Epidemiology of placenta previa accreta: a systematic review and meta-analysis

Objective To estimate the prevalence and incidence of placenta previa complicated by placenta accreta spectrum (PAS) and to examine the different criteria being used for the diagnosis. Design Systematic review and meta-analysis. Data sources PubMed, Google Scholar, ClinicalTrials.gov and MEDLINE were searched between August 1982 and September 2018. Eligibility criteria Studies reporting on placenta previa complicated by PAS diagnosed in a defined obstetric population. Data extraction and synthesis Two independent reviewers performed the data extraction using a predefined protocol and assessed the risk of bias using the Newcastle-Ottawa scale for observational studies, with difference agreed by consensus. The primary outcomes were overall prevalence of placenta previa, incidence of PAS according to the type of placenta previa and the reported clinical outcomes, including the number of peripartum hysterectomies and direct maternal mortality. The secondary outcomes included the criteria used for the prenatal ultrasound diagnosis of placenta previa and the criteria used to diagnose and grade PAS at birth. Results A total of 258 articles were reviewed and 13 retrospective and 7 prospective studies were included in the analysis, which reported on 587 women with placenta previa and PAS. The meta-analysis indicated a significant (p<0.001) heterogeneity between study estimates for the prevalence of placenta previa, the prevalence of placenta previa with PAS and the incidence of PAS in the placenta previa cohort. The median prevalence of placenta previa was 0.56% (IQR 0.39–1.24) whereas the median prevalence of placenta previa with PAS was 0.07% (IQR 0.05–0.16). The incidence of PAS in women with a placenta previa was 11.10% (IQR 7.65–17.35). Conclusions The high heterogeneity in qualitative and diagnostic data between studies emphasises the need to implement standardised protocols for the diagnoses of both placenta previa and PAS, including the type of placenta previa and grade of villous invasiveness. PROSPERO registration number CRD4201706858

On the Trace Anomaly and the Anomaly Puzzle in N=1 Pure Yang-Mills

The trace anomaly of the energy-momentum tensor is usually quoted in the form which is proportional to the beta function of the theory. However, there are in general many definitions of gauge couplings depending on renormalization schemes, and hence many beta functions. In particular, N=1 supersymmetric pure Yang-Mills has the holomorphic gauge coupling whose beta function is one-loop exact, and the canonical gauge coupling whose beta function is given by the Novikov-Shifman-Vainshtein-Zakharov beta function. In this paper, we study which beta function should appear in the trace anomaly in N=1 pure Yang-Mills. We calculate the trace anomaly by employing the N=4 regularization of N=1 pure Yang-Mills. It is shown that the trace anomaly is given by one-loop exact form if the composite operator appearing in the trace anomaly is renormalized in a preferred way. This result gives the simplest resolution to the anomaly puzzle in N=1 pure Yang-Mills. The most important point is to examine in which scheme the quantum action principle is valid, which is crucial in the derivation of the trace anomaly.Comment: 25 pages, 1 figure; v2:slight correction in sec.5, minor addition in appendi

Use of Non-Steroidal Anti-Inflammatory Drugs That Elevate Cardiovascular Risk: An Examination of Sales and Essential Medicines Lists in Low-, Middle-, and High-Income Countries

PMCID: PMC3570554This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

Observation of coherent hybrid reflection with synchrotron radiation

High resolution synchrotron radiation has been used to investigate the occurrence of coherent hybrid reflections (CHR) in the In0.49Ga0.51P/GaAs(001) structure. Several phi scans at the 002 layer reflection were carried out. The scanned phi intervals are correlated by the axis symmetry and [001] should present the same pattern. A break in the symmetry is observed due to constructive/destructive interference of the hybrid amplitudes with the amplitude from the 002 layer reflection. The effects of substrate miscut and interface distance are taken into account to explain the observed patterns. The application of CHR as a high sensitive tool to analyze epitaxial growth is discussed. (C) 1998 American Institute of Physics. [S0003-6951(98)03841-8].73152194219

Mitochondrial and nuclear genes suggest that stony corals are monophyletic but most families of stony corals are not (Order Scleractinia, Class Anthozoa, Phylum Cnidaria)

