893 research outputs found
The Biodiversity Convention: How to Make it Work
The Symposium convenors posed the following question: Is a United Nations convention the most appropriate means to pursue the goal of biodiversity? In response, the author notes that the Biodiversity Convention does not entail many binding obligations; rather, it provides a management framework from which further detailed action programs may develop. In the context of nonbinding international soft law, the author advocates the adoption of a series of best practice menus for individual industries and sectors of activity, based on a review of existing technical criteria and guidelines. The author recognizes that specialized initiatives pursuant to the regional seas agreements and other biodiversity-related conventions may provide technical guidance for conservation of coastal and marine biodiversity. Ms. Kimball also highlights the importance of the 1982 United Nations Convention on the Law of the Sea as an instrument for reinforcing the Biodiversity Convention\u27s marine biodiversity objectives. The Article divides the task of implementing the Biodiversity Convention between regional and global institutions and stresses the need to build upon existing programs. The author asserts that regional bodies are useful for specialized data collection, assessment, and policy-making, while global bodies are essential for integrating legal regimes in relation to conditions in the region. Finally, Ms. Kimball explains that global bodies set overall policy, synthesize information from the different regions, and identify solutions
Surveillance of alloantibodies after transplantation identifies the risk of chronic rejection
The monitoring of the levels of alloantibodies following transplantation might facilitate early diagnosis of chronic rejection (CR), the leading cause of renal allograft failure. Here, we used serial alloantibody surveillance to monitor patients with preoperative positive flow cytometric crossmatch (FCXM). Sixty-nine of 308 renal transplant patients in our center had preoperative positive FCXM. Blood was collected quarterly during the first postoperative year and tested by FCXM and single antigen bead luminometry, more sensitive techniques than complement-dependent cytotoxic crossmatching. Distinct post-transplant profiles emerged and were associated with different clinical outcomes. Two-thirds of patients showed complete elimination of FCXM and solid-phase assay reactions within 1 year, had few adverse events, and a 95% 3-year graft survival. In contrast, the remaining third failed to eliminate flow FCXM or solid-phase reactions directed against HLA class I or II antibodies. The inferior graft survival (67%) with loss in this latter group was primarily due to CR. Thus, systematic assessment of longitudinal changes in alloantibody levels, either by FCXM or solid-phase assay, can help identify patients at greater risk of developing CR
Utilization of a novel digital measurement tool for quantitative assessment of upper extremity motor dexterity: a controlled pilot study.
BackgroundThe current methods of assessing motor function rely primarily on the clinician's judgment of the patient's physical examination and the patient's self-administered surveys. Recently, computerized handgrip tools have been designed as an objective method to quantify upper-extremity motor function. This pilot study explores the use of the MediSens handgrip as a potential clinical tool for objectively assessing the motor function of the hand.MethodsEleven patients with cervical spondylotic myelopathy (CSM) were followed for three months. Eighteen age-matched healthy participants were followed for two months. The neuromotor function and the patient-perceived motor function of these patients were assessed with the MediSens device and the Oswestry Disability Index respectively. The MediSens device utilized a target tracking test to investigate the neuromotor capacity of the participants. The mean absolute error (MAE) between the target curve and the curve tracing achieved by the participants was used as the assessment metric. The patients' adjusted MediSens MAE scores were then compared to the controls. The CSM patients were further classified as either "functional" or "nonfunctional" in order to validate the system's responsiveness. Finally, the correlation between the MediSens MAE score and the ODI score was investigated.ResultsThe control participants had lower MediSens MAE scores of 8.09%±1.60%, while the cervical spinal disorder patients had greater MediSens MAE scores of 11.24%±6.29%. Following surgery, the functional CSM patients had an average MediSens MAE score of 7.13%±1.60%, while the nonfunctional CSM patients had an average score of 12.41%±6.32%. The MediSens MAE and the ODI scores showed a statistically significant correlation (r=-0.341, p<1.14×10⁻⁵). A Bland-Altman plot was then used to validate the agreement between the two scores. Furthermore, the percentage improvement of the the two scores after receiving the surgical intervention showed a significant correlation (r=-0.723, p<0.04).ConclusionsThe MediSens handgrip device is capable of identifying patients with impaired motor function of the hand. The MediSens handgrip scores correlate with the ODI scores and may serve as an objective alternative for assessing motor function of the hand
PT-Symmetric Quantum Electrodynamics
The Hamiltonian for quantum electrodynamics becomes non-Hermitian if the
unrenormalized electric charge is taken to be imaginary. However, if one
also specifies that the potential in such a theory transforms as a
pseudovector rather than a vector, then the Hamiltonian becomes PT symmetric.
The resulting non-Hermitian theory of electrodynamics is the analog of a
spinless quantum field theory in which a pseudoscalar field has a cubic
self-interaction of the form . The Hamiltonian for this cubic scalar
field theory has a positive spectrum, and it has recently been demonstrated
that the time evolution of this theory is unitary. The proof of unitarity
requires the construction of a new operator called C, which is then used to
define an inner product with respect to which the Hamiltonian is self-adjoint.
