471 research outputs found

    An atomic hydrogen beam to test ASACUSA's apparatus for antihydrogen spectroscopy

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    The ASACUSA collaboration aims to measure the ground state hyperfine splitting (GS-HFS) of antihydrogen, the antimatter pendant to atomic hydrogen. Comparisons of the corresponding transitions in those two systems will provide sensitive tests of the CPT symmetry, the combination of the three discrete symmetries charge conjugation, parity, and time reversal. For offline tests of the GS-HFS spectroscopy apparatus we constructed a source of cold polarised atomic hydrogen. In these proceedings we report the successful observation of the hyperfine structure transitions of atomic hydrogen with our apparatus in the earth's magnetic field.Comment: 8 pages, 4 figures, proceedings for conference EXA 2014 (Exotic Atoms - Vienna

    Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: a systematic review and meta-analysis of RCTs.

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    Objective To investigate the effectiveness of conservative interventions for pain, function and range of motion in adults with shoulder impingement. Design Systematic review and meta-analysis of randomised trials. Data sources Medline, CENTRAL, CINAHL, Embase and PEDro were searched from inception to January 2017. Study selection criteria Randomised controlled trials including participants with shoulder impingement and evaluating at least one conservative intervention against sham or other treatments. Results For pain, exercise was superior to non-exercise control interventions (standardised mean difference (SMD) −0.94, 95% CI −1.69 to −0.19). Specific exercises were superior to generic exercises (SMD −0.65, 95% CI −0.99 to −0.32). Corticosteroid injections were superior to no treatment (SMD −0.65, 95% CI −1.04 to −0.26), and ultrasound guided injections were superior to non-guided injections (SMD −0.51, 95% CI −0.89 to −0.13). Nonsteroidal anti-inflammatory drugs (NSAIDS) had a small to moderate SMD of −0.29 (95% CI −0.53 to −0.05) compared with placebo. Manual therapy was superior to placebo (SMD −0.35, 95% CI −0.69 to −0.01). When combined with exercise, manual therapy was superior to exercise alone, but only at the shortest follow-up (SMD −0.32, 95% CI −0.62 to −0.01). Laser was superior to sham laser (SMD −0.88, 95% CI −1.48 to −0.27). Extracorporeal shockwave therapy (ECSWT) was superior to sham (−0.39, 95% CI −0.78 to –0.01) and tape was superior to sham (−0.64, 95% CI −1.16 to −0.12), with small to moderate SMDs. Conclusion Although there was only very low quality evidence, exercise should be considered for patients with shoulder impingement symptoms and tape, ECSWT, laser or manual therapy might be added. NSAIDS and corticosteroids are superior to placebo, but it is unclear how these treatments compare to exercise. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0

    Utilisation of rehabilitation services for non-migrant and migrant groups of higher working age in Germany - results of the lidA cohort study

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    Background: An ageing and a shrinking labour force implies that the prevention of a premature exit from work due to poor health will become more relevant in the future. Medical rehabilitation is a health service that aims at active participation in working life. The provision of this service will be relevant for an increasing part of the ageing labour force, namely, employees with a migrant background and their different subgroups. Thus, this study examines whether first- and second-generation employees with migrant background differ from non-migrants in their utilisation of rehabilitation services and whether within the subsample of migrant employees, those persons with foreign nationality differ from those with German nationality. Methods: Socially insured employees born in 1959 or 1965 were surveyed nationwide in 2011 as part of the lidA cohort study (n=6303). Survey data of the first study wave were used to identify the dependent variable of the utilisation of rehabilitation (in- and outpatient), the independent variable of migrant status and the covariates of sociodemographic, work- and non-work-related factors. Applying bivariate statistics with tests of independence and block-wise logistic regressions, differences between the groups were investigated. Additionally, average marginal effects were computed to directly compare the adjusted models. Results: The study showed that first-generation migrants had a significantly lower likelihood of utilising outpatient rehabilitation than non-migrants (fully adj. OR 0.42, 95% CI 0.22-0.82) and that average marginal effects indicated higher differences in the full model than in the null model. No significant differences were found between the first- or second-generation migrants and non-migrants when comparing the utilisation of inpatient rehabilitation or any rehabilitation or when analysing German and foreign employees with migrant background (n=1148). Conclusions: Significant differences in the utilisation of outpatient rehabilitation between first-generation migrants and non-migrants were found, which could not be explained by sociodemographic, work- and non-work-related factors. Thus, further factors might play a role. The second-generation migrants resemble the non-migrants rather than their parent generation (first-generation migrants). This detailed investigation shows the heterogeneity in the utilisation of health services such as medical rehabilitation, which is why service sensitive to diversity should be considered

