1,703 research outputs found
Deciphering Network Community Structure by Surprise
The analysis of complex networks permeates all sciences, from biology to
sociology. A fundamental, unsolved problem is how to characterize the community
structure of a network. Here, using both standard and novel benchmarks, we show
that maximization of a simple global parameter, which we call Surprise (S),
leads to a very efficient characterization of the community structure of
complex synthetic networks. Particularly, S qualitatively outperforms the most
commonly used criterion to define communities, Newman and Girvan's modularity
(Q). Applying S maximization to real networks often provides natural,
well-supported partitions, but also sometimes counterintuitive solutions that
expose the limitations of our previous knowledge. These results indicate that
it is possible to define an effective global criterion for community structure
and open new routes for the understanding of complex networks.Comment: 7 pages, 5 figure
Experienced tutors' deployment of thinking skills and what might be entailed in enhancing such skills
In the context of research that reports weaknesses in adults' critical thinking skills, the primary aim was to examine adults' use of critical thinking skills that are described in taxonomies and to identify areas for development. Position papers written by an opportunity sample of 32 experienced adult educators formed the data for a descriptive sample survey design intended to reveal participants' use of critical thinking skills. Each 6000-word paper was written during a development programme that supported such skills. A content analysis of the papers revealed that when participants drew on personal and published ideas about learning to derive their proposals for change, they accepted the ideas uncritically, thereby implying that they might find it difficult to help learners to examine ideas critically. The evidence supports research that implies that critical thinking skills are unlikely to develop unless overall course design privileges the development of epistemological understanding (King and Kitchener 1994, Kuhn 1999). A fundamental assumption underlying the study is that this understanding influences effective citizenship and personal development, as well as employability. A proposition that merits attention in future research is that the development of epistemological understanding is largely neglected in current curricula in formal post-16 education
Diffraction evidence for the structure of cellulose microfibrils in bamboo, a model for grass and cereal celluloses
Background: Cellulose from grasses and cereals makes up much of the potential raw material for biofuel production. It is not clear if cellulose microfibrils from grasses and cereals differ in structure from those of other plants. The structures of the highly oriented cellulose microfibrils in the cell walls of the internodes of the bamboo Pseudosasa amabilis are reported. Strong orientation facilitated the use of a range of scattering techniques.
Results: Small-angle neutron scattering provided evidence of extensive aggregation by hydrogen bonding through the hydrophilic edges of the sheets of chains. The microfibrils had a mean centre-to-centre distance of 3.0 nm in the dry state, expanding on hydration. The expansion on hydration suggests that this distance between centres was through the hydrophilic faces of adjacent microfibrils. However in the other direction, perpendicular to the sheets of chains, the mean, disorder-corrected Scherrer dimension from wide-angle X-ray scattering was 3.8 nm. It is possible that this dimension is increased by twinning (crystallographic coalescence) of thinner microfibrils over part of their length, through the hydrophobic faces. The wide-angle scattering data also showed that the microfibrils had a relatively large intersheet d-spacing and small monoclinic angle, features normally considered characteristic of primary-wall cellulose.
