245 research outputs found
Timing of therapy for latent tuberculosis infection among immigrants presenting to a U.S. public health clinic: a retrospective study
<p>Abstract</p> <p>Background</p> <p>In the U.S. more than half of incident tuberculosis (TB) cases occur in immigrants. Current guidelines recommend screening and treatment for latent TB infection (LTBI) within 5 years of arrival to the U.S. This study evaluates the timing of LTBI therapy among immigrants presenting for care to a public health TB clinic.</p> <p>Methods</p> <p>Retrospective chart review of patients prescribed LTBI treatment based on medical records from Prince Georges County Health Department.</p> <p>Results</p> <p>1882 immigrants received LTBI therapy at Prince Georges County Health Department between 1999 and 2004. 417 of these patients were diagnosed with LTBI through contact investigations and were excluded from the analysis. Among the remaining 1465 individuals, median time from arrival to the U.S. until initiation of LTBI therapy was 5 months (range 0–42.4 years). 16% of all immigrants initiated therapy more than 5 years after arrival to the U.S. A logistic regression model using risks identified on univariate analysis revealed that referral for therapy by non-immigration proceedings was the strongest predictor of initiation of therapy more than 5 years after arrival to the U.S. Other factors associated with > 5 year U.S. residence prior to initiation of LTBI therapy included female gender (adjusted odds ratio (AOR) 1.8, 95% CI 1.2–2.6), age ≥ 35 (AOR = 4.1, 95% 2.5–6.6), and originating from Latin American and the Caribbean (AOR = 1.9, 95% CI 1.3–3.0).</p> <p>Conclusion</p> <p>Foreign-born individuals who are not referred for LTBI therapy through immigration proceedings are less likely to receive LTBI therapy within 5 years of arrival to the U.S. These data highlight the need to explore other mechanisms for timely LTBI screening beyond services provided by immigration.</p
Nemo: a computational tool for analyzing nematode locomotion
The nematode Caenorhabditis elegans responds to an impressive range of
chemical, mechanical and thermal stimuli and is extensively used to investigate
the molecular mechanisms that mediate chemosensation, mechanotransduction and
thermosensation. The main behavioral output of these responses is manifested as
alterations in animal locomotion. Monitoring and examination of such
alterations requires tools to capture and quantify features of nematode
movement. In this paper, we introduce Nemo (nematode movement), a
computationally efficient and robust two-dimensional object tracking algorithm
for automated detection and analysis of C. elegans locomotion. This algorithm
enables precise measurement and feature extraction of nematode movement
components. In addition, we develop a Graphical User Interface designed to
facilitate processing and interpretation of movement data. While, in this
study, we focus on the simple sinusoidal locomotion of C. elegans, our approach
can be readily adapted to handle complicated locomotory behaviour patterns by
including additional movement characteristics and parameters subject to
quantification. Our software tool offers the capacity to extract, analyze and
measure nematode locomotion features by processing simple video files. By
allowing precise and quantitative assessment of behavioral traits, this tool
will assist the genetic dissection and elucidation of the molecular mechanisms
underlying specific behavioral responses.Comment: 12 pages, 2 figures. accepted by BMC Neuroscience 2007, 8:8
The developmental dynamics of terrorist organizations
We identify robust statistical patterns in the frequency and severity of
violent attacks by terrorist organizations as they grow and age. Using
group-level static and dynamic analyses of terrorist events worldwide from
1968-2008 and a simulation model of organizational dynamics, we show that the
production of violent events tends to accelerate with increasing size and
experience. This coupling of frequency, experience and size arises from a
fundamental positive feedback loop in which attacks lead to growth which leads
to increased production of new attacks. In contrast, event severity is
independent of both size and experience. Thus larger, more experienced
organizations are more deadly because they attack more frequently, not because
their attacks are more deadly, and large events are equally likely to come from
large and small organizations. These results hold across political ideologies
and time, suggesting that the frequency and severity of terrorism may be
constrained by fundamental processes.Comment: 28 pages, 8 figures, 4 tables, supplementary materia
Chiral Polymerization in Open Systems From Chiral-Selective Reaction Rates
We investigate the possibility that prebiotic homochirality can be achieved
exclusively through chiral-selective reaction rate parameters without any other
explicit mechanism for chiral bias. Specifically, we examine an open network of
polymerization reactions, where the reaction rates can have chiral-selective
values. The reactions are neither autocatalytic nor do they contain explicit
enantiomeric cross-inhibition terms. We are thus investigating how rare a set
of chiral-selective reaction rates needs to be in order to generate a
reasonable amount of chiral bias. We quantify our results adopting a
statistical approach: varying both the mean value and the rms dispersion of the
relevant reaction rates, we show that moderate to high levels of chiral excess
can be achieved with fairly small chiral bias, below 10%. Considering the
various unknowns related to prebiotic chemical networks in early Earth and the
dependence of reaction rates to environmental properties such as temperature
and pressure variations, we argue that homochirality could have been achieved
from moderate amounts of chiral selectivity in the reaction rates.Comment: 15 pages, 6 figures, accepted for publication in Origins of Life and
Evolution of Biosphere
Punctuated Chirality
Most biomolecules occur in mirror, or chiral, images of each other. However,
life is homochiral: proteins contain almost exclusively levorotatory (L) amino
acids, while only dextrorotatory (R) sugars appear in RNA and DNA. The
mechanism behind this fundamental asymmetry of life remains an open problem.
Coupling the spatiotemporal evolution of a general autocatalytic polymerization
reaction network to external environmental effects, we show through a detailed
statistical analysis that high intensity and long duration events may drive
achiral initial conditions towards chirality. We argue that life's
homochirality resulted from sequential chiral symmetry breaking triggered by
environmental events, thus extending the theory of punctuated equilibrium to
the prebiotic realm. Applying our arguments to other potentially life-bearing
planetary platforms, we predict that a statistically representative sampling
will be racemic on average.Comment: 13 pages, 4 color figures. Final version published in Origins of Life
and Evolution of Biospheres. Typos corrected, figures improved, and a few
definitions and word usage clarifie
The s ---> d gamma decay in and beyond the Standard Model
The New Physics sensitivity of the s ---> d gamma transition and its
accessibility through hadronic processes are thoroughly investigated. Firstly,
the Standard Model predictions for the direct CP-violating observables in
radiative K decays are systematically improved. Besides, the magnetic
contribution to epsilon prime is estimated and found subleading, even in the
presence of New Physics, and a new strategy to resolve its electroweak versus
QCD penguin fraction is identified. Secondly, the signatures of a series of New
Physics scenarios, characterized as model-independently as possible in terms of
their underlying dynamics, are investigated by combining the information from
all the FCNC transitions in the s ---> d sector.Comment: 54 pages, 14 eps figure
Search for sterile neutrino mixing in the MINOS long-baseline experiment
A search for depletion of the combined flux of active neutrino species over a 735 km baseline is reported using neutral-current interaction data recorded by the MINOS detectors in the NuMI neutrino beam. Such a depletion is not expected according to conventional interpretations of neutrino oscillation data involving the three known neutrino flavors. A depletion would be a signature of oscillations or decay to postulated noninteracting sterile neutrinos, scenarios not ruled out by existing data. From an exposure of 3.18×1020 protons on target in which neutrinos of energies between ~500¿¿MeV and 120 GeV are produced predominantly as ¿µ, the visible energy spectrum of candidate neