2,641 research outputs found
The Paradox behind the Pattern of Rapid Adaptive Radiation: How Can the Speciation Process Sustain Itself Through an Early Burst?
Rapid adaptive radiation poses two distinct questions apart from speciation and adaptation: What happens after one speciation event and how do some lineages continue speciating through a rapid burst? We review major features of rapid radiations and their mismatch with theoretical models and speciation mechanisms. The paradox is that the hallmark rapid burst pattern of adaptive radiation is contradicted by most speciation models, which predict continuously decelerating diversification and niche subdivision. Furthermore, it is unclear if and how speciation-promoting mechanisms such as magic traits, phenotype matching, and physical linkage of coadapted alleles promote rapid bursts of speciation. We review additional mechanisms beyond ecological opportunity to explain rapid radiations: (a) ancient adaptive alleles and the transporter hypothesis, (b) sexual signal complexity, (c) fitness landscape connectivity, (d) diversity begets diversity, and (e) plasticity first. We propose new questions and predictions connecting microevolutionary processes to macroevolutionary patterns through the study of rapid radiations
Comment on ‘Tumour-infiltrating inflammation and prognosis in colorectal cancer: systematic review and meta-analysis’
No abstract available
A prospective interventional cohort study of 175 patients treated by the SpineCor orthosis, following the Scoliosis Research Society Criteria
Demonstration of InAsBi photoresponse beyond 3.5 μm
An Indium Arsenide Bismide photodiode has been grown, fabricated, and characterized to evaluate its performance in the Mid Wave Infrared region of the spectrum. Spectral response from the diode has been obtained up to a diode temperature of 225 K. At this temperature, the diode has a cut off wavelength of 3.95 μm, compared to 3.41 μm in a reference Indium Arsenide diode, indicating that Bismuth has been incorporated to reduce the band gap of Indium Arsenide by 75 meV. Similar band gap reduction was deduced from the cut off wavelength comparison at 77 K. From the dark current data, shunt resistance values of 8 and 39 Ω at temperatures of 77 and 290 K, respectively, were obtained in our photodiode
Variability selected high-redshift quasars on SDSS Stripe 82
The SDSS-III BOSS Quasar survey will attempt to observe z>2.15 quasars at a
density of at least 15 per square degree to yield the first measurement of the
Baryon Acoustic Oscillations in the Ly-alpha forest. To help reaching this
goal, we have developed a method to identify quasars based on their variability
in the u g r i z optical bands. The method has been applied to the selection of
quasar targets in the SDSS region known as Stripe 82 (the Southern equatorial
stripe), where numerous photometric observations are available over a 10-year
baseline. This area was observed by BOSS during September and October 2010.
Only 8% of the objects selected via variability are not quasars, while 90% of
the previously identified high-redshift quasar population is recovered. The
method allows for a significant increase in the z>2.15 quasar density over
previous strategies based on optical (ugriz) colors, achieving a density of
24.0 deg^{-2} on average down to g~22 over the 220 deg^2 area of Stripe 82. We
applied this method to simulated data from the Palomar Transient Factory and
from Pan-STARRS, and showed that even with data that have sparser time sampling
than what is available in Stripe 82, including variability in future quasar
selection strategies would lead to increased target selection efficiency in the
z>2.15 redshift range. We also found that Broad Absorption Line quasars are
preferentially present in a variability than in a color selection.Comment: 14 pages, 21 figures, accepted for publication in A&
A pragmatic randomised controlled trial of hydrotherapy and land exercises on overall well being and quality of life in rheumatoid arthritis
Background \ud
Hydrotherapy is highly valued by people with rheumatoid arthritis yet few studies have compared the benefits of exercises in heated water against exercises on land. In particular, data on quality of life is rarely reported. This is especially important because patients treated with hydrotherapy often report an enhanced sense of well-being. We report a randomised controlled trial in which we compared the effects of hydrotherapy with exercises on land on overall response to treatment, physical function and quality of life in patients with rheumatoid arthritis. \ud
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Methods \ud
One hundred and fifteen patients with RA were randomised to receive a weekly 30-minute session of hydrotherapy or similar exercises on land for 6 weeks. Our primary outcome was a self-rated global impression of change – a measure of treatment effect on a 7-point scale ranging from 1(very much worse) to 7 (very much better) assessed immediately on completion of treatment. Secondary outcomes including EuroQol health related quality of life, EuroQol health status valuation, HAQ, 10 metre walk time and pain scores were collected at baseline, after treatment and 3 months later. Binary outcomes were analysed by Fisher's exact test and continuous variables by Wilcoxon or Mann-Whitney tests. \ud
