726 research outputs found

    Effects of Three Modest Levels of Proximal Loading on Marathon Pace Running Economy

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    International Journal of Exercise Science 13(7): 1120-1131, 2020. This study examined the effect of modest increases in proximal body mass on running economy expressed as metabolic cost (MC). External loads of 1.6 (L), 2.4 (M), and 3.2 kg (H) were added to the anterior and posterior torso region of male (n = 18) and female (n = 18) runners using a double-layered compression garment with gel inserts. MC was evaluated using stoichiometry equations of data collected via indirect calorimetry. Data was collected during four, 5-min running bouts at marathon pace for the 3 load levels and an unloaded state (CON). When data from both sexes were combined, MC for CON (13.2 ± 2.7) was lower (p \u3c 0.05) versus L (13.5 ± 2.6), M (13.6 ± 2.6), and H (13.7 ± 2.6 kcal/min), but L did not differ from CON when data was analyzed for each sex. Male runners exhibited stepped increases in MC across loads and a weak-moderate relationship (r = 0.37; p \u3c 0.01) between percentage change in absolute MC and increased percent body mass. A prediction model for MC (∆% kcal/min = 0.98(∆% body mass) – 0.91; SEE = ± 2.5%) was developed. For female runners, L increased MC by ~3.5% above CON, but no differentiation was found among L, M, and H, limiting the development of a prediction equation for females. Modest increases in body mass can produce detectable and potentially important levels of running economy impairment, but the relationship between changes in body mass and RE are complex, particularly in regards to sex

    The project data sphere initiative: accelerating cancer research by sharing data

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    Background. In this paper, we provide background and context regarding the potential for a new data-sharing platform, the Project Data Sphere (PDS) initiative, funded by financial and in-kind contributions from the CEO Roundtable on Cancer, to transform cancer research and improve patient outcomes. Given the relatively modest decline in cancer death rates over the past several years, a new research paradigm is needed to accelerate therapeutic approaches for oncologic diseases. Phase III clinical trials generate large volumes of potentially usable information, often on hundreds of patients, including patients treated with standard of care therapies (i.e., controls). Both nationally and internationally, a variety of stakeholders have pursued data-sharing efforts to make individual patient-level clinical trial data available to the scientific research community. Potential Benefits and Risks of Data Sharing. For researchers, shared data have the potential to foster a more collaborative environment, to answer research questions in a shorter time frame than traditional randomized control trials, to reduce duplication of effort, and to improve efficiency. For industry participants, use of trial data to answer additional clinical questions could increase research and development efficiency and guide future projects through validation of surrogate end points, development of prognostic or predictive models, selection of patients for phase II trials, stratification in phase III studies, and identification of patient subgroups for development of novel therapies. Data transparency also helps promote a public image of collaboration and altruism among industry participants. For patient participants, data sharing maximizes their contribution to public health and increases access to information that may be used to develop better treatments. Concerns about data-sharing efforts include protection of patient privacy and confidentiality. To alleviate these concerns, data sets are deidentified to maintain anonymity. To address industry concerns about protection of intellectual property and competitiveness, we illustrate several models for data sharing with varying levels of access to the data and varying relationships between trial sponsors and data access sponsors. The Project Data Sphere Initiative. PDS is an independent initiative of the CEO Roundtable on Cancer Life Sciences Consortium, built to voluntarily share, integrate, and analyze comparator arms of historical cancer clinical trial data sets to advance future cancer research. The aim is to provide a neutral, broad-access platform for industry and academia to share raw, deidentified data from late-phase oncology clinical trials using comparator-arm data sets. These data are likely to be hypothesis generating or hypothesis confirming but, notably, do not take the place of performing a well-designed trial to address a specific hypothesis. Prospective providers of data to PDS complete and sign a data sharing agreement that includes a description of the data they propose to upload, and then they follow easy instructions on the website for uploading their deidentified data. The SAS Institute has also collaborated with the initiative to provide intrinsic analytic tools accessible within the website itself. As of October 2014, the PDS website has available data from 14 cancer clinical trials covering 9,000 subjects, with hopes to further expand the database to include more than 25,000 subject accruals within the next year. PDS differentiates itself from other data-sharing initiatives by its degree of openness, requiring submission of only a brief application with background information of the individual requesting access and agreement to terms of use. Data from several different sponsors may be pooled to develop a comprehensive cohort for analysis. In order to protect patient privacy, data providers in the U.S. are responsible for deidentifying data according to standards set forth by the Privacy Rule of the U.S. Health Insurance Portability and Accountability Act of 1996. Using Data Sharing to Improve Outcomes in Cancer: The “Prostate Cancer Challenge.” Control-arm data of several studies among patients with metastatic castration-resistant prostate cancer (mCRPC) are currently available through PDS. These data sets have multiple potential uses. The “Prostate Cancer Challenge” will ask the cancer research community to use clinical trial data deposited in the PDS website to address key research questions regarding mCRPC. General themes that could be explored by the cancer community are described in this article: prognostic models evaluating the influence of pretreatment factors on survival and patient-reported outcomes; comparative effectiveness research evaluating the efficacy of standard of care therapies, as illustrated in our companion article comparing mitoxantrone plus prednisone with prednisone alone; effects of practice variation in dose, frequency, and duration of therapy; level of patient adherence to elements of trial protocols to inform the design of future clinical trials; and age of subjects, regional differences in health care, and other confounding factors that might affect outcomes. Potential Limitations and Methodological Challenges. The number of data sets available and the lack of experimental arm data limit the potential scope of research using the current PDS. The number of trials is expected to grow exponentially over the next year and may include multiple cancer settings, such as breast, colorectal, lung, hematologic malignancy, and bone marrow transplantation. Other potential limitations include the retrospective nature of the data analyses performed using PDS and its generalizability, given that clinical trials are often conducted among younger, healthier, and less racially diverse patient populations. Methodological challenges exist when combining individual patient data from multiple clinical trials; however, advancements in statistical methods for secondary database analysis offer many tools for reanalyzing data arising from disparate trials, such as propensity score matching. Despite these concerns, few if any comparable data sets include this level of detail across multiple clinical trials and populations. Conclusion. Access to large, late-phase, cancer-trial data sets has the potential to transform cancer research by optimizing research efficiency and accelerating progress toward meaningful improvements in cancer care. This type of platform provides opportunities for unique research projects that can examine relatively neglected areas and that can construct models necessitating large amounts of detailed data.The full potential of PDS will be realized only when multiple tumor types and larger numbers of data sets are available through the website

