171 research outputs found
Improving patient outcomes in fibrous dysplasia/McCune-Albright syndrome: an international multidisciplinary workshop to inform an international partnership.
Bone and mineral researc
Clinical practice guidelines for the foot and ankle in rheumatoid arthritis: a critical appraisal
Background: Clinical practice guidelines are recommendations systematically developed to assist clinical decision-making and inform healthcare. In current rheumatoid arthritis (RA) guidelines, management of the foot and ankle is under-represented and the quality of recommendation is uncertain. This study aimed to identify and critically appraise clinical practice guidelines for foot and ankle management in RA. Methods: Guidelines were identified electronically and through hand searching. Search terms 'rheumatoid arthritis', 'clinical practice guidelines' and related synonyms were used. Critical appraisal and quality rating were conducted using the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument. Results: Twenty-four guidelines were included. Five guidelines were high quality and recommended for use. Five high quality and seven low quality guidelines were recommended for use with modifications. Seven guidelines were low quality and not recommended for use. Five early and twelve established RA guidelines were recommended for use. Only two guidelines were foot and ankle specific. Five recommendation domains were identified in both early and established RA guidelines. These were multidisciplinary team care, foot healthcare access, foot health assessment/review, orthoses/insoles/splints, and therapeutic footwear. Established RA guidelines also had an 'other foot care treatments' domain. Conclusions: Foot and ankle management for RA features in many clinical practice guidelines recommended for use. Unfortunately, supporting evidence in the guidelines is low quality. Agreement levels are predominantly 'expert opinion' or 'good clinical practice'. More research investigating foot and ankle management for RA is needed prior to inclusion in clinical practice guidelines
Health-related quality of life and a cost-utility simulation of adults in the UK with osteogenesis imperfecta, X-linked hypophosphatemia and fibrous dysplasia.
BACKGROUND: Health-related quality of life of adults with osteogenesis imperfecta (OI), fibrous dysplasia (FD) and X-linked hypophosphatemia (XLH) remains poorly described. The aim of this study was to describe the HRQoL of adults with osteogenesis imperfecta, fibrous dysplasia and X-linked hypophophataemia and perform a cost-utility simulation to calculate the maximum cost that a health care system would be willing to pay for a hypothetical treatment of a rare bone disease. RESULTS: Participants completed the EQ-5D-5 L questionnaire between September 2014 and March 2016. For the economic simulation, we considered a hypothetical treatment that would be applied to OI participants in the lower tertile of the health utility score. A total of 109 study participants fully completed the EQ-5D-5 L questionnaire (response rate 63%). Pain/discomfort was the most problematic domain for participants with all three diseases (FD 31%, XLH 25%, OI 16%). The economic simulation identified an expected treatment impact of +2.5 QALYs gained per person during the 10-year period, which led to a willing to pay of £14,355 annually for a health care system willing to pay up to £50,000 for each additional QALY gained by an intervention. CONCLUSIONS: This is the first study to quantitatively measure and compare the HRQoL of adults with OI, FD and XLH and the first to use such data to conduct an economic simulation leading to healthcare system willingness-to-pay estimates for treatment of musculoskeletal rare diseases at various cost-effectiveness thresholds
Transverse momentum and centrality dependence of dihadron correlations in Au+Au collisions at sqrt(s_NN)=200 GeV: Jet-quenching and the response of partonic matter
Azimuthal angle \Delta\phi correlations are presented for charged hadrons
from dijets for 0.4 < p_T < 10 GeV/c in Au+Au collisions at sqrt(s_NN) = 200
GeV. With increasing p_T, the away-side distribution evolves from a broad to a
concave shape, then to a convex shape. Comparisons to p+p data suggest that the
away-side can be divided into a partially suppressed "head" region centered at
Delta\phi ~ \pi, and an enhanced "shoulder" region centered at Delta\phi ~ \pi
+/- 1.1. The p_T spectrum for the "head" region softens toward central
collisions, consistent with the onset of jet quenching. The spectral slope for
the "shoulder" region is independent of centrality and trigger p_T, which
offers constraints on energy transport mechanisms and suggests that the
"shoulder" region contains the medium response to energetic jets.Comment: 420 authors from 58 institutions, 6 pages, 4 figures. Submitted to
Physical Review Letters. Plain text data tables for the points plotted in
figures for this and previous PHENIX publications are (or will be) publicly
available at http://www.phenix.bnl.gov/papers.htm
High-pT pi^zero Production with Respect to the Reaction Plane in Au + Au Collisions at sqrt(s_NN) = 200 GeV
Measurements of the azimuthal anisotropy of high-\pT neutral pion neutral
pion production in Au+Au collisions at sqrt(s_NN) = 200 GeV by the PHENIX
experiment are presented. The data included in this paper were collected during
the 2004 RHIC running period and represent approximately an order of magnitude
increase in the number of analyzed events relative to previously published
results. Azimuthal angle distributions of pi^0s detected in the PHENIX
electromagnetic calorimeters are measured relative to the reaction plane
determined event-by-event using the forward and backward beam-beam counters.
Amplitudes of the second Fourier component (v_2) of the angular distributions
are presented as a function of pi^0 transverse momentum p_T for different bins
in collision centrality. Measured reaction plane dependent pi^0 yields are used
to determine the azimuthal dependence of the pi^0 suppression as a function of
p_T, R_AA (Delta phi,p_T). A jet-quenching motivated geometric analysis is
presented that attempts to simultaneously describe the centrality dependence
and reaction plane angle dependence of the pi^0 suppression in terms of the
path lengths of hypothetical parent partons in the medium. This set of results
allows for a detailed examination of the influence of geometry in the collision
region, and of the interplay between collective flow and jet-quenching effects
along the azimuthal axis.Comment: 344 authors, 35 pages text, RevTeX-4, 24 figures, 8 tables. Submitted
to Physical Review
Quantitative Constraints on the Transport Properties of Hot Partonic Matter from Semi-Inclusive Single High Transverse Momentum Pion Suppression in Au+Au collisions at sqrt(s_NN) = 200 GeV
The PHENIX experiment has measured the suppression of semi-inclusive single
high transverse momentum pi^0's in Au+Au collisions at sqrt(s_NN) = 200 GeV.
