1,632 research outputs found
Does bariatric surgery prior to total hip or knee arthroplasty reduce post-operative complications and improve clinical outcomes for obese patients? Systematic review and meta-analysis.
AIMS: Our aim was to determine whether, based on the current literature, bariatric surgery prior to total hip (THA) or total knee arthroplasty (TKA) reduces the complication rates and improves the outcome following arthroplasty in obese patients. METHODS: A systematic literature search was undertaken of published and unpublished databases on the 5 November 2015. All papers reporting studies comparing obese patients who had undergone bariatric surgery prior to arthroplasty, or not, were included. Each study was assessed using the Downs and Black appraisal tool. A meta-analysis of risk ratios (RR) and 95% confidence intervals (CI) was performed to determine the incidence of complications including wound infection, deep vein thrombosis (DVT), pulmonary embolism (PE), revision surgery and mortality. RESULTS: From 156 potential studies, five were considered to be eligible for inclusion in the study. A total of 23 348 patients (657 who had undergone bariatric surgery, 22 691 who had not) were analysed. The evidence-base was moderate in quality. There was no statistically significant difference in outcomes such as superficial wound infection (relative risk (RR) 1.88; 95% confidence interval (CI) 0.95 to 0.37), deep wound infection (RR 1.04; 95% CI 0.65 to 1.66), DVT (RR 0.57; 95% CI 0.13 to 2.44), PE (RR 0.51; 95% CI 0.03 to 8.26), revision surgery (RR 1.24; 95% CI 0.75 to 2.05) or mortality (RR 1.25; 95% CI 0.16 to 9.89) between the two groups. CONCLUSION: For most peri-operative outcomes, bariatric surgery prior to THA or TKA does not significantly reduce the complication rates or improve the clinical outcome. This study questions the previous belief that bariatric surgery prior to arthroplasty may improve the clinical outcomes for patients who are obese or morbidly obese. This finding is based on moderate quality evidence. Cite this article: Bone Joint J 2016;98-B:1160-6
Outlier Edge Detection Using Random Graph Generation Models and Applications
Outliers are samples that are generated by different mechanisms from other
normal data samples. Graphs, in particular social network graphs, may contain
nodes and edges that are made by scammers, malicious programs or mistakenly by
normal users. Detecting outlier nodes and edges is important for data mining
and graph analytics. However, previous research in the field has merely focused
on detecting outlier nodes. In this article, we study the properties of edges
and propose outlier edge detection algorithms using two random graph generation
models. We found that the edge-ego-network, which can be defined as the induced
graph that contains two end nodes of an edge, their neighboring nodes and the
edges that link these nodes, contains critical information to detect outlier
edges. We evaluated the proposed algorithms by injecting outlier edges into
some real-world graph data. Experiment results show that the proposed
algorithms can effectively detect outlier edges. In particular, the algorithm
based on the Preferential Attachment Random Graph Generation model consistently
gives good performance regardless of the test graph data. Further more, the
proposed algorithms are not limited in the area of outlier edge detection. We
demonstrate three different applications that benefit from the proposed
algorithms: 1) a preprocessing tool that improves the performance of graph
clustering algorithms; 2) an outlier node detection algorithm; and 3) a novel
noisy data clustering algorithm. These applications show the great potential of
the proposed outlier edge detection techniques.Comment: 14 pages, 5 figures, journal pape
Consensus clustering in complex networks
The community structure of complex networks reveals both their organization
and hidden relationships among their constituents. Most community detection
methods currently available are not deterministic, and their results typically
depend on the specific random seeds, initial conditions and tie-break rules
adopted for their execution. Consensus clustering is used in data analysis to
generate stable results out of a set of partitions delivered by stochastic
methods. Here we show that consensus clustering can be combined with any
existing method in a self-consistent way, enhancing considerably both the
stability and the accuracy of the resulting partitions. This framework is also
particularly suitable to monitor the evolution of community structure in
temporal networks. An application of consensus clustering to a large citation
network of physics papers demonstrates its capability to keep track of the
birth, death and diversification of topics.Comment: 11 pages, 12 figures. Published in Scientific Report
RNA secondary structure prediction from multi-aligned sequences
It has been well accepted that the RNA secondary structures of most
functional non-coding RNAs (ncRNAs) are closely related to their functions and
are conserved during evolution. Hence, prediction of conserved secondary
