67 research outputs found
Error estimates for interpolation of rough data using the scattered shifts of a radial basis function
The error between appropriately smooth functions and their radial basis
function interpolants, as the interpolation points fill out a bounded domain in
R^d, is a well studied artifact. In all of these cases, the analysis takes
place in a natural function space dictated by the choice of radial basis
function -- the native space. The native space contains functions possessing a
certain amount of smoothness. This paper establishes error estimates when the
function being interpolated is conspicuously rough.Comment: 12 page
Reproducing Kernels of Generalized Sobolev Spaces via a Green Function Approach with Distributional Operators
In this paper we introduce a generalized Sobolev space by defining a
semi-inner product formulated in terms of a vector distributional operator
consisting of finitely or countably many distributional operators
, which are defined on the dual space of the Schwartz space. The types of
operators we consider include not only differential operators, but also more
general distributional operators such as pseudo-differential operators. We
deduce that a certain appropriate full-space Green function with respect to
now becomes a conditionally positive
definite function. In order to support this claim we ensure that the
distributional adjoint operator of is
well-defined in the distributional sense. Under sufficient conditions, the
native space (reproducing-kernel Hilbert space) associated with the Green
function can be isometrically embedded into or even be isometrically
equivalent to a generalized Sobolev space. As an application, we take linear
combinations of translates of the Green function with possibly added polynomial
terms and construct a multivariate minimum-norm interpolant to data
values sampled from an unknown generalized Sobolev function at data sites
located in some set . We provide several examples, such
as Mat\'ern kernels or Gaussian kernels, that illustrate how many
reproducing-kernel Hilbert spaces of well-known reproducing kernels are
isometrically equivalent to a generalized Sobolev space. These examples further
illustrate how we can rescale the Sobolev spaces by the vector distributional
operator . Introducing the notion of scale as part of the
definition of a generalized Sobolev space may help us to choose the "best"
kernel function for kernel-based approximation methods.Comment: Update version of the publish at Num. Math. closed to Qi Ye's Ph.D.
thesis (\url{http://mypages.iit.edu/~qye3/PhdThesis-2012-AMS-QiYe-IIT.pdf}
LEARN: a multicentre, cross-sectional evaluation of Urology teaching in UK medical schools
Objective
To evaluate the status of UK undergraduate urology teaching against the British Association of Urological Surgeons (BAUS) Undergraduate Syllabus for Urology. Secondary objectives included evaluating the type and quantity of teaching provided, the reported performance rate of General Medical Council (GMC)-mandated urological procedures, and the proportion of undergraduates considering urology as a career.
Subjects and Methods
The uroLogical tEAching in bRitish medical schools Nationally (LEARN) study was a national multicentre cross-sectional evaluation. Year 2 to Year 5 medical students and Foundation Year (FY) 1 doctors were invited to complete a survey between 3 October and 20 December 2020, retrospectively assessing the urology teaching received to date. Results are reported according to the Checklist for Reporting Results of Internet E-Surveys (CHERRIES).
Results
In all, 7063/8346 (84.6%) responses from all 39 UK medical schools were included; 1127/7063 (16.0%) were from FY1 doctors who reported that the most frequently taught topics in undergraduate training were on urinary tract infection (96.5%), acute kidney injury (95.9%) and haematuria (94.4%). The most infrequently taught topics were male urinary incontinence (59.4%), male infertility (52.4%) and erectile dysfunction (43.8%). Male and female catheterisation on patients as undergraduates was performed by 92.1% and 73.0% of FY1 doctors respectively, and 16.9% had considered a career in urology. Theory-based teaching was mainly prevalent in the early years of medical school, with clinical skills teaching, and clinical placements in the later years of medical school. In all, 20.1% of FY1 doctors reported no undergraduate clinical attachment in urology.
