3,092 research outputs found
Assessment of best single sample for finding chlamydia in women with and without symptoms: a diagnostic test study
Objective: to compare vulvovaginal swabs with endocervical swabs as optimal diagnostic sample for detection of Chlamydia trachomatis infection. Design: a diagnostic test study. Setting: an urban sexual health centre. Participants: 3973 women aged ≥16 years requesting testing for sexually transmitted infections. Interventions: participants took a vulvovaginal swab before routine examination, and clinicians took an endocervical swab during examination. Main outcome measure: diagnosis of chlamydia infection with samples analysed using the Aptima Combo-2 assay; positive results confirmed with the Aptima CT assay. Results: of the 3973 participants, 410 (10.3%) were infected with C trachomatis. Infected women were significantly younger (22 v 25 years, P<0.0001) and more likely to have symptoms suggestive of a bacterial sexually transmitted infection (53% v 41%, odds ratio 1.63 (95% CI 1.30 to 2.04)), be a contact of someone with a sexually transmitted infection (25% v 5%, odds ratio 6.18 (4.61 to 8.30)), clinically diagnosed with cervicitis (17% v 4%, odds ratio 4.92 (3.50 to 6.91)), and have pelvic inflammatory disease (9% v 3%, odds ratio 2.85 (1.87 to 4.33)). When women co-infected with gonorrhoea were included in the analysis, there was an association with mixed ethnicity (10% v 7%, odds ratio 1.53 (1.07 to 2.17)); but when those with gonorrhoea were removed, women of white ethnicity were significantly more likely to have chlamydia (85% v 80%, odds ratio 1.40 (1.03 to 1.91)). On analysis of complete paired results, vulvovaginal swabs were significantly more sensitive than endocervical swabs (97% (95% CI 95% to 98%) v 88% (85% to 91%), P<0.00001); corresponding specificities were 99.9% and 100%. In women with symptoms suggestive of a bacterial sexually transmitted infection, vulvovaginal swabs were significantly more sensitive than endocervical swabs (97% (93% to 98%) v 88% (83% to 92%), P=0.0008), as they were in women without symptoms (97% (94% to 99%) v 89% (84% to 93%), P=0.002). Conclusions: vulvovaginal swabs are significantly better than endocervical swabs at detecting chlamydia in women with and without symptoms suggestive of sexually transmitted infections. In those with symptoms, using endocervical samples rather than vulvovaginal swabs would have missed 9% of infections, or 1 in every 11 cases of chlamydia
Ecological IVIS design : using EID to develop a novel in-vehicle information system
New in-vehicle information systems (IVIS) are emerging which purport to encourage more environment friendly or ‘green’ driving. Meanwhile, wider concerns about road safety and in-car distractions remain. The ‘Foot-LITE’ project is an effort to balance these issues, aimed at achieving safer and greener driving through real-time driving information, presented via an in-vehicle interface which facilitates the desired behaviours while avoiding negative consequences. One way of achieving this is to use ecological interface design (EID) techniques. This article presents part of the formative human-centred design process for developing the in-car display through a series of rapid prototyping studies comparing EID against conventional interface design principles. We focus primarily on the visual display, although some development of an ecological auditory display is also presented. The results of feedback from potential users as well as subject matter experts are discussed with respect to implications for future interface design in this field
Identifying Boosted Objects with N-subjettiness
We introduce a new jet shape -- N-subjettiness -- designed to identify
boosted hadronically-decaying objects like electroweak bosons and top quarks.
Combined with a jet invariant mass cut, N-subjettiness is an effective
discriminating variable for tagging boosted objects and rejecting the
background of QCD jets with large invariant mass. In efficiency studies of
boosted W bosons and top quarks, we find tagging efficiencies of 30% are
achievable with fake rates of 1%. We also consider the discovery potential for
new heavy resonances that decay to pairs of boosted objects, and find
significant improvements are possible using N-subjettiness. In this way,
N-subjettiness combines the advantages of jet shapes with the discriminating
power seen in previous jet substructure algorithms.Comment: 26 pages, 26 figures, 2 tables; v2: references added; v3: discussion
of results extende
Parton Fragmentation within an Identified Jet at NNLL
The fragmentation of a light parton i to a jet containing a light energetic
hadron h, where the momentum fraction of this hadron as well as the invariant
mass of the jet is measured, is described by "fragmenting jet functions". We
calculate the one-loop matching coefficients J_{ij} that relate the fragmenting
jet functions G_i^h to the standard, unpolarized fragmentation functions D_j^h
for quark and gluon jets. We perform this calculation using various IR
regulators and show explicitly how the IR divergences cancel in the matching.
We derive the relationship between the coefficients J_{ij} and the quark and
gluon jet functions. This provides a cross-check of our results. As an
application we study the process e+ e- to X pi+ on the Upsilon(4S) resonance
where we measure the momentum fraction of the pi+ and restrict to the dijet
limit by imposing a cut on thrust T. In our analysis we sum the logarithms of
tau=1-T in the cross section to next-to-next-to-leading-logarithmic accuracy
(NNLL). We find that including contributions up to NNLL (or NLO) can have a
large impact on extracting fragmentation functions from e+ e- to dijet + h.Comment: expanded introduction, typos fixed, journal versio
Non-global Structure of the O({\alpha}_s^2) Dijet Soft Function
High energy scattering processes involving jets generically involve matrix
elements of light- like Wilson lines, known as soft functions. These describe
the structure of soft contributions to observables and encode color and
kinematic correlations between jets. We compute the dijet soft function to
O({\alpha}_s^2) as a function of the two jet invariant masses, focusing on
terms not determined by its renormalization group evolution that have a
non-separable dependence on these masses. Our results include non-global single
and double logarithms, and analytic results for the full set of non-logarithmic
contributions as well. Using a recent result for the thrust constant, we
present the complete O({\alpha}_s^2) soft function for dijet production in both
position and momentum space.Comment: 55 pages, 8 figures. v2: extended discussion of double logs in the
hard regime. v3: minor typos corrected, version published in JHEP. v4: typos
in Eq. (3.33), (3.39), (3.43) corrected; this does not affect the main
result, numerical results, or conclusion
Favorable outcome of early treatment of new onset child and adolescent migraine-implications for disease modification.
