79 research outputs found

    A (1+ε)-embedding of low highway dimension graphs into bounded treewidth graphs

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    Graphs with bounded highway dimension were introduced by Abraham et al. [Proceedings of SODA 2010, pp. 782–793] as a model of transportation networks. We show that any such graph can be embedded into a distribution over bounded treewidth graphs with arbitrarily small distortion. More concretely, given a weighted graph G = (V, E) of constant highway dimension, we show how to randomly compute a weighted graph H = (V, E) that distorts shortest path distances of G by at most a 1 + ε factor in expectation, and whose treewidth is polylogarithmic in the aspect ratio of G. Our probabilistic embedding implies quasi-polynomial time approximation schemes for a number of optimization problems that naturally arise in transportation networks, including Travelling Salesman, Steiner Tree, and Facility Location. To construct our embedding for low highway dimension graphs we extend Talwar’s [Proceedings of STOC 2004, pp. 281–290] embedding of low doubling dimension metrics into bounded treewidth graphs, which generalizes known results for Euclidean metrics. We add several nontrivial ingredients to Talwar’s techniques, and in particular thoroughly analyze the structure of low highway dimension graphs. Thus we demonstrate that the geometric toolkit used for Euclidean metrics extends beyond the class of low doubling metrics

    Expert consensus recommendations on the cardiogenetic care for patients with thoracic aortic disease and their first-degree

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    Background: Thoracic aortic aneurysm (TAA) is a potentially life-threatening disorder with a strong genetic component. The number of genes implicated in TAA has increased exponentially over the last decade. Approximately 20% of patients with TAA have a positive family history. As most TAA remain asymptomatic for a long time, screening of at risk relatives is warranted to prevent complications. Existing international guidelines lack detailed instructions regarding genetic evaluation and family screening of TAA patients. We aimed to develop a consensus document to provide medical guidance for all health care professionals involved in the recognition, diagnosis and treatment of patients with thoracic aortic disease and their relatives. Methods: A multidisciplinary panel of experts including cardiologists, cardiothoracic surgeons, clinical geneticists and general practitioners, convened to review and discuss the current literature, guidelines and clinical practice on genetic testing and family screening in TAA. Results: There is a lack of high-quality evidence in the literature. This consensus statement, based on the available literature and expert opinions, summarizes our recommendations in order to standardize and optimize the cardiogenetic care for patients and families with thoracic aortic disease. In particular, we provide criteria to identify those patients most likely to have a genetic predisposition, and discuss the preferred modality and frequency of screening in their relatives. Conclusions: Age, family history, aortic size and syndromic features determine who is advised to have genetic testing as well as screening of first-degree relatives. There is a need for more prospective multicenter studies to optimize current recommendations

    The metabolic syndrome and risk of sudden cardiac death: The atherosclerosis risk in communities study

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    Background--Prior studies have demonstrated a link between the metabolic syndrome and increased risk of cardiovascular mortality. Whether the metabolic syndrome is associated with sudden cardiac death is uncertain. Methods and Results--We characterized the relationship between sudden cardiac death and metabolic syndrome status among participants of the ARIC (Atherosclerosis Risk in Communities) Study (1987-2012) free of prevalent coronary heart disease or heart failure. Among 13 168 participants, 357 (2.7%) sudden cardiac deaths occurred during a median follow-up of 23.6 years. Participants with the metabolic syndrome (n=4444) had a higher cumulative incidence of sudden cardiac death than those without it (n=8724) (4.1% versus 2.3%, P < 0.001). After adjustment for participant demographics and clinical factors other than components of the metabolic syndrome, the metabolic syndrome was independently associated with sudden cardiac death (hazard ratio, 1.70, 95% confidence interval, 1.37-2.12, P < 0.001). This relationship was not modified by sex (interaction P=0.10) or race (interaction P=0.62) and was mediated by the metabolic syndrome criteria components. The risk of sudden cardiac death varied according to the number of metabolic syndrome components (hazard ratio 1.31 per additional component of the metabolic syndrome, 95% confidence interval, 1.19-1.44, P < 0.001). Of the 5 components, elevated blood pressure, impaired fasting glucose, and low high-density lipoprotein were independently associated with sudden cardiac death. Conclusions--We observed that the metabolic syndrome was associated with a significantly increased risk of sudden cardiac death irrespective of sex or race. The risk of sudden cardiac death was proportional to the number of metabolic syndrome components

