1,028 research outputs found
The use of implicit evidence for relevance feedback in web retrieval
In this paper we report on the application of two contrasting types of relevance feedback for web retrieval. We compare two systems; one using explicit relevance feedback (where searchers explicitly have to mark documents relevant) and one using implicit relevance feedback (where the system endeavours to estimate relevance by mining the searcher's interaction). The feedback is used to update the display according to the user's interaction. Our research focuses on the degree to which implicit evidence of document relevance can be substituted for explicit evidence. We examine the two variations in terms of both user opinion and search effectiveness
Point-Focus Concentration Compact Telescoping Array: EESP Option 1 Phase Final Report for Public Release
Orbital ATK, in partnership with Mark ONeill LLC (MOLLC) and SolAero Technologies Corp., has developed a novel solar array platform, PFC-CTA, which provides a significant advance in performance and cost reduction compared to all currently available space solar systems. PFC refers to the Point Focus Concentration of light provided by MOLLCs thin, flat Fresnel optics. These lenses focus light to a point of approximately 100 times the intensity of the ambient light, onto a solar cell of approximately 1/25th the size of the lens. CTA stands for Compact Telescoping Array1, which is the solar array blanket structural platform originally devised by NASA and currently being advanced by Orbital ATK and partners under NASA and AFRL funding to a projected TRL 5+ by late-2018. The NASA Game Changing Development Extreme Environment Solar Power (EESP) Option 1 Phase study has enabled Orbital ATK to generate and refine component designs, perform component level and system performance analyses, and test prototype hardware of the key elements of PFC-CTA, and increased the TRL of PFC-specific technology elements to TRL ~5. Key performance metrics currently projected are as follows: Scalability from 300 kW per wing (AM0); Specific Power > 250 W/kg (BoL, AM0); Stowage Efficiency > 60 kW/m3; 5:1 margin on pointing tolerance vs. capability; >50% launched cost savings; Wide range of operability between Venus and Saturn by active and/or passive thermal management
Point-Focus Concentration Compact Telescoping Array: Extreme Environments Solar Power Base Phase Final Report
Orbital ATK, in partnership with Mark ONeill LLC (MOLLC), has developed a novel solar array platform, PFC-CTA, which provides a significant advance in performance and cost reduction compared to all currently available space solar systems. PFC refers to the Point Focus Concentration of light provided by MOLLCs thin, flat Fresnel optics. These lenses focus light to a point of approximately 100 times the intensity of the ambient light, onto a solar cell of approximately 125th the size of the lens. CTA stands for Compact Telescoping Array, which is the solar array blanket structural platform originally devised by NASA and currently being advanced by Orbital ATK and partners under NASA and AFRL funding to a projected TRL 5+ by late-2018.The NASA Game Changing Development Extreme Environment Solar Power (EESP) Base Phase study has enabled Orbital ATK to refine component designs, perform component level and system performance analyses, and test prototype hardware of the key elements of PFC-CTA, and increased the TRL of PFC-specific technology elements to TRL 4. Key performance metrics currently projected are as follows: Scalability from 5 kW to 300 kW per wing (AM0); Specific Power 500 Wkg (AM0); Stowage Efficiency 100 kWm3; 5:1 margin on pointing tolerance vs. capability; 50 launched cost savings; Wide range of operability between Venus and Saturn by active andor passive thermal management
Clientes, cidadãos, pacientes: reflexões sobre as múltiplas lógicas de cuidado na atenção à saúde
Este ensaio tem por objetivo contribuir para a discussão sobre o cuidado na atenção à saúde, trazendo aportes da psicologia social discursiva em diálogo com a teoria ator-rede. Com base nas considerações da filósofa Annemarie Mol, propomos que diversas lógicas sobre o cuidado estão presentes nas interações entre profissionais e pessoas que com eles e elas interagem. Mol contrasta duas maneiras de lidar com a doença: a lógica do cuidado e a da escolha. E, mais especificamente, duas modalidades de escolha: a vertente do mercado, na qual pacientes são situados como clientes; e a vertente da cidadania, na qual os pacientes são considerados cidadãos portadores de direitos. Sendo a prática em saúde uma rede heterogênea de atores, essas distintas lógicas são acionadas em diferentes momentos, posicionando profissionais e usuários ora como pacientes, ora como cidadãos, ora como consumidores de produtos e serviços. Concluímos com a provocação de que temos de aprender a conviver com a polissemia de repertórios que circulam nos espaços que habitamos cotidianamente e com a fluidez dos jogos de posicionamento: reconhecer a partir de que posições nossos interlocutores falam e em que posições somos colocados