There is evidence that the prevalence of migraine in children and adolescents may be increasing. Current theories of migraine pathophysiology in adults suggest activation of central cortical and brainstem pathways in conjunction with the peripheral trigeminovascular system, which ultimately results in release of neuropeptides, facilitation of central pain pathways, neurogenic inflammation surrounding peripheral vessels, and vasodilatation. Although several risk factors for frequent episodic, chronic, and refractory migraine have been identified, the causes of migraine progression are not known. Migraine pathophysiology has not been fully evaluated in children. In this review, we will first discuss the evidence that early therapeutic interventions in the child or adolescent new onset migraineur, may halt or limit progression and disability. We will then review the evidence suggesting that many adults with chronic or refractory migraine developed their migraine as children or adolescents and may not have been treated adequately with migraine-specific therapy. Finally, we will show that early, appropriate and optimal treatment of migraine during childhood and adolescence may result in disease modification and prevent progression of this disease
The Quark Beam Function at NNLL
In hard collisions at a hadron collider the most appropriate description of
the initial state depends on what is measured in the final state. Parton
distribution functions (PDFs) evolved to the hard collision scale Q are
appropriate for inclusive observables, but not for measurements with a specific
number of hard jets, leptons, and photons. Here the incoming protons are probed
and lose their identity to an incoming jet at a scale \mu_B << Q, and the
initial state is described by universal beam functions. We discuss the
field-theoretic treatment of beam functions, and show that the beam function
has the same RG evolution as the jet function to all orders in perturbation
theory. In contrast to PDF evolution, the beam function evolution does not mix
quarks and gluons and changes the virtuality of the colliding parton at fixed
momentum fraction. At \mu_B, the incoming jet can be described perturbatively,
and we give a detailed derivation of the one-loop matching of the quark beam
function onto quark and gluon PDFs. We compute the associated NLO Wilson
coefficients and explicitly verify the cancellation of IR singularities. As an
application, we give an expression for the next-to-next-to-leading logarithmic
order (NNLL) resummed Drell-Yan beam thrust cross section.Comment: 54 pages, 9 figures; v2: notation simplified in a few places, typos
fixed; v3: journal versio
Digital PCR methods improve detection sensitivity and measurement precision of low abundance mtDNA deletions
Mitochondrial DNA (mtDNA) mutations are a common cause of primary mitochondrial disorders, and have also been implicated in a broad collection of conditions, including aging, neurodegeneration, and cancer. Prevalent among these pathogenic variants are mtDNA deletions, which show a strong bias for the loss of sequence in the major arc between, but not including, the heavy and light strand origins of replication. Because individual mtDNA deletions can accumulate focally, occur with multiple mixed breakpoints, and in the presence of normal mtDNA sequences, methods that detect broad-spectrum mutations with enhanced sensitivity and limited costs have both research and clinical applications. In this study, we evaluated semi-quantitative and digital PCR-based methods of mtDNA deletion detection using double-stranded reference templates or biological samples. Our aim was to describe key experimental assay parameters that will enable the analysis of low levels or small differences in mtDNA deletion load during disease progression, with limited false-positive detection. We determined that the digital PCR method significantly improved mtDNA deletion detection sensitivity through absolute quantitation, improved precision and reduced assay standard error
Jet Shapes and Jet Algorithms in SCET
Jet shapes are weighted sums over the four-momenta of the constituents of a
jet and reveal details of its internal structure, potentially allowing
discrimination of its partonic origin. In this work we make predictions for
quark and gluon jet shape distributions in N-jet final states in e+e-
collisions, defined with a cone or recombination algorithm, where we measure
some jet shape observable on a subset of these jets. Using the framework of
Soft-Collinear Effective Theory, we prove a factorization theorem for jet shape
distributions and demonstrate the consistent renormalization-group running of
the functions in the factorization theorem for any number of measured and
unmeasured jets, any number of quark and gluon jets, and any angular size R of
the jets, as long as R is much smaller than the angular separation between
jets. We calculate the jet and soft functions for angularity jet shapes \tau_a
to one-loop order (O(alpha_s)) and resum a subset of the large logarithms of
\tau_a needed for next-to-leading logarithmic (NLL) accuracy for both cone and
kT-type jets. We compare our predictions for the resummed \tau_a distribution
of a quark or a gluon jet produced in a 3-jet final state in e+e- annihilation
to the output of a Monte Carlo event generator and find that the dependence on
a and R is very similar.Comment: 62 pages plus 21 pages of Appendices, 13 figures, uses JHEP3.cls. v2:
corrections to finite parts of NLO jet functions, minor changes to plots,
clarified discussion of power corrections. v3: Journal version. Introductory
sections significantly reorganized for clarity, classification of logarithmic
accuracy clarified, results for non-Mercedes-Benz configurations adde
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