Modern hard corals (Class Hexacorallia; Order Scleractinia) are widely studied because of their fundamental role in reef building and their superb fossil record extending back to the Triassic. Nevertheless, interpretations of their evolutionary relationships have been in flux for over a decade. Recent analyses undermine the legitimacy of traditional suborders, families and genera, and suggest that a non-skeletal sister clade (Order Corallimorpharia) might be imbedded within the stony corals. However, these studies either sampled a relatively limited array of taxa or assembled trees from heterogeneous data sets. Here we provide a more comprehensive analysis of Scleractinia (127 species, 75 genera, 17 families) and various outgroups, based on two mitochondrial genes (cytochrome oxidase I, cytochrome b), with analyses of nuclear genes (ßtubulin, ribosomal DNA) of a subset of taxa to test unexpected relationships. Eleven of 16 families were found to be polyphyletic. Strikingly, over one third of all families as conventionally defined contain representatives from the highly divergent "robust" and "complex" clades. However, the recent suggestion that corallimorpharians are true corals that have lost their skeletons was not upheld. Relationships were supported not only by mitochondrial and nuclear genes, but also often by morphological characters which had been ignored or never noted previously. The concordance of molecular characters and more carefully examined morphological characters suggests a future of greater taxonomic stability, as well as the potential to trace the evolutionary history of this ecologically important group using fossils

A biomimetic vocalisation system for MiRo

There is increasing interest in the use of animal-like robots in applications such as companionship and pet therapy. However, in the majority of cases it is only the robot's physical appearance that mimics a given animal. In contrast, MiRo is the first commercial biomimetic robot to be based on a hardware and software architecture that is modelled on the biological brain. This paper describes how MiRo's vocalisation system was designed, not using pre-recorded animal sounds, but based on the implementation of a real-time parametric general-purpose mammalian vocal synthesiser tailored to the specific physical characteristics of the robot. The novel outcome has been the creation of an 'appropriate' voice for MiRo that is perfectly aligned to the physical and behavioural affordances of the robot, thereby avoiding the 'uncanny valley' effect and contributing strongly to the effectiveness of MiRo as an interactive device

Finite temperature calculations for the bulk properties of strange star using a many-body approach

We have considered a hot strange star matter, just after the collapse of a supernova, as a composition of strange, up and down quarks to calculate the bulk properties of this system at finite temperature with the density dependent bag constant. To parameterize the density dependent bag constant, we use our results for the lowest order constrained variational (LOCV) calculations of asymmetric nuclear matter. Our calculations for the structure properties of the strange star at different temperatures indicate that its maximum mass decreases by increasing the temperature. We have also compared our results with those of a fixed value of the bag constant. It can be seen that the density dependent bag constant leads to higher values of the maximum mass and radius for the strange star.Comment: 21 pages, 2 tables, 12 figures Astrophys. (2011) accepte

Direct and indirect effects of Johne's disease on farm and animal productivity in an Irish dairy herd

Johne's disease (JD) is caused by infection with the organism Mycobacterium avium spp. paratuberculosis, leading to chronic diarrhoea and ill thrift in adult cattle. JD is considered to adversely affect farm performance and profitability. This retrospective case study was undertaken on a single commercial dairy herd in the south west of Ireland. Animal production records were interrogated to assess the effect of JD on milk yield (total kg per lactation), somatic cell count (the geometric mean over the lactation), reasons for culling, cull price and changes in herd parity structure over time. JD groups were defined using clinical signs and test results. One control animal was matched to each case animal on parity number and year. Specific lactations (clinical, pre-clinical and test-positive only) from 1994 to 2004 were compared between JD case and control cows. A significantly lower milk yield (1259.3 kg/lactation) was noted from cows with clinical JD in comparison to their matched control group. Clinical animals had an average cull price of €516 less than animals culled without signs of clinical disease. In contrast, little effect was noted for sub-clinical infections. These direct effects of JD infections, in combination with increased culling for infertility and increasing replacement rates, had a negative impact on farm production. Results from this study provide preliminary information regarding the effects of JD status on both herd and animal-level performance in Ireland

Renormalisation of heavy-light light ray operators

We calculate the renormalisation of different light ray operators with one light degree of freedom and a static heavy quark. Both $2\to2$- and $2\to3$-kernels are considered. A comparison with the light-light case suggests that the mixing with three-particle operators is solely governed by the light degrees of freedom. Additionally we show that conformal symmetry is already broken at the level of the one loop counterterms due to the additional UV-renormalisation of a cusp in the two contributing Wilson-lines. This general feature can be used to fix the $2\to2$-renormalisation kernels up to a constant. Some examples for applications of our results are given.Comment: 23 pages, 5 figures; v2: changed some wording, added a few references and one appendix concerning some subtleties related to gauge fixing and ghost terms; v3: clarified calculation in section 3.2., added an explicit calculation in section 5.2, corrected a few typos and one figure, added a few comments, results unchanged, except for typesetting matches version to appear in JHE