6,256 research outputs found
Improving the Quantitative Basis of the Surgical Burden in Low-Income Countries
Theo Vos discusses how surgery is beginning to be considered an essential component of primary health care in low-income countries, and how we need to improve our understanding of the burden of surgical conditions in these settings
Phase transitions in self-gravitating systems and bacterial populations with a screened attractive potential
We consider a system of particles interacting via a screened Newtonian
potential and study phase transitions between homogeneous and inhomogeneous
states in the microcanonical and canonical ensembles. Like for other systems
with long-range interactions, we obtain a great diversity of microcanonical and
canonical phase transitions depending on the dimension of space and on the
importance of the screening length. We also consider a system of particles in
Newtonian interaction in the presence of a ``neutralizing background''. By a
proper interpretation of the parameters, our study describes (i)
self-gravitating systems in a cosmological setting, and (ii) chemotaxis of
bacterial populations in the original Keller-Segel model
Revising the WHO verbal autopsy instrument to facilitate routine cause-of-death monitoring.
OBJECTIVE: Verbal autopsy (VA) is a systematic approach for determining causes of death (CoD) in populations without routine medical certification. It has mainly been used in research contexts and involved relatively lengthy interviews. Our objective here is to describe the process used to shorten, simplify, and standardise the VA process to make it feasible for application on a larger scale such as in routine civil registration and vital statistics (CRVS) systems. METHODS: A literature review of existing VA instruments was undertaken. The World Health Organization (WHO) then facilitated an international consultation process to review experiences with existing VA instruments, including those from WHO, the Demographic Evaluation of Populations and their Health in Developing Countries (INDEPTH) Network, InterVA, and the Population Health Metrics Research Consortium (PHMRC). In an expert meeting, consideration was given to formulating a workable VA CoD list [with mapping to the International Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) CoD] and to the viability and utility of existing VA interview questions, with a view to undertaking systematic simplification. FINDINGS: A revised VA CoD list was compiled enabling mapping of all ICD-10 CoD onto 62 VA cause categories, chosen on the grounds of public health significance as well as potential for ascertainment from VA. A set of 221 indicators for inclusion in the revised VA instrument was developed on the basis of accumulated experience, with appropriate skip patterns for various population sub-groups. The duration of a VA interview was reduced by about 40% with this new approach. CONCLUSIONS: The revised VA instrument resulting from this consultation process is presented here as a means of making it available for widespread use and evaluation. It is envisaged that this will be used in conjunction with automated models for assigning CoD from VA data, rather than involving physicians
Is null-point reconnection important for solar flux emergence?
The role of null-point reconnection in a 3D numerical MHD model of solar
emerging flux is investigated. The model consists of a twisted magnetic flux
tube rising through a stratified convection zone and atmosphere to interact and
reconnect with a horizontal overlying magnetic field in the atmosphere. Null
points appear as the reconnection begins and persist throughout the rest of the
emergence, where they can be found mostly in the model photosphere and
transition region, forming two loose clusters on either side of the emerging
flux tube. Up to 26 nulls are present at any one time, and tracking in time
shows that there is a total of 305 overall, despite the initial simplicity of
the magnetic field configuration. We find evidence for the reality of the nulls
in terms of their methods of creation and destruction, their balance of signs,
their long lifetimes, and their geometrical stability. We then show that due to
the low parallel electric fields associated with the nulls, null-point
reconnection is not the main type of magnetic reconnection involved in the
interaction of the newly emerged flux with the overlying field. However, the
large number of nulls implies that the topological structure of the magnetic
field must be very complex and the importance of reconnection along separators
or separatrix surfaces for flux emergence cannot be ruled out.Comment: 26 pages, 12 figures. Added one referenc
Disequilibrium Carbon, Oxygen, and Nitrogen Chemistry in the Atmospheres of HD 189733b and HD 209458b
We have developed 1-D photochemical and thermochemical kinetics and diffusion
models for the transiting exoplanets HD 189733b and HD 209458b to study the
effects of disequilibrium chemistry on the atmospheric composition of "hot
Jupiters." Here we investigate the coupled chemistry of neutral carbon,
hydrogen, oxygen, and nitrogen species, and we compare the model results with
existing transit and eclipse observations. We find that the vertical profiles
of molecular constituents are significantly affected by transport-induced
quenching and photochemistry, particularly on cooler HD 189733b; however, the
warmer stratospheric temperatures on HD 209458b can help maintain
thermochemical equilibrium and reduce the effects of disequilibrium chemistry.