Conclusions: Bamboo microfibrils have features found in both primary-wall and secondary-wall cellulose, but are crystallographically coalescent to a greater extent than is common in celluloses from other plants. The extensive aggregation and local coalescence of the microfibrils are likely to have parallels in other grass and cereal species and to influence the accessibility of cellulose to degradative enzymes during conversion to liquid biofuel
Polycystic liver disease presenting with an exudative pleural effusion: a case report
<p>Abstract</p> <p>Introduction</p> <p>Polycystic liver disease is asymptomatic in 95% of patients. In the remaining 5% it causes symptoms due to the local mass effect of the polycystic liver. We describe the case of a patient who presented with symptoms of a pleural effusion and was also found to have polycystic liver disease. The effusion recurred despite repeated efforts at drainage and only resolved following surgical debridement of the cystic liver.</p> <p>Case presentation</p> <p>A 50-year-old Caucasian woman presented with a two-week history of increasing dyspnoea. An examination revealed a large right pleural effusion and gross hepatomegaly. An ultrasound confirmed a large polycystic liver and diagnostic thoracocentesis revealed an exudate, which was sterile to culture. The pleural effusion proved refractory to drainage and our patient underwent surgery to deroof the main hepatic cysts in an attempt to reduce the pressure on her right diaphragm. The histology was compatible with that of polycystic liver disease. No evidence of malignancy was found. After surgery, our patient had no recurrence of her effusion and, to date, has remained asymptomatic from her polycystic liver disease.</p> <p>Conclusion</p> <p>The case in this report illustrates that an exudative pleural effusion is a rare complication of polycystic liver disease. We feel that the mechanical effects of a large polycystic liver, and subsequent disruption of sub-diaphragmatic capillaries, resulted in a persistent exudative pleural effusion. Thus, surgical debulking of the hepatic cysts is required to manage these effusions.</p
Network segregation in a model of misinformation and fact checking
Misinformation under the form of rumor, hoaxes, and conspiracy theories
spreads on social media at alarming rates. One hypothesis is that, since social
media are shaped by homophily, belief in misinformation may be more likely to
thrive on those social circles that are segregated from the rest of the
network. One possible antidote is fact checking which, in some cases, is known
to stop rumors from spreading further. However, fact checking may also backfire
and reinforce the belief in a hoax. Here we take into account the combination
of network segregation, finite memory and attention, and fact-checking efforts.
We consider a compartmental model of two interacting epidemic processes over a
network that is segregated between gullible and skeptic users. Extensive
simulation and mean-field analysis show that a more segregated network
facilitates the spread of a hoax only at low forgetting rates, but has no
effect when agents forget at faster rates. This finding may inform the
development of mitigation techniques and overall inform on the risks of
uncontrolled misinformation online
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Comparison of governance approaches for the control of antimicrobial resistance: Analysis of three European countries
Policy makers and governments are calling for coordination to address the crisis emerging from the ineffectiveness of current antibiotics and stagnated pipe-line of new ones – antimicrobial resistance (AMR). Wider contextual drivers and mechanisms are contributing to shifts in governance strategies in health care, but are national health system approaches aligned with strategies required to tackle antimicrobial resistance? This article provides an analysis of governance approaches within healthcare systems including: priority setting, performance monitoring and accountability for AMR prevention in three European countries: England, France and Germany. Advantages and unresolved issues from these different experiences are reported, concluding that mechanisms are needed to support partnerships between healthcare professionals and patients with democratized decision-making and accountability via collaboration. But along with this multi-stakeholder approach to governance, a balance between regulation and persuasion is needed
Optimizing topological cascade resilience based on the structure of terrorist networks
Complex socioeconomic networks such as information, finance and even
terrorist networks need resilience to cascades - to prevent the failure of a
single node from causing a far-reaching domino effect. We show that terrorist
and guerrilla networks are uniquely cascade-resilient while maintaining high
efficiency, but they become more vulnerable beyond a certain threshold. We also
introduce an optimization method for constructing networks with high passive
cascade resilience. The optimal networks are found to be based on cells, where
each cell has a star topology. Counterintuitively, we find that there are
conditions where networks should not be modified to stop cascades because doing
so would come at a disproportionate loss of efficiency. Implementation of these
findings can lead to more cascade-resilient networks in many diverse areas.Comment: 26 pages. v2: In review at Public Library of Science ON
Partisan Asymmetries in Online Political Activity
We examine partisan differences in the behavior, communication patterns and
social interactions of more than 18,000 politically-active Twitter users to
produce evidence that points to changing levels of partisan engagement with the
American online political landscape. Analysis of a network defined by the
communication activity of these users in proximity to the 2010 midterm
congressional elections reveals a highly segregated, well clustered partisan
community structure. Using cluster membership as a high-fidelity (87% accuracy)
proxy for political affiliation, we characterize a wide range of differences in
the behavior, communication and social connectivity of left- and right-leaning
Twitter users. We find that in contrast to the online political dynamics of the
2008 campaign, right-leaning Twitter users exhibit greater levels of political
activity, a more tightly interconnected social structure, and a communication
network topology that facilitates the rapid and broad dissemination of
political information.Comment: 17 pages, 10 figures, 6 table
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The combined diabetes and renal control trial (C-DIRECT) - a feasibility randomised controlled trial to evaluate outcomes in multi-morbid patients with diabetes and on dialysis using a mixed methods approach
Background: This cluster randomised controlled trial set out to investigate the feasibility and acceptability of the “Combined Diabetes and Renal Control Trial” (C-DIRECT) intervention, a nurse-led intervention based on motivational interviewing and self-management in patients with coexisting end stage renal diseases and diabetes mellitus (DM ESRD). Its efficacy to improve glycaemic control, as well as psychosocial and self-care outcomes were also evaluated as secondary outcomes.
