A systematic review of biomarkers for disease progression in Parkinson's disease

This article presents independent research funded by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research Programme (Grant Reference Number RP-PG-0707-10124).BACKGROUND: Using surrogate biomarkers for disease progression as endpoints in neuroprotective clinical trials may help differentiate symptomatic effects of potential neuroprotective agents from true disease-modifying effects. A systematic review was undertaken to determine what biomarkers for disease progression in Parkinson's disease (PD) exist. METHODS: MEDLINE and EMBASE (1950-2010) were searched using five search strategies. Abstracts were assessed to identify papers meriting review in full. Studies of participants with idiopathic PD diagnosed by formal criteria or clearly described clinical means were included. We made no restriction on age, disease duration, drug treatment, or study design. We included studies which attempted to draw associations between any tests used to investigate disease progression and any clinical measures of disease progression. The electronic search was validated by hand-searching the two journals from which most included articles came. RESULTS: 183 studies were included: 163 (89%) cross-sectional, 20 (11%) longitudinal. The electronic search strategy had a sensitivity of 71.4% (95% CI 51.1-86.0) and a specificity of 97.1% (95% CI 96.5-97.7). In longitudinal studies median follow-up was 2.0 years (IQR 1.1-3.5). Included studies were generally poor quality--cross-sectional with small numbers of participants, applying excessive inclusion/exclusion criteria, with flawed methodologies and simplistic statistical analyses. CONCLUSION: We found insufficient evidence to recommend the use of any biomarker for disease progression in PD clinical trials, which may simply reflect the poor quality of research in this area. We therefore present a provisional 'roadmap' for conducting future disease progression biomarker studies, and recommend new quality criteria by which future studies may be judged.Publisher PDFPeer reviewe

FACETEQ interface demo for emotion expression in VR

© 2017 IEEE.Faceteq prototype v.05 is a wearable technology for measuring facial expressions and biometric responses for experimental studies in Virtual Reality. Developed by Emteq Ltd laboratory, Faceteq can enable new avenues for virtual reality research through combination of high performance patented dry sensor technologies, proprietary algorithms and real-time data acquisition and streaming. Emteq founded the Faceteq project with the aim to provide a human-centered additional tool for emotion expression, affective human-computer interaction and social virtual environments. The proposed demonstration will exhibit the hardware and its functionality by allowing attendees to experience three of the showcasing applications we developed this year

Quantum affine Toda solitons

We review some of the progress in affine Toda field theories in recent years, explain why known dualities cannot easily be extended, and make some suggestions for what should be sought instead.Comment: 16pp, LaTeX. Minor revision

FACETEQ; A novel platform for measuring emotion in VR

FaceTeq prototype v.05 is a wearable technology for measuring facial expressions and biometric responses for experimental studies in Virtual Reality. Developed by Emteq Ltd laboratory, FaceTeq can enable new avenues for virtual reality research through combination of high performance patented dry sensor technologies, proprietary algorithms and real-time data acquisition and streaming. FaceTeq project was founded with the aim to provide a human-centred additional tool for emotion expression, affective human-computer interaction and social virtual environments. The proposed poster will exhibit the hardware and its functionality

Spatio-Temporal Pattern of Saturn's Equatorial Oscillation

Recent ground-based and Cassini CIRS thermal-infrared data have characterized the spatial and temporal characteristics of an equatorial oscillation in the middle atmosphere of Saturn above the 100-mbar level. The CIRS data [I] indicated a pattern of warm and cold anomalies near the equator, stacked vertically in alternating fashion. The ground-based observations s2, although not having the altitude range or vertical resolution of the CIRS observations, covered several years and indicated an oscillation cycle of approx.15 years, roughly half of Saturn's year. In Earth's middle atmosphere, both the quasi-biennial (approx.26 months) and semi-annual equatorial oscillations have been extensively observed and studied (see e.g., [3]), These exhibit a pattern of alternating warmer and cooler zonal-mean temperatures with altitude, relative to those at subtropical latitudes. Consistent with the thermal wind equation, this is also associated with an alternating pattern of westerly and easterly zonal winds. Moreover, the pattern of winds and temperatures descends with time. Momentum deposition by damped vertically propagating waves is thought to play a key role m forcing both types of oscillation, and it can plausibly account for the descent. Here we report the direct observation of this descent in Saturn's equatorial atmosphere from Cassini radio occultation soundings in 2005 and 2009. The retrieved temperatures are consistent with a descent of 0.7 x the pressure scale height. The descent rate is related to the magnitude of the wave forcing, radiative damping, and induced meridional circulations. We discuss possible implications

Wind-tunnel tests of two airfoils for wind turbines operating at high Reynolds numbers

The objectives of this study were to verify the predictions of the Eppler Airfoil Design and Analysis Code for Reynolds numbers up to 6 x 106 and to acquire the section characteristics of two airfoils being considered for large, megawatt-size wind turbines. One airfoil, the S825, was designed to achieve a high maximum lift coefficient suitable for variable-speed machines. The other airfoil, the S827, was designed to achieve a low maximum lift coefficient suitable for stall-regulated machines. Both airfoils were tested in the NASA Langley Low-Turbulence Pressure Tunnel (LTPT) for smooth, fixed-transition, and rough surface conditions at Reynolds numbers of 1, 2, 3, 4, and 6 x 106. The results show the maximum lift coefficient of both airfoils is substantially underpredicted for Reynolds numbers over 3 x 106 and emphasized the difficulty of designing low-lift airfoils for high Reynolds numbers

