BowScribe: Supporting the violinist's performance model

Musicians often learn about their vision of a piece through practicing it and listening to recordings. However, this does not always free the player to develop his or her own interpretation of the piece, especially when technique is lacking. We have developed software, the BowScribe markup language, that supports a violinist in creating a ``performance model'' of a piece currently beyond his or her playing skills, by allowing the player fine control over tempo, volume, and articulation, including playing of chords, at a level of expressiveness and flexibility that is significantly beyond the MIDI playback modes of popular music notation software. BowScribe has been used by the first author (who was trained as a prfessional violinist) to create a model of the entire Bach Chaconne (edited by Glamian), a long and demanding piece of music for solo violin that has many phrases that span groups of chords as well as melodic passages. The markup language specified chords to be rolled in two classic ways, as well as a wide variety of other strokes, including greater volume for individual notes in long slurs and small but essential variations in tempo

Interventions targeted at primary care practitioners to improve the identification and referral of patients with co-morbid obesity: a realist review protocol

<b>Background </b>Obesity is one of the most significant public health challenges in the developed world. Recent policy has suggested that more can be done in primary care to support adults with obesity. In particular, general practitioners (GPs) and practice nurses (PNs) could improve the identification and referral of adults with obesity to appropriate weight management services. Previous interventions targeted at primary care practitioners in this area have had mixed results, suggesting a more complex interplay between patients, practitioners, and systems. The objectives of this review are (i) to identify the underlying ‘programme theory’ of interventions targeted at primary care practitioners to improve the identification and referral of adults with obesity and (ii) to explore how and why GPs and PNs identify and refer individuals with obesity, particularly in the context of weight-related co-morbidity. This protocol will explain the rationale for using a realist review approach and outline the key steps in this process. <p></p> <b>Methods</b> Realist review is a theory-led approach to knowledge synthesis that provides an explanatory analysis aimed at discerning what works, for whom, in what circumstances, how, and why. In this review, scoping interviews with key stakeholders involved in the planning and delivery of adult weight management services in Scotland helped to inform the identification of formal theories - from psychology, sociology, and implementation science - that will be tested as the review progresses. A comprehensive search strategy is described, including scope for iterative searching. Data analysis is outlined in three stages (describing context-mechanism-outcome configurations, exploring patterns in these configurations, and developing and testing middle-range theories, informed by the formal theories previously identified), culminating in the production of explanatory programme theory that considers individual, interpersonal, and institutional/systems-level components. <p></p> <b>Discussion </b>This is the first realist review that we are aware of looking at interventions targeted at primary care practitioners to improve the weight management of adults with obesity. Engagement with stakeholders at an early stage is a unique feature of realist review. This shapes the scope of the review, identification of candidate theories and dissemination strategies. The findings of this review will inform policy and future interventions. Systematic review registration PROSPERO CRD4201400939

The role of primary care in adult weight management: qualitative interviews with key stakeholders in weight management services

Background: Primary care has a key role to play in the prevention and management of obesity, but there remain barriers to engagement in weight management by primary care practitioners. The aim of this study was to explore the views of key stakeholders in adult weight management services on the role of primary care in adult weight management. Methods: Qualitative study involving semi-structured interviews with nine senior dietitians involved in NHS weight management from seven Scottish health boards. Transcripts were analysed using an inductive thematic approach. Results: A range of tensions were apparent within three key themes: weight management service issues, the role of primary care, and communication with primary care. For weight management services, these tensions were around funding, the management model of obesity, and how to configure access to services. For primary care, they were around what primary care should be doing, who should be doing it, and where this activity should fit within wider weight management policy. With regard to communication between weight management services and primary care, there were tensions related to the approach taken (locally adapted versus centralised), the message being communicated (weight loss versus wellbeing), and the response from practitioners (engagement versus resistance). Conclusions: Primary care can do more to support adult weight management, but this requires better engagement and communication with weight management services, to overcome the tensions highlighted in this study. This, in turn, requires more secure, sustained funding. The example of smoking cessation in the UK, where there is a network of well-resourced NHS Stop Smoking Services, accessible via different means, could be a model to follow

Patient and practice characteristics predicting attendance and completion at a specialist weight management service in the UK: a cross-sectional study