    3D Dynamic Visualization of Swallowing from Multi-Slice Computed Tomography

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    Human swallowing and its disorders (dysphagia) are still poorly understood, and yet many speech-language pathologists (SLPs) need to be trained to recognize correct, incorrect, and potentially dangerous swallows. The anatomy of the head and neck region is notoriously complex and difficult to visualize and study. Currently, training programs that teach SLPs to recognize swallowing disorders use artistically derived animations of swallowing, rendered at fixed viewpoints, to help students visualize the anatomy of the head and neck region. This work improves on these animations by using state-of-the-art medical images to create a dynamic, interactive, 3D simulation of human swallowing. Images of a male subject during swallow were captured in a single shot using a 320-slice CT scanner [Inamoto et al. 2011]. The images have very high spatial resolution (0:5 x 0:5 x 0:5 mm3), but low temporal resolution (10 Hz). The low temporal resolution resulted in blurring of the fluid being swallowed, making automatic segmentation and visualizations of the fluid difficult to generate

    Relationship between body mass index and length of hospital stay for gallbladder disease.

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    Background: Obesity increases the risk of hospital admission for gallbladder disease but its impact on the length of hospital stay is largely unknown. Methods: Prospective population-based study of 1.3 million women aged 56 years on average, recruited from 1996 to 2001 in England and Scotland and followed-up through NHS hospital admission record databases for gallbladder disease (cholelithiasis, cholecystitis, cholecystectomy) over a total of 7.8 million person-years. Results: During follow-up, 24 953 women were admitted with gallbladder disease, 87% who had a cholecystectomy. After adjusting for age, socioeconomic status and other factors, women with higher BMI at recruitment to the study were more likely to be admitted and spend more days in hospital. For 1000 person-years of follow-up, women in BMI categories of 18.5-24.9, 25-29.9, 30-39.9, 40+ kg/m2 spent, respectively, 16.5[16.0-17.0], 28.6[28.3-28.8], 44.0[43.4-44.5] and 49.4[45.7-53.0] days in hospital for gallbladder disease. Conclusion: On the basis of these estimates, over a quarter of all the days in hospital for gallbladder disease in middle-aged women can be attributed to obesity