‘Ethnic group’, the state and the politics of representation

The assertion, even if only by implication, that ‘ethnic group’ categories represent ‘real’ tangible entities, indeed identities, is commonplace not only in the realms of political and policy discourse but also amongst contemporary social scientists. This paper, following Brubaker (2002), questions this position in a number of key respects: of these three issues will dominate the discussion that follows. First, there is an interrogation of the proposition that those to whom the categories/labels refer constitute sociologically meaningful ‘groups’ as distinct from (mere) human collectivities. Secondly, there is the question of how these categories emerge, i.e. exactly what series of events, negotiations and contestations lie behind their construction and social acceptance. Thirdly, and as a corollary to the latter point, we explore the process of reification that leads to these categories being seen to represent ‘real things in the world’ (ibid.)

Geometrically-compatible 3-D Monte Carlo and discrete-ordinates methods

This is the final report of a three-year, Laboratory Directed Research and Development (LDRD) project at the Los Alamos National Laboratory (LANL). The purpose of this project was two-fold. The first purpose was to develop a deterministic discrete-ordinates neutral-particle transport scheme for unstructured tetrahedral spatial meshes, and implement it in a computer code. The second purpose was to modify the MCNP Monte Carlo radiation transport code to use adjoint solutions from the tetrahedral-mesh discrete-ordinates code to reduce the statistical variance of Monte Carlo solutions via a weight-window approach. The first task has resulted in a deterministic transport code that is much more efficient for modeling complex 3-D geometries than any previously existing deterministic code. The second task has resulted in a powerful new capability for dramatically reducing the cost of difficult 3-D Monte Carlo calculations

Saturn's Equatorial Oscillation: Evidence of Descending Thermal Structure from Cassini Radio Occultations

Ground-based and Cassini CIRS thermal-infrared data have characterized the spatial and temporal characteristics of an equatorial oscillation in Saturn's middle atmosphere above the 100-mbar level. The CIRS data indicate a vertical pattern of alternating warm and cold anomalies at the equator. From the thermal wind equation this implies a concomitant reversal of zonal winds with attitude, relative to the cloud-top winds, with peak-to-peak amplitude approximately 200 meters per second. The ground-based observations do not having the altitude range or vertical resolution of the CIRS observations, but they cover several years and indicate an oscillation cycle of 1 years, roughly half of Saturn's year. Equatorial oscillations in Earth's middle atmosphere have primarily exhibited either quasi-biennial or semi-annual "periodicities," and both types have been extensively observed and modeled. They exhibit a vertical pattern of alternating warmer and cooler zonal-mean temperatures and zonal winds analogous to that described above for Saturn. Moreover, the pattern of winds and temperatures descends with time. Momentum deposition by damped vertically propagating easterly and westerly waves is thought to play a key role in forcing both types of oscillation, and it can plausibly account for the descent. Here we report the direct observation of this descent in Saturn's equatorial atmosphere from Cassini radio occultation soundings in 2005 and 2009. The retrieved temperatures are consistent with a descent of 0.6 x the pressure scale height over this time period. The descent rate is related to the magnitude of the wave forcing, radiative damping, and induced meridional circulations. A simple calculation implies that vertical wave fluxes of zonal momentum approximately 0.05 square meters per square second could account for the observed vertical descent on Saturn, which is comparable to the magnitude of the wave fluxes associated with the terrestrial quasi-biennial oscillation

Evidence-based decision support for pediatric rheumatology reduces diagnostic errors.

BACKGROUND: The number of trained specialists world-wide is insufficient to serve all children with pediatric rheumatologic disorders, even in the countries with robust medical resources. We evaluated the potential of diagnostic decision support software (DDSS) to alleviate this shortage by assessing the ability of such software to improve the diagnostic accuracy of non-specialists. METHODS: Using vignettes of actual clinical cases, clinician testers generated a differential diagnosis before and after using diagnostic decision support software. The evaluation used the SimulConsult® DDSS tool, based on Bayesian pattern matching with temporal onset of each finding in each disease. The tool covered 5405 diseases (averaging 22 findings per disease). Rheumatology content in the database was developed using both primary references and textbooks. The frequency, timing, age of onset and age of disappearance of findings, as well as their incidence, treatability, and heritability were taken into account in order to guide diagnostic decision making. These capabilities allowed key information such as pertinent negatives and evolution over time to be used in the computations. Efficacy was measured by comparing whether the correct condition was included in the differential diagnosis generated by clinicians before using the software ( unaided ), versus after use of the DDSS ( aided ). RESULTS: The 26 clinicians demonstrated a significant reduction in diagnostic errors following introduction of the software, from 28% errors while unaided to 15% using decision support (p \u3c 0.0001). Improvement was greatest for emergency medicine physicians (p = 0.013) and clinicians in practice for less than 10 years (p = 0.012). This error reduction occurred despite the fact that testers employed an open book approach to generate their initial lists of potential diagnoses, spending an average of 8.6 min using printed and electronic sources of medical information before using the diagnostic software. CONCLUSIONS: These findings suggest that decision support can reduce diagnostic errors and improve use of relevant information by generalists. Such assistance could potentially help relieve the shortage of experts in pediatric rheumatology and similarly underserved specialties by improving generalists\u27 ability to evaluate and diagnose patients presenting with musculoskeletal complaints. TRIAL REGISTRATION: ClinicalTrials.gov ID: NCT02205086