Why we might not need to stress about ruling out inducible myocardial ischemia

Editorial on the high-sensitivity cardiac troponin (hs-cTn) tests

SOAR (Support Office for Aerogeophysical Research) Annual Report 1995/1996

The Support Office for Aerogeophysical Research (SOAR) was a facility of the National Science Foundation's Office of Polar Programs whose mission is to make airborne geophysical observations available to the broad research community of geology, glaciology and other sciences. The central office of the SOAR facility is located in Austin, Texas within the University of Texas Institute for Geophysics. Other institutions with significant responsibilities are the Lamont­ Doherty Earth Observatory of Columbia University and the Geophysics Branch of the U.S . Geological Survey. This report summarizes the goals and accomplishments of the SOAR facility during 1995/1996 and plans for the next year.National Science Foundation's Office of Polar ProgramsInstitute for Geophysic

Premature mortality in refractory partial epilepsy: does surgical treatment make a difference?

Background: Epilepsy carries an increased risk of premature death. For some people with intractable focal epilepsy, surgery offers hope for a seizure-free life. The authors aimed to see whether epilepsy surgery influenced mortality in people with intractable epilepsy. Methods: The authors audited survival status in two cohorts (those who had surgery and those who had presurgical assessment but did not have surgery). Results: There were 40 known deaths in the non-surgical group (3365 person years of follow-up) and 19 in the surgical group (3905 person-years of follow-up). Non-operated patients were 2.4 times (95% CI 1.4 to 4.2) as likely to die as those who had surgery. They were 4.5 times (95% CI 1.9 to 10.9) as likely to die a probable epilepsy-related death. In the surgical group, those with ongoing seizures 1 year after surgery were 4.0 (95% CI 1.2 to 13.7) times as likely to die as those who were seizure-free or who had only simple partial seizures. Time-dependent Cox analysis showed that the yearly outcome group did not significantly affect mortality (HR 1.3, 95% CI 0.9 to 1.8). Conclusion: Successful epilepsy surgery was associated with a reduced risk of premature mortality, compared with those with refractory focal epilepsy who did not have surgical treatment. To some extent, the reduced mortality is likely to be conferred by inducing freedom from seizures. It is not certain whether better survival is attributable only to surgery, as treatment decisions were not randomised, and there may be inherent differences between the groups.<br/

SOAR (Support Office for Aerogeophysical Research) Annual Report 1996/1997

The Support Office for Aerogeophysical Research (SOAR) was a facility of the National Science Foundation's Office of Polar Programs whose mission is to make airborne geophysical observations available to the broad research community of geology, glaciology and other sciences. The central office of the SOAR facility is located in Austin, Texas within the University of Texas Institute for Geophysics. Other institutions with significant responsibilities are the Lamont­ Doherty Earth Observatory of Columbia University and the Geophysics Branch of the U.S . Geological Survey. This report summarizes the goals and accomplishments of the SOAR facility during 1996/1997 and plans for the next year.National Science Foundation's Office of Polar ProgramsInstitute for Geophysic

Employment insecurity and life satisfaction: The moderating influence of labour market policies across Europe

This article tests whether the link between employment insecurity and life satisfaction is moderated by the generosity of labour market policies across Europe. Employment insecurity provokes anxieties about (a) the difficulties of finding a new job and (b) alternative sources of non-work income. These components can be related to active and passive labour market policies, respectively. Generous policy support is thus expected to buffer the negative consequences of employment insecurity by lowering the perceived difficulty of finding a similar job or providing income maintenance during unemployment. Based on data for 22 countries from the 2010 European Social Survey, initial support for this hypothesis is found. Perceived employment insecurity is negatively associated with life satisfaction but the strength of the relationship is inversely related to the generosity of labour market policies. Employment insecurity, in other words, is more harmful in countries where labour market policies are less generous

\Lambda-buildings and base change functors

We prove an analog of the base change functor of \Lambda-trees in the setting of generalized affine buildings. The proof is mainly based on local and global combinatorics of the associated spherical buildings. As an application we obtain that the class of generalized affine building is closed under ultracones and asymptotic cones. Other applications involve a complex of groups decompositions and fixed point theorems for certain classes of generalized affine buildings.Comment: revised version, 29 pages, to appear in Geom. Dedicat

Candidates for a possible third-generation gravitational wave detector: comparison of ring-Sagnac and sloshing-Sagnac speedmeter interferometers