    Photoproduction of phi mesons from nuclei

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    We investigate the consequences of possible medium modifications of the phi meson at finite nuclear matter density on the K+K- mass distribution in photonuclear reactions. The inclusive cross sections for K+K- pair production are calculated within a semi--classical BUU transport model, which combines the initial state interaction of the incoming photon with the final state interactions of the produced particles. The effects of final state interactions on the invariant mass distribution of the observed K+K- pairs are discussed in detail. In addition we calculate the Coulomb correction and possible effects of hadronic kaon potentials on the K+K- mass spectrum. Due to the large cross sections for reactions of the final state particles with the surrounding nuclear medium and the influence of the Coulomb potential we find no measurable sensitivity of the observables to the phi properties at finite baryon density.Comment: revtex4, 24 page

    Production of ω\omega and ϕ\phi Mesons in Near-Threshold πN\pi N Reactions: Baryon Resonances and Validity of the OZI Rule

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    Results of a combined analysis are presented for the production of ω\omega and ϕ\phi mesons in πN\pi N reactions in the near-threshold region using throughoutly a conventional ''non-strange'' dynamics based on such processes which are allowed by the non-ideal ωϕ\omega-\phi mixing. We show that strong interferences of the tt (meson exchange) and ss and uu (nucleon and nucleon resonance) channels differ significantly in ω\omega and ϕ\phi production amplitudes. This leads to a decrease of the relative yields in comparison with expectations based on one-channel models with standard ωϕ\omega - \phi mixing. We find a strong and non-trivial difference between observables in ω\omega and ϕ\phi production reactions caused by the different role of the nucleon and nucleon resonance amplitudes. A series of predictions for the experimental study of this effect is presented.Comment: 22 pages with fig

    PCSK9 Loss-of-Function Variants, Low-Density Lipoprotein Cholesterol, and Risk of Coronary Heart Disease and Stroke: Data from 9 Studies of Blacks and Whites

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    PCSK9 loss-of-function (LOF) variants allow for the examination of the effects of lifetime reduced low-density lipoprotein cholesterol (LDL-C) on cardiovascular events. We examined the association of PCSK9 LOF variants with LDL-C and incident coronary heart disease and stroke through a meta-analysis of data from 8 observational cohorts and 1 randomized trial of statin therapy. Methods and Results - These 9 studies together included 17 459 blacks with 403 (2.3%) having at least 1 Y142X or C679X variant and 31 306 whites with 955 (3.1%) having at least 1 R46L variant. Unadjusted odds ratios for associations between PCSK9 LOF variants and incident coronary heart disease (851 events in blacks and 2662 events in whites) and stroke (523 events in blacks and 1660 events in whites) were calculated using pooled Mantel-Haenszel estimates with continuity correction factors. Pooling results across studies using fixed-effects inverse-variance-weighted models, PCSK9 LOF variants were associated with 35 mg/dL (95% confidence interval [CI], 32-39) lower LDL-C in blacks and 13 mg/dL (95% CI, 11-16) lower LDL-C in whites. PCSK9 LOF variants were associated with a pooled odds ratio for coronary heart disease of 0.51 (95% CI, 0.28-0.92) in blacks and 0.82 (95% CI, 0.63-1.06) in whites. PCSK9 LOF variants were not associated with incident stroke (odds ratio, 0.84; 95% CI, 0.48-1.47 in blacks and odds ratio, 1.06; 95% CI, 0.80-1.41 in whites). Conclusions - PCSK9 LOF variants were associated with lower LDL-C and coronary heart disease incidence. PCSK9 LOF variants were not associated with stroke risk

    Obesity, Ethnicity, and Risk of Critical Care, Mechanical Ventilation, and Mortality in Patients Admitted to Hospital with COVID-19: Analysis of the ISARIC CCP-UK Cohort

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    Search for Tensor, Vector, and Scalar Polarizations in the Stochastic Gravitational-Wave Background

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    The detection of gravitational waves with Advanced LIGO and Advanced Virgo has enabled novel tests of general relativity, including direct study of the polarization of gravitational waves. While general relativity allows for only two tensor gravitational-wave polarizations, general metric theories can additionally predict two vector and two scalar polarizations. The polarization of gravitational waves is encoded in the spectral shape of the stochastic gravitational-wave background, formed by the superposition of cosmological and individually unresolved astrophysical sources. Using data recorded by Advanced LIGO during its first observing run, we search for a stochastic background of generically polarized gravitational waves. We find no evidence for a background of any polarization, and place the first direct bounds on the contributions of vector and scalar polarizations to the stochastic background. Under log-uniform priors for the energy in each polarization, we limit the energy densities of tensor, vector, and scalar modes at 95% credibility to Ω0T<5.58×10-8, Ω0V<6.35×10-8, and Ω0S<1.08×10-7 at a reference frequency f0=25 Hz. © 2018 American Physical Society
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