structures from evolutionarily related sequences is one important task in RNA
bioinformatics; the methods are useful not only to further functional analyses
of ncRNAs but also to improve the accuracy of secondary structure predictions
and to find novel functional RNAs from the genome. In this review, I focus on
common secondary structure prediction from a given aligned RNA sequence, in
which one secondary structure whose length is equal to that of the input
alignment is predicted. I systematically review and classify existing tools and
algorithms for the problem, by utilizing the information employed in the tools
and by adopting a unified viewpoint based on maximum expected gain (MEG)
estimators. I believe that this classification will allow a deeper
understanding of each tool and provide users with useful information for
selecting tools for common secondary structure predictions.Comment: A preprint of an invited review manuscript that will be published in
a chapter of the book `Methods in Molecular Biology'. Note that this version
of the manuscript may differ from the published versio
Dynamical Patterns of Cattle Trade Movements
Despite their importance for the spread of zoonotic diseases, our
understanding of the dynamical aspects characterizing the movements of farmed
animal populations remains limited as these systems are traditionally studied
as static objects and through simplified approximations. By leveraging on the
network science approach, here we are able for the first time to fully analyze
the longitudinal dataset of Italian cattle movements that reports the mobility
of individual animals among farms on a daily basis. The complexity and
inter-relations between topology, function and dynamical nature of the system
are characterized at different spatial and time resolutions, in order to
uncover patterns and vulnerabilities fundamental for the definition of targeted
prevention and control measures for zoonotic diseases. Results show how the
stationarity of statistical distributions coexists with a strong and
non-trivial evolutionary dynamics at the node and link levels, on all
timescales. Traditional static views of the displacement network hide important
patterns of structural changes affecting nodes' centrality and farms' spreading
potential, thus limiting the efficiency of interventions based on partial
longitudinal information. By fully taking into account the longitudinal
dimension, we propose a novel definition of dynamical motifs that is able to
uncover the presence of a temporal arrow describing the evolution of the system
and the causality patterns of its displacements, shedding light on mechanisms
that may play a crucial role in the definition of preventive actions
Dynamical Patterns of Cattle Trade Movements
Despite their importance for the spread of zoonotic diseases, our
understanding of the dynamical aspects characterizing the movements of farmed
animal populations remains limited as these systems are traditionally studied
as static objects and through simplified approximations. By leveraging on the
network science approach, here we are able for the first time to fully analyze
the longitudinal dataset of Italian cattle movements that reports the mobility
of individual animals among farms on a daily basis. The complexity and
inter-relations between topology, function and dynamical nature of the system
are characterized at different spatial and time resolutions, in order to
uncover patterns and vulnerabilities fundamental for the definition of targeted
prevention and control measures for zoonotic diseases. Results show how the
stationarity of statistical distributions coexists with a strong and
non-trivial evolutionary dynamics at the node and link levels, on all
timescales. Traditional static views of the displacement network hide important
patterns of structural changes affecting nodes' centrality and farms' spreading
potential, thus limiting the efficiency of interventions based on partial
longitudinal information. By fully taking into account the longitudinal
dimension, we propose a novel definition of dynamical motifs that is able to
uncover the presence of a temporal arrow describing the evolution of the system
and the causality patterns of its displacements, shedding light on mechanisms
that may play a crucial role in the definition of preventive actions
Climate Dynamics: A Network-Based Approach for the Analysis of Global Precipitation
