122 research outputs found
Determination of Matter Surface Distribution of Neutron-rich Nuclei
We demonstrate that the matter density distribution in the surface region is
determined well by the use of the relatively low-intensity beams that become
available at the upcoming radioactive beam facilities. Following the method
used in the analyses of electron scattering, we examine how well the density
distribution is determined in a model-independent way by generating pseudo data
and by carefully applying statistical and systematic error analyses. We also
study how the determination becomes deteriorated in the central region of the
density, as the quality of data decreases. Determination of the density
distributions of neutron-rich nuclei is performed by fixing parameters in the
basis functions to the neighboring stable nuclei. The procedure allows that the
knowledge of the density distributions of stable nuclei assists to strengthen
the determination of their unstable isotopes.Comment: 41 pages, latex, 27 figure
Proton Spin Structure in the Resonance Region
We have examined the spin structure of the proton in the region of the
nucleon resonances (1.085 GeV < W < 1.910 GeV) at an average four momentum
transfer of Q^2 = 1.3 GeV^2. Using the Jefferson Lab polarized electron beam, a
spectrometer, and a polarized solid target, we measured the asymmetries
A_parallel and A_perp to high precision, and extracted the asymmetries A_1 and
A_2, and the spin structure functions g_1 and g_2. We found a notably non-zero
A_perp, significant contributions from higher-twist effects, and only weak
support for polarized quark--hadron duality.Comment: 6 pages, 4 figures, REVTeX4, similar to PRL submission, plots
colorized and appenix added, v3: minor edit, matches PR
Laboratory investigation of lateral dispersion within dense arrays of randomly distributed cylinders at transitional Reynolds number
Published versio
Cluster-Randomized, Crossover Trial of Head Positioning in Acute Stroke
BACKGROUND
The role of supine positioning after acute stroke in improving cerebral blood flow and the countervailing risk of aspiration pneumonia have led to variation in head positioning in clinical practice. We wanted to determine whether outcomes in patients with acute ischemic stroke could be improved by positioning the patient to be lying flat (i.e., fully supine with the back horizontal and the face upwards) during treatment to increase cerebral perfusion.
METHODS
In a pragmatic, cluster-randomized, crossover trial conducted in nine countries, we assigned 11,093 patients with acute stroke (85% of the strokes were ischemic) to receive care in either a lying-flat position or a sitting-up position with the head elevated to at least 30 degrees, according to the randomization assignment of the hospital to which they were admitted; the designated position was initiated soon after hospital admission and was maintained for 24 hours. The primary outcome was degree of disability at 90 days, as assessed with the use of the modified Rankin scale (scores range from 0 to 6, with higher scores indicating greater disability and a score of 6 indicating death).
RESULTS
The median interval between the onset of stroke symptoms and the initiation of the assigned position was 14 hours (interquartile range, 5 to 35). Patients in the lying-flat group were less likely than patients in the sitting-up group to maintain the position for 24 hours (87% vs. 95%, P<0.001). In a proportional-odds model, there was no significant shift in the distribution of 90-day disability outcomes on the global modified Rankin scale between patients in the lying-flat group and patients in the sitting-up group (unadjusted odds ratio for a difference in the distribution of scores on the modified Rankin scale in the lying-flat group, 1.01; 95% confidence interval, 0.92 to 1.10; P=0.84). Mortality within 90 days was 7.3% among the patients in the lying-flat group and 7.4% among the patients in the sitting-up group (P=0.83). There were no significant between-group differences in the rates of serious adverse events, including pneumonia.
CONCLUSIONS
Disability outcomes after acute stroke did not differ significantly between patients assigned to a lying-flat position for 24 hours and patients assigned to a sitting-up position with the head elevated to at least 30 degrees for 24 hours. (Funded by the National Health and Medical Research Council of Australia; HeadPoST ClinicalTrials.gov number, NCT02162017.
