Cohort profile: the Swiss Cerebral Palsy Registry (Swiss-CP-Reg) cohort study.

BACKGROUND Cerebral Palsy (CP) is a group of permanent disorders of movement and posture that follow injuries to the developing brain. It results in motor dysfunction and a wide variety of comorbidities like epilepsy; pain; speech, hearing and vision disorders; cognitive dysfunction; and eating and digestive difficulties. Central data collection is essential to the study of the epidemiology, clinical presentations, care, and quality of life of patients affected by CP. CP specialists founded the Swiss Cerebral Palsy Registry (Swiss-CP-Reg) in 2017. This paper describes the design, structure, aims and achievements of Swiss-CP-Reg and presents its first results. METHODS Swiss-CP-Reg records patients of any age diagnosed with CP who are born, are treated, or live in Switzerland. It collects data from medical records and reports, from questionnaires answered by patients and their families, and from data linkage with routine statistics and other registries. The registry contains information on diagnosis, clinical presentation, comorbidities, therapies, personal information, family history, and quality of life. RESULTS From August 2017 to August 2021, 546 participants (55% male, mean age at registration 8 years [interquartile range IQR: 5-12]), were enrolled in Swiss-CP-Reg. Most had been born at term (56%), were less than two years old at diagnosis (73%, median 18 months, IQR: 9-25), and were diagnosed with spastic CP (76%). Most (59%) live with a mild motor impairment (Gross Motor Function Classification System [GMFCS] level I or II), 12% with a moderate motor impairment (GMFCS level III), and 29% with a severe motor impairment (GMFCS level IV or V). In a subset of 170 participants, we measured intelligence quotient (IQ) and saw lower IQs with increasing GMFCS level. Swiss-CP-Reg has a strong interest in research, with four nested projects running currently, and many more planned. CONCLUSIONS Swiss-CP-Reg collects and exchanges national data on people living with CP to answer clinically relevant questions. Its structure enables retrospective and prospective data collection and knowledge exchange between experts to optimise and standardise treatment and to improve the health and quality of life of those diagnosed with CP in Switzerland

New hairy black hole solutions with a dilaton potential

We consider black hole solutions with a dilaton field possessing a nontrivial potential approaching a constant negative value at infinity. The asymptotic behaviour of the dilaton field is assumed to be slower than that of a localized distribution of matter. A nonabelian SU(2) gauge field is also included in the total action. The mass of the solutions admitting a power series expansion in $1/r$ at infinity and preserving the asymptotic anti-de Sitter geometry is computed by using a counterterm subtraction method. Numerical arguments are presented for the existence of hairy black hole solutions for a dilaton potential of the form $V(\phi)=C_1 \exp(2\alpha_1 \phi)+C_2 \exp(2\alpha_2 \phi)+C_3$, special attention being paid to the case of ${\cal N}=4, D=4$ gauged supergravity model of Gates and Zwiebach.Comment: 12 pages, 4 figures; v2:references added, typos corrected, small changes in Section

Shaping black holes with free fields

Starting from a metric Ansatz permitting a weak version of Birkhoff's theorem we find static black hole solutions including matter in the form of free scalar and p-form fields, with and without a cosmological constant \Lambda. Single p-form matter fields permit multiple possibilities, including dyonic solutions, self-dual instantons and metrics with Einstein-Kaelher horizons. The inclusion of multiple p-forms on the other hand, arranged in a homogeneous fashion with respect to the horizon geometry, permits the construction of higher dimensional dyonic p-form black holes and four dimensional axionic black holes with flat horizons, when \Lambda<0. It is found that axionic fields regularize black hole solutions in the sense, for example, of permitting regular -- rather than singular -- small mass Reissner-Nordstrom type black holes. Their cosmic string and Vaidya versions are also obtained.Comment: 38 pages. v2: minor changes, published versio