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Results \ud
Baseline characteristics of the two groups were comparable. Significantly more patients treated with hydrotherapy (40/46, 87%) were much better or very much better than the patients treated with land exercise (19/40, 47.5%), p < 0.001 Fisher's exact test. Eleven patients allocated land exercise failed to complete treatment compared with 4 patients allocated hydrotherapy (p = 0.09). Sensitivity analyses confirmed an advantage for hydrotherapy if we assumed non-completers would all not have responded (response rates 70% versus 38%; p < 0.001) or if we assumed that non-completers would have had the same response as completers (response rates 82% versus 55% p = 0.002). Ten metre walk time improved after treatment in both cases (median pre-treatment time for both groups combined 10.9 seconds, post-treatment 9.1 s, and 3 months later 9.6 s). There was however no difference between treatment groups. Similarly there were no significant differences between groups in terms of changes to HAQ, EQ-5D utility score, EQ VAS and pain VAS. \ud
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Conclusion \ud
Patients with RA treated with hydrotherapy are more likely to report feeling much better or very much better than those treated with land exercises immediately on completion of the treatment programme. This perceived benefit was not reflected by differences between groups in 10-metre walk times, functional scores, quality of life measures and pain scores
Technical aspects of CT imaging of the spine
This review article discusses technical aspects of computed tomography (CT) imaging of the spine. Patient positioning, and its influence on image quality and movement artefact, is discussed. Particular emphasis is placed on the choice of scan parameters and their relation to image quality and radiation burden to the patient. Strategies to reduce radiation burden and artefact from metal implants are outlined. Data acquisition, processing, image display and steps to reduce artefact are reviewed. CT imaging of the spine is put into context with other imaging modalities for specific clinical indications or problems. This review aims to review underlying principles for image acquisition and to provide a rough guide for clinical problems without being prescriptive. Individual practice will always vary and reflect differences in local experience, technical provisions and clinical requirements
Dual-gated bilayer graphene hot electron bolometer
Detection of infrared light is central to diverse applications in security,
medicine, astronomy, materials science, and biology. Often different materials
and detection mechanisms are employed to optimize performance in different
spectral ranges. Graphene is a unique material with strong, nearly
frequency-independent light-matter interaction from far infrared to
ultraviolet, with potential for broadband photonics applications. Moreover,
graphene's small electron-phonon coupling suggests that hot-electron effects
may be exploited at relatively high temperatures for fast and highly sensitive
detectors in which light energy heats only the small-specific-heat electronic
system. Here we demonstrate such a hot-electron bolometer using bilayer
graphene that is dual-gated to create a tunable bandgap and
electron-temperature-dependent conductivity. The measured large electron-phonon
heat resistance is in good agreement with theoretical estimates in magnitude
and temperature dependence, and enables our graphene bolometer operating at a
temperature of 5 K to have a low noise equivalent power (33 fW/Hz1/2). We
employ a pump-probe technique to directly measure the intrinsic speed of our
device, >1 GHz at 10 K.Comment: 5 figure
Deconstructing patient centred communication and uncovering shared decision making: an observational study
BACKGROUND: Patient centred communication (PCC) has been described as a method for doctor-patient communication. The principles of shared decision making (SDM) have been proposed more recently. AIMS: This study aimed to examine PCC and SDM empirically with respect to their mutual association, the variation in practitioners' working styles, and the associations with patient characteristics. METHODS: Sixty general practitioners recruited 596 adult patients who gave written consent to have their consultations videotaped. The tapes were assessed by two researchers, using a standardised instrument for global communication. For the purpose of this exploratory study, scales for PCC and SDM were based on subsamples of items in the MAAS. RESULTS: The scales for PCC and SDM were weakly associated (Pearson correlation: 0.25). Physicians varied more on SDM than on PCC. The intracluster correlation of the PCC and SDM scales were, respectively, 0.34 and 0.19. However, hypotheses regarding associations with patient characteristics were not confirmed. Neither PCC nor SDM scores were related to patient gender, education, age, functional health status or existence of chronic conditions. CONCLUSION: The study provides evidence that PCC and SDM can be differentiated and comprise approaches to communication between clinicians and patients which may be more clearly distinguished by further focused research and training developments
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