    The engine reformer: Syngas production in an engine for compact gas-to-liquids synthesis

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    Methane (CH[subscript 4]) reforming was carried out in an internal combustion engine (an “engine reformer”). We successfully produced syngas from the partial oxidation of natural gas in the cylinder of a diesel engine that was reconfigured to perform spark ignition. Performing the reaction in an engine cylinder allows some of the exothermicity to be captured as useful work. Intake conditions of 110 kPa and up to 480 °C allowed low cycle-to-cycle variability (COV[subscript nimep]  2.4, but < 1 mg/L below these equivalence ratios. These results demonstrate that the engine reformer could be a key component of a compact gas-to-liquids synthesis plant by highlighting the operating conditions under which high gas conversion, high H[subscript 2]-to-CO ratios close to 2.0, and low soot production are possible.United States. Advanced Research Projects Agency-Energy (Award DE-AR0000506)Research Triangle InitiativeMIT Energy InitiativeMassachusetts Institute of Technology. Tata Center for Technology and Desig

    Antidepressants, Depression, and Venous Thromboembolism Risk: Large Prospective Study of UK Women

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    Background: Some investigators have reported an excess risk of venous thromboembolism (VTE) associated with depression and with use of antidepressant drugs. We explored these associations in a large prospective study of UK women. Methods and Results: The Million Women Study recruited 1.3 million women through the National Health Service Breast Screening Programme in England and Scotland. Three years after recruitment, women were sent a second questionnaire that enquired about depression and regular use of medications in the previous 4 weeks. The present analysis included those who responded and did not have prior VTE, cancer, or recent surgery. Follow‐up for VTE was through linkage to routinely collected National Health Service statistics. Cox regression analyses yielded adjusted hazard ratios and 95% CIs. A total of 734 092 women (mean age 59.9 years) were included in the analysis; 6.9% reported use of antidepressants, 2.7% reported use of other psychotropic drugs, and 1.8% reported being treated for depression or anxiety but not use of psychotropic drugs. During follow‐up for an average of 7.3 years, 3922 women were hospitalized for and/or died from VTE. Women who reported antidepressant use had a significantly higher risk of VTE than women who reported neither depression nor use of psychotropic drugs (hazard ratio, 1.39; 95% CI, 1.23–1.56). VTE risk was not significantly increased in women who reported being treated for depression or anxiety but no use of antidepressants or other psychotropic drugs (hazard ratio, 1.19; 95% CI, 0.95–1.49). Conclusions: Use of antidepressants is common in UK women and is associated with an increased risk of VTEThis study was funded by Cancer Research UK, the UK Medical Research Council, and Lifebloo

    Mangroves enhance the biomass of coral reef fish communities in the Caribbean

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    Mangrove forests are one of the world's most threatened tropical ecosystems with global loss exceeding 35% (ref. 1). Juvenile coral reef fish often inhabit mangroves, but the importance of these nurseries to reef fish population dynamics has not been quantified. Indeed, mangroves might be expected to have negligible influence on reef fish communities: juvenile fish can inhabit alternative habitats and fish populations may be regulated by other limiting factors such as larval supply or fishing. Here we show that mangroves are unexpectedly important, serving as an intermediate nursery habitat that may increase the survivorship of young fish. Mangroves in the Caribbean strongly influence the community structure of fish on neighbouring coral reefs. In addition, the biomass of several commercially important species is more than doubled when adult habitat is connected to mangroves. The largest herbivorous fish in the Atlantic, Scarus guacamaia, has a functional dependency on mangroves and has suffered local extinction after mangrove removal. Current rates of mangrove deforestation are likely to have severe deleterious consequences for the ecosystem function, fisheries productivity and resilience of reefs. Conservation efforts should protect connected corridors of mangroves, seagrass beds and coral reefs

