68 research outputs found
Singlet Scalar Resonances and the Diphoton Excess
ATLAS and CMS recently released the first results of searches for diphoton
resonances in 13 TeV data, revealing a modest excess at an invariant mass of
approximately 750 GeV. We find that it is generically possible that a singlet
scalar resonance is the origin of the excess while avoiding all other
constraints. We highlight some of the implications of this model and how
compatible it is with certain features of the experimental results. In
particular, we find that the very large total width of the excess is difficult
to explain with loop-level decays alone, pointing to other interesting bounds
and signals if this feature of the data persists. Finally we comment on the
robust Z-gamma signature that will always accompany the model we investigate
Exposure to human and bovine noroviruses in a birth cohort in southern India from 2002 to 2006
Human and bovine norovirus virus-like particles were used to evaluate antibodies in Indian children at ages 6 and 36 months and their mothers. Antibodies to genogroup II viruses were acquired early and were more prevalent than antibodies to genogroup I. Low levels of IgG antibodies against bovine noroviruses indicate possible zoonotic transmission
Volatile vs Total intravenous Anaesthesia for major non-cardiac surgery: a pragmatic randomised triaL (VITAL)
Background:
Improving outcomes after surgery is a major public health research priority for patients, clinicians and the NHS. The greatest burden of perioperative complications, mortality and healthcare costs lies amongst the population of patients aged over 50 years who undergo major non-cardiac surgery. The Volatile vs Total Intravenous Anaesthesia for major non-cardiac surgery (VITAL) trial specifically examines the effect of anaesthetic technique on key patient outcomes: quality of recovery after surgery (quality of recovery after anaesthesia, patient satisfaction and major post-operative complications), survival and patient safety.
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Methods:
A multi-centre pragmatic efficient randomised trial with health economic evaluation comparing total intravenous anaesthesia with volatile-based anaesthesia in adults (aged 50 and over) undergoing elective major non-cardiac surgery under general anaesthesia.
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Discussion:
Given the very large number of patients exposed to general anaesthesia every year, even small differences in outcome between the two techniques could result in substantial excess harm. Results from the VITAL trial will ensure patients can benefit from the very safest anaesthesia care, promoting an early return home, reducing healthcare costs and maximising the health benefits of surgical treatments.
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Trial registration:
ISRCTN62903453. September 09, 2021
Local Behavior of Sparse Analysis Regularization: Applications to Risk Estimation
In this paper, we aim at recovering an unknown signal x0 from noisy
L1measurements y=Phi*x0+w, where Phi is an ill-conditioned or singular linear
operator and w accounts for some noise. To regularize such an ill-posed inverse
problem, we impose an analysis sparsity prior. More precisely, the recovery is
cast as a convex optimization program where the objective is the sum of a
quadratic data fidelity term and a regularization term formed of the L1-norm of
the correlations between the sought after signal and atoms in a given
(generally overcomplete) dictionary. The L1-sparsity analysis prior is weighted
by a regularization parameter lambda>0. In this paper, we prove that any
minimizers of this problem is a piecewise-affine function of the observations y
and the regularization parameter lambda. As a byproduct, we exploit these
properties to get an objectively guided choice of lambda. In particular, we
develop an extension of the Generalized Stein Unbiased Risk Estimator (GSURE)
and show that it is an unbiased and reliable estimator of an appropriately
defined risk. The latter encompasses special cases such as the prediction risk,
the projection risk and the estimation risk. We apply these risk estimators to
the special case of L1-sparsity analysis regularization. We also discuss
implementation issues and propose fast algorithms to solve the L1 analysis
minimization problem and to compute the associated GSURE. We finally illustrate
the applicability of our framework to parameter(s) selection on several imaging
problems
Norovirus Gastroenteritis in a Birth Cohort in Southern India
BACKGROUND:Noroviruses are an important cause of gastroenteritis but little is known about disease and re-infection rates in community settings in Asia. METHODS:Disease, re-infection rates, strain prevalence and genetic susceptibility to noroviruses were investigated in a birth cohort of 373 Indian children followed up for three years. Stool samples from 1856 diarrheal episodes and 147 vomiting only episodes were screened for norovirus by RT-PCR. Norovirus positivity was correlated with clinical data, secretor status and ABO blood group. RESULTS:Of 1856 diarrheal episodes, 207 (11.2%) were associated with norovirus, of which 49(2.6%) were norovirus GI, 150(8.1%) norovirus GII, and 8 (0.4%) were mixed infections with both norovirus GI and GII. Of the 147 vomiting only episodes, 30 (20.4%) were positive for norovirus in stool, of which 7 (4.8%) were norovirus GI and 23 (15.6%) GII. At least a third of the children developed norovirus associated diarrhea, with the first episode at a median age of 5 and 8 months for norovirus GI and GII, respectively. Norovirus GI.3 and GII.4 were the predominant genotypes (40.3% and 53.0%) with strain diversity and change in the predominant sub-cluster over time observed among GII viruses. A second episode of norovirus gastroenteritis was documented in 44/174 (25.3%) ever-infected children. Children with the G428A homozygous mutation for inactivation of the FUT2 enzyme (se428se428) were at a significantly lower risk (48/190) of infection with norovirus (p = 0.01). CONCLUSIONS:This is the first report of norovirus documenting disease, re-infection and genetic susceptibility in an Asian birth cohort. The high incidence and apparent lack of genogroupII specific immunity indicate the need for careful studies on further characterization of strains, asymptomatic infection and shedding and immune response to further our understanding of norovirus infection and disease
The Perioperative Quality Improvement Programme (PQIP patient study): protocol for a UK multicentre, prospective cohort study to measure quality of care and outcomes after major surgery
INTRODUCTION: Major surgery accounts for a substantial proportion of health service activity, due not only to the primary procedure, but the longer-term health implications of poor short-term outcome. Data from small studies or from outside the UK indicate that rates of complications and failure to rescue vary between hospitals, as does compliance with best practice processes. Within the UK, there is currently no system for monitoring postoperative complications (other than short-term mortality) in major non-cardiac surgery. Further, there is variation between national audit programmes, in the emphasis placed on quality assurance versus quality improvement, and therefore the principles of measurement and reporting which are used to design such programmes. METHODS AND ANALYSIS: The PQIP patient study is a multi-centre prospective cohort study which recruits patients undergoing major surgery. Patient provide informed consent and contribute baseline and outcome data from their perspective using a suite of patient-reported outcome tools. Research and clinical staff complete data on patient risk factors and outcomes in-hospital, including two measures of complications. Longer-term outcome data are collected through patient feedback and linkage to national administrative datasets (mortality and readmissions). As well as providing a uniquely granular dataset for research, PQIP provides feedback to participating sites on their compliance with evidence-based processes and their patients' outcomes, with the aim of supporting local quality improvement. ETHICS AND DISSEMINATION: Ethical approval has been granted by the Health Research Authority in the UK. Dissemination of interim findings (non-inferential) will form a part of the improvement methodology and will be provided to participating centres at regular intervals, including near-real time feedback of key process measures. Inferential analyses will be published in the peer-reviewed literature, supported by a comprehensive multi-modal communications strategy including to patients, policy makers and academic audiences as well as clinicians
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