    Dynamic Risk Prediction of 30-Day Mortality in Patients With Advanced Lung Cancer:Comparing Five Machine Learning Approaches

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    International audiencePURPOSE Administering systemic anticancer treatment (SACT) to patients near death can negatively affect their health-related quality of life. Late SACT administrations should be avoided in these cases. Machine learning techniques could be used to build decision support tools leveraging registry data for clinicians to limit late SACT administration. MATERIALS AND METHODS Patients with advanced lung cancer who were treated at the Department of Oncology, Aalborg University Hospital and died between 2010 and 2019 were included (N = 2,368). Diagnoses, treatments, biochemical data, and histopathologic results were used to train predictive models of 30-day mortality using logistic regression with elastic net penalty, random forest, gradient tree boosting, multilayer perceptron, and long short-term memory network. The importance of the variables and the clinical utility of the models were evaluated. RESULTS The random forest and gradient tree boosting models outperformed other models, whereas the artificial neural network–based models underperformed. Adding summary variables had a modest effect on performance with an increase in average precision from 0.500 to 0.505 and from 0.498 to 0.509 for the gradient tree boosting and random forest models, respectively. Biochemical results alone contained most of the information with a limited degradation of the performances when fitting models with only these variables. The utility analysis showed that by applying a simple threshold to the predicted risk of 30-day mortality, 40% of late SACT administrations could have been prevented at the cost of 2% of patients stopping their treatment 90 days before death. CONCLUSION This study demonstrates the potential of a decision support tool to limit late SACT administration in patients with cancer. Further work is warranted to refine the model, build an easy-to-use prototype, and conduct a prospective validation study

    Base de données I2AF. Inventaires archéozoologiques et archéobotaniques de France: Les étapes d'une création et l'inventaire aujourd'hui

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    International audienceThe increase and dispersal of data produced by research and preventive archaeology shows how important it is to collect and inventory their findings. A project was developed in the 1990s by France’s national centre for scientific research (CNRS) to set up a paper-based inventory of non-flying mammals in France from the Late Glacial to the current day; but it became apparent very quickly that the method used was too limited. An initial digital database called the Inventory of archaeozoology in France (IAF), which took up where the previous project left off, was the fruit of a real inter-institutional partnership and scientific collaboration at national and international levels. A convention was signed wherein France’s Natural history museum agreed to host the database and the Ministry of culture to distribute its contents through the website of the National inventory of natural heritage (INPN). The database was officially recognized as a heritage collection in May 2007 by France’s Natural history museum. It became the I2AF the following year when it integrated archaeobotanical material and this now allows scientists to cross-reference the information with the original archaeozoological data. Each item comprises four files which provide information on the site, the context, the bibliographical references and the archaeozoological and archaeobotanical studies. Excavation reports deposited by the Department of architecture and heritage (DAPA), university works and journals, research reports and specialist publications have since come to enrich this inventory which is still in its infancy.L’augmentation et la dispersion des données de l’archéologie préventive et programmée démontrent l’importance de les collecter et de les inventorier. Un projet développé dans les années 1990 par le CNRS visait à mettre en place un inventaire papier des mammifères non-volants en France du Tardiglaciaire à l’époque actuelle mais les limites de la méthode employée sont vite apparues. Une première base de données informatique appelée « inventaire archéozoologique de France » (IAF), reprenant la trame du précédent projet, a été créée autour d’un vrai partenariat interinstitutionnel et d’échanges scientifiques nationaux et internationaux. Une convention a été mise en place entre le Muséum qui l’héberge et le ministère de la culture pour diffuser les données de cette base sur le site internet de l’INPN. Elle est officiellement reconnue comme collection patrimoniale en mai 2007 par le Muséum et elle devient I2AF l’année suivante en intégrant en plus des données archéoozoologiques, des données archéobotaniques permettant à terme de croiser ces informations. Elle est composée de quatre fiches apportant respectivement des renseignements sur le site, le contexte, les références bibliographiques et les études archéozoologiques et archéobotaniques. Le dépouillement des rapports de fouille déposés à la DAPA, des revues et travaux universitaires ainsi que les rapports d’études et les publications des spécialistes viennent enrichir cet inventaire qui n’est qu’au commencement de son histoire

    Forecasting the Cumulative Effects of Multiple Stressors on Breeding Habitat for a Steeply Declining Aerial Insectivorous Songbird, the Olive-sided Flycatcher (Contopus cooperi)