In this paper the corresponding C operator for non-Hermitian quantum
electrodynamics is constructed perturbatively. This construction demonstrates
the unitarity of the theory. Non-Hermitian quantum electrodynamics is a
particularly interesting quantum field theory model because it is
asymptotically free.Comment: 9 pages, no figures, revtex
Mode-by-mode summation for the zero point electromagnetic energy of an infinite cylinder
Using the mode-by-mode summation technique the zero point energy of the
electromagnetic field is calculated for the boundary conditions given on the
surface of an infinite solid cylinder. It is assumed that the dielectric and
magnetic characteristics of the material which makes up the cylinder
and of that which makes up the surroundings obey the relation . With this
assumption all the divergences cancel. The divergences are regulated by making
use of zeta function techniques. Numerical calculations are carried out for a
dilute dielectric cylinder and for a perfectly conducting cylindrical shell.
The Casimir energy in the first case vanishes, and in the second is in complete
agreement with that obtained by DeRaad and Milton who employed a Green's
function technique with an ultraviolet regulator.Comment: REVTeX, 16 pages, no figures and tables; transcription error in
previous version corrected, giving a zero Casimir energy for a tenuous
cylinde
Efficacy and Safety of Fezolinetant in Moderate-to-Severe Vasomotor Symptoms Associated With Menopause: A Phase 3 RCT.
CONTEXT
Vasomotor symptoms (VMS) are common, bothersome, and can persist for years before and after menopause.
OBJECTIVE
We aimed to assess efficacy/safety of fezolinetant for treatment of moderate-to-severe VMS associated with menopause.
METHODS
In this double-blind, placebo-controlled, 12-week (W) phase 3 trial with a 40W active treatment extension (NCT04003142; SKYLIGHT 2) women aged 40-65 years with minimum average 7 moderate-to-severe VMS/day were randomized to 12 weeks' once-daily placebo, fezolinetant 30 mg, or fezolinetant 45 mg. Completers were rerandomized to fezolinetant 30/45 mg for 40 additional weeks. Coprimary efficacy endpoints were mean daily change from baseline to W4 and W12 in VMS frequency and severity. Safety was also assessed.
RESULTS
Both fezolinetant doses statistically significantly reduced VMS frequency/severity at W4 and W12 vs placebo. For VMS frequency, W4 least squares mean (SE) reduction vs placebo: fezolinetant 30 mg, -1.82 (0.46; P < .001); 45 mg, -2.55 (0.46; P < .001); W12: 30 mg, -1.86 (0.55; P < .001); 45 mg, -2.53 (0.55; P < .001). For VMS severity, W4: 30 mg, -0.15 (0.06; P<.05); 45 mg, -0.29 (0.06; P < .001); W12: 30 mg, -0.16 (0.08; P <.05); 45 mg, -0.29 (0.08; P < .001). Improvement in VMS frequency and severity was observed by W1; maintained through W52. Serious TEAEs were infrequent; these were reported by 2%, 1%, and 0% of those receiving fezolinetant 30 mg, fezolinetant 45 mg, and placebo, respectively.
CONCLUSIONS
Daily fezolinetant 30 mg and 45 mg were efficacious and well-tolerated for treating moderate-to-severe VMS associated with menopause
Analytic structure factors and pair-correlation functions for the unpolarized homogeneous electron gas
We propose a simple and accurate model for the electron static structure
factors (and corresponding pair-correlation functions) of the 3D unpolarized
homogeneous electron gas. Our spin-resolved pair-correlation function is built
up with a combination of analytic constraints and fitting procedures to quantum
Monte Carlo data, and, in comparison to previous attempts (i) fulfills more
known integral and differential properties of the exact pair-correlation
function, (ii) is analytic both in real and in reciprocal space, and (iii)
accurately interpolates the newest, extensive diffusion-Monte Carlo data of
Ortiz, Harris and Ballone [Phys. Rev. Lett. 82, 5317 (1999)]. This can be of
interest for the study of electron correlations of real materials and for the
construction of new exchange and correlation energy density functionals.Comment: 14 pages, 5 figures, submitted to Phys. Rev.
