2,094 research outputs found
Evaluation of vaccine effectiveness in older adults using routinely collected data: a quasi-experimental approach
Vaccination of older adults is a key component of public health policy, but further evidence is required to understand its effectiveness in practice. Electronic health records (EHRs) present a potential alternative to the gold-standard evidence of clinical trials, particularly for populations, such as older adults, who may be under-represented in trials due to ethical and practical constraints in recruitment. Importantly, EHRs also allow the real-world study of an intervention as it is delivered in practice, and its effect in clinically important sub-groups. However, EHRs are not purposed to collect informaton on confounders, which may bias results from the analyisis of routinely-collected data. This motivated my review of quasi-experimental (QE) methods as a means of indirectly adjusting for confounding. My published methodological review found that the longitudinal information available in EHRs offer many opportunities for mitigating against confounding bias, but many methods may be under-utilised. The prior event rate ratio (PERR) and its alternative formulation, described under the Pairwise framework, is a recently developed method that utilises longitudinal information. This before-and-after approach can be applied to rate and survival data, allowing an easy comparison to many trial results. The data on vaccination in UK older adults was also the basis for further study of the performance and limitations of the method beyond exisiting simulation studies. Through comparison to weighted regression, I demonstrated how the source of confounding and robustness of the results could be explored. In a novel application of the PERR and Pairwise methods to interactions, I investigated the effectiveness of the pneumococcal vaccine in older patients, and found evidence for an increase in effectiveness with age across the years of policy implementation, 2003-2005. In my investigation of the influenza vaccine in annual cohorts from 1997 to 2011, I found consistent evidence of a moderately protective effect against myocardial infarction, but that this may decrease with age. The evidence also indicated a protective effect against influenza itself, but no age trend in its effectiveness was detected
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The circulatory impact of dust from dust profile assimilation
We present results from a reanalysis of temperatures, dust columns and dust vertical profiles focussing on the assimilation, distribution and transport of dust in the martian atmosphere. The assimilation of dust vertical information in particular is a valuable technique which has been shown to be of vital importance to a successful assimilation of the martian atmosphere, with the vertical representation of the dust distribution having a critical effect on assimilation results generally.
Atmospheric dust is a key driver of the martian circulation. Dust-induced heating and cooling is a potential feedback mechanism for dust lifting, for example, and can modify the circulation to either enhance or suppress dust storm activity. Accurately representing its complex spatial and temporal distribution is therefore crucial for understanding Marsâ atmospheric dynamics and transport
Separating true range measurements from multi-path and scattering interference in commercial range cameras
Time-of-flight range cameras acquire a three-dimensional image of a scene simultaneously for all pixels from a single viewing location. Attempts to use range cameras for metrology applications have been hampered by the multi-path problem, which causes range distortions when stray light interferes with the range measurement in a given pixel. Correcting multi-path distortions by post-processing the three-dimensional measurement data has been investigated, but enjoys limited success because the interference is highly scene dependent. An alternative approach based on separating the strongest and weaker sources of light returned to each pixel, prior to range decoding, is more successful, but has only been demonstrated on custom built range cameras, and has not been suitable for general metrology applications. In this paper we demonstrate an algorithm applied to both the Mesa Imaging SR-4000 and Canesta Inc. XZ-422 Demonstrator unmodified off-the-shelf range cameras. Additional raw images are acquired and processed using an optimization approach, rather than relying on the processing provided by the manufacturer, to determine the individual component returns in each pixel. Substantial improvements in accuracy are observed, especially in the darker regions of the scene
Studies in Clinical Psychology
The manuscript of which this issue is the first part, contains studies by nine graduate students made under the direction of Dr. George A. Kelly, Director of the Fort Hays State College Clinic, and consists of 243 pages. The manuscript will be published in three or four parts.https://scholars.fhsu.edu/fort_hays_studies_series/1046/thumbnail.jp
Discovering Valuable Items from Massive Data
Suppose there is a large collection of items, each with an associated cost
and an inherent utility that is revealed only once we commit to selecting it.
