A comprehensive survey of hearing questionnaires: how many are there, what do they measure, and how have they been validated?

The self-report questionnaire is a popular tool for measuring outcomes in trials of interventions for hearing impairment. Many have been designed over the last fifty years, and there is no single standard questionnaire that is widely accepted and used. We felt it would be a valuable resource to have a comprehensive collection of all adult hearing-loss questionnaires (excluding those wholly devoted to tinnitus, children, or cochlear implants) and to survey their degree of validation. We collated copies of every published hearing difficulty questionnaire that we could find. The search was primarily done by iterative reference searching. Questionnaire topics were obtained by mapping the text of each questionnaire onto a set of categories; reports of validation methods were taken from the primary paper(s) on each questionnaire. In total we found 139 hearing-specific questionnaires (though many others were found that were primarily about something else). Though not formally systematic, we believe that we have included every questionnaire that is important, most of those of some notice, and a fair fraction of those obscure. We classified 111 as “primary” and the remaining 28 as “contractions”, being shortened versions of a primary without any new questions. In total, there were 3618 items across all the primary questionnaires. The median number of items per questionnaire was 20; the maximum was 158. Across all items, about one third were concerned with the person’s own hearing, another third with the repercussions of it, and about a quarter with hearing aids. There was a wide range in validation methods, from only using items chosen statistically from wider pools and with formal validation against independent measures of clinical outcomes, to just reporting a correlation with an audiogram measure of hearing loss. The “state of play” of the field of hearing questionnaires will be discussed

Associations of Perirenal Fat Thickness with Renal and Systemic Calcified Atherosclerosis.

BackgroundWe investigated associations between perirenal fat thickness and atherosclerotic calcification in six different vascular beds.MethodsUsing a community-based cohort (n=3,919), perirenal fat thickness was estimated from computed tomography scans. It was classified as Q1 (the lowest quartile) to Q4 (the highest quartile) in each sex. Calcification in the carotid arteries, coronary arteries, thoracic aorta, abdominal aorta, iliac arteries, and renal arteries was evaluated.ResultsPerirenal fat thickness was associated with older age (P<0.01) and a higher prevalence of obesity, hypertension, and dyslipidemia (P<0.01 for all). Perirenal fat thickness was independently associated with renal arterial calcification even after adjustment for age, sex, body mass index, hypertension, dyslipidemia, smoking history, and family history of heart diseases in first-degree relatives (odds ratio [OR] per quartile of perirenal fat thickness, 1.25; 95% confidence interval [CI], 1.09 to 1.44). Compared to Q1, the odds of renal arterial calcification in Q4 was about two times higher (OR, 2.05; 95% CI, 1.29 to 3.25). After adjustment for renal arterial calcification and atherosclerotic risk factors, the only other vascular bed where perirenal fat thickness showed a significant association with calcification was the abdominal aorta (OR, 1.11; 95% CI, 1.00 to 1.23; P=0.045).ConclusionPerirenal fat thickness was independently associated with vascular calcification in the renal artery and abdominal aorta

Searching for Earth-mass planets around α\alpha Centauri: precise radial velocities from contaminated spectra

This work is part of an ongoing project which aims to detect terrestrial planets in our neighbouring star system $\alpha$ Centauri using the Doppler method. Owing to the small angular separation between the two components of the $\alpha$ Cen AB binary system, the observations will to some extent be contaminated with light coming from the other star. We are accurately determining the amount of contamination for every observation by measuring the relative strengths of the H-$\alpha$ and NaD lines. Furthermore, we have developed a modified version of a well established Doppler code that is modelling the observations using two stellar templates simultaneously. With this method we can significantly reduce the scatter of the radial velocity measurements due to spectral cross-contamination and hence increase our chances of detecting the tiny signature caused by potential Earth-mass planets. After correcting for the contamination we achieve radial velocity precision of $\sim 2.5\,\mathrm{m\,s^{-1}}$ for a given night of observations. We have also applied this new Doppler code to four southern double-lined spectroscopic binary systems (HR159, HR913, HR7578, HD181958) and have successfully recovered radial velocities for both components simultaneously.Comment: accepted for publication in the International Journal of Astrobiology (published by Cambridge University Press); will appear in a revised form, subsequent to editorial input by Cambridge University Pres

An evaluation of a multi-site community pharmacy based chronic obstructive pulmonary disease support service

Background Chronic obstructive pulmonary disease (COPD) is a progressive chronic condition which can be effectively managed by smoking cessation, optimising prescribed therapy and providing treatment to prevent chest infections from causing hospitalisation. The government agenda in the UK is for community pharmacists to become involved in chronic disease management and COPD is one area where they are ideally located to provide a comprehensive service. Objective To evaluate the effect of a community pharmacy based COPD service on patient outcomes. Method Patients in one UK location were recruited over a 3 month period to receive a community pharmacy based COPD support service consisting of signposting to or provision of smoking cessation service, therapy optimisation, and recommendation to obtain a rescue pack containing steroid and antibiotic to prevent hospitalisation as a result of chest infection. Data was collected over a six month period for all recruited patients. Appropriate clinical outcomes, patient reported medication adherence, quality of life and NHS resource utilisation were measured. Key findings 306 patients accessed the service and full data to enable comparison before and after was available for 137. Significant improvements in patient reported adherence, utilisation of rescue packs, quality of life and a reduction in routine GP visits were identified. The intervention cost was estimated to be off-set by reductions in the use of other NHS services (GP and A&E visits and hospital admissions). Conclusion Results suggest that the service improved patient medicine taking behaviours and that it was cost-effective

