1,671 research outputs found
Slope-Driven Goal Location Behavior in Pigeons
A basic tenet of principles of associative learning applicable to models of spatial learning is that a cue should be assigned greater weight if it is a better predictor of the goal location. Pigeons were trained to locate a goal in an acute corner of an isosceles trapezoid arena, presented on a slanted floor with 3 (Experiment 1) or 2 (Experiment 2) orientations. The goal could be consistently determined by the geometric shape of the arena; however, its position with respect to the slope gradient varied, such that slope position was not a good predictor of the goal. Pigeons learned to solve the task, and testing on a flat surface revealed successful encoding of the goal relative to the geometric shape of the arena. However, when tested in the arena placed in a novel orientation on the slope, pigeons surprisingly made systematic errors to the other acuteâbut geometrically incorrectâmirror image corner. The results indicate that, for each arena orientation, pigeons encoded the goal location with respect to the slope. Then, in the novel orientation, they chose the corner that matched the goalâs position on the slope plus local cue (corner angle). Although geometry was 2 times (Experiment 2) or even 3 times (Experiment 1) as predictive as slope, it failed to control behavior during novel test trials. Instead, searching was driven by the less predictive slope cues. The reliance on slope and the unresponsiveness to geometry are explained by the greater salience of slope despite its lower predictive value
PINTA: a web server for network-based gene prioritization from expression data
PINTA (available at http://www.esat.kuleuven.be/pinta/; this web site is free and open to all users and there is no login requirement) is a web resource for the prioritization of candidate genes based on the differential expression of their neighborhood in a genome-wide proteinâprotein interaction network. Our strategy is meant for biological and medical researchers aiming at identifying novel disease genes using disease specific expression data. PINTA supports both candidate gene prioritization (starting from a user defined set of candidate genes) as well as genome-wide gene prioritization and is available for five species (human, mouse, rat, worm and yeast). As input data, PINTA only requires disease specific expression data, whereas various platforms (e.g. Affymetrix) are supported. As a result, PINTA computes a gene ranking and presents the results as a table that can easily be browsed and downloaded by the user
Hypertension and cardiovascular risk factor management in a multi-ethnic cohort of adults with CKD: a cross sectional study in general practice
Background:
Hypertension, especially if poorly controlled, is a key determinant of chronic kidney disease (CKD) development and progression to end stage renal disease (ESRD).
Aim:
To assess hypertension and risk factor management, and determinants of systolic blood pressure control in individuals with CKD and hypertension.
Design and setting:
Cross-sectional survey using primary care electronic health records from 47/49 general practice clinics in South London.
Methods:
Known effective interventions, management of hypertension and cardiovascular disease (CVD) risk in patients with CKD Stages 3â5 were investigated. Multivariable logistic regression analysis examined the association of demographic factors, comorbidities, deprivation, and CKD coding, with systolic blood pressure control status as outcome. Individuals with diabetes were excluded.
Results:
Adults with CKD Stages 3â5 and hypertension represented 4131/286,162 (1.4%) of the total population; 1984 (48%) of these individuals had undiagnosed CKD without a recorded CKD clinical code. Hypertension was undiagnosed in 25% of the total Lambeth population, and in patients with CKD without diagnosed hypertension, 23.0% had systolic blood pressure >â140 mmHg compared with 39.8% hypertensives, pâ<â0.001. Multivariable logistic regression revealed that factors associated with improved systolic blood pressure control in CKD included diastolic blood pressure control, serious mental illness, history of cardiovascular co-morbidities, CKD diagnostic coding, and ageâ<â60 years. African ethnicity and obesity were associated with poorer systolic blood pressure control.
Conclusion:
We found both underdiagnosed CKD and underdiagnosed hypertension in patients with CKD. The poor systolic blood pressure control in older age groupsââ„â60 years and in Black African or obese individuals is clinically important as these groups are at increased risk of mortality for cardiovascular diseases
Incomplete reversibility of estimated glomerular filtration rate decline following tenofovir disoproxil fumarate exposure.
BACKGROUND: Tenofovir disoproxil fumarate (TDF) has been linked to renal impairment, but the extent to which this impairment is reversible is unclear. We aimed to investigate the reversibility of renal decline during TDF therapy.
METHODS: Cox proportional hazards models assessed factors associated with discontinuing TDF in those with an exposure duration of >6 months. In those who discontinued TDF therapy, linear piecewise regression models estimated glomerular filtration rate (eGFR) slopes before initiation of, during, and after discontinuation of TDF therapy. Factors associated with not achieving eGFR recovery 6 months after discontinuing TDF were assessed using multivariable logistic regression.
