518 research outputs found
Risk Factors for Norovirus, Sapporo-like Virus, and Group A Rotavirus Gastroenteritis
Viral pathogens are the most common causes of gastroenteritis in the community. To identify modes of transmission and opportunities for prevention, a case-control study was conducted and risk factors for gastroenteritis attributable to norovirus (NV), Sapporo-like virus (SLV), and rotavirus were studied. For NV gastroenteritis, having a household member with gastroenteritis, contact with a person with gastroenteritis outside the household, and poor food-handling hygiene were associated with illness (population attributable risk fractions [PAR] of 17%, 56%, and 47%, respectively). For SLV gastroenteritis, contact with a person with gastroenteritis outside the household was associated with a higher risk (PAR 60%). For rotavirus gastroenteritis, contact with a person with gastroenteritis outside the household and food-handling hygiene were associated with a higher risk (PAR 86% and 46%, respectively). Transmission of these viral pathogens occurs primarily from person to person. However, for NV gastroenteritis, foodborne transmission seems to play an important role
General practitioner practices in requesting laboratory tests for patients with gastroenteritis in the Netherlands, 2001–2002
BACKGROUND: The objective of this study was to estimate the (selective) proportion of patients consulting their GP for an episode of gastroenteritis for whom laboratory tests were requested. In addition adherence of GPs to the guidelines for diagnostic test regime was ascertained. METHODS: Data were collected from a GP network in the Netherlands. Information was also collected on the reason for requesting the test, test specifications, and test results. RESULTS: For 12% of the GP patients with gastroenteritis, a stool sample was requested and tested for enteric pathogens. In most patients, the duration, followed by severity of complaints or a visit to a specific, high-risk country were reported as reasons to request laboratory diagnostics. Tests were requested most often in summer months and in February. Campylobacter (requested for 87% of the tests), Salmonella (84%), Shigella (78%) and Yersinia (56%) were most frequently included in the stool tests. Campylobacter was detected most often in patients. CONCLUSION: Test requests did not always comply with existing knowledge of the etiology of gastroenteritis in GP patients and were not always consistent with the Dutch GP guidelines. Therefore, the data of this study can be used to develop educational approaches for GP's as well as for revision of the guidelines
Exceptional Flux Compactifications
We consider type II (non-)geometric flux backgrounds in the absence of brane
sources, and construct their explicit embedding into maximal gauged D=4
supergravity. This enables one to investigate the critical points, mass spectra
and gauge groups of such backgrounds. We focus on a class of type IIA geometric
vacua and find a novel, non-supersymmetric and stable AdS vacuum in maximal
supergravity with a non-semisimple gauge group. Our construction relies on a
non-trivial mapping between SL(2) x SO(6,6) fluxes, SU(8) mass spectra and
gaugings of E7(7) subgroups.Comment: 51 pages, 2 figures and 4 tables. v3: change of SO(6,6) spinorial
conventions, published versio
Universal contributions to scalar masses from five dimensional supergravity
We compute the effective Kahler potential for matter fields in warped
compactifications, starting from five dimensional gauged supergravity, as a
function of the matter fields localization. We show that truncation to zero
modes is inconsistent and the tree-level exchange of the massive gravitational
multiplet is needed for consistency of the four-dimensional theory. In addition
to the standard Kahler coming from dimensional reduction, we find the quartic
correction coming from integrating out the gravity multiplet. We apply our
result to the computation of scalar masses, by assuming that the SUSY breaking
field is a bulk hypermultiplet. In the limit of extreme opposite localization
of the matter and the spurion fields, we find zero scalar masses, consistent
with sequestering arguments. Surprisingly enough, for all the other cases the
scalar masses are tachyonic. This suggests the holographic interpretation that
a CFT sector always generates operators contributing in a tachyonic way to
scalar masses. Viability of warped su- persymmetric compactifications
necessarily asks then for additional contributions. We discuss the case of
additional bulk vector multiplets with mixed boundary conditions, which is a
partic- ularly simple and attractive way to generate large positive scalar
masses. We show that in this case successful fermion mass matrices implies
highly degenerate scalar masses for the first two generations of squarks and
sleptons.Comment: 23 pages. v2: References added, new section on effect of additional
bulk vector multiplets and phenomenolog
OMERACT Filter 2.1: Elaboration of the Conceptual Framework for Outcome Measurement in Health Intervention Studies
Objective: The Outcome Measures in Rheumatology (OMERACT) Filter 2.0 framework was developed in 2014 to aid core outcome set development by describing the full universe of “measurable aspects of health conditions” from which core domains can be selected. This paper provides elaborations and updated concepts (OMERACT Filter 2.1).
Methods: At OMERACT 2018, we discussed challenges in the framework application caused by unclear or ambiguous wording and terms and incompletely developed concepts.
Results: The updated OMERACT Filter 2.1 framework makes benefits and harms explicit, clarifies concepts, and improves naming of various terms.
Conclusion: We expect that the Filter 2.1 framework will improve the process of core set development
Stringy instanton corrections to N=2 gauge couplings
We discuss a string model where a conformal four-dimensional N=2 gauge theory
receives corrections to its gauge kinetic functions from "stringy" instantons.
