A descriptive analysis of child-relevant systematic reviews in the Cochrane Database of Systematic Reviews

<p>Abstract</p> <p>Background</p> <p>Systematic reviews (SRs) are considered an important tool for decision-making. There has been no recent comprehensive identification or description of child-relevant SRs. A description of existing child-relevant SRs would help to identify the extent of available child-relevant evidence available in SRs and gaps in the evidence base where SRs are required. The objective of this study was to describe child-relevant SRs from the Cochrane Database of Systematic Reviews (CDSR, Issue 2, 2009).</p> <p>Methods</p> <p>SRs were assessed for relevance using pre-defined criteria. Data were extracted and entered into an electronic form. Univariate analyses were performed to describe the SRs overall and by topic area.</p> <p>Results</p> <p>The search yielded 1666 SRs; 793 met the inclusion criteria. 38% of SRs were last assessed as up-to-date prior to 2007. Corresponding authors were most often from the UK (41%). Most SRs (59%) examined pharmacological interventions. 53% had at least one external source of funding. SRs included a median of 7 studies (IQR 3, 15) and 679 participants (IQR 179, 2833). Of all studies, 48% included only children, and 27% only adults. 94% of studies were published in peer-reviewed journals. Primary outcomes were specified in 72% of SRs. Allocation concealment and the Jadad scale were used in 97% and 25% of SRs, respectively. Adults and children were analyzed separately in 12% of SRs and as a subgroup analysis in 14%. Publication bias was assessed in only 14% of SRs. A meta-analysis was conducted in 68% of SRs with a median of 5 trials (IQR 3, 9) each. Variations in these characteristics were observed across topic areas.</p> <p>Conclusions</p> <p>We described the methodological characteristics and rigour of child-relevant reviews in the CDSR. Many SRs are not up-to-date according to Cochrane criteria. Our study describes variation in conduct and reporting across SRs and reveals clinicians' ability to access child-specific data.</p

A Contribution of the Trivial Connection to Jones Polynomial and Witten's Invariant of 3d Manifolds I

We use the Chern-Simons quantum field theory in order to prove a recently conjectured limitation on the 1/K expansion of the Jones polynomial of a knot and its relation to the Alexander polynomial. This limitation allows us to derive a surgery formula for the loop corrections to the contribution of the trivial connection to Witten's invariant. The 2-loop part of this formula coincides with Walker's surgery formula for Casson-Walker invariant. This proves a conjecture that Casson-Walker invariant is a 2-loop correction to the trivial connection contribution to Witten's invariant of a rational homology sphere. A contribution of the trivial connection to Witten's invariant of a manifold with nontrivial rational homology is calculated for the case of Seifert manifolds.Comment: 28 page

Entropic C-theorems in free and interacting two-dimensional field theories

The relative entropy in two-dimensional field theory is studied on a cylinder geometry, interpreted as finite-temperature field theory. The width of the cylinder provides an infrared scale that allows us to define a dimensionless relative entropy analogous to Zamolodchikov's $c$ function. The one-dimensional quantum thermodynamic entropy gives rise to another monotonic dimensionless quantity. I illustrate these monotonicity theorems with examples ranging from free field theories to interacting models soluble with the thermodynamic Bethe ansatz. Both dimensionless entropies are explicitly shown to be monotonic in the examples that we analyze.Comment: 34 pages, 3 figures (8 EPS files), Latex2e file, continuation of hep-th/9710241; rigorous analysis of sufficient conditions for universality of the dimensionless relative entropy, more detailed discussion of the relation with Zamolodchikov's theorem, references added; to appear in Phys. Rev.

