Effectiveness of platelet function analysis-guided aspirin and/or clopidogrel therapy in preventing secondary stroke : A systematic review and meta-analysis

Antiplatelet medications such as aspirin and clopidogrel are used following thrombotic stroke or transient ischemic attack (TIA) to prevent a recurrent stroke. However, the antiplatelet treatments fail frequently, and patients experience recurrent stroke. One approach to lower the rates of recurrence may be the individualized antiplatelet therapies (antiplatelet therapy modification (ATM)) based on the results of platelet function analysis (PFA). This review was undertaken to gather and analyze the evidence about the effectiveness of such approaches. We searched Medline, CINAHL, Embase, Web of Science, and Cochrane databases up to 7 January 2020. Two observational studies involving 1136 patients were included. The overall effects of PFA-based ATM on recurrent strokes (odds ratio (OR) 1.05; 95% confidence interval (CI) 0.69 to 1.58), any bleeding risk (OR 1.39; 95% CI 0.92 to 2.10) or death hazard from any cause (OR 1.19; 95% CI 0.62 to 2.29) were not significantly different from the standard antiplatelet therapy without ATM. The two studies showed opposite effects of PFA-guided ATM on the recurrent strokes in aspirin non-responders, leading to an insignificant difference in the subgroup meta-analysis (OR 1.59; 95% CI 0.07 to 33.77), while the rates of any bleeding events (OR 1.04; 95% CI 0.49 to 2.17) or death from any cause (OR 1.17; 95% CI 0.41 to 3.35) were not significantly different between aspirin non-responders with ATM and those without ATM. There is a need for large, randomized controlled trials which account for potential confounders such as ischemic stroke subtypes, technical variations in the testing protocols, patient adherence to therapy and pharmacogenetic differences

Advanced technologies for future ground-based, laser-interferometric gravitational wave detectors

We present a review of modern optical techniques being used and developed for the field of gravitational wave detection. We describe the current state-of-the-art of gravitational waves detector technologies with regard to optical layouts, suspensions and test masses. We discuss the dominant sources and noise in each of these subsystems and the developments that will help mitigate them for future generations of detectors. We very briefly summarise some of the novel astrophysics that will be possible with these upgraded detectors

Evaluating potential effects of solar power facilities on wildlife from an animal behavior perspective

Solar power is a renewable energy source with great potential to help meetincreasing global energy demands and reduce our reliance on fossil fuels.However, research is scarce on how solar facilities affect wildlife. With inputfrom professionals in ecology, conservation, and energy, we conducted aresearch-prioritization process and identified key questions needed to betterunderstand impacts of solar facilities on wildlife. We focused on animalbehavior, which can be used to identify population responses before mortal-ity or other fitness consequences are documented. Behavioral studies canalso offer approaches to understand the mechanisms leading to negativeinteractions (e.g., collision, singeing, avoidance) and provide insight into mit-igating effects. Here, we review how behavioral responses to solar facilities, including perception, movement, habitat use, and interspecific interactionsare priority research areas. Addressing these themes will lead to a morecomprehensive understanding of the effects of solar power on wildlife andguide future mitigatio

The International Society of Sport Psychology (ISSP) Ethical Code for Sport Psychology Practice

The International Society of Sport Psychology (ISSP) aims to be the leading international and inclusive organization focused on the development of sport psychology in all regions and cultural areas of the world, promoting professional impact in the global community through research and practice. As a global organization, ISSP encompasses professionals that render services to individuals, groups and the society at large, who ought to have ethics to guide their engagement in rendering services. Such code of ethics will protect the members’ interest so as to comply with their underlying practice as well as it will contribute to guarantee the protection of the clients

Application of a XMM-Newton EPIC Monte Carlo to Analysis And Interpretation of Data for Abell 1689, RXJ0658-55 And the Centaurus Clusters of Galaxies

We propose a new Monte Carlo method to study extended X-ray sources with the European Photon Imaging Camera (EPIC) aboard XMM Newton. The Smoothed Particle Inference (SPI) technique, described in a companion paper, is applied here to the EPIC data for the clusters of galaxies Abell 1689, Centaurus and RXJ 0658-55 (the ''bullet cluster''). We aim to show the advantages of this method of simultaneous spectral-spatial modeling over traditional X-ray spectral analysis. In Abell 1689 we confirm our earlier findings about structure in temperature distribution and produce a high resolution temperature map. We also confirm our findings about velocity structure within the gas. In the bullet cluster, RXJ 0658-55, we produce the highest resolution temperature map ever to be published of this cluster allowing us to trace what looks like the motion of the bullet in the cluster. We even detect a south to north temperature gradient within the bullet itself. In the Centaurus cluster we detect, by dividing up the luminosity of the cluster in bands of gas temperatures, a striking feature to the north-east of the cluster core. We hypothesize that this feature is caused by a subcluster left over from a substantial merger that slightly displaced the core. We conclude that our method is very powerful in determining the spatial distributions of plasma temperatures and very useful for systematic studies in cluster structure

