2,409 research outputs found
PSY41 PATIENT-REPORTED OUTCOME (PRO) LABELING CLAIMS IN PAIN TREATMENT: OVERVIEW OF US AND EUROPEAN DRUG APPROVALS
DIAPHRAGM MUSCLE STRIP PREPARATION FOR EVALUATION OF GENE THERAPIES IN mdx MICE
1. Duchenne muscular dystrophy (DMD), a severe muscle wasting disease of young boys with an incidence of one in every 3000, results from a mutation in the gene that encodes dystrophin. The absence of dystrophin expression in skeletal muscles and heart results in the degeneration of muscle fibres and, consequently, severe muscle weakness and wasting. The mdx mouse discovered in 1984, with some adjustments for differences, has proven to be an invaluable model for scientific investigations of dystrophy. 2. The development of the diaphagm strip preparation provided an ideal experimental model for investigations of skeletal muscle impairments in structure and function induced by interactions of disease- and age-related factors. Unlike the limb muscles of the mdx mouse, which show adaptive changes in structure and function, the diaphragm strip preparation reflects accurately the deterioration in muscle structure and function observed in boys with DMD. 3. The advent of sophisticated servo motors and force transducers interfaced with state-of-the-art software packages to drive complex experimental designs during the 1990s greatly enhanced the capability of the mdx mouse and the diaphragm strip preparation to evaluate more accurately the impact of the disease on the structure–function relationships throughout the life span of the mouse. 4. Finally, during the 1990s and through the early years of the 21st century, many promising, sophisticated genetic techniques have been designed to ameliorate the devastating impact of muscular dystrophy on the structure and function of skeletal muscles. During this period of rapid development of promising genetic therapies, the combination of the mdx mouse and the diaphragm strip preparation has provided an ideal model for the evaluation of the success, or failure, of these genetic techniques to improve dystrophic muscle structure, function or both. With the 2 year life span of the mdx mouse, the impact of age-related effects can be studied in this model.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72970/1/j.1440-1681.2007.04865.x.pd
Identifying people at higher risk of melanoma across the U.K.: a primary-care-based electronic survey
BACKGROUND: Melanoma incidence is rising rapidly worldwide among white populations. Defining higher-risk populations using risk prediction models may help targeted screening and early detection approaches. OBJECTIVES: To assess the feasibility of identifying people at higher risk of melanoma using the Williams self-assessed clinical risk estimation model in U.K. primary care. METHODS: We recruited participants from the waiting rooms of 22 general practices covering a total population of > 240 000 in three U.K. regions: Eastern England, North East Scotland and North Wales. Participants completed an electronic questionnaire using tablet computers. The main outcome was the mean melanoma risk score using the Williams melanoma risk model. RESULTS: Of 9004 people approached, 7742 (86%) completed the electronic questionnaire. The mean melanoma risk score for the 7566 eligible participants was 17·15 ± 8·51, with small regional differences [lower in England compared with Scotland (P = 0·001) and Wales (P < 0·001), mainly due to greater freckling and childhood sunburn among Scottish and Welsh participants]. After weighting to the age and sex distribution, different potential cut-offs would allow between 4% and 20% of the population to be identified as higher risk, and those groups would contain 30% and 60%, respectively of those likely to develop melanoma. CONCLUSIONS: Collecting data on the melanoma risk profile of the general population in U.K. primary care is both feasible and acceptable for patients in a general practice setting, and provides opportunities for new methods of real-time risk assessment and risk stratified cancer interventions
Thermally fluctuating superconductors in two dimensions
We describe the different regimes of finite temperature dynamics in the
vicinity of a zero temperature superconductor to insulator quantum phase
transition in two dimensions. New results are obtained for a low temperature
phase-only hydrodynamics, and for the intermediate temperature quantum-critical
region. In the latter case, we obtain a universal relationship between the
frequency-dependence of the conductivity and the value of the d.c. resistance.Comment: Presentation completely revised; 4 pages, 2 figure
Maternal valacyclovir and infant cytomegalovirus acquisition: a randomized controlled trial among HIV-infected women.
Background
Studies in HIV-1-infected infants and HIV-1-exposed, uninfected infants link early cytomegalovirus (CMV) acquisition with growth delay and cognitive impairment. We investigated maternal valacyclovir to delay infant acquisition of CMV.
Methods
Pregnant women with HIV-1, HSV-2 and CD4 count >250 cells/µl were randomized at 34 weeks gestation to 500 mg twice-daily valacyclovir or placebo for 12 months. Maternal CMV DNA was measured in plasma at 34 weeks gestation, in cervical secretions at 34 and 38 weeks gestation, and in breast milk at 7 postpartum timepoints; infant CMV DNA was measured in dried blood spots at 8 timepoints including birth.