Objective: To determine the association between patient and referring practice characteristics and attendance and completion at a specialist health service weight management service (WMS). Design: Cross-sectional study. Setting: Regional specialist WMS located in the West of Scotland. Participants: 9677 adults with obesity referred between 2012 and 2014; 3250 attending service and 2252 completing. Primary and secondary outcome measures: Primary outcome measure was attendance at the WMS; secondary outcome was completion, defined as attending four or more sessions. Analysis: Multilevel binary logistic regression models constructed to determine the association between patient and practice characteristics and attendance and completion. Results: Approximately one-third of the 9677 obese adults referred attended at least one session (n=3250, 33.6%); only 2252 (23%) completed by attending four or more sessions. Practice referrals ranged from 1 to 257. Patient-level characteristics were strongest predictors of attendance; odds of attendance increased with age (OR 4.14, 95% CI 3.27 to 5.26 for adults aged 65+ compared with those aged 18–24), body mass index (BMI) category (OR 1.83, 95% CI 1.56 to 2.15 for BMI 45+ compared with BMI 30–35) and increasing affluence (OR 1.96, 95% CI 1.17 to 3.28). Practice-level characteristics most strongly associated with attendance were being a non-training practice, having a larger list size and not being located in the most deprived areas. Conclusions: There was wide variation in referral rates across general practice, suggesting that there is still much to do to improve engagement with weight management by primary care practitioners. The high attrition rate from referral to attendance and from attendance to completion suggests ongoing barriers for patients, particularly those from the most socioeconomically deprived areas. Patient and practice-level characteristics can help us understand the observed variation in attendance at specialist WMS following general practitioner (GP) referral and the underlying explanations for these differences merit further investigation

Optimal Data-Dependent Hashing for Approximate Near Neighbors

We show an optimal data-dependent hashing scheme for the approximate near neighbor problem. For an $n$-point data set in a $d$-dimensional space our data structure achieves query time $O(d n^{\rho+o(1)})$ and space $O(n^{1+\rho+o(1)} + dn)$, where $\rho=\tfrac{1}{2c^2-1}$ for the Euclidean space and approximation $c>1$. For the Hamming space, we obtain an exponent of $\rho=\tfrac{1}{2c-1}$. Our result completes the direction set forth in [AINR14] who gave a proof-of-concept that data-dependent hashing can outperform classical Locality Sensitive Hashing (LSH). In contrast to [AINR14], the new bound is not only optimal, but in fact improves over the best (optimal) LSH data structures [IM98,AI06] for all approximation factors $c>1$. From the technical perspective, we proceed by decomposing an arbitrary dataset into several subsets that are, in a certain sense, pseudo-random.Comment: 36 pages, 5 figures, an extended abstract appeared in the proceedings of the 47th ACM Symposium on Theory of Computing (STOC 2015

Exosuit-induced improvements in walking after stroke: comprehensive analysis on gait energetics and biomechanics

Outstanding Poster Presentation Finalis

GSUE: urban geochemical mapping in Great Britain

The British Geological Survey is responsible for the national strategic geochemical survey of Great Britain. As part of this programme, the Geochemical Surveys of Urban Environments (GSUE) project was initiated in 1992 and to date, 21 cities have been mapped. Urban sampling is based upon the collection of top (0.05 to 0.20 m) and deeper (0.35 to 0.50 m) soil samples on a 500 m grid across the built environment (1 sample per 0.25 km2). Samples are analysed for c. 46 total element concentrations by X-ray Fluorescence Spectrometry (XRFS), pH and loss on ignition (LOI) as an indicator of organic matter content. The data provide an overview of the urban geochemical signature and because they are collected as part of a national baseline programme, can be readily compared with soils in the rural hinterland to assess the extent of urban contamination. The data are of direct relevance to current UK land use planning, urban regeneration and contaminated land legislative regimes. An overview of the project and applications of the data to human health risk assessment, water quality protection and contaminant source identification are presented

Comment on ``Spin Dependent Hopping and Colossal Negative Magnetoresistance in Epitaxial Nd0.52Sr0.48MnO3Nd_{0.52}Sr_{0.48}MnO_{3} Films in Fields up to 50 T''

Recently Wagner et al. [Phys. Rev. Lett. Vol. 81, P. 3980 (1998)] proposed that Mott's original model be modified to incorporate a hopping barrier which depends on the misorientation between the spins of electrons at the initial and the final states in an elementary process. They further claimed that using the model they can explain the observed scaling behavior-- negative-magnetoresistivity scaling proportional to the Brillouin function $\cal{B}$ in the ferromagnetic state and to ${\cal{B}}^2$ in the paramagnetic state. In this comment we argue that the modification needed for Mott's original model is different from that proposed by Wagner et al. and further show that our picture will successfully explain the observed scaling in the two regimes.Comment: 1 pag