RESULTS: We observed declines in the eGFR during TDF exposure (mean slopes, -15.7 mL/minute/1.73 m(2)/year [95% confidence interval {CI}, -20.5 to -10.9] during the first 3 months and -3.1 mL/minute/1.73 m(2)/year [95% CI, -4.6 to -1.7] thereafter) and evidence of eGFR increases following discontinuation of TDF therapy (mean slopes, 12.5 mL/minute/1.73 m(2)/year [95% CI, 8.9-16.1] during the first 3 months and 0.8 mL/minute/1.73 m(2)/year [95% CI,.1-1.5] thereafter). Following TDF discontinuation, 38.6% of patients with a decline in the eGFR did not experience recovery. A higher eGFR at baseline, a lower eGFR after discontinuation of TDF therapy, and more-prolonged exposure to TDF were associated with an increased risk of incomplete recovery 6 months after discontinuation of TDF therapy.
CONCLUSIONS: This study shows that a decline in the eGFR during TDF therapy was not fully reversible in one third of patients and suggests that prolonged TDF exposure at a low eGFR should be avoided
Multi-transmission-line-beam interactive system
We construct here a Lagrangian field formulation for a system consisting of
an electron beam interacting with a slow-wave structure modeled by a possibly
non-uniform multiple transmission line (MTL). In the case of a single line we
recover the linear model of a traveling wave tube (TWT) due to J.R. Pierce.
Since a properly chosen MTL can approximate a real waveguide structure with any
desired accuracy, the proposed model can be used in particular for design
optimization. Furthermore, the Lagrangian formulation provides for: (i) a clear
identification of the mathematical source of amplification, (ii) exact
expressions for the conserved energy and its flux distributions obtained from
the Noether theorem. In the case of uniform MTLs we carry out an exhaustive
analysis of eigenmodes and find sharp conditions on the parameters of the
system to provide for amplifying regimes
Gravitational Lorentz Force and the Description of the Gravitational Interaction
In the context of a gauge theory for the translation group, we have obtained,
for a spinless particle, a gravitational analog of the Lorentz force. Then, we
have shown that this force equation can be rewritten in terms of magnitudes
related to either the teleparallel or the riemannian structures induced in
spacetime by the presence of the gravitational field. In the first case, it
gives a force equation, with torsion playing the role of force. In the second,
it gives the usual geodesic equation of General Relativity. The main conclusion
is that scalar matter is able to feel anyone of the above spacetime geometries,
the teleparallel and the metric ones. Furthermore, both descriptions are found
to be completely equivalent in the sense that they give the same physical
trajectory for a spinless particle in a gravitational field.Comment: Equations (44)-(47) correcte
Axial Torsion-Dirac spin Effect in Rotating Frame with Relativistic Factor
In the framework of spacetime with torsion and without curvature, the Dirac
particle spin precession in the rotational system is studied. We write out the
equivalent tetrad of rotating frame, in the polar coordinate system, through
considering the relativistic factor, and the resultant equivalent metric is a
flat Minkowski one. The obtained rotation-spin coupling formula can be applied
to the high speed rotating case, which is consistent with the expectation.Comment: 6 page
Management and outcomes of myocardial infarction in people with impaired kidney function in England
Background: Acute myocardial infarction (AMI) causes significant mortality and morbidity in people with impaired kidney function. Previous observational research has demonstrated reduced use of invasive management strategies and inferior outcomes in this population. Studies from the USA have suggested that disparities in care have reduced over time. It is unclear whether these findings extend to Europe and the UK. Methods: Linked data from four national healthcare datasets were used to investigate management and outcomes of AMI by estimated glomerular filtration rate (eGFR) category in England. Multivariable logistic and Cox regression models compared management strategies and outcomes by eGFR category among people with kidney impairment hospitalised for AMI between 2015â2017. Results: In a cohort of 5 835 people, we found reduced odds of invasive management in people with eGFR < 60mls/min/1.73m2 compared with people with eGFR â„ 60 when hospitalised for non-ST segment elevation MI (NSTEMI). The association between eGFR and odds of invasive management for ST-elevation MI (STEMI) varied depending on the availability of percutaneous coronary intervention. A graded association between mortality and eGFR category was demonstrated both in-hospital and after discharge for all people. Conclusions: In England, patients with reduced eGFR are less likely to receive invasive management compared to those with preserved eGFR. Disparities in care may however be decreasing over time, with the least difference seen in patients with STEMI managed via the primary percutaneous coronary intervention pathway. Reduced eGFR continues to be associated with worse outcomes after AMI
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