213 research outputs found

    Techniques for large sheath insertion during endovascular thoracic aortic aneurysm repair

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    Surface Hydrogen Modeling of Super Soft X-ray Sources: Are They Supernova Ia Progenitors?

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    Nova explosions occur on the white dwarf (WD) component of a Cataclysmic Variable stellar system which is accreting matter lost by a companion. A Type Ia supernova explosion is thought to result when a WD, in a similar binary configuration, grows in mass to the Chandrasekhar Limit. Here, we present calculations of accretion of Solar matter, at a variety of mass accretion rates, onto hot (2.3×1052.3 \times 10^{5}K), luminous (30L_\odot), massive (1.25M_\odot, 1.35M_\odot) Carbon-Oxygen WDs. In contrast to our nova simulations where the WD has a low initial luminosity and a thermonuclear runaway (TNR) occurs and ejects material, these simulations do not eject material (or only a small fraction of the accreted material) and the WD grows in mass. A hydrogen TNR does not occur because hydrogen fuses to helium in the surface layers, and we call this process Surface Hydrogen Burning (SHB). As the helium layer grows in mass, it gradually fuses either to carbon and oxygen or to more massive nuclei depending on the WD mass and mass accretion rate. If such a WD were to explode in a SN Ia event, therefore, it would show neither hydrogen nor helium in its spectrum as is observed. Moreover, the luminosities and effective temperatures of our simulations agree with the observations of some of the Super Soft X-ray Binary Sources and, therefore, our results strengthen previous speculation that some of them (CAL 83 and CAL 87 for example) are probably progenitors of SN Ia explosions. Finally, we have achieved SHB for values of the mass accretion rate that almost span the observed values of the Cataclysmic Variables.Comment: Accepted by APJL, 4 pages, 1 figure, LaTex (uses emulateapj.sty

    The Influence of Exercise Intensity On Post-Exercise Appetite Response

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    Please view abstract in the attached PDF file

    Introducing landscape character assessment and the ecosystem service approach to India: A case study

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    Landscape Character Assessment has provided the context for land use planning decisions and for identifying priorities for environmental restoration and enhancement in England since the 1990s. Increasing awareness of the importance of ecosystem services has led to the method being refined in order to enable informed management of change, with the inclusion of socioeconomic data and the identification of strategic management objectives providing an integrated approach to sustainable development in a changing This research, funded by the British Council UK-India Education and Research Initiative (UKIERI), was prompted by concerns expressed by ecologists about the increase in the extent of an invasive plant species, Prosopis juliflora, in the district of Kachchh, Gujarat. A combination of Landscape Character Assessment and participatory appraisal were used in order to produce a Natural Character Area profile for the coastal plain. The process revealed that concerns regarding the spread of Prosopis were outweighed by its socio-economic importance as a source of fuel, charcoal, honey and gum. Their most pressing concern was the impact of recent industrial development on the environment, in particular water abstraction and pollution, crop predation by livestock and increasing soil salinity

    Statistical Analysis Plan for the Motor Neuron Disease Systematic Multi-Arm Adaptive Randomised Trial (MND-SMART)

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    Abstract Background MND-SMART is a platform, multi-arm, multi-stage, multi-centre, randomised controlled trial recruiting people with motor neuron disease. Initially, the treatments memantine and trazodone will each be compared against placebo, but other investigational treatments will be introduced into the trial later. The co-primary outcomes are the Amyotrophic Lateral Sclerosis Functional Rating Scale Revised (ALS-FRS-R) functional outcome, which is assessed longitudinally, and overall survival. Methods Initially in MND-SMART, participants are randomised 1:1:1 via a minimisation algorithm to receive placebo or one of the two investigational treatments with up to 531 to be randomised in total. The comparisons between each research arm and placebo will be conducted in four stages, with the opportunity to cease further randomisations to poorly performing research arms at the end of stages 1 or 2. The final ALS-FRS-R analysis will be at the end of stage 3 and final survival analysis at the end of stage 4. The estimands for the co-primary outcomes are described in detail. The primary analysis of ALS-FRS-R at the end of stages 1 to 3 will involve fitting a normal linear mixed model to the data to calculate a mean difference in rate of ALS-FRS-R change between each research treatment and placebo. The pairwise type 1 error rate will be controlled, because each treatment comparison will generate its own distinct and separate interpretation. This publication is based on a formal statistical analysis plan document that was finalised and signed on 18 May 2022. Discussion In developing the statistical analysis plan, we had to carefully consider several issues such as multiple testing, estimand specification, interim analyses, and statistical analysis of the repeated measurements of ALS-FRS-R. This analysis plan attempts to balance multiple factors, including minimisation of bias, maximising power and precision, and deriving clinically interpretable summaries of treatment effects. Trial registration EudraCT Number, 2019–000099-41. Registered 2 October 2019, https://www.clinicaltrialsregister.eu/ctr-search/search?query=mnd-smart ClinicalTrials.gov, NCT04302870 . Registered 10 March 2020

    Evaluation of the impact of a school gardening intervention on children's fruit and vegetable intake: a randomised controlled trial.