Results
Among 148 women, 141 infants were compared in intent-to-treat analyses. Maternal and infant characteristics were similar between study arms. Infant CMV acquisition did not differ between study arms, with 46/70 infants (66%) in placebo arm and 47/71 infants (66%) in the valacyclovir arm acquiring CMV; median time to CMV detection did not differ. CMV DNA was detected in 92% of 542 breast milk specimens with no difference in CMV level between study arms. Change in cervical shedding of CMV DNA between baseline and 38 weeks was 0.40-log greater in the placebo arm than the valacyclovir arm (p = 0.05).
Conclusions
In this cohort of HIV-1-seropositive mothers, two-thirds of infants acquired CMV by one year. Maternal valacyclovir had no effect on timing of infant CMV acquisition or breast milk CMV viral loads, although it modestly reduced cervical CMV shedding. Maternal prophylaxis to reduce infant CMV acquisition warrants further evaluation in trials with antiviral agents
Criticality in correlated quantum matter
At quantum critical points (QCP)
\cite{Pfeuty:1971,Young:1975,Hertz:1976,Chakravarty:1989,Millis:1993,Chubukov:1
994,Coleman:2005} there are quantum fluctuations on all length scales, from
microscopic to macroscopic lengths, which, remarkably, can be observed at
finite temperatures, the regime to which all experiments are necessarily
confined. A fundamental question is how high in temperature can the effects of
quantum criticality persist? That is, can physical observables be described in
terms of universal scaling functions originating from the QCPs? Here we answer
these questions by examining exact solutions of models of correlated systems
and find that the temperature can be surprisingly high. As a powerful
illustration of quantum criticality, we predict that the zero temperature
superfluid density, , and the transition temperature, , of
the cuprates are related by , where the exponent
is different at the two edges of the superconducting dome, signifying the
respective QCPs. This relationship can be tested in high quality crystals.Comment: Final accepted version not including minor stylistic correction
Exploring the barriers and facilitators of implementing CanRisk in primary care: a qualitative thematic framework analysis
A descriptive study of UK cancer genetics services: an emerging clinical response to the new genetics
The objective was to describe NHS cancer genetic counselling services and compare UK regions. The study design was a cross-sectional study over 4 weeks and attendee survey. The setting was 22 of the 24 regional cancer genetics services in the UK NHS. Participants were individuals aged over 18 attending clinics at these services. Outcome measures were staff levels, referral rates, consultation rates, follow-up plans, waiting time. There were only 11 dedicated cancer geneticists across the 22 centres. Referrals were mainly concerned with breast (63%), bowel (18%) and ovarian (12%) cancers. Only 7% of referrals were for men and 3% were for individuals from ethnic minorities. Referral rates varied from 76 to 410 per million per annum across the regions. Median waiting time for an initial appointment was 19 weeks, ranging across regions from 4 to 53 weeks. Individuals at population-level genetic risk accounted for 27% of consultations (range 0%, 58%). Shortfalls in cancer genetics staff and in the provision of genetic testing and cancer surveillance have resulted in large regional variations in access to care. Initiatives to disseminate referral and management guidelines to cancer units and primary care should be adequately resourced so that clinical genetics teams can focus on the genetic testing and management of high-risk families. © 2001 Cancer Research Campaign http://www.bjcancer.co
Lithofacies uncertainty modeling in a siliciclastic reservoir setting by incorporating geological contacts and seismic information
Deterministic modeling lonely provides a unique boundary layout, depending on the geological interpretation or interpolation
from the hard available data. Changing the interpreter’s attitude or interpolation parameters leads to displacing the
location of these borders. In contrary, probabilistic modeling of geological domains such as lithofacies is a critical aspect
to providing information to take proper decision in the case of evaluation of oil reservoirs parameters, that is, applicable
for quantification of uncertainty along the boundaries. These stochastic modeling manifests itself dramatically beyond this
occasion. Conventional approaches of probabilistic modeling (object and pixel-based) mostly suffers from consideration
of contact knowledge on the simulated domains. Plurigaussian simulation algorithm, in contrast, allows reproducing the
complex transitions among the lithofacies domains and has found wide acceptance for modeling petroleum reservoirs.
Stationary assumption for this framework has implications on the homogeneous characterization of the lithofacies. In this
case, the proportion is assumed constant and the covariance function as a typical feature of spatial continuity depends only
on the Euclidean distances between two points. But, whenever there exists a heterogeneity phenomenon in the region, this
assumption does not urge model to generate the desired variability of the underlying proportion of facies over the domain.
Geophysical attributes as a secondary variable in this place, plays an important role for generation of the realistic contact
relationship between the simulated categories. In this paper, a hierarchical plurigaussian simulation approach is used to construct
multiple realizations of lithofacies by incorporating the acoustic impedance as soft data through an oil reservoir in Iran.This research was funded by the National Elites Foundation of Iran in collaboration with research Institute Petroleum of Industry in Iran under the project number of 9265005
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