Potential Added Value of Psychological Capital in Predicting Work Attitudes

Meeting the challenge of effectively managing human resources requires new thinking and approaches. To extend the traditional perspective of economic capital, increasing recognition is being given to human capital and more recently social capital, this article proposes and empirically tests the potential added value that psychological capital may have for employee attitudes of satisfaction and commitment. After first providing the background and theory of PsyCap, this article reports a study of manufacturing employees (N = 74) that found a significant relationship between PsyCap and job satisfaction (r=.373) and organization commitment (r=.313). Importantly, the employees’ PsyCap had a significant added impact over human and social capital on these work attitudes. Future research and practical implications conclude the article

The chemical enrichment of the ICM from hydrodynamical simulations

The study of the metal enrichment of the intra-cluster and inter-galactic media (ICM and IGM) represents a direct means to reconstruct the past history of star formation, the role of feedback processes and the gas-dynamical processes which determine the evolution of the cosmic baryons. In this paper we review the approaches that have been followed so far to model the enrichment of the ICM in a cosmological context. While our presentation will be focused on the role played by hydrodynamical simulations, we will also discuss other approaches based on semi-analytical models of galaxy formation, also critically discussing pros and cons of the different methods. We will first review the concept of the model of chemical evolution to be implemented in any chemo-dynamical description. We will emphasise how the predictions of this model critically depend on the choice of the stellar initial mass function, on the stellar life-times and on the stellar yields. We will then overview the comparisons presented so far between X-ray observations of the ICM enrichment and model predictions. We will show how the most recent chemo-dynamical models are able to capture the basic features of the observed metal content of the ICM and its evolution. We will conclude by highlighting the open questions in this study and the direction of improvements for cosmological chemo-dynamical models of the next generation.Comment: 25 pages, 11 figures, accepted for publication in Space Science Reviews, special issue "Clusters of galaxies: beyond the thermal view", Editor J.S. Kaastra, Chapter 18; work done by an international team at the International Space Science Institute (ISSI), Bern, organised by J.S. Kaastra, A.M. Bykov, S. Schindler & J.A.M. Bleeke

Assessing the drivers of dissolved organic matter export from two contrasting lowland catchments, U.K

AbstractTwo lowland catchments in the U.K. were sampled throughout 2010–11 to investigate the dominant controls on dissolved organic matter quantity and composition. The catchments had marked differences in terms of nutrient status, land cover and contrasting lithologies resulting in differences in the dominant flow pathways (groundwater vs. surface water dominated). The Upper Wylye is a chalk stream with a baseflow index of 0.98, draining a catchment dominated by intensive agricultural production. Millersford Brook is a lowland peat catchment with a baseflow index of 0.43, draining a semi-natural catchment with heather moorland and coniferous forest. Samples were collected weekly between October 2010 and September 2011 from eleven sampling locations. Samples were analysed to determine dissolved organic carbon, nitrogen and phosphorus fractions with DOM composition evaluated via the DOC:DON ratio, DOC:DOP ratio, specific UV absorption at 254nm, absorbance ratio (a250:a365) and the spectral slope parameter between 350 and 400nm (S350–400). Significant differences were observed in all determinands between the catchments, over time, and spatially along nutrient enrichment and geoclimatic gradients. Seasonal variation in preferential flow pathways mobilising groundwater-derived DOM were identified as likely controls on the delivery of DOM in the permeable chalk dominated catchment. Steeper S350–400 values and elevated a250:a365 ratios in this catchment suggest material of a lower bulk aromatic C content and molecular weight delivered during the winter months when compared to the summer. DOC:DON ratios were markedly lower in the chalk catchment than the peatland catchment, reflecting the paucity of organic matter within the mineral soils of the chalk landscape, and higher fertiliser application rates. This manuscript highlights that DOM composition varies according to catchment landscape character and hydrological function

Measurement of the Charged Multiplicities in b, c and Light Quark Events from Z0 Decays

Average charged multiplicities have been measured separately in $b$, $c$ and light quark ($u,d,s$) events from $Z^0$ decays measured in the SLD experiment. Impact parameters of charged tracks were used to select enriched samples of $b$ and light quark events, and reconstructed charmed mesons were used to select $c$ quark events. We measured the charged multiplicities: $\bar{n}_{uds} = 20.21 \pm 0.10 (\rm{stat.})\pm 0.22(\rm{syst.})$, $\bar{n}_{c} = 21.28 \pm 0.46(\rm{stat.}) ^{+0.41}_{-0.36}(\rm{syst.})$ $\bar{n}_{b} = 23.14 \pm 0.10(\rm{stat.}) ^{+0.38}_{-0.37}(\rm{syst.})$, from which we derived the differences between the total average charged multiplicities of $c$ or $b$ quark events and light quark events: $\Delta \bar{n}_c = 1.07 \pm 0.47(\rm{stat.})^{+0.36}_{-0.30}(\rm{syst.})$ and $\Delta \bar{n}_b = 2.93 \pm 0.14(\rm{stat.})^{+0.30}_{-0.29}(\rm{syst.})$. We compared these measurements with those at lower center-of-mass energies and with perturbative QCD predictions. These combined results are in agreement with the QCD expectations and disfavor the hypothesis of flavor-independent fragmentation.Comment: 19 pages LaTex, 4 EPS figures, to appear in Physics Letters