The Weihai Observatory search for close-in planets orbiting giant stars

Planets are known to orbit giant stars, yet there is a shortage of planets orbiting within ~0.5 AU (P<100 days). First-ascent giants have not expanded enough to engulf such planets, but tidal forces can bring planets to the surface of the star far beyond the stellar radius. So the question remains: are tidal forces strong enough in these stars to engulf all the missing planets? We describe a high-cadence observational program to obtain precise radial velocities of bright giants from Weihai Observatory of Shandong University. We present data on the planet host Beta Gem (HD 62509), confirming our ability to derive accurate and precise velocities; our data achieve an rms of 7.3 m/s about the Keplerian orbit fit. This planet-search programme currently receives ~100 nights per year, allowing us to aggressively pursue short-period planets to determine whether they are truly absent.Comment: Accepted for publication in PAS

Cas Adaptor Proteins Coordinate Sensory Axon Fasciculation.

Development of complex neural circuits like the peripheral somatosensory system requires intricate mechanisms to ensure axons make proper connections. While much is known about ligand-receptor pairs required for dorsal root ganglion (DRG) axon guidance, very little is known about the cytoplasmic effectors that mediate cellular responses triggered by these guidance cues. Here we show that members of the Cas family of cytoplasmic signaling adaptors are highly phosphorylated in central projections of the DRG as they enter the spinal cord. Furthermore, we provide genetic evidence that Cas proteins regulate fasciculation of DRG sensory projections. These data establish an evolutionarily conserved requirement for Cas adaptor proteins during peripheral nervous system axon pathfinding. They also provide insight into the interplay between axonal fasciculation and adhesion to the substrate

Discovery of a Classic FR-II Broad Absorption Line Quasar from the FIRST Survey

We have discovered a remarkable quasar, FIRST J101614.3+520916, whose optical spectrum shows unambiguous broad absorption features while its double-lobed radio morphology and luminosity clearly indicate a classic Fanaroff-Riley Type II radio source. Its radio luminosity places it at the extreme of the recently established class of radio-loud broad absorption line quasars (Becker et al. 1997, 2000; Brotherton et al. 1998). Because of its hybrid nature, we speculate that FIRST J101614.3+520916 is a typical FR-II quasar which has been rejuvenated as a broad absorption line (BAL) quasar with a Compact Steep Spectrum core. The direction of the jet axis of FIRST J101614.3+520916 can be estimated from its radio structure and optical brightness, indicating that we are viewing the system at a viewing angle of > 40 degrees. The position angles of the radio jet and optical polarization are not well-aligned, differing by 20 to 30 degrees. When combined with the evidence presented by Becker et al. (2000) for a sample of 29 BAL quasars showing that at least some BAL quasars are viewed along the jet axis, the implication is that no preferred viewing orientation is necessary to observe BAL systems in a quasar's spectrum. This, and the probable young nature of compact steep spectrum sources, leads naturally to the alternate hypothesis that BALs are an early stage in the lives of quasars.Comment: 14 pages, 6 postscript figures; accepted for publication in the Astrophysical Journa

A model of meta-population dynamics for North Sea and West of Scotland cod - the dynamic consequences of natal fidelity

It is clear from a variety of data that cod (Gadus morhua) in the North Sea do not constitute a homogeneous population that will rapidly redistribute in response to local variability in exploitation. Hence, local exploitation has the potential to deplete local populations, perhaps to the extent that depensation occurs and recovery is impossible without recolonisation from other areas, with consequent loss of genetic diversity. The oceanographic, biological and behavioural processes which maintain the spatial population structures are only partly understood, and one of the key unknown factors is the extent to which codexhibit homing migrations to natal spawning areas. Here, we describe a model comprising 10 interlinked demes of cod in European waters, each representing groups of fish with a common natal origin. The spawning locations of fish in each deme are governed by a variety of rules concerning oceanographic dispersal, migration behaviour and straying. We describe numerical experiments with the model and comparisons with observations, which lead us to conclude that active homing is probably not necessary to explain some of the population structures of European cod. Separation of some sub-populations is possible through distance and oceanographic processes affecting the dispersal of eggs and larvae. However, other evidence suggests that homing may be a necessary behaviour to explain the structure of other sub-populations. Theconsequences for fisheries management of taking into account spatial population structuring are complicated. For example, recovery or recolonisation strategies require consideration not only of mortality rates in the target area for restoration, but also in the source areas for the recruits which may be far removed depending on the oceanography. The model has an inbuilt capability to address issues concerning the effects of climate change, including temperature change, on spatial patterns of recruitment, development and population structure in cod

Tempo and intensity of pre-task music modulate neural activity during reactive task performance

This is the author's accepted manuscript. The final published article is available from the link below. Copyright @ 2013 The Authors.Research has shown that not only do young athletes purposively use music to manage their emotional state (Bishop, Karageorghis, & Loizou, 2007), but also that brief periods of music listening may facilitate their subsequent reactive performance (Bishop, Karageorghis, & Kinrade, 2009). We report an fMRI study in which young athletes lay in an MRI scanner and listened to a popular music track immediately prior to performance of a three-choice reaction time task; intensity and tempo were modified such that six excerpts (2 intensities × 3 tempi) were created. Neural activity was measured throughout. Faster tempi and higher intensity collectively yielded activation in structures integral to visual perception (inferior temporal gyrus), allocation of attention (cuneus, inferior parietal lobule, supramarginal gyrus), and motor control (putamen), during reactive performance. The implications for music listening as a pre-competition strategy in sport are discussed