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    Background: Current academic literature suggests that school gardening programmes can provide an interactive environment with the potential to change children’s fruit and vegetable intake. This is the first cluster randomised controlled trial (RCT) designed to evaluate whether a school gardening programme can have an effect on children’s fruit and vegetable intake. Methods: The trial included children from 23 schools; these schools were randomised into two groups, one to receive the Royal Horticultural Society (RHS)-led intervention and the other to receive the less involved Teacher-led intervention. A 24-hour food diary (CADET) was used to collect baseline and follow-up dietary intake 18 months apart. Questionnaires were also administered to evaluate the intervention implementation. Results: A total of 641 children completed the trial with a mean age of 8.1 years (95% CI: 8.0, 8.4). The unadjusted results from multilevel regression analysis revealed that for combined daily fruit and vegetable intake the Teacher-led group had a higher daily mean change of 8 g (95% CI: −19, 36) compared to the RHS-led group -32 g (95% CI: −60, −3). However, after adjusting for possible confounders this difference was not significant (intervention effect: −40 g, 95% CI: −88, 1; p = 0.06). The adjusted analysis of process measures identified that if schools improved their gardening score by 3 levels (a measure of school gardening involvement - the scale has 6 levels from 0 ‘no garden’ to 5 ‘community involvement’), irrespective of group allocation, children had, on average, a daily increase of 81 g of fruit and vegetable intake (95% CI: 0, 163; p = 0.05) compared to schools that had no change in gardening score. Conclusions: This study is the first cluster randomised controlled trial designed to evaluate a school gardening intervention. The results have found very little evidence to support the claims that school gardening alone can improve children’s daily fruit and vegetable intake. However, when a gardening intervention is implemented at a high level within the school it may improve children’s daily fruit and vegetable intake by a portion. Improving children’s fruit and vegetable intake remains a challenging task

    Survival Analysis Part I: Basic concepts and first analyses

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    Survival analysis is a collection of statistical procedures for data analysis where the outcome variable of interest is time until an event occurs. Because of censoring - the nonobservation of the event of interest after a period of follow-up - a proportion of the survival times of interest will often be unknown. It is assumed that those patients who are censored have the same survival prospects as those who continue to be followed, that is, the censoring is uninformative. Survival data are generally described and modelled in terms of two related functions, the survivor function and the hazard function. The survivor function represents the probability that an individual survives from the time of origin to some time beyond time t. It directly describes the survival experience of a study cohort, and is usually estimated by the KM method. The logrank test may be used to test for differences between survival curves for groups, such as treatment arms. The hazard function gives the instantaneous potential of having an event at a time, given survival up to that time. It is used primarily as a diagnostic tool or for specifying a mathematical model for survival analysis. In comparing treatments or prognostic groups in terms of survival, it is often necessary to adjust for patient-related factors that could potentially affect the survival time of a patient. Failure to adjust for confounders may result in spurious effects. Multivariate survival analysis, a form of multiple regression, provides a way of doing this adjustment, and is the subject the next paper in this series

    A Three-Part Bayesian Network for Modeling Dwelling Fires and Their Impact upon People and Property.

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    In the United Kingdom, dwelling fires are responsible for the majority of all fire-related fatalities. The development of these incidents involves the interaction of a multitude of variables that combine in many different ways. Consequently, assessment of dwelling fire risk can be complex, which often results in ambiguity during fire safety planning and decision making. In this article, a three-part Bayesian network model is proposed to study dwelling fires from ignition through to extinguishment in order to improve confidence in dwelling fire safety assessment. The model incorporates both hard and soft data, delivering posterior probabilities for selected outcomes. Case studies demonstrate how the model functions and provide evidence of its use for planning and accident investigation

    Anti-Angiogenic Therapy Induces Integrin-Linked Kinase 1 Up-Regulation in a Mouse Model of Glioblastoma

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    BACKGROUND: In order to improve our understanding of the molecular pathways that mediate tumor proliferation and angiogenesis, and to evaluate the biological response to anti-angiogenic therapy, we analyzed the changes in the protein profile of glioblastoma in response to treatment with recombinant human Platelet Factor 4-DLR mutated protein (PF4-DLR), an inhibitor of angiogenesis. METHODOLOGY/PRINCIPAL FINDINGS: U87-derived experimental glioblastomas were grown in the brain of xenografted nude mice, treated with PF4-DLR, and processed for proteomic analysis. More than fifty proteins were differentially expressed in response to PF4-DLR treatment. Among them, integrin-linked kinase 1 (ILK1) signaling pathway was first down-regulated but then up-regulated after treatment for prolonged period. The activity of PF4-DLR can be increased by simultaneously treating mice orthotopically implanted with glioblastomas, with ILK1-specific siRNA. As ILK1 is related to malignant progression and a poor prognosis in various types of tumors, we measured ILK1 expression in human glioblastomas, astrocytomas and oligodendrogliomas, and found that it varied widely; however, a high level of ILK1 expression was correlated to a poor prognosis. CONCLUSIONS/SIGNIFICANCE: Our results suggest that identifying the molecular pathways induced by anti-angiogenic therapies may help the development of combinatorial treatment strategies that increase the therapeutic efficacy of angiogenesis inhibitors by association with specific agents that disrupt signaling in tumor cells
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