1,029 research outputs found
Evidence for a dynamical ground state in the frustrated pyrohafnate Tb2Hf2O7
We report the physical properties of Tb2Hf2O7 based on ac magnetic
susceptibility \chi_ac(T), dc magnetic susceptibility \chi(T), isothermal
magnetization M(H), and heat capacity C_p(T) measurements combined with muon
spin relaxation (\muSR) and neutron powder diffraction measurements. No
evidence for long-range magnetic order is found down to 0.1 K. However,
\chi_ac(T) data present a frequency-dependent broad peak (near 0.9 K at 16 Hz)
indicating slow spin dynamics. The slow spin dynamics is further evidenced from
the \muSR data (characterized by a stretched exponential behavior) which show
persistent spin fluctuations down to 0.3 K. The neutron powder diffraction data
collected at 0.1 K show a broad peak of magnetic origin (diffuse scattering)
but no magnetic Bragg peaks. The analysis of the diffuse scattering data
reveals a dominant antiferromagnetic interaction in agreement with the negative
Weiss temperature. The absence of long-range magnetic order and the presence of
slow spin dynamics and persistent spin fluctuations together reflect a
dynamical ground state in Tb2Hf2O7.Comment: 11 pages and 8 figure
Estimating the number needed to treat from continuous outcomes in randomised controlled trials: methodological challenges and worked example using data from the UK Back Pain Exercise and Manipulation (BEAM) trial
Background
Reporting numbers needed to treat (NNT) improves interpretability of trial results. It is unusual that continuous outcomes are converted to numbers of individual responders to treatment (i.e., those who reach a particular threshold of change); and deteriorations prevented are only rarely considered. We consider how numbers needed to treat can be derived from continuous outcomes; illustrated with a worked example showing the methods and challenges.
Methods
We used data from the UK BEAM trial (n = 1, 334) of physical treatments for back pain; originally reported as showing, at best, small to moderate benefits. Participants were randomised to receive 'best care' in general practice, the comparator treatment, or one of three manual and/or exercise treatments: 'best care' plus manipulation, exercise, or manipulation followed by exercise. We used established consensus thresholds for improvement in Roland-Morris disability questionnaire scores at three and twelve months to derive NNTs for improvements and for benefits (improvements gained+deteriorations prevented).
Results
At three months, NNT estimates ranged from 5.1 (95% CI 3.4 to 10.7) to 9.0 (5.0 to 45.5) for exercise, 5.0 (3.4 to 9.8) to 5.4 (3.8 to 9.9) for manipulation, and 3.3 (2.5 to 4.9) to 4.8 (3.5 to 7.8) for manipulation followed by exercise. Corresponding between-group mean differences in the Roland-Morris disability questionnaire were 1.6 (0.8 to 2.3), 1.4 (0.6 to 2.1), and 1.9 (1.2 to 2.6) points.
Conclusion
In contrast to small mean differences originally reported, NNTs were small and could be attractive to clinicians, patients, and purchasers. NNTs can aid the interpretation of results of trials using continuous outcomes. Where possible, these should be reported alongside mean differences. Challenges remain in calculating NNTs for some continuous outcomes
Development of learning objectives for neurology in a veterinary curriculum: Part II: Postgraduates
Background:
Specialization in veterinary medicine in Europe is organized through the Colleges of the European Board of Veterinary Specialization. To inform updating of the curriculum for residents of the European College of Veterinary Neurology (ECVN) job analysis was used. Defining job competencies of diploma holders in veterinary neurology can be used as references for curriculum design of resident training. With the support of the diplomates of the ECVN and the members of the European Society of Veterinary Neurology (ESVN) a mixed-method research, including a qualitative search of objectives and quantitative ranking with 149 Likert scale questions and 48 free text questions in 9 categories in a survey was conducted. In addition, opinions of different groups were subjected to statistical analysis and the result compared.
Results:
A return rate of 62% (n = 213/341) was achieved. Of the competencies identified by the Delphi process, 75% objectives were expected to attain expert level; 24% attain advanced level; 1% entry level. In addition, the exercise described the 11 highly ranked competencies, the 3 most frequently seen diseases of the central and peripheral nervous systems and the most frequently used immunosuppressive, antiepileptic and chemotherapeutic drugs.