Speedmeters are known to be quantum non-demolition devices and, by potentially providing sensitivity beyond the standard quantum limit, become interesting for third generation gravitational wave detectors. Here we introduce a new configuration, the sloshing-Sagnac interferometer, and compare it to the more established ring-Sagnac interferometer. The sloshing-Sagnac interferometer is designed to provide improved quantum noise limited sensitivity and lower coating thermal noise than standard position meter interferometers employed in current gravitational wave detectors. We compare the quantum noise limited sensitivity of the ring-Sagnac and the sloshing-Sagnac interferometers, in the frequency range, from 5 Hz to 100 Hz, where they provide the greatest potential benefit. We evaluate the improvement in terms of the unweighted noise reduction below the standard quantum limit, and by finding the range up to which binary black hole inspirals may be observed. The sloshing-Sagnac was found to give approximately similar or better sensitivity than the ring-Sagnac in all cases. We also show that by eliminating the requirement for maximally-reflecting cavity end mirrors with correspondingly-thick multi-layer coatings, coating noise can be reduced by a factor of approximately 2.2 compared to conventional interferometers

Topos-Theoretic Extension of a Modal Interpretation of Quantum Mechanics

This paper deals with topos-theoretic truth-value valuations of quantum propositions. Concretely, a mathematical framework of a specific type of modal approach is extended to the topos theory, and further, structures of the obtained truth-value valuations are investigated. What is taken up is the modal approach based on a determinate lattice \Dcal(e,R), which is a sublattice of the lattice \Lcal of all quantum propositions and is determined by a quantum state $e$ and a preferred determinate observable $R$. Topos-theoretic extension is made in the functor category \Sets^{\CcalR} of which base category \CcalR is determined by $R$. Each true atom, which determines truth values, true or false, of all propositions in \Dcal(e,R), generates also a multi-valued valuation function of which domain and range are \Lcal and a Heyting algebra given by the subobject classifier in \Sets^{\CcalR}, respectively. All true propositions in \Dcal(e,R) are assigned the top element of the Heyting algebra by the valuation function. False propositions including the null proposition are, however, assigned values larger than the bottom element. This defect can be removed by use of a subobject semi-classifier. Furthermore, in order to treat all possible determinate observables in a unified framework, another valuations are constructed in the functor category \Sets^{\Ccal}. Here, the base category \Ccal includes all \CcalR's as subcategories. Although \Sets^{\Ccal} has a structure apparently different from \Sets^{\CcalR}, a subobject semi-classifier of \Sets^{\Ccal} gives valuations completely equivalent to those in \Sets^{\CcalR}'s.Comment: LaTeX2

Including Information on Overdiagnosis in Shared Decision Making : A Review of Prostate Cancer Screening Decision Aids

Publisher Copyright: © The Author(s) 2022.Background. Overdiagnosis is an accepted harm of cancer screening, but studies of prostate cancer screening decision aids have not examined provision of information important in communicating the risk of overdiagnosis, including overdiagnosis frequency, competing mortality risk, and the high prevalence of indolent cancers in the population. Methods. We undertook a comprehensive review of all publicly available decision aids for prostate cancer screening, published in (or translated to) the English language, without date restrictions. We included all decision aids from a recent systematic review and screened excluded studies to identify further relevant decision aids. We used a Google search to identify further decision aids not published in peer reviewed medical literature. Two reviewers independently screened the decision aids and extracted information on communication of overdiagnosis. Disagreements were resolved through discussion or by consulting a third author. Results. Forty-one decision aids were included out of the 80 records identified through the search. Most decision aids (n = 32, 79%) did not use the term overdiagnosis but included a description of it (n = 38, 92%). Few (n = 7, 17%) reported the frequency of overdiagnosis. Little more than half presented the benefits of prostate cancer screening before the harms (n = 22, 54%) and only 16, (39%) presented information on competing risks of mortality. Only 2 (n = 2, 5%) reported the prevalence of undiagnosed prostate cancer in the general population. Conclusion. Most patient decision aids for prostate cancer screening lacked important information on overdiagnosis. Specific guidance is needed on how to communicate the risks of overdiagnosis in decision aids, including appropriate content, terminology and graphical display. Most patient decision aids for prostate cancer screening lacks important information on overdiagnosis. Specific guidance is needed on how to communicate the risks of overdiagnosis.Peer reviewe

Electromagnetic corrections in the anomaly sector

Chiral perturbation theory in the anomaly sector for $N_f=2$ is extended to include dynamical photons, thereby allowing a complete treatment of isospin breaking. A minimal set of independent chiral lagrangian terms is determined and the divergence structure is worked out. There are contributions from irreducible and also from reducible one-loop graphs, a feature of ChPT at order larger than four. The generating functional is non-anomalous at order $e^2p^4$, but not necessarily at higher order in $e^2$. Practical applications to $\gamma\pi\to\pi\pi$ and to the $\pi^0\to2\gamma$ amplitudes are considered. In the latter case, a complete discussion of the corrections beyond current algebra is presented including quark mass as well as electromagnetic effects.Comment: 26 pages, 3 figure