Methods: An assessor-blinded, clustered randomised-controlled trial was conducted with 44 haemodialysis patients with DM ESRD and ≥ 8% glycated haemoglobin (HbA1c), in dialysis centres across Singapore. Patients were randomised according to dialysis shifts. 20 patients were assigned to intervention and 24 were in usual care. The C-DIRECT intervention consisted of three weekly chair-side sessions delivered by diabetes specialist nurses. Data on recruitment, randomisation, and retention, and secondary outcomes such as clinical endpoints, emotional distress, adherence, and self-management skills measures were obtained at baseline and at 12 weeks follow-up. A qualitative evaluation using interviews was conducted at the end of the trial.
Results: Of the 44 recruited at baseline, 42 patients were evaluated at follow-up. One patient died, and one discontinued the study due to deteriorating health. Recruitment, retention, and acceptability rates of C-DIRECT were generally satisfactory HbA1c levels decreased in both groups, but C-DIRECT had more participants with HbA1c < 8% at follow up compared to usual care. Significant improvements in role limitations due to physical health were noted for C-DIRECT whereas levels remained stable in usual care. No statistically significant differences between groups were observed for other clinical markers and other patient-reported outcomes. There were no adverse effects.
Conclusions: The trial demonstrated satisfactory feasibility. A brief intervention delivered on bedside as part of routine dialysis care showed some benefits in glycaemic control and on QOL domain compared with usual care, although no effect was observed in other secondary outcomes. Further research is needed to design and assess interventions to promote diabetes self-management in socially vulnerable patients
Quality of Life Changes Following Peripheral Blood Stem Cell Transplantation and Participation in a Mixed-Type, Moderate-intensity, Exercise Program
Summary:The purpose of this investigation was to evaluate the impact of undertaking peripheral blood stem cell transplantation (PBST) on quality of life (QoL), and to determine the effect of participating in a mixed-type, moderate-intensity exercise program on QoL. It was also an objective to determine the relationship between peak aerobic capacity and QoL in PBST patients. QoL was assessed via the CARES questionnaire and peak aerobic capacity by a maximal graded treadmill test, pretransplant (PI), post transplant (PII) and following a 12-week intervention period (PIII). At PII, 12 patients were divided equally into a control or exercise intervention group. Undergoing a PBST was associated with a statistically but not clinically significant decline in QoL (P<0.05). Following the intervention, exercising patients demonstrated an improved QoL when compared with pretransplant ratings (P<0.01) and nonexercising transplant patients (P<0.05). Moreover, peak aerobic capacity and QoL were correlated (P<0.05). The findings demonstrated that exercise participation following oncology treatment is associated with a reduction in the number and severity of endorsed problems, which in turn leads to improvements in global, physical and psychosocial QoL. Furthermore, a relationship between fitness and QoL exists, with those experiencing higher levels of fitness also demonstrating higher QoL.Bone Marrow Transplantation (2004) 33, 553-558. doi:10.1038/sj.bmt.1704378 Published online 12 January 200
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