Conclusion:
The outcomes of this “Delphi job analysis” provide a powerful tool to align the curriculum for ECVN resident training and can be adapted to the required job competencies, based on expectations. The expectation is that for majority of these competencies diplomates should attain an expert level. Besides knowledge and clinical skills, residents and diplomates are expected to demonstrate high standards in teaching and communication. The results of this study will help to create a European curriculum for postgraduate education in veterinary neurology
Feasibility of sedation and analgesia interruption following cannulation in neonates on extracorporeal membrane oxygenation
Purpose: In most extracorporeal membrane oxygenation (ECMO) centers patients are heavily sedated to prevent accidental decannulation and bleeding complications. In ventilated adults not on ECMO, daily sedation interruption protocols improve short- and long-term outcome. This study aims to evaluate safety and feasibility of sedation interruption following cannulation in neonates on ECMO. Methods: Prospective observational study in 20 neonates (0.17-5.8 days of age) admitted for ECMO treatment. Midazolam (n = 20) and morphine (n = 18) infusions were discontinued within 30 min after cannulation. Pain and sedation were regularly assessed using COMFORT-B and visual analog scale (VAS) scores. Midazolam and/or morphine were restarted and titrated according to protocolized treatment algorithms. Results: Median (interquartile range, IQR) time without any sedatives was 10.3 h (5.0-24.1 h). Median interruption duration for midazolam was 16.5 h (6.6-29.6 h), and for morphine was 11.2 h (6.7-39.4 h). During this period no accidental extubations, decannulations or bleeding complications occurred. Conclusions: This is the first study to show that interruption of sedatives and analgesics following cannulation in neonates on ECMO is safe and feasible. Interruption times are 2-3 times longer than reported for adult ICU patients not on ECMO. Further trials are needed to substantiate these findings and evaluate short- and long-term outcomes
“Четвертий поділ” Польщі і встановлення радянського тоталітарного режиму в Західній Україні
The present article was based on the unknown documents of the Branch state archive of Security service of Ukraine and showed the first phase so called “sovietizashion” (establishment of Soviet regim) of Western Ukraine after being joined to the USSR in the September 1939. The author investigeted the measures used to arrange the 800-meter borderland between the USSR and Third Reich
Dynamic compartmentalization of bacteria: accurate division in E. coli
Positioning of the midcell division plane within the bacterium E. coli is
controlled by the min system of proteins: MinC, MinD and MinE. These proteins
coherently oscillate from end to end of the bacterium. We present a
reaction--diffusion model describing the diffusion of min proteins along the
bacterium and their transfer between the cytoplasmic membrane and cytoplasm.
Our model spontaneously generates protein oscillations in good agreement with
experiments. We explore the oscillation stability, frequency and wavelength as
a function of protein concentration and bacterial length.Comment: 4 pages, 4 figures, Latex2e, Revtex
Depletion sensitivity predicts unhealthy snack purchases
The aim of the present research is to examine the relation between depletion sensitivity - a novel construct referring to the speed or ease by which one's self-control resources are drained - and snack purchase behavior. In addition, interactions between depletion sensitivity and the goal to lose weight on snack purchase behavior were explored. Participants included in the study were instructed to report every snack they bought over the course of one week. The dependent variables were the number of healthy and unhealthy snacks purchased. The results of the present study demonstrate that depletion sensitivity predicts the amount of unhealthy (but not healthy) snacks bought. The more sensitive people are to depletion, the more unhealthy snacks they buy. Moreover, there was some tentative evidence that this relation is more pronounced for people with a weak as opposed to a strong goal to lose weight, suggesting that a strong goal to lose weight may function as a motivational buffer against self-control failures. All in all, these findings provide evidence for the external validity of depletion sensitivity and the relevance of this construct in the domain of eating behavior.</p
Survey of Infections Transmissible Between Baboons and Humans, Cape Town, South Africa
Baboons on South Africa’s Cape Peninsula come in frequent contact with humans. To determine potential health risks for both species, we screened 27 baboons from 5 troops for 10 infections. Most (56%) baboons had antibodies reactive or cross-reactive to human viruses. Spatial overlap between these species poses low but potential health risks
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