Conclusion
The LEARN Study is the largest ever evaluation of undergraduate urology teaching. In the UK, teaching seemed satisfactory as evaluated against the BAUS undergraduate syllabus. However, many students report having no clinical attachments in Urology and some newly qualified doctors report never having inserted a catheter, which is a GMC mandated requirement. We recommend a greater emphasis on undergraduate clinical exposure to urology and stricter adherence to GMC mandated procedures
SARS-CoV-2-specific nasal IgA wanes 9 months after hospitalisation with COVID-19 and is not induced by subsequent vaccination
BACKGROUND: Most studies of immunity to SARS-CoV-2 focus on circulating antibody, giving limited insights into mucosal defences that prevent viral replication and onward transmission. We studied nasal and plasma antibody responses one year after hospitalisation for COVID-19, including a period when SARS-CoV-2 vaccination was introduced. METHODS: In this follow up study, plasma and nasosorption samples were prospectively collected from 446 adults hospitalised for COVID-19 between February 2020 and March 2021 via the ISARIC4C and PHOSP-COVID consortia. IgA and IgG responses to NP and S of ancestral SARS-CoV-2, Delta and Omicron (BA.1) variants were measured by electrochemiluminescence and compared with plasma neutralisation data. FINDINGS: Strong and consistent nasal anti-NP and anti-S IgA responses were demonstrated, which remained elevated for nine months (p < 0.0001). Nasal and plasma anti-S IgG remained elevated for at least 12 months (p < 0.0001) with plasma neutralising titres that were raised against all variants compared to controls (p < 0.0001). Of 323 with complete data, 307 were vaccinated between 6 and 12 months; coinciding with rises in nasal and plasma IgA and IgG anti-S titres for all SARS-CoV-2 variants, although the change in nasal IgA was minimal (1.46-fold change after 10 months, p = 0.011) and the median remained below the positive threshold determined by pre-pandemic controls. Samples 12 months after admission showed no association between nasal IgA and plasma IgG anti-S responses (R = 0.05, p = 0.18), indicating that nasal IgA responses are distinct from those in plasma and minimally boosted by vaccination. INTERPRETATION: The decline in nasal IgA responses 9 months after infection and minimal impact of subsequent vaccination may explain the lack of long-lasting nasal defence against reinfection and the limited effects of vaccination on transmission. These findings highlight the need to develop vaccines that enhance nasal immunity. FUNDING: This study has been supported by ISARIC4C and PHOSP-COVID consortia. ISARIC4C is supported by grants from the National Institute for Health and Care Research and the Medical Research Council. Liverpool Experimental Cancer Medicine Centre provided infrastructure support for this research. The PHOSP-COVD study is jointly funded by UK Research and Innovation and National Institute of Health and Care Research. The funders were not involved in the study design, interpretation of data or the writing of this manuscript
Large-scale phenotyping of patients with long COVID post-hospitalization reveals mechanistic subtypes of disease
One in ten severe acute respiratory syndrome coronavirus 2 infections result in prolonged symptoms termed long coronavirus disease (COVID), yet disease phenotypes and mechanisms are poorly understood1. Here we profiled 368 plasma proteins in 657 participants ≥3 months following hospitalization. Of these, 426 had at least one long COVID symptom and 233 had fully recovered. Elevated markers of myeloid inflammation and complement activation were associated with long COVID. IL-1R2, MATN2 and COLEC12 were associated with cardiorespiratory symptoms, fatigue and anxiety/depression; MATN2, CSF3 and C1QA were elevated in gastrointestinal symptoms and C1QA was elevated in cognitive impairment. Additional markers of alterations in nerve tissue repair (SPON-1 and NFASC) were elevated in those with cognitive impairment and SCG3, suggestive of brain–gut axis disturbance, was elevated in gastrointestinal symptoms. Severe acute respiratory syndrome coronavirus 2-specific immunoglobulin G (IgG) was persistently elevated in some individuals with long COVID, but virus was not detected in sputum. Analysis of inflammatory markers in nasal fluids showed no association with symptoms. Our study aimed to understand inflammatory processes that underlie long COVID and was not designed for biomarker discovery. Our findings suggest that specific inflammatory pathways related to tissue damage are implicated in subtypes of long COVID, which might be targeted in future therapeutic trials
Non-linear families of projections on C[−1, 1]
AbstractMany approximation processes can be regarded as defining linear projections on a suitable normed linear space, usually the space of continuous functions on some closed interval of the real line. In this case the norm of the projection gives an estimate for how well the process will perform in practice. Numerical evidence shows that amongst ultraspherical projections, the Chebyshev projection (arising from the truncated Chebyshev series) does not have minimal norm. In this paper we demonstrate this fact analytically by deriving first some general principles, and then applying these to the Chebyshev projection
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