    Market outlook for satellite-based RE index insurance in agribusiness

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    In the current report a market outlook for satellite-based RE index insurance is elaborated on. Special thanks for the contributions of Andries Rosema of EARS Earth Environment Monitoring BV and Erik Klaassens of ECORYS Nederland BV. Also the views of experts who were consulted are acknowledged (see for the list of experts Appendix I)

    Kepler eclipsing binary stars. VII. the catalogue of eclipsing binaries found in the entire Kepler data set

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    The primary Kepler Mission provided nearly continuous monitoring of ~200,000 objects with unprecedented photometric precision. We present the final catalog of eclipsing binary systems within the 105 deg2 Kepler field of view. This release incorporates the full extent of the data from the primary mission (Q0-Q17 Data Release). As a result, new systems have been added, additional false positives have been removed, ephemerides and principal parameters have been recomputed, classifications have been revised to rely on analytical models, and eclipse timing variations have been computed for each system. We identify several classes of systems including those that exhibit tertiary eclipse events, systems that show clear evidence of additional bodies, heartbeat systems, systems with changing eclipse depths, and systems exhibiting only one eclipse event over the duration of the mission. We have updated the period and galactic latitude distribution diagrams and included a catalog completeness evaluation. The total number of identified eclipsing and ellipsoidal binary systems in the Kepler field of view has increased to 2878, 1.3% of all observed Kepler targets

    Natural Inflation: Particle Physics Models, Power Law Spectra for Large Scale Structure, and Constraints from COBE

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    A pseudo-Nambu-Goldstone boson, with a potential of the form V(ϕ)=Λ4[1±cos(ϕ/f)],naturallygivesrisetoinflationifV(\phi) = \Lambda^4[1 \pm \cos(\phi/f)], naturally gives rise to inflation if f \sim M_{Pl}and and \Lambda \sim M_{GUT}.Weshowhowthiscanariseintechnicolorlikeandsuperstringmodels,andworkoutanexplicitstringexampleinthecontextofmultiplegauginocondensationmodels.Westudythecosmologyofthismodelindetail,andfindthatsufficientreheatingtoensurethatbaryogenesiscantakeplacerequires. We show how this can arise in technicolor-like and superstring models, and work out an explicit string example in the context of multiple gaugino condensation models. We study the cosmology of this model in detail, and find that sufficient reheating to ensure that baryogenesis can take place requires f > 0.3 M_{Pl}.Theprimordialdensityfluctuationspectrumgeneratedisanonscaleinvariantpowerlaw,. The primordial density fluctuation spectrum generated is a non-scale-invariant power law, P(k) \propto k^{n_s},with, with n_s \simeq 1 - (M^2_{Pl}/8\pi f^2),leadingtomorepoweronlargelengthscalesthanthe, leading to more power on large length scales than the n_s = 1HarrisonZeldovichspectrum.ThestandardCDMmodelwith Harrison-Zeldovich spectrum. The standard CDM model with 0 \la n_s \la 0.6-0.7couldinprincipleexplainthelargescaleclusteringobservedintheAPMandIRASgalaxysurveysaswellaslargescaleflows,buttheCOBEmicrowaveanisotropyimpliessuchlowamplitudes(orhighbiasfactors, could in principle explain the large-scale clustering observed in the APM and IRAS galaxy surveys as well as large-scale flows, but the COBE microwave anisotropy implies such low amplitudes (or high bias factors, b>2)fortheseCDMmodelsthatgalaxyformationoccurstoolatetobeviable;combiningCOBEwithsufficientlyearlygalaxyformationorthelargescaleflowsleadsto) for these CDM models that galaxy formation occurs too late to be viable; combining COBE with sufficiently early galaxy formation or the large-scale flows leads to n_s >0.6,or, or f > 0.3 M_{Pl}aswell.Forextendedandpowerlawinflationmodels,thisconstraintiseventighter, as well. For extended and power law inflation models, this constraint is even tighter, n_s > 0.7$; combined with other bounds on large bubbles in extended inflation, this leaves little room for most extended models.Comment: 42 pages, (12 figures not included but available from the authors
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