports chiropractor are considerable. This article outlines the historical and current challenges, both internal and external, faced by sports chiropractic within Australia and proposes positive changes that will assist in recognition and inclusion of sports chiropractic in both chiropractic and multi-disciplinary sports medicine alike
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