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    To halt ongoing loss in biodiversity, there is a need for landscape-level management recommendations that address cumulative impacts of anthropogenic and natural disturbances on wildlife habitat. We examined the cumulative effects of logging, roads, land-use change, fire, and bark beetle outbreaks on future habitat for olive-sided flycatcher (Contopus cooperi), a steeply declining aerial insectivorous songbird, in Canada’s western boreal forest. To predict the occurrence of olive-sided flycatcher we developed a suite of habitat suitability models using point count surveys (1997–2011) spatially- and temporally-matched with forest inventory data. Flycatcher occurrence was positively associated with small (∼10 ha) 10- to 20-year-old clearcuts, and with 10–100% tree mortality due to mountain pine beetle (Dendroctonus ponderosae) outbreaks, but we found no association with roads or distance to water. We used the parameter estimates from the best-fit habitat suitability models to inform spatially explicit state-and-transition simulation models to project change in habitat availability from 2020 to 2050 under six alternative scenarios (three management × two fire alternatives). The simulation models projected that the cumulative effects of land use conversion, forest harvesting, and fire will reduce the area of olive-sided flycatcher habitat by 16–18% under Business As Usual management scenarios and by 11–13% under scenarios that include protection of 30% of the land base. Scenarios limiting the size of all clearcuts to ≤10 ha resulted in a median habitat loss of 4–6%, but projections were highly variable. Under all three management alternatives, a 50% increase in fire frequency (expected due to climate change) exacerbated habitat loss. The projected losses of habitat in western boreal forest, even with an increase in protected areas, imply that reversing the ongoing population declines of olive-sided flycatcher and other migratory birds will require attention to forest management beyond protected areas. Further work should examine the effects of multiple stressors on the demographic mechanisms driving change in aerial insectivore populations, including stressors on the wintering grounds in South America, and should aim to adapt the design of protected areas and forest management policies to projected climate-driven increases in the size and frequency of wildfires.Fil: Norris, Andrea R.. Environment and Climate Change; CanadáFil: Frid, Leonardo. No especifíca;Fil: Debyser, Chloé. No especifíca;Fil: De Groot, Krista L.. Environment and Climate Change; CanadáFil: Thomas, Jeffrey. Environment and Climate Change; CanadáFil: Lee, Adam. Environment and Climate Change; CanadáFil: Dohms, Kimberly M.. Environment and Climate Change; CanadáFil: Robinson, Andrew. Environment and Climate Change; CanadáFil: Easton, Wendy. Environment and Climate Change; CanadáFil: Martin, Kathy. University of British Columbia; CanadáFil: Cockle, Kristina Louise. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Nordeste. Instituto de Biología Subtropical. Instituto de Biología Subtropical - Nodo Puerto Iguazú | Universidad Nacional de Misiones. Instituto de Biología Subtropical. Instituto de Biología Subtropical - Nodo Puerto Iguazú; Argentin

    Bone marrow-derived monocytes give rise to self-renewing and fully differentiated Kupffer cells

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    Self-renewing tissue-resident macrophages are thought to be exclusively derived from embryonic progenitors. However, whether circulating monocytes can also give rise to such macrophages has not been formally investigated. Here we use a new model of diphtheria toxin-mediated depletion of liver-resident Kupffer cells to generate niche availability and show that circulating monocytes engraft in the liver, gradually adopt the transcriptional profile of their depleted counterparts and become long-lived self-renewing cells. Underlining the physiological relevance of our findings, circulating monocytes also contribute to the expanding pool of macrophages in the liver shortly after birth, when macrophage niches become available during normal organ growth. Thus, like embryonic precursors, monocytes can and do give rise to self-renewing tissue-resident macrophages if the niche is available to them

    Specific Roles of XRCC4 Paralogs PAXX and XLF during V(D)J Recombination.

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    Paralog of XRCC4 and XLF (PAXX) is a member of the XRCC4 superfamily and plays a role in nonhomologous end-joining (NHEJ), a DNA repair pathway critical for lymphocyte antigen receptor gene assembly. Here, we find that the functions of PAXX and XLF in V(D)J recombination are masked by redundant joining activities. Thus, combined PAXX and XLF deficiency leads to an inability to join RAG-cleaved DNA ends. Additionally, we demonstrate that PAXX function in V(D)J recombination depends on its interaction with Ku. Importantly, we show that, unlike XLF, the role of PAXX during the repair of DNA breaks does not overlap with ATM and the RAG complex. Our findings illuminate the role of PAXX in V(D)J recombination and support a model in which PAXX and XLF function during NHEJ repair of DNA breaks, whereas XLF, the RAG complex, and the ATM-dependent DNA damage response promote end joining by stabilizing DNA ends.Cancer Research UK (Grant IDs: C6/A18796, C6946/A14492, C6/A18796), European Research Council (Grant ID: 310917), Wellcome Trust (Grant ID: WT092096), University of Cambridge, Institut PasteurThis is the final version of the article. It first appeared from Elsevier (Cell Press) via http://dx.doi.org/10.1016/j.celrep.2016.08.06
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