Given a budget on the cumulative cost of the selected items, how can we pick a
subset of maximal value? This task generalizes several important problems such
as multi-arm bandits, active search and the knapsack problem. We present an
algorithm, GP-Select, which utilizes prior knowledge about similarity be- tween
items, expressed as a kernel function. GP-Select uses Gaussian process
prediction to balance exploration (estimating the unknown value of items) and
exploitation (selecting items of high value). We extend GP-Select to be able to
discover sets that simultaneously have high utility and are diverse. Our
preference for diversity can be specified as an arbitrary monotone submodular
function that quantifies the diminishing returns obtained when selecting
similar items. Furthermore, we exploit the structure of the model updates to
achieve an order of magnitude (up to 40X) speedup in our experiments without
resorting to approximations. We provide strong guarantees on the performance of
GP-Select and apply it to three real-world case studies of industrial
relevance: (1) Refreshing a repository of prices in a Global Distribution
System for the travel industry, (2) Identifying diverse, binding-affine
peptides in a vaccine de- sign task and (3) Maximizing clicks in a web-scale
recommender system by recommending items to users
The impact of myosteatosis on outcomes following surgery for gastrointestinal malignancy: a meta-analysis.
INTRODUCTION: The aim of this review was to evaluate the impact of preoperative myosteatosis on long-term outcomes following surgery for gastrointestinal malignancy. METHODS: We conducted a systematic search of the electronic information sources, including PubMed MEDLINE, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), CINAHL and AMED. Studies were included if they reported the impact of preoperatively defined myosteatosis, or a similar term, on long-term survival outcomes following surgery for gastrointestinal malignancy. A subgroup analysis was performed for those studies reporting outcomes for colorectal cancer patients only. FINDINGS: Thirty-nine full-text articles were reviewed for inclusion, with 19 being retained after the inclusion criteria were applied. The total number of included patients across all studies was 14,481. Patients with myosteatosis had significantly poorer overall survival, according to univariate (hazard ratio (HR) 1.82, 95% confidence interval (CI) 1.67-1.99) and multivariable (HR 1.66, 95% CI 1.49-1.86) analysis. This was also demonstrated for cancer-specific survival (univariate HR 1.62, 95% CI 1.18-2.22; multivariable HR 1.73, 95% CI 1.48-2.03) and recurrence-free survival (univariate HR 1.28, 95% CI 1.10-1.48; multivariable HR 1.38, 95% CI 1.07-1.77). CONCLUSIONS: This meta-analysis demonstrates that patients with preoperative myosteatosis have poorer long-term survival outcomes following surgery for gastrointestinal malignancy. Therefore, myosteatosis should be used for preoperative optimisation and as a prognostic tool before surgery. More standardised definitions of myosteatosis and further cohort studies of patients with non-colorectal malignancies are required
Wakefield-Induced Ionization injection in beam-driven plasma accelerators
We present a detailed analysis of the features and capabilities of
Wakefield-Induced Ionization (WII) injection in the blowout regime of beam
driven plasma accelerators. This mechanism exploits the electric wakefields to
ionize electrons from a dopant gas and trap them in a well-defined region of
the accelerating and focusing wake phase, leading to the formation of
high-quality witness-bunches [Martinez de la Ossa et al., Phys. Rev. Lett. 111,
245003 (2013)]. The electron-beam drivers must feature high-peak currents
() and a duration comparable to the plasma
wavelength to excite plasma waves in the blowout regime and enable WII
injection. In this regime, the disparity of the magnitude of the electric field
in the driver region and the electric field in the rear of the ion cavity
allows for the selective ionization and subsequent trapping from a narrow phase
interval. The witness bunches generated in this manner feature a short duration
and small values of the normalized transverse emittance (). In addition, we show that the amount of injected
charge can be adjusted by tuning the concentration of the dopant gas species,
which allows for controlled beam loading and leads to a reduction of the total
energy spread of the witness beams. Electron bunches, produced in this way,
fulfil the requirements to drive blowout regime plasma wakes at a higher
density and to trigger WII injection in a second stage. This suggests a
promising new concept of self-similar staging of WII injection in steps with
increasing plasma density, giving rise to the potential of producing electron
beams with unprecedented energy and brilliance from plasma-wakefield
accelerators
Useful applications of earth-oriented satellites - Systems for remote-sensing information and distribution, panel 8
Problems and potential use of data gathered by remote sensing from satellites or aircraf
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