Glycoside hydrolase from the GH76 family indicates that marine Salegentibacter sp. Hel_I_6 consumes alpha-mannan from fungi

Microbial glycan degradation is essential to global carbon cycling. The marine bacterium Salegentibacter sp. Hel_I_6 (Bacteroidota) isolated from seawater off Helgoland island (North Sea) contains an α-mannan inducible gene cluster with a GH76 family endo-α-1,6-mannanase (ShGH76). This cluster is related to genetic loci employed by human gut bacteria to digest fungal α-mannan. Metagenomes from the Hel_I_6 isolation site revealed increasing GH76 gene frequencies in free-living bacteria during microalgae blooms, suggesting degradation of α-1,6-mannans from fungi. Recombinant ShGH76 protein activity assays with yeast α-mannan and synthetic oligomannans showed endo-α-1,6-mannanase activity. Resolved structures of apo-ShGH76 (2.0 Å) and of mutants co-crystalized with fungal mannan-mimicking α-1,6-mannotetrose (1.90 Å) and α-1,6-mannotriose (1.47 Å) retained the canonical (α/α)6 fold, despite low identities with sequences of known GH76 structures (GH76s from gut bacteria: <27%). The apo-form active site differed from those known from gut bacteria, and co-crystallizations revealed a kinked oligomannan conformation. Co-crystallizations also revealed precise molecular-scale interactions of ShGH76 with fungal mannan-mimicking oligomannans, indicating adaptation to this particular type of substrate. Our data hence suggest presence of yet unknown fungal α-1,6-mannans in marine ecosystems, in particular during microalgal blooms

A Case Report of Cognitive Processing Therapy Delivered over a Single Week.

Although evidence-based treatments for posttraumatic stress disorder (PTSD), such as Cognitive Processing Therapy (CPT), have been developed and widely disseminated, the rate of veterans engaging in and completing these therapies is low. Alternative methods of delivery may be needed to help overcome key barriers to treatment. Delivering evidence-based therapies intensively may address practical barriers to treatment attendance as well as problems with avoidance. This report details the case of a combat veteran who received 10 sessions of Cognitive Processing Therapy delivered twice per day over a single, five-day work week (CPT-5). Post-treatment, the veteran reported large and clinically meaningful decreases in PTSD and depression symptom severity as well as in guilt cognitions, which is a purported mechanism of successful treatment. These effects persisted six weeks after treatment ended. Despite the intensive nature of the treatment, the veteran found CPT-5 tolerable and could cite many benefits to completing therapy in one work week. In conclusion, CPT-5 holds promise as a way to efficiently deliver an evidence-based therapy that is both clinically effective and acceptable to patients, although more rigorous clinical trials are needed to test this treatment delivery format

Charmonium Spectrum from Quenched Anisotropic Lattice QCD

We present a detailed study of the charmonium spectrum using anisotropic lattice QCD. We first derive a tree-level improved clover quark action on the anisotropic lattice for arbitrary quark mass. The heavy quark mass dependences of the improvement coefficients, i.e. the ratio of the hopping parameters $\zeta=K_t/K_s$ and the clover coefficients $c_{s,t}$, are examined at the tree level. We then compute the charmonium spectrum in the quenched approximation employing $\xi = a_s/a_t = 3$ anisotropic lattices. Simulations are made with the standard anisotropic gauge action and the anisotropic clover quark action at four lattice spacings in the range $a_s$=0.07-0.2 fm. The clover coefficients $c_{s,t}$ are estimated from tree-level tadpole improvement. On the other hand, for the ratio of the hopping parameters $\zeta$, we adopt both the tree-level tadpole-improved value and a non-perturbative one. We calculate the spectrum of S- and P-states and their excitations. The results largely depend on the scale input even in the continuum limit, showing a quenching effect. When the lattice spacing is determined from the $1P-1S$ splitting, the deviation from the experimental value is estimated to be $\sim$30% for the S-state hyperfine splitting and $\sim$20% for the P-state fine structure. Our results are consistent with previous results at $\xi = 2$ obtained by Chen when the lattice spacing is determined from the Sommer scale $r_0$. We also address the problem with the hyperfine splitting that different choices of the clover coefficients lead to disagreeing results in the continuum limit.Comment: 43 pages, 49 eps figures, revtex; minor changes, version to appear in Physical Review