The Milky Way Tomography With SDSS. III. Stellar Kinematics
We study Milky Way kinematics using a sample of 18.8 million main-sequence stars with r 20 degrees). We find that in the region defined by 1 kpc < Z < 5 kpc and 3 kpc < R < 13 kpc, the rotational velocity for disk stars smoothly decreases, and all three components of the velocity dispersion increase, with distance from the Galactic plane. In contrast, the velocity ellipsoid for halo stars is aligned with a spherical coordinate system and appears to be spatially invariant within the probed volume. The velocity distribution of nearby (Z < 1 kpc) K/M stars is complex, and cannot be described by a standard Schwarzschild ellipsoid. For stars in a distance-limited subsample of stars (< 100 pc), we detect a multi-modal velocity distribution consistent with that seen by HIPPARCOS. This strong non-Gaussianity significantly affects the measurements of the velocity-ellipsoid tilt and vertex deviation when using the Schwarzschild approximation. We develop and test a simple descriptive model for the overall kinematic behavior that captures these features over most of the probed volume, and can be used to search for substructure in kinematic and metallicity space. We use this model to predict further improvements in kinematic mapping of the Galaxy expected from Gaia and the Large Synoptic Survey Telescope.NSF AST-615991, AST-0707901, AST-0551161, AST-02-38683, AST-06-07634, AST-0807444, PHY05-51164NASA NAG5-13057, NAG5-13147, NNXO-8AH83GPhysics Frontier Center/Joint Institute for Nuclear Astrophysics (JINA) PHY 08-22648U.S. National Science FoundationMarie Curie Research Training Network ELSA (European Leadership in Space Astrometry) MRTN-CT-2006-033481Fermi Research Alliance, LLC, United States Department of Energy DE-AC02-07CH11359Alfred P. Sloan FoundationParticipating InstitutionsJapanese MonbukagakushoMax Planck SocietyHigher Education Funding Council for EnglandMcDonald Observator
The Milky Way Tomography with SDSS: III. Stellar Kinematics
We study Milky Way kinematics using a sample of 18.8 million main-sequence
stars with r<20 and proper-motion measurements derived from SDSS and POSS
astrometry, including ~170,000 stars with radial-velocity measurements from the
SDSS spectroscopic survey. Distances to stars are determined using a
photometric parallax relation, covering a distance range from ~100 pc to 10 kpc
over a quarter of the sky at high Galactic latitudes (|b|>20 degrees). We find
that in the region defined by 1 kpc <Z< 5 kpc and 3 kpc <R< 13 kpc, the
rotational velocity for disk stars smoothly decreases, and all three components
of the velocity dispersion increase, with distance from the Galactic plane. In
contrast, the velocity ellipsoid for halo stars is aligned with a spherical
coordinate system and appears to be spatially invariant within the probed
volume. The velocity distribution of nearby ( kpc) K/M stars is complex,
and cannot be described by a standard Schwarzschild ellipsoid. For stars in a
distance-limited subsample of stars (<100 pc), we detect a multimodal velocity
distribution consistent with that seen by HIPPARCOS. This strong
non-Gaussianity significantly affects the measurements of the velocity
ellipsoid tilt and vertex deviation when using the Schwarzschild approximation.
We develop and test a simple descriptive model for the overall kinematic
behavior that captures these features over most of the probed volume, and can
be used to search for substructure in kinematic and metallicity space. We use
this model to predict further improvements in kinematic mapping of the Galaxy
expected from Gaia and LSST.Comment: 90 pages, 26 figures, submitted to Ap
Utilization of a novel digital measurement tool for quantitative assessment of upper extremity motor dexterity: a controlled pilot study
BACKGROUND: The current methods of assessing motor function rely primarily on the clinician’s judgment of the patient’s physical examination and the patient’s self-administered surveys. Recently, computerized handgrip tools have been designed as an objective method to quantify upper-extremity motor function. This pilot study explores the use of the MediSens handgrip as a potential clinical tool for objectively assessing the motor function of the hand. METHODS: Eleven patients with cervical spondylotic myelopathy (CSM) were followed for three months. Eighteen age-matched healthy participants were followed for two months. The neuromotor function and the patient-perceived motor function of these patients were assessed with the MediSens device and the Oswestry Disability Index respectively. The MediSens device utilized a target tracking test to investigate the neuromotor capacity of the participants. The mean absolute error (MAE) between the target curve and the curve tracing achieved by the participants was used as the assessment metric. The patients’ adjusted MediSens MAE scores were then compared to the controls. The CSM patients were further classified as either “functional” or “nonfunctional” in order to validate the system’s responsiveness. Finally, the correlation between the MediSens MAE score and the ODI score was investigated. RESULTS: The control participants had lower MediSens MAE scores of 8.09%±1.60%, while the cervical spinal disorder patients had greater MediSens MAE scores of 11.24%±6.29%. Following surgery, the functional CSM patients had an average MediSens MAE score of 7.13%±1.60%, while the nonfunctional CSM patients had an average score of 12.41%±6.32%. The MediSens MAE and the ODI scores showed a statistically significant correlation (r=-0.341, p<1.14×10(-5)). A Bland-Altman plot was then used to validate the agreement between the two scores. Furthermore, the percentage improvement of the the two scores after receiving the surgical intervention showed a significant correlation (r=-0.723, p<0.04). CONCLUSIONS: The MediSens handgrip device is capable of identifying patients with impaired motor function of the hand. The MediSens handgrip scores correlate with the ODI scores and may serve as an objective alternative for assessing motor function of the hand. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/1743-0003-11-121) contains supplementary material, which is available to authorized users
- …