Precipitation is one of the most important meteorological variables for defining the climate dynamics, but the spatial patterns of precipitation have not been fully investigated yet. The complex network theory, which provides a robust tool to investigate the statistical interdependence of many interacting elements, is used here to analyze the spatial dynamics of annual precipitation over seventy years (1941-2010). The precipitation network is built associating a node to a geographical region, which has a temporal distribution of precipitation, and identifying possible links among nodes through the correlation function. The precipitation network reveals significant spatial variability with barely connected regions, as Eastern China and Japan, and highly connected regions, such as the African Sahel, Eastern Australia and, to a lesser extent, Northern Europe. Sahel and Eastern Australia are remarkably dry regions, where low amounts of rainfall are uniformly distributed on continental scales and small-scale extreme events are rare. As a consequence, the precipitation gradient is low, making these regions well connected on a large spatial scale. On the contrary, the Asiatic South-East is often reached by extreme events such as monsoons, tropical cyclones and heat waves, which can all contribute to reduce the correlation to the short-range scale only. Some patterns emerging between mid-latitude and tropical regions suggest a possible impact of the propagation of planetary waves on precipitation at a global scale. Other links can be qualitatively associated to the atmospheric and oceanic circulation. To analyze the sensitivity of the network to the physical closeness of the nodes, short-term connections are broken. The African Sahel, Eastern Australia and Northern Europe regions again appear as the supernodes of the network, confirming furthermore their long-range connection structure. Almost all North-American and Asian nodes vanish, revealing that extreme events can enhance high precipitation gradients, leading to a systematic absence of long-range patterns
Exploring the components, asymmetry and distribution of relationship quality in wild Barbary macaques (Macaca sylvanus)
Social relationships between group members are a key feature of many animal societies. The quality of social relationships has been described by three main components: value, compatibility and security, based on the benefits, tenure and stability of social exchanges. We aimed to analyse whether this three component structure could be used to describe the quality of social relationships in wild Barbary macaques (Macaca sylvanus). Moreover, we examined whether relationship quality was affected by the sex, age and rank differences between social partners, and investigated the asymmetric nature of social relationships. We collected over 1,900 hours of focal data on seven behavioural variables measuring relationship quality,
and used principal component analysis to investigate how these variables clustered together. We found that relationship quality in wild Barbary macaques can be described by a three component structure that represents the value, compatibility and security of a relationship. Female-female dyads had more valuable relationships and same-age dyads more compatible relationships than any other dyad. Rank difference had no effect on the quality of a social relationship. Finally, we found a high degree of asymmetry in how members of a dyad exchange social behaviour. We argue that the asymmetry of social
relationships should be taken into account when exploring the pattern and function of social behaviour in animal societies
Nearly Monodispersion CoSm Alloy Nanoparticles Formed by an In-situ Rapid Cooling and Passivating Microfluidic Process
An in siturapid cooling and passivating microfluidic processhas been developed for the synthesis of nearly monodispersed cobalt samarium nanoparticles (NPs) with tunable crystal structures and surface properties. This process involves promoting the nucleation and growth of NPs at an elevated temperature and rapidly quenching the NP colloids in a solution containing a passivating reagent at a reduced temperature. We have shown that Cobalt samarium NPs having amorphous crystal structures and a thin passivating layer can be synthesized with uniform nonspherical shapes and size of about 4.8 nm. The amorphous CoSm NPs in our study have blocking temperature near 40 K and average coercivity of 225 Oe at 10 K. The NPs also exhibit high anisotropic magnetic properties with a wasp-waist hysteresis loop and a bias shift of coercivity due to the shape anisotropy and the exchange coupling between the core and the thin oxidized surface layer
The Demographic and Socioeconomic Factors Predictive for Populations at High-Risk for La Crosse Virus Infection in West Virginia
Although a large body of literature exists for the environmental risk factors for La Crosse virus (LACV) transmission, the demographic and socioeconomic risk factors for developing LACV infection have not been investigated. Therefore, this study investigated the demographic and socioeconomic risk factors for LACV infection in West Virginia from 2003 to 2007, using two forward stepwise discriminant analyses. The discriminant analyses were used to evaluate a number of demographic and socioeconomic factors for their ability to predict: 1) those census tracts with at least one reported case of LACV infection versus those census tracts with no reported cases of LACV infection and 2) to evaluate significantly high-risk clusters for LACV infection versus significantly low-risk clusters for LACV infection. In the first model, a high school education diploma or a general education diploma or less and a lower housing densit
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