Boundary stress-energy tensor and Newton-Cartan geometry in Lifshitz holography

For a specific action supporting z = 2 Lifshitz geometries we identify the Lifshitz UV completion by solving for the most general solution near the Lifshitz boundary. We identify all the sources as leading components of bulk fields which requires a vielbein formalism. This includes two linear combinations of the bulk gauge field and timelike vielbein where one asymptotes to the boundary timelike vielbein and the other to the boundary gauge field. The geometry induced from the bulk onto the boundary is a novel extension of Newton-Cartan geometry that we call torsional Newton-Cartan (TNC) geometry. There is a constraint on the sources but its pairing with a Ward identity allows one to reduce the variation of the on-shell action to unconstrained sources. We compute all the vevs along with their Ward identities and derive conditions for the boundary theory to admit conserved currents obtained by contracting the boundary stress-energy tensor with a TNC analogue of a conformal Killing vector. We also obtain the anisotropic Weyl anomaly that takes the form of a Hořava-Lifshitz action defined on a TNC geometry. The Fefferman-Graham expansion contains a free function that does not appear in the variation of the on-shell action. We show that this is related to an irrelevant deformation that selects between two different UV completions

STOCHASTIC COST FRONTIER MODELS: A COMPARATIVE ANALYSIS ∗

Unobserved heterogeneity in stochastic cost frontier models: a comparative analysi

Aircraft-based CH₄ flux estimates for validation of emissions from an agriculturally dominated area in Switzerland

For regional-scale investigations of greenhouse gas budgets the spatially explicit information from local emission sources is needed, which then can be compared with flux measurements. Here we present the first validation of a section of a spatially explicit CH4 emission inventory of Switzerland. The validation was done for the agriculturally dominated Reuss Valley using measurements from a low-flying aircraft (50–500 m above ground level). We distributed national emission estimates to a grid with 500 m cell size using available geostatistical data. Validation flux measurements were obtained using the eddy covariance (EC) technique and the boundary layer budgeting (BLB) approach that only uses the mean concentrations of the same aircraft transects. Inventory estimates for the flux footprint of the aircraft measurements were lowest (median 0.40 μg CH4 m−2 s−1), and BLB fluxes were highest (1.02 μg CH4 m−2 s−1) for the Reuss Valley, with EC fluxes in between (0.62 μg CH4 m−2 s−1). Flux estimates frommeasurements and inventory are within the same order of magnitude, but measured fluxes were significantly larger than the inventory emission estimates. The differences are larger than the uncertainties associated with storage of manure, temperature dependence of emissions, diurnal cycle of enteric fermentation by cattle, and the limitations of the inventory that only covers ≥90% of all expected methane emissions. From this we deduce that it is not unlikely that the Swiss CH4 emission inventory estimates are too low

Cohort profile: the Swiss Cerebral Palsy Registry (Swiss-CP-Reg) cohort study

BACKGROUND: Cerebral Palsy (CP) is a group of permanent disorders of movement and posture that follow injuries to the developing brain. It results in motor dysfunction and a wide variety of comorbidities like epilepsy; pain; speech, hearing and vision disorders; cognitive dysfunction; and eating and digestive difficulties. Central data collection is essential to the study of the epidemiology, clinical presentations, care, and quality of life of patients affected by CP. CP specialists founded the Swiss Cerebral Palsy Registry (Swiss-CP-Reg) in 2017. This paper describes the design, structure, aims and achievements of Swiss-CP-Reg and presents its first results. METHODS: Swiss-CP-Reg records patients of any age diagnosed with CP who are born, are treated, or live in Switzerland. It collects data from medical records and reports, from questionnaires answered by patients and their families, and from data linkage with routine statistics and other registries. The registry contains information on diagnosis, clinical presentation, comorbidities, therapies, personal information, family history, and quality of life. RESULTS: From August 2017 to August 2021, 546 participants (55% male, mean age at registration 8 years [interquartile range IQR: 5–12]), were enrolled in Swiss-CP-Reg. Most had been born at term (56%), were less than two years old at diagnosis (73%, median 18 months, IQR: 9–25), and were diagnosed with spastic CP (76%). Most (59%) live with a mild motor impairment (Gross Motor Function Classification System [GMFCS] level I or II), 12% with a moderate motor impairment (GMFCS level III), and 29% with a severe motor impairment (GMFCS level IV or V). In a subset of 170 participants, we measured intelligence quotient (IQ) and saw lower IQs with increasing GMFCS level. Swiss-CP-Reg has a strong interest in research, with four nested projects running currently, and many more planned. CONCLUSIONS: Swiss-CP-Reg collects and exchanges national data on people living with CP to answer clinically relevant questions. Its structure enables retrospective and prospective data collection and knowledge exchange between experts to optimise and standardise treatment and to improve the health and quality of life of those diagnosed with CP in Switzerland. ClinicalTrials.gov identifier: NCT0499287