For both planets, the methane and ammonia mole fractions are found to be
enhanced over their equilibrium values at pressures of a few bar to less than a
mbar due to transport-induced quenching, but CH4 and NH3 are photochemically
removed at higher altitudes. Atomic species, unsaturated hydrocarbons
(particularly C2H2), some nitriles (particularly HCN), and radicals like OH,
CH3, and NH2 are enhanced overequilibrium predictions because of quenching and
photochemistry. In contrast, CO, H2O, N2, and CO2 more closely follow their
equilibrium profiles, except at pressures < 1 microbar, where CO, H2O, and N2
are photochemically destroyed and CO2 is produced before its eventual
high-altitude destruction. The enhanced abundances of HCN, CH4, and NH3 in
particular are expected to affect the spectral signatures and thermal profiles
HD 189733b and other, relatively cool, close-in transiting exoplanets. We
examine the sensitivity of our results to the assumed temperature structure and
eddy diffusion coefficientss and discuss further observational consequences of
these models.Comment: 40 pages, 16 figures, accepted for publication in Astrophysical
Journa
Sphingosine-1-phosphate signalling drives an angiogenic transcriptional programme in diffuse large B cell lymphoma
Although the over-expression of angiogenic factors is reported in diffuse large B-cell lymphoma (DLBCL), the poor response to anti-VEGF drugs observed in clinical trials suggests that angiogenesis in these tumours might be driven by VEGF-independent pathways. We show that sphingosine kinase-1 (SPHK1), which generates the potent bioactive sphingolipid sphingosine-1-phosphate (S1P), is over-expressed in DLBCL. A meta-analysis of over 2000 cases revealed that genes correlated with SPHK1 mRNA expression in DLBCL were significantly enriched for tumour angiogenesis meta-signature genes; an effect evident in both major cell of origin (COO) and stromal subtypes. Moreover, we found that S1P induces angiogenic signalling and a gene expression programme that is present within the tumour vasculature of SPHK1-expressing DLBCL. Importantly, S1PR1 functional antagonists, including Siponimod, and the S1P neutralising antibody, Sphingomab, inhibited S1P signalling in DLBCL cells in vitro. Furthermore, Siponimod, also reduced angiogenesis and tumour growth in an S1P-producing mouse model of angiogenic DLBCL. Our data define a potential role for S1P signalling in driving an angiogenic gene expression programme in the tumour vasculature of DLBCL and suggest novel opportunities to target S1P-mediated angiogenesis in patients with DLBCL
Search for the standard model Higgs boson in the H to ZZ to 2l 2nu channel in pp collisions at sqrt(s) = 7 TeV
A search for the standard model Higgs boson in the H to ZZ to 2l 2nu decay
channel, where l = e or mu, in pp collisions at a center-of-mass energy of 7
TeV is presented. The data were collected at the LHC, with the CMS detector,
and correspond to an integrated luminosity of 4.6 inverse femtobarns. No
significant excess is observed above the background expectation, and upper
limits are set on the Higgs boson production cross section. The presence of the
standard model Higgs boson with a mass in the 270-440 GeV range is excluded at
95% confidence level.Comment: Submitted to JHE
Measurement of the t t-bar production cross section in the dilepton channel in pp collisions at sqrt(s) = 7 TeV
The t t-bar production cross section (sigma[t t-bar]) is measured in
proton-proton collisions at sqrt(s) = 7 TeV in data collected by the CMS
experiment, corresponding to an integrated luminosity of 2.3 inverse
femtobarns. The measurement is performed in events with two leptons (electrons
or muons) in the final state, at least two jets identified as jets originating
from b quarks, and the presence of an imbalance in transverse momentum. The
measured value of sigma[t t-bar] for a top-quark mass of 172.5 GeV is 161.9 +/-
2.5 (stat.) +5.1/-5.0 (syst.) +/- 3.6(lumi.) pb, consistent with the prediction
of the standard model.Comment: Replaced with published version. Included journal reference and DO
Combined search for the quarks of a sequential fourth generation
Results are presented from a search for a fourth generation of quarks
produced singly or in pairs in a data set corresponding to an integrated
luminosity of 5 inverse femtobarns recorded by the CMS experiment at the LHC in
2011. A novel strategy has been developed for a combined search for quarks of
the up and down type in decay channels with at least one isolated muon or
electron. Limits on the mass of the fourth-generation quarks and the relevant
Cabibbo-Kobayashi-Maskawa matrix elements are derived in the context of a
simple extension of the standard model with a sequential fourth generation of
fermions. The existence of mass-degenerate fourth-generation quarks with masses
below 685 GeV is excluded at 95% confidence level for minimal off-diagonal
mixing between the third- and the fourth-generation quarks. With a mass
difference of 25 GeV between the quark masses, the obtained limit on the masses
of the fourth-generation quarks shifts by about +/- 20 GeV. These results
significantly reduce the allowed parameter space for a fourth generation of
fermions.Comment: Replaced with published version. Added journal reference and DO
Search for anomalous t t-bar production in the highly-boosted all-hadronic final state
A search is presented for a massive particle, generically referred to as a
Z', decaying into a t t-bar pair. The search focuses on Z' resonances that are
sufficiently massive to produce highly Lorentz-boosted top quarks, which yield
collimated decay products that are partially or fully merged into single jets.
The analysis uses new methods to analyze jet substructure, providing
suppression of the non-top multijet backgrounds. The analysis is based on a
data sample of proton-proton collisions at a center-of-mass energy of 7 TeV,
corresponding to an integrated luminosity of 5 inverse femtobarns. Upper limits
in the range of 1 pb are set on the product of the production cross section and
branching fraction for a topcolor Z' modeled for several widths, as well as for
a Randall--Sundrum Kaluza--Klein gluon. In addition, the results constrain any
enhancement in t t-bar production beyond expectations of the standard model for
t t-bar invariant masses larger than 1 TeV.Comment: Submitted to the Journal of High Energy Physics; this version
includes a minor typo correction that will be submitted as an erratu
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