Feasibility of the porous zone approach to modelling vegetation in CFD
Vegetation within stormwater ponds varies seasonly and its presence affects the flow field, which in turn affects the pond’s Residence Time Distribution and its effectiveness at pollutant removal. Vegetated flows are complex and, as a result, few suitable tools exist for evaluating realistic stormwater pond designs. Recent research has suggested using a porous zone to represent vegetation within a CFD model, and this paper investigates the feasibility of this approach using ANSYS Fluent. One of the main benefits of using a porous zone is the ability to derive the relevant parameters from the known physical characteristics of stem diameter and porosity using the Ergun equation. A sensitivity analysis on the viscous resistance factor 1/α1/α and the inertial resistance factor C2C2 has been undertaken by comparing model results to data collected from an experimental vegetated channel. Best fit values of C2C2 were obtained for a range of flow conditions including emergent and submerged vegetation. Results show the CFD model to be insensitive to 1/α1/α but very sensitive to values of C2C2. For submerged vegetation, values of C2C2 derived from the Ergun equation are under-predictions of best-fit C2C2 values as only the turbulence due to the shear layer is represented. The porous zone approach does not take into account turbulence generated from stem wakes such that no meaningful predictions for emergent vegetation were obtained. C2C2 values calculated using a force balance show better agreement with best-fit C2C2 values than those derived from the Ergun equation. Manually fixing values of kk and εε within the porous zone of the model shows initial promise as a means of taking stem wakes into account
Minimal residual disease in Myeloma: Application for clinical care and new drug registration
The development of novel agents has transformed the treatment paradigm for multiple myeloma, with minimal residual disease (MRD) negativity now achievable across the entire disease spectrum. Bone marrow–based technologies to assess MRD, including approaches using next-generation flow and next-generation sequencing, have provided real-time clinical tools for the sensitive detection and monitoring of MRD in patients with multiple myeloma. Complementary liquid biopsy–based assays are now quickly progressing with some, such as mass spectrometry methods, being very close to clinical use, while others utilizing nucleic acid–based technologies are still developing and will prove important to further our understanding of the biology of MRD. On the regulatory front, multiple retrospective individual patient and clinical trial level meta-analyses have already shown and will continue to assess the potential of MRD as a surrogate for patient outcome. Given all this progress, it is not surprising that a number of clinicians are now considering using MRD to inform real-world clinical care of patients across the spectrum from smoldering myeloma to relapsed refractory multiple myeloma, with each disease setting presenting key challenges and questions that will need to be addressed through clinical trials. The pace of advances in targeted and immune therapies in multiple myeloma is unprecedented, and novel MRD-driven biomarker strategies are essential to accelerate innovative clinical trials leading to regulatory approval of novel treatments and continued improvement in patient outcomes
Genetic analysis of an H-2 mutant, B6.C-H-2 ba , using cell-mediated lympholysis: T- and B-cell dictionaries for histocompatibility determinants are different
B6.C-H-2 ba [H (z1)] is a mutant derived from C57BL/6. The two strains mutually reject their skingrafts and are incompatible in the mixed leucocyte reaction (MLR) and in cell-mediated lympholysis (CML) assays. They are serologically indistinguishable.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/46732/1/251_2005_Article_BF01564084.pd
Contributions of phonological and verbal working memory to language development in adolescents with fragile X syndrome
Fragile X syndrome (FXS) is the most common inherited cause of intellectual disability. Although language delays are frequently observed in FXS, neither the longitudinal course of language development nor its cognitive predictors are well understood. The present study investigated whether phonological and working memory skills are predictive of growth in vocabulary and syntax in individuals with FXS during adolescence. Forty-four individuals with FXS (mean age = 12.61 years) completed assessments of phonological memory (nonword repetition and forward digit recall), verbal working memory (backward digit recall), vocabulary, syntax, and nonverbal cognition. Vocabulary and syntax skills were reassessed at a 2-year follow-up. In a series of analyses that controlled for nonverbal cognitive ability and severity of autism symptoms, the relative contributions of phonological and working memory to language change over time were investigated. These relationships were examined separately for boys and girls. In boys with FXS, phonological memory significantly predicted gains in vocabulary and syntax skills. Further, verbal working memory was uniquely associated with vocabulary gains among boys. In girls with FXS, phonological and working memory skills showed no relationship with language change across the 2-year time period. Our findings indicate that, for adolescent boys with FXS, acquisition of vocabulary and syntax may be constrained by the ability to maintain and manipulate phonological representations online. Implications for the identification and treatment of language disorders in this population are discussed. The present study is the first to identify specific cognitive mechanisms contributing to language growth over time in individuals with FXS
Parallel-Serial Memoing: A Novel Approach to Analyzing Qualitative Data
The mechanisms by which talking therapies exert their beneficial effects are largely unknown. In exploring the process of a talking therapy, motivational interviewing (MI), when used to treat and prevent low mood in stroke survivors, we developed, what we believe to be, a novel approach to analyzing transcripts. We illustrate the method using qualitative data from MI sessions with 10 stroke survivors. The approach, drawing on grounded theory, incorporated processes of parallel and serial memoing among a team of researchers to allow a process of validation. This enabled us to describe session content and to develop theoretical interpretations of what was occurring in and across MI sessions. We found that this process can be used to integrate different perspectives in theory building, allowing for a richer description and more robust theoretical interpretation. Others can use and adapt this approach to develop insights into their own inquiry
- …