999 research outputs found
UK survey of occupational therapistâs and physiotherapistâs experiences and attitudes towards hip replacement precautions and equipment
Background: Total hip replacement (THR) is one of the most common orthopaedic procedures in the United Kingdom (UK). Historically, people following THR have been provided with hip precautions and equipment such as: raised toilet seats and furniture rises, in order to reduce the risks of dislocation post-operation. The purpose of this study was to determine current practices in the provision of these interventions in the UK for people following primary THR. Methods: A 27-question, self-administered online survey was developed and distributed to UK physiotherapists and occupational therapists involved in the management of people following primary THR (target respondents). The survey included questions regarding the current practices in the provision of equipment and hip precautions for THR patients, and physiotherapistâs and occupational therapistâs attitudes towards these practices. The survey was disseminated through print and web-based/social media channels. Results: 170 health professionals (87 physiotherapists and 83 occupational therapists), responded to the survey. Commonly prescribed equipment in respondentâs health trusts were raised toilet seats (95%), toilet frames and rails (88%), furniture raises (79%), helping hands/grabbers (77%), perching stools (75%) and long-handled shoe horns (75%). Hip precautions were routinely prescribed by 97% of respondents. Hip precautions were most frequently taught in a pre-operative group (52% of respondents). Similarly equipment was most frequently provided pre-operatively (61% respondents), and most commonly by occupational therapists (74% respondents). There was variability in the advice provided on the duration of hip precautions and equipment from up to six weeks post-operatively to life-time usage. Conclusions: Current practice on hip precautions and provision of equipment is not full representative of clinicianâs perceptions of best care after THR. Future research is warranted to determine whether and to whom hip precautions and equipment should be prescribed post-THR as opposed to the current âblanketâ provision of equipment and movement restriction provided in UK practice
Calculating Unknown Eigenvalues with a Quantum Algorithm
Quantum algorithms are able to solve particular problems exponentially faster
than conventional algorithms, when implemented on a quantum computer. However,
all demonstrations to date have required already knowing the answer to
construct the algorithm. We have implemented the complete quantum phase
estimation algorithm for a single qubit unitary in which the answer is
calculated by the algorithm. We use a new approach to implementing the
controlled-unitary operations that lie at the heart of the majority of quantum
algorithms that is more efficient and does not require the eigenvalues of the
unitary to be known. These results point the way to efficient quantum
simulations and quantum metrology applications in the near term, and to
factoring large numbers in the longer term. This approach is architecture
independent and thus can be used in other physical implementations
The role of mentorship in protege performance
The role of mentorship on protege performance is a matter of importance to
academic, business, and governmental organizations. While the benefits of
mentorship for proteges, mentors and their organizations are apparent, the
extent to which proteges mimic their mentors' career choices and acquire their
mentorship skills is unclear. Here, we investigate one aspect of mentor
emulation by studying mentorship fecundity---the number of proteges a mentor
trains---with data from the Mathematics Genealogy Project, which tracks the
mentorship record of thousands of mathematicians over several centuries. We
demonstrate that fecundity among academic mathematicians is correlated with
other measures of academic success. We also find that the average fecundity of
mentors remains stable over 60 years of recorded mentorship. We further uncover
three significant correlations in mentorship fecundity. First, mentors with
small mentorship fecundity train proteges that go on to have a 37% larger than
expected mentorship fecundity. Second, in the first third of their career,
mentors with large fecundity train proteges that go on to have a 29% larger
than expected fecundity. Finally, in the last third of their career, mentors
with large fecundity train proteges that go on to have a 31% smaller than
expected fecundity.Comment: 23 pages double-spaced, 4 figure
Immunology of naturally transmissible tumours.
