Risk factors for acute exacerbations of COPD in a primary care population: A retrospective observational cohort study

Objectives: To evaluate risk factors associated with exacerbation frequency in primary care. Information on exacerbations of chronic obstructive pulmonary disease (COPD) has mainly been generated by secondary care-based clinical cohorts. Design: Retrospective observational cohort study. Setting: Electronic medical records database (England and Wales). Participants: 58 589 patients with COPD aged ≥40 years with COPD diagnosis recorded between 1 April 2009 and 30 September 2012, and with at least 365 days of follow-up before and after the COPD diagnosis, were identified in the Clinical Practice Research Datalink. Mean age: 69 years; 47% female; mean forced expiratory volume in 1s 60% predicted. Outcome measures: Data on moderate or severe exacerbation episodes defined by diagnosis and/or medication codes 12 months following cohort entry were retrieved, together with demographic and clinical characteristics. Associations between patient characteristics and odds of having none versus one, none versus frequent (≥2) and one versus frequent exacerbations over 12 months follow-up were evaluated using multivariate logistic regression models. Results: During follow-up, 23% of patients had evidence of frequent moderate-to-severe COPD exacerbations (24% one; 53% none). Independent predictors of increased odds of having exacerbations during the follow-up, either frequent episodes or one episode, included prior exacerbations, increasing dyspnoea score, increasing grade of airflow limitation, females and prior or current history of several comorbidities (eg, asthma, depression, anxiety, heart failure and cancer). Conclusions: Primary care-managed patients with COPD at the highest risk of exacerbations can be identified by exploring medical history for the presence of prior exacerbations, greater COPD disease severity and co-occurrence of other medical conditions

A spectrum of ozone from 760 to 5800 cm-1

An atlas of O3 lines between 760 and 5800/cm obtained from a low pressure, long-path-length sample of O3 at 296K is presented. Many of the line centers are marked and their positions tabulated

A spectrum of carbon dioxide from 800 to 5500 cm-1

An atlas of CO2 lines obtained from long path length samples at 296 K is presented. Many of the line centers are marked and their positions tabulated

AMPHIBIAN RESPONSE TO A LARGE-SCALE HABITAT RESTORATION IN THE PRAIRIE POTHOLE REGION

Over the next half-century, scientists anticipate that nearly one third of the currently recognized 7,450 amphibian species will become extinct. Many organizations have responded to the challenge of conserving amphibian biodiversity, some indirectly. Under the auspices of the Iowa Great Lakes Management Plan, the United States Fish and Wildlife Service, Department of Natural Resources, and their partners have been implementing habitat restoration efforts designed to protect water quality, provide recreational opportunities, and benefit wildlife at the regional level. With this program, over 130 wetlands have been created in the past 30 years on recently purchased public lands—one of the largest wetland restoration projects conducted in the Prairie Pothole Region of the Great Plains. While amphibians were not the main target of these restorations, we show that in response, 121 new breeding populations of native Northern Leopard Frogs (Lithobates pipiens; n = 80) and Eastern Tiger Salamanders (Ambystoma tigrinum; n = 41) have been established; in addition, we found 19 populations of non-native American Bullfrogs (L. catesbeianus). Using the program PRESENCE, we show that leopard frog occupancy was greatest in newer (<18 years old), intermediate-sized wetlands, and that tiger salamander occupancy was greatest in small wetlands without fish and larval bullfrogs. These data imply that because native amphibians responded positively to these newly established wetlands, habitat availability has likely been a factor in limiting population numbers. Further, these data suggest the presence of fishes and introduced bullfrogs interferes with the ability of tiger salamanders to colonize restored wetlands

Causal structure of the entanglement renormalization ansatz

We show that the multiscale entanglement renormalization ansatz (MERA) can be reformulated in terms of a causality constraint on discrete quantum dynamics. This causal structure is that of de Sitter space with a flat spacelike boundary, where the volume of a spacetime region corresponds to the number of variational parameters it contains. This result clarifies the nature of the ansatz, and suggests a generalization to quantum field theory. It also constitutes an independent justification of the connection between MERA and hyperbolic geometry which was proposed as a concrete implementation of the AdS-CFT correspondence

Postcard: Man Standing Next to a Stalk of Corn

This black and white photographic postcard features a number of corn stalks propped upright by a man\u27s hand. A man on the right of it is wearing a shirt, jacket and pants with a hat. There is handwriting on the back of the card.https://scholars.fhsu.edu/tj_postcards/1526/thumbnail.jp

Processing multiple non-adjacent dependencies: evidence from sequence learning

Processing non-adjacent dependencies is considered to be one of the hallmarks of human language. Assuming that sequence-learning tasks provide a useful way to tap natural-language-processing mechanisms, we cross-modally combined serial reaction time and artificial-grammar learning paradigms to investigate the processing of multiple nested (A(1)A(2)A(3)B(3)B(2)B(1)) and crossed dependencies (A(1)A(2)A(3)B(1)B(2)B(3)), containing either three or two dependencies. Both reaction times and prediction errors highlighted problems with processing the middle dependency in nested structures (A(1)A(2)A(3)B(3-)B(1)), reminiscent of the 'missing-verb effect' observed in English and French, but not with crossed structures (A(1)A(2)A(3)B(1-)B(3)). Prior linguistic experience did not play a major role: native speakers of German and Dutch-which permit nested and crossed dependencies, respectively-showed a similar pattern of results for sequences with three dependencies. As for sequences with two dependencies, reaction times and prediction errors were similar for both nested and crossed dependencies. The results suggest that constraints on the processing of multiple non-adjacent dependencies are determined by the specific ordering of the non-adjacent dependencies (i.e. nested or crossed), as well as the number of non-adjacent dependencies to be resolved (i. e. two or three). Furthermore, these constraints may not be specific to language but instead derive from limitations on structured sequence learning.Netherlands Organisation of Scientific Research (NWO) [446-08-014]; Max Planck Institute for Psycholinguistics; Donders Institute for Brain, Cognition and Behaviour; Fundacao para a Ciencia e Tecnologia (IBB/CBME, LA, FEDER/POCI) [PTDC/PSI-PCO/110734/2009]; Stockholm Brain Institute; Vetenskapsradet; Swedish Dyslexia Foundation; Hedlunds Stiftelse; Stockholm County Council (ALF, FoUU)info:eu-repo/semantics/publishedVersio

On the relationship between sigma models and spin chains

We consider the two-dimensional $\rm O(3)$ non-linear sigma model with topological term using a lattice regularization introduced by Shankar and Read [Nucl.Phys. B336 (1990), 457], that is suitable for studying the strong coupling regime. When this lattice model is quantized, the coefficient $\theta$ of the topological term is quantized as $\theta=2\pi s$, with $s$ integer or half-integer. We study in detail the relationship between the low energy behaviour of this theory and the one-dimensional spin-$s$ Heisenberg model. We generalize the analysis to sigma models with other symmetries.Comment: To appear in Int. J. MOd. Phys.