The present understanding of this suppression is in terms of energy-loss of the
parent (fragmenting) parton in a dense color-charge medium. We have performed a
quantitative comparison between various parton energy-loss models and our
experimental data. The statistical point-to-point uncorrelated as well as
correlated systematic uncertainties are taken into account in the comparison.
We detail this methodology and the resulting constraint on the model
parameters, such as the initial color-charge density dN^g/dy, the medium
transport coefficient , or the initial energy-loss parameter epsilon_0.
We find that high transverse momentum pi^0 suppression in Au+Au collisions has
sufficient precision to constrain these model dependent parameters at the +/1
20%-25% (one standard deviation) level. These constraints include only the
experimental uncertainties, and further studies are needed to compute the
corresponding theoretical uncertainties.Comment: 422 authors, 13 pages text, RevTeX-4, 9 figures, 2 tables. This
version is updated with changes made during the review process and is now the
same as what was published in Physical Review C. Plain text data tables for
the points plotted in figures for this and previous PHENIX publications are
publicly available at http://www.phenix.bnl.gov/papers.htm
Charged hadron multiplicity fluctuations in Au+Au and Cu+Cu collisions from sqrt(s_NN) = 22.5 to 200 GeV
A comprehensive survey of event-by-event fluctuations of charged hadron
multiplicity in relativistic heavy ions is presented. The survey covers Au+Au
collisions at sqrt(s_NN) = 62.4 and 200 GeV, and Cu+Cu collisions sqrt(s_NN) =
22.5, 62.4, and 200 GeV. Fluctuations are measured as a function of collision
centrality, transverse momentum range, and charge sign. After correcting for
non-dynamical fluctuations due to fluctuations in the collision geometry within
a centrality bin, the remaining dynamical fluctuations expressed as the
variance normalized by the mean tend to decrease with increasing centrality.
The dynamical fluctuations are consistent with or below the expectation from a
superposition of participant nucleon-nucleon collisions based upon p+p data,
indicating that this dataset does not exhibit evidence of critical behavior in
terms of the compressibility of the system. An analysis of Negative Binomial
Distribution fits to the multiplicity distributions demonstrates that the heavy
ion data exhibit weak clustering properties.Comment: 464 authors from 60 institutions, 17 pages, 12 figures, 1 table.
Submitted to Physical Review C. Plain text data tables for the points plotted
in figures for this and previous PHENIX publications are (or will be)
publicly available at http://www.phenix.bnl.gov/papers.htm
Transverse-energy distributions at midrapidity in , Au, and AuAu collisions at --200~GeV and implications for particle-production models
Measurements of the midrapidity transverse energy distribution, d\Et/d\eta,
are presented for , Au, and AuAu collisions at
GeV and additionally for AuAu collisions at
and 130 GeV. The d\Et/d\eta distributions are first
compared with the number of nucleon participants , number of
binary collisions , and number of constituent-quark participants
calculated from a Glauber model based on the nuclear geometry. For
AuAu, \mean{d\Et/d\eta}/N_{\rm part} increases with , while
\mean{d\Et/d\eta}/N_{qp} is approximately constant for all three energies.
This indicates that the two component ansatz, , which has been used to represent
distributions, is simply a proxy for , and that the term
does not represent a hard-scattering component in distributions. The
distributions of AuAu and Au are then calculated from
the measured distribution using two models that both reproduce
the AuAu data. However, while the number-of-constituent-quark-participant
model agrees well with the Au data, the additive-quark model does not.Comment: 391 authors, 24 pages, 19 figures, and 15 Tables. Submitted to Phys.
Rev. C. Plain text data tables for the points plotted in figures for this and
previous PHENIX publications are publicly available at
http://www.phenix.bnl.gov/papers.htm
Energy Loss and Flow of Heavy Quarks in Au+Au Collisions at sqrt(s_NN) = 200 GeV
The PHENIX experiment at the Relativistic Heavy Ion Collider (RHIC) has
measured electrons from heavy flavor (charm and bottom) decays for 0.3 < p_T <
9 GeV/c at midrapidity (|y| < 0.35) in Au+Au collisions at sqrt(s_NN) = 200
GeV. The nuclear modification factor R_AA relative to p+p collisions shows a
strong suppression in central Au+Au collisions, indicating substantial energy
loss of heavy quarks in the medium produced at RHIC. A large azimuthal
anisotropy, v_2, with respect to the reaction plane is observed for 0.5 < p_T <
5 GeV/c indicating non-zero heavy flavor elliptic flow. Both R_AA and v_2 show
a p_T dependence different from those of neutral pions. A comparison to
transport models which simultaneously describe R_AA(p_T) and v_2(p_T) suggests
that the viscosity to entropy density ratio is close to the conjectured quantum
lower bound, i.e., near a perfect fluid.Comment: v2 replaced Fig. 3 to fix an error in using a wrong theory curve; v3
minor changes in review process, including last 2 sentences of abstract. 422
authors, 58 institutions, 6 pages text, 3 figures, REVTeX4. Submitted to
Physical Review Letters. Plain text data tables for the points plotted in
figures available at http://www.phenix.bnl.gov/papers.htm
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