These contributions are explicitly evaluated by exploiting the localization
properties of the integral over the stringy instanton moduli space. The model
we consider corresponds to a setup with D7/D3-branes in type I' theory
compactified on T4/Z2 x T2, and possesses a perturbatively computable heterotic
dual. In the heteoric side the corrections to the quadratic gauge couplings are
provided by a 1-loop threshold computation and, under the duality map, match
precisely the first few stringy instanton effects in the type I' setup. This
agreement represents a very non-trivial test of our approach to the exotic
instanton calculus.Comment: 63 pages, 5 figures. V2: final version with minor corrections
published on JHEP05(2010)10
Weekly cisplatin and daily oral etoposide is highly effective in platinum pretreated ovarian cancer
We investigated the potential of weekly cisplatin and daily oral etoposide followed by oral etoposide maintenance therapy in patients with platinum-refractory ovarium cancer. One hundred and seven patients were entered on the study, 98 patients completed the induction therapy consisting of cisplatin at either 50 or 70 mg m−2 weekly for six administrations plus oral etoposide at a dose of 50 mg daily. Of these 98 patients, 38 had a platinum treatment-free interval of more than 12 months, 32 had an interval between 4 and 12 months, and 28 had progressed during or within 4 months after last platinum therapy. We assessed response rates and time to progression, and also response duration and survival. Analyses were done on the 98 evaluable patients. All 107 patients were considered evaluable for toxicity. Of the 38 patients with a treatment-free interval of more than 12 months, 92% responded, with 63% complete responses. The median progression-free survival in these patients was 14 months, and the median survival was 26 months. Of the 32 patients with an interval of 4–12 months, 91% responded, with 31% complete responses, a median progression-free interval of 8 and a median overall survival of 16 months. Of the 28 patients with platinum-refractory disease, 46% as yet responded, with 29% complete responses, median progression-free interval of 5 and an overall survival of 13 months. Haematologic and non-haematologic, particularly renal toxicity and neurotoxicity, were notably mild. We conclude that this intensive regimen of weekly cisplatin plus daily etoposide is highly effective and well tolerated in patients with ovarian cancer relapsing after conventional platinum-based combination chemotherapy, including patients who have progressed during or within 4 months after platinum treatment
Moduli Stabilization and Cosmology of Type IIB on SU(2)-Structure Orientifolds
We consider type IIB flux compactifications on six-dimensional
SU(2)-structure manifolds with O5- and O7-planes. These six-dimensional spaces
allow not only for F_3 and H_3 fluxes but also for F_1 and F_5 fluxes. We
derive the four-dimensional N=1 scalar potential for such compactifications and
present one explicit example of a fully stabilized AdS vacuum with large volume
and small string coupling. We then discuss cosmological aspects of these
compactifications and derive several no-go theorems that forbid dS vacua and
slow-roll inflation under certain conditions. We also study concrete examples
of cosets and twisted tori and find that our no-go theorems forbid dS vacua and
slow-roll inflation in all but one of them. For the latter we find a dS
critical point with \epsilon numerically zero. However, the point has two
tachyons and eta-parameter \eta \approx -3.1.Comment: 35 pages + appendices, LaTeX2e; v2: numerical dS extremum added,
typos corrected, references adde
Solitary waves in the Nonlinear Dirac Equation
In the present work, we consider the existence, stability, and dynamics of
solitary waves in the nonlinear Dirac equation. We start by introducing the
Soler model of self-interacting spinors, and discuss its localized waveforms in
one, two, and three spatial dimensions and the equations they satisfy. We
present the associated explicit solutions in one dimension and numerically
obtain their analogues in higher dimensions. The stability is subsequently
discussed from a theoretical perspective and then complemented with numerical
computations. Finally, the dynamics of the solutions is explored and compared
to its non-relativistic analogue, which is the nonlinear Schr{\"o}dinger
equation. A few special topics are also explored, including the discrete
variant of the nonlinear Dirac equation and its solitary wave properties, as
well as the PT-symmetric variant of the model
The 2014 interferometric imaging beauty contest
This is the final version of the article. Available from SPIE via the DOI in this record.From Conference Volume 9146: Optical and Infrared Interferometry IV. Jayadev K. Rajagopal; Michelle J. Creech-Eakman; Fabien Malbet. Montréal, Quebec, Canada, June 22, 2014Here we present the results of the 6th biennial optical interferometry imaging beauty contest. Taking advantage of a unique opportunity, the red supergiant VY CMa and the Mira variable R Car were observed in the astronomical H-band with three 4-telescope configurations of the VLTI-AT array using the PIONIER instrument. The community was invited to participate in the subsequent image reconstruction and interpretation phases of the project. Ten groups submitted entries to the beauty contest, and we found reasonable consistency between images obtained from independent workers using quite different algorithms. We also found that significant differences existed between the submitted images, much greater than in past beauty contests that were all based on simulated data. A novel crowd-sourcing" method allowed consensus median images to be constructed, filtering likely artifacts and retaining real features." We definitively detect strong spots on the surfaces of both stars as well as distinct circumstellar shells of emission (likely water/CO) around R Car. In a close contest, Joel Sanchez (IAA-CSIC/Spain) was named the winner of the 2014 interferometric imaging beauty contest. This process has shown that new comers" can use publicly-available imaging software to interpret VLTI/PIONIER imaging data, as long as sufficient observations are taken to have complete uv coverage { a luxury that is often missing. We urge proposers to request adequate observing nights to collect sufficient data for imaging and for time allocation committees to recognise the importance of uv coverage for reliable interpretation of interferometric data. We believe that the result of the proposed broad international project will contribute to inspiring trust in the image reconstruction processes in optical interferometry
- …