32 research outputs found

    Accurate measurement of long range proton-carbon scalar coupling constants

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    The accuracy and ease-of-use of various experimental NMR methods for measuringnJCHvalues is assessed.</p

    Probing the neutrino mass hierarchy with CMB weak lensing

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    We forecast constraints on cosmological parameters with primary CMB anisotropy information and weak lensing reconstruction with a future post-Planck CMB experiment, the Cosmic Origins Explorer (COrE), using oscillation data on the neutrino mass splittings as prior information. Our MCMC simulations in flat models with a non-evolving equation-of-state of dark energy w give typical 68% upper bounds on the total neutrino mass of 0.136 eV and 0.098 eV for the inverted and normal hierarchies respectively, assuming the total summed mass is close to the minimum allowed by the oscillation data for the respective hierarchies (0.10 eV and 0.06 eV). Including information from future baryon acoustic oscillation measurements with the complete BOSS, Type 1a supernovae distance moduli from WFIRST, and a realistic prior on the Hubble constant, these upper limits shrink to 0.118 eV and 0.080 eV for the inverted and normal hierarchies, respectively. Addition of these distance priors also yields percent-level constraints on w. We find tension between our MCMC results and the results of a Fisher matrix analysis, most likely due to a strong geometric degeneracy between the total neutrino mass, the Hubble constant, and w in the unlensed CMB power spectra. If the minimal-mass, normal hierarchy were realised in nature, the inverted hierarchy should be disfavoured by the full data combination at typically greater than the 2-sigma level. For the minimal-mass inverted hierarchy, we compute the Bayes' factor between the two hierarchies for various combinations of our forecast datasets, and find that the future probes considered here should be able to provide `strong' evidence (odds ratio 12:1) for the inverted hierarchy. Finally, we consider potential biases of the other cosmological parameters from assuming the wrong hierarchy and find that all biases on the parameters are below their 1-sigma marginalised errors.Comment: 16 pages, 13 figures; minor changes to match the published version, references adde

    Act now against new NHS competition regulations: an open letter to the BMA and the Academy of Medical Royal Colleges calls on them to make a joint public statement of opposition to the amended section 75 regulations.

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    An open dataset of Plasmodium falciparum genome variation in 7,000 worldwide samples.

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    MalariaGEN is a data-sharing network that enables groups around the world to work together on the genomic epidemiology of malaria. Here we describe a new release of curated genome variation data on 7,000 Plasmodium falciparum samples from MalariaGEN partner studies in 28 malaria-endemic countries. High-quality genotype calls on 3 million single nucleotide polymorphisms (SNPs) and short indels were produced using a standardised analysis pipeline. Copy number variants associated with drug resistance and structural variants that cause failure of rapid diagnostic tests were also analysed.  Almost all samples showed genetic evidence of resistance to at least one antimalarial drug, and some samples from Southeast Asia carried markers of resistance to six commonly-used drugs. Genes expressed during the mosquito stage of the parasite life-cycle are prominent among loci that show strong geographic differentiation. By continuing to enlarge this open data resource we aim to facilitate research into the evolutionary processes affecting malaria control and to accelerate development of the surveillance toolkit required for malaria elimination

    Primary care characteristics and stage of cancer at diagnosis using data from the national cancer registration service, quality outcomes framework and general practice information

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    BACKGROUND: Survival from cancer is worse in England than in some European countries. To improve survival, strategies in England have focused on early presentation (reducing delay to improve stage at diagnosis), improving quality of care and ensuring equity throughout the patient pathway. We assessed whether primary care characteristics were associated with later stage cancer at diagnosis (stages 3/4 versus 1/2) for female breast, lung, colorectal and prostate cancer. METHODS: Data obtained from the National Cancer Registration Service, Quality Outcomes Framework, GP survey and GP workforce census, linked by practice code. Risk differences (RD) were calculated by primary care characteristics using a generalised linear model, accounting for patient clustering within practices. Models were adjusted for age, sex and an area-based deprivation measure. RESULTS: For female breast cancer, being with a practice with a higher two week wait (TWW) referral rate (RD −1.8 % (95 % CI −0.5 % to −3.2 %) p = 0.003) and a higher TWW detection rate (RD −1.7 % (95 % CI −0.3 % to −3.0 %) p = 0.003) was associated with a lower proportion diagnosed later. Being at a practice where people thought it less easy to book at appointment was associated with a higher percentage diagnosed later (RD 1.8 % (95 % CI 0.2 % to 3.4 %) p = 0.03). For lung cancer, being at practices with higher TWW referral rates was associated with lower proportion advanced (RD-3.6 % (95 % CI −1.8 %, −5.5 %) p < 0.001) whereas being at practices with more patients per GP was associated with higher proportion advanced (RD1.8 % (95 % CI 0.2, 3.4) p = 0.01). A higher rate of gastrointestinal investigations was associated with a lower proportion of later stage colorectal cancers (RD −2.0 % (95 % CI −0.6 % to −3.6 %) p = 0.01). No organisational characteristics were associated with prostate cancer stage. CONCLUSION: Easier access to primary care, faster referral and more investigation for gastrointestinal symptoms could reduce the proportion of people diagnosed later for female breast, lung and colorectal, but not prostate cancer. Differences between the four main cancers suggest different policies may be required for individual cancers to improve outcomes. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12885-015-1497-1) contains supplementary material, which is available to authorized users
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