616 research outputs found
Genomic Regions Identified by Overlapping Clusters of Nominally-Positive SNPs from Genome-Wide Studies of Alcohol and Illegal Substance Dependence
Declaring “replication” from results of genome wide association (GWA) studies is straightforward when major gene effects provide genome-wide significance for association of the same allele of the same SNP in each of multiple independent samples. However, such unambiguous replication is unlikely when phenotypes display polygenic genetic architecture, allelic heterogeneity, locus heterogeneity and when different samples display linkage disequilibria with different fine structures. We seek chromosomal regions that are tagged by clustered SNPs that display nominally-significant association in each of several independent samples. This approach provides one “nontemplate” approach to identifying overall replication of groups of GWA results in the face of difficult genetic architectures. We apply this strategy to 1 M SNP GWA results for dependence on: a) alcohol (including many individuals with dependence on other addictive substances) and b) at least one illegal substance (including many individuals dependent on alcohol). This approach provides high confidence in rejecting the null hypothesis that chance alone accounts for the extent to which clustered, nominally-significant SNPs from samples of the same racial/ethnic background identify the same sets of chromosomal regions. It identifies several genes that are also reported in other independent alcohol-dependence GWA datasets. There is more modest confidence in: a) identification of individual chromosomal regions and genes that are not also identified by data from other independent samples, b) the more modest overlap between results from samples of different racial/ethnic backgrounds and c) the extent to which any gene not identified herein is excluded, since the power of each of these individual samples is modest. Nevertheless, the strong overlap identified among the samples with similar racial/ethnic backgrounds supports contributions to individual differences in vulnerability to addictions that come from newer allelic variants that are common in subsets of current humans
Further investigation of confirmed urinary tract infection (UTI) in children under five years: a systematic review.
Background: Further investigation of confirmed UTI in children aims to prevent renal scarring and future complications. Methods: We conducted a systematic review to determine the most effective approach to the further investigation of confirmed urinary tract infection (UTI) in children under five years of age. Results: 73 studies were included. Many studies had methodological limitations or were poorly reported. Effectiveness of further investigations: One study found that routine imaging did not lead to a reduction in recurrent UTIs or renal scarring. Diagnostic accuracy: The studies do not support the use of less invasive tests such as ultrasound as an alternative to renal scintigraphy, either to rule out infection of the upper urinary tract (LR- = 0.57, 95%CI: 0.47, 0.68) and thus to exclude patients from further investigation or to detect renal scarring (LR+ = 3.5, 95% CI: 2.5, 4.8). None of the tests investigated can accurately predict the development of renal scarring. The available evidence supports the consideration of contrast-enhanced ultrasound techniques for detecting vesico-ureteric reflux (VUR), as an alternative to micturating cystourethrography (MCUG) (LR+ = 14.1, 95% CI: 9.5, 20.8; LR- = 0.20, 95%CI: 0.13, 0.29); these techniques have the advantage of not requiring exposure to ionising radiation. Conclusion: There is no evidence to support the clinical effectiveness of routine investigation of children with confirmed UTI. Primary research on the effectiveness, in terms of improved patient outcome, of testing at all stages in the investigation of confirmed urinary tract infection is urgently required
JPN Guidelines for the management of acute pancreatitis: treatment of gallstone-induced acute pancreatitis
Gallstones, along with alcohol, are one of the primary etiological factors of acute pancreatitis, and knowledge of the etiology as well as the diagnosis and management of gallstones, is crucial for managing acute pancreatitis. Because of this, evidence regarding the management of gallstone-induced pancreatitis in Japan was collected, and recommendation levels were established by comparing current clinical practices with optimal clinical practices. The JPN Guidelines for managing gallstone-induced acute pancreatitis recommend two procedures: (1) an urgent endoscopic procedure should be performed in patients in whom biliary duct obstruction is suspected and in patients complicated by cholangitis (Recommendation A); and (2) after the attack of gallstone pancreatitis has subsided, a laparoscopic cholecystectomy should be performed during the same hospital stay (Recommendation B)
Longitudinal double spin asymmetries in single hadron quasi-real photoproduction at high
We measured the longitudinal double spin asymmetries for single
hadron muo-production off protons and deuterons at photon virtuality <
1(GeV/) for transverse hadron momenta in the range 0.7
GeV/ to 4 GeV/ . They were determined using COMPASS data taken
with a polarised muon beam of 160 GeV/ or 200 GeV/ impinging on
polarised or targets. The experimental
asymmetries are compared to next-to-leading order pQCD calculations, and are
sensitive to the gluon polarisation inside the nucleon in the range
of the nucleon momentum fraction carried by gluons
Interplay among transversity induced asymmetries in hadron leptoproduction
In the fragmentation of a transversely polarized quark several left-right
asymmetries are possible for the hadrons in the jet. When only one unpolarized
hadron is selected, it exhibits an azimuthal modulation known as Collins
effect. When a pair of oppositely charged hadrons is observed, three
asymmetries can be considered, a di-hadron asymmetry and two single hadron
asymmetries. In lepton deep inelastic scattering on transversely polarized
nucleons all these asymmetries are coupled with the transversity distribution.
From the high statistics COMPASS data on oppositely charged hadron-pair
production we have investigated for the first time the dependence of these
three asymmetries on the difference of the azimuthal angles of the two hadrons.
The similarity of transversity induced single and di-hadron asymmetries is
discussed. A new analysis of the data allows to establish quantitative
relationships among them, providing for the first time strong experimental
indication that the underlying fragmentation mechanisms are all driven by a
common physical process.Comment: 6 figure
Interplay among transversity induced asymmetries in hadron leptoproduction
In the fragmentation of a transversely polarized quark several left-right
asymmetries are possible for the hadrons in the jet. When only one unpolarized
hadron is selected, it exhibits an azimuthal modulation known as Collins
effect. When a pair of oppositely charged hadrons is observed, three
asymmetries can be considered, a di-hadron asymmetry and two single hadron
asymmetries. In lepton deep inelastic scattering on transversely polarized
nucleons all these asymmetries are coupled with the transversity distribution.
From the high statistics COMPASS data on oppositely charged hadron-pair
production we have investigated for the first time the dependence of these
three asymmetries on the difference of the azimuthal angles of the two hadrons.
The similarity of transversity induced single and di-hadron asymmetries is
discussed. A new analysis of the data allows to establish quantitative
relationships among them, providing for the first time strong experimental
indication that the underlying fragmentation mechanisms are all driven by a
common physical process.Comment: 6 figure
Collins and Sivers asymmetries in muonproduction of pions and kaons off transversely polarised proton
Measurements of the Collins and Sivers asymmetries for charged pions and
charged and neutral kaons produced in semi-inclusive deep-inelastic scattering
of high energy muons off transversely polarised protons are presented. The
results were obtained using all the available COMPASS proton data, which were
taken in the years 2007 and 2010. The Collins asymmetries exhibit in the
valence region a non-zero signal for pions and there are hints of non-zero
signal also for kaons. The Sivers asymmetries are found to be positive for
positive pions and kaons and compatible with zero otherwise.Comment: 15 pages, 13 figures and 1 tabl
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