Naturally transmissible tumours can emerge when a tumour cell gains the ability to pass as an infectious allograft between individuals. The ability of these tumours to colonize a new host and to cross histocompatibility barriers contradicts our understanding of the vertebrate immune response to allografts. Two naturally occurring contagious cancers are currently active in the animal kingdom, canine transmissible venereal tumour (CTVT), which spreads among dogs, and devil facial tumour disease (DFTD), among Tasmanian devils. CTVT are generally not fatal as a tumour-specific host immune response controls or clears the tumours after transmission and a period of growth. In contrast, the growth of DFTD tumours is not controlled by the Tasmanian devil's immune system and the disease causes close to 100% mortality, severely impacting the devil population. To avoid the immune response of the host both DFTD and CTVT use a variety of immune escape strategies that have similarities to many single organism tumours, including MHC loss and the expression of immunosuppressive cytokines. However, both tumours appear to have a complex interaction with the immune system of their respective host, which has evolved over the relatively long life of these tumours. The Tasmanian devil is struggling to survive with the burden of this disease and it is only with an understanding of how DFTD passes between individuals that a vaccine might be developed. Further, an understanding of how these tumours achieve natural transmissibility should provide insights into general mechanisms of immune escape that emerge during tumour evolution.This is the final version of the article. It first appeared from Wiley via http://dx.doi.org/10.1111/imm.1237
Entanglement-free Heisenberg-limited phase estimation
Measurement underpins all quantitative science. A key example is the
measurement of optical phase, used in length metrology and many other
applications. Advances in precision measurement have consistently led to
important scientific discoveries. At the fundamental level, measurement
precision is limited by the number N of quantum resources (such as photons)
that are used. Standard measurement schemes, using each resource independently,
lead to a phase uncertainty that scales as 1/sqrt(N) - known as the standard
quantum limit. However, it has long been conjectured that it should be possible
to achieve a precision limited only by the Heisenberg uncertainty principle,
dramatically improving the scaling to 1/N. It is commonly thought that
achieving this improvement requires the use of exotic quantum entangled states,
such as the NOON state. These states are extremely difficult to generate.
Measurement schemes with counted photons or ions have been performed with N <=
6, but few have surpassed the standard quantum limit and none have shown
Heisenberg-limited scaling. Here we demonstrate experimentally a
Heisenberg-limited phase estimation procedure. We replace entangled input
states with multiple applications of the phase shift on unentangled
single-photon states. We generalize Kitaev's phase estimation algorithm using
adaptive measurement theory to achieve a standard deviation scaling at the
Heisenberg limit. For the largest number of resources used (N = 378), we
estimate an unknown phase with a variance more than 10 dB below the standard
quantum limit; achieving this variance would require more than 4,000 resources
using standard interferometry. Our results represent a drastic reduction in the
complexity of achieving quantum-enhanced measurement precision.Comment: Published in Nature. This is the final versio
Meta-analyses on prevalence of selected Parkinsonâs nonmotor symptoms before and after diagnosis
A nontoxic polypeptide oligomer with a fungicide potency under agricultural conditions which is equal or greater than that of their chemical counterparts
Research ArticleThere are literally hundreds of polypeptides described in the literature which exhibit fungicide
activity. Tens of them have had attempted protection by patent applications but none,
as far as we are aware, have found application under real agricultural conditions. The reasons
behind may be multiple where the sensitivity to the Sun UV radiation can come in first
place. Here we describe a multifunctional glyco-oligomer with 210 kDa which is mainly composed
by a 20 kDa polypeptide termed Blad that has been previously shown to be a stable
intermediary product of ÎČ-conglutin catabolism. This oligomer accumulates exclusively in
the cotyledons of Lupinus species, between days 4 and 12 after the onset of germination.
Blad-oligomer reveals a plethora of biochemical properties, like lectin and catalytic activities,
which are not unusual per si, but are remarkable when found to coexist in the same protein
molecule. With this vast range of chemical characteristics, antifungal activity arises
almost as a natural consequence. The biological significance and potential technological
applications of Blad-oligomer as a plant fungicide to agriculture, its uniqueness stems from
being of polypeptidic in nature, and with efficacies which are either equal or greater than the
top fungicides currently in the market are addressedinfo:eu-repo/semantics/publishedVersio
Optimal Design of Intervention Studies to Prevent Influenza in Healthy Cohorts
Background: Influenza cohort studies, in which participants are monitored for infection over an epidemic period, are invaluable in assessing the effectiveness of control measures such as vaccination, antiviral prophylaxis and nonpharmaceutical interventions (NPIs). Influenza infections and illnesses can be identified through a number of approaches with different costs and logistical requirements. Methodology and Principal Findings: In the context of a randomized controlled trial of an NPI with a constrained budget, we used a simulation approach to examine which approaches to measuring outcomes could provide greater statistical power to identify an effective intervention against confirmed influenza. We found that for a short epidemic season, the optimal design was to collect respiratory specimens at biweekly intervals, as well as following report of acute respiratory illness (ARI), for virologic testing by reverse transcription polymerase chain reaction (RT-PCR). Collection of respiratory specimens only from individuals reporting ARI was also an efficient design particularly for studies in settings with longer periods of influenza activity. Collection of specimens only from individuals reporting a febrile ARI was less efficient. Collection and testing of sera before and after influenza activity appeared to be inferior to collection of respiratory specimens for RT-PCR confirmation of acute infections. The performance of RT-PCR was robust to uncertainty in the costs and diagnostic performance of RT-PCR and serological tests
Comparison of echocardiographic (US) volumetry with cardiac magnetic resonance (CMR) imaging in transfusion dependent thalassemia major (TM)
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