A Novel Long-Acting Human Growth Hormone Fusion Protein (VRS-317): Enhanced In Vivo Potency and Half-Life
ABSTRACT:A novel recombinant human growth hormone (rhGH) fusion protein (VRS-317) was designed to minimize receptor-mediated clearance through a reduction in receptor binding without mutations to rhGH by genetically fusing with XTEN amino acid sequences to the N-terminus and the C-terminus of the native hGH sequence. Although in vitro potency of VRS-317 was reduced approximately 12-fold compared with rhGH, in vivo potency was increased because of the greatly prolonged exposure to the target tissues and organs. VRS-317 was threefold more potent than daily rhGH in hypophysectomized rats and fivefold more potent than daily rhGH in juvenile monkeys. In juvenile monkeys, a monthly dose of 1.4mg/kg VRS-317 (equivalent to 0.26mg/kg rhGH) caused a sustained pharmacodynamic response for 1month equivalent to 0.05mg/kg/day rhGH (1.4mg/kg rhGH total over 28days). In monkeys, VRS-317, having a terminal elimination half-life of approximately 110h, was rapidly and near-completely absorbed, and was well tolerated with no observed adverse effects after every alternate week subcutaneous dosing for 14weeks. VRS-317 also did not cause lipoatrophy in pig and monkey studies. VRS-317 is currently being studied in GH-deficient patients to confirm the observations in these animal studies. © 2012 Wiley Periodicals, Inc. and the American Pharmacists Associatio
Validity of self-assessment of hallux valgus using the Manchester scale
<p>Abstract</p> <p>Background</p> <p>Hallux valgus (HV) is a common condition involving the progressive subluxation of the first metatarsophalangeal joint due to lateral deviation of the hallux and medial deviation of the first metatarsal. The objective of this study was to evaluate the re-test reliability and validity of self-assessment of HV using a simple clinical screening tool involving four standardised photographs (the Manchester scale), in order to determine whether this tool could be used for postal surveys of the condition.</p> <p>Methods</p> <p>HV was assessed with the Manchester scale in 138 people aged 65 to 93 years of age (102 women and 36 men) as part of a larger randomised controlled trial. At the six month follow-up assessment, HV was reassessed to determine re-test reliability, and participants were asked to self-assess their degree of HV independent of the examiners. Associations between (i) baseline and follow-up assessments of the examiners and (ii) participant and examiner assessments were performed using weighted kappa statistics. Analyses were then repeated after HV was dichotomised as present or absent using unweighted kappa, and sensitivity and specificity of self-assessment of HV was determined.</p> <p>Results</p> <p>Re-test reliability of the examiners was substantial to almost perfect (weighted kappa = 0.78 to 0.90), and there was a substantial level of agreement between observations of the participants and the examiners (weighted kappa = 0.71 to 0.80). Overall, there was a slight tendency for participants to rate their HV as less severe than the examiners. When the Manchester scale scores were dichotomised, agreement was substantial to almost perfect for both re-test comparisons (kappa = 0.80 to 0.89) and substantial for comparisons between participants and examiners (kappa = 0.64 to 0.76). The sensitivity and specificity of self-assessment of HV using the dichotomous scale were 85 and 88%, respectively.</p> <p>Conclusions</p> <p>The Manchester scale demonstrates high re-test reliability, and self-assessment scores obtained by participants are strongly associated with scores obtained by examiners. These findings indicate that the tool can be used with confidence in postal surveys to document the presence and severity of HV.</p> <p>Trial registration</p> <p>ACTRN12608000065392</p
An evaluation of seasonal variations in footwear worn by adults with inflammatory arthritis: a cross-sectional observational study using a web-based survey
Background: Foot problems are common in adults with inflammatory arthritis and therapeutic footwear can be
effective in managing arthritic foot problems. Accessing appropriate footwear has been identified as a major barrier,
resulting in poor adherence to treatment plans involving footwear. Indeed, previous New Zealand based studies
found that many people with rheumatoid arthritis and gout wore inappropriate footwear. However, these studies
were conducted in a single teaching hospital during the New Zealand summer therefore the findings may not be
representative of footwear styles worn elsewhere in New Zealand, or reflect the potential influence of seasonal
climate changes. The aim of the study was to evaluate seasonal variations in footwear habits of people with
inflammatory arthritic conditions in New Zealand.
Methods: A cross-sectional study design using a web-based survey. The survey questions were designed to elicit
demographic and clinical information, features of importance when choosing footwear and seasonal footwear
habits, including questions related to the provision of therapeutic footwear/orthoses and footwear experiences.
Results: One-hundred and ninety-seven participants responded who were predominantly women of European
descent, aged between 46–65 years old, from the North Island of New Zealand. The majority of participants
identified with having either rheumatoid arthritis (35%) and/or osteoarthritis (57%) and 68% reported established
disease (>5 years duration). 18% of participants had been issued with therapeutic footwear. Walking and athletic
shoes were the most frequently reported footwear type worn regardless of the time of year. In the summer,
42% reported wearing sandals most often. Comfort, fit and support were reported most frequently as the footwear
features of greatest importance. Many participants reported difficulties with footwear (63%), getting hot feet in the
summer (63%) and the need for a sandal which could accommodate a supportive insole (73%).
Conclusions: Athletic and walking shoes were the most popular style of footwear reported regardless of seasonal
variation. During the summer season people with inflammatory arthritis may wear sandals more frequently in
order to accommodate disease-related foot deformity. Healthcare professionals and researchers should consider
seasonal variation when recommending appropriate footwear, or conducting footwear studies in people with
inflammatory arthritis, to reduce non-adherence to prescribed footwear
Reaction products and the X-ray structure of AmpDh2, a virulence determinant of Pseudomonas aeruginosa
4 pags, 4 figs. -- Supporting Information is available at the Publisher web.The zinc protease AmpDh2 is a virulence determinant of Pseudomonas aeruginosa, a problematic human pathogen. The mechanism of how the protease manifests virulence is not known, but it is known that it turns over the bacterial cell wall. The reaction of AmpDh2 with the cell wall was investigated, and nine distinct turnover products were characterized by LC/MS/MS. The enzyme turns over both the cross-linked and noncross-linked cell wall. Three high-resolution X-ray structures, the apo enzyme and two complexes with turnover products, were solved. The X-ray structures show how the dimeric protein interacts with the inner leaflet of the bacterial outer membrane and that the two monomers provide a more expansive surface for recognition of the cell wall. This binding surface can accommodate the 3D solution structure of the cross-linked cell wall. © 2013 American Chemical Society.This work was supported by a grant from the NIH (GM61629) and by grants BFU2011-25326 (the Spanish Ministry of Economy and Competitiveness) and S2010/BMD-2457 (the Government of Community of Madrid). The Mass Spectrometry & Proteomics Facility of the University of Notre Dame is supported by grant CHE0741793 from the NSF
Predictors of adherence to a multifaceted podiatry intervention for the prevention of falls in older people
<p>Abstract</p> <p>Background</p> <p>Despite emerging evidence that foot problems and inappropriate footwear increase the risk of falls, there is little evidence as to whether foot-related intervention strategies can be successfully implemented. The aim of this study was to evaluate adherence rates, barriers to adherence, and the predictors of adherence to a multifaceted podiatry intervention for the prevention of falls in older people.</p> <p>Methods</p> <p>The intervention group (n = 153, mean age 74.2 years) of a randomised trial that investigated the effectiveness of a multifaceted podiatry intervention to prevent falls was assessed for adherence to the three components of the intervention: (i) foot orthoses, (ii) footwear advice and footwear cost subsidy, and (iii) a home-based foot and ankle exercise program. Adherence to each component and the barriers to adherence were documented, and separate discriminant function analyses were undertaken to identify factors that were significantly and independently associated with adherence to the three intervention components.</p> <p>Results</p> <p>Adherence to the three components of the intervention was as follows: foot orthoses (69%), footwear (54%) and home-based exercise (72%). Discriminant function analyses identified that being younger was the best predictor of orthoses use, higher physical health status and lower fear of falling were independent predictors of footwear adherence, and higher physical health status was the best predictor of exercise adherence. The predictive accuracy of these models was only modest, with 62 to 71% of participants correctly classified.</p> <p>Conclusions</p> <p>Adherence to a multifaceted podiatry intervention in this trial ranged from 54 to 72%. People with better physical health, less fear of falling and a younger age exhibited greater adherence, suggesting that strategies need to be developed to enhance adherence in frailer older people who are most at risk of falling.</p> <p>Trial registration</p> <p>Australian New Zealand Clinical Trials Registry <a href="http://www.anzctr.org.au/ACTRN12608000065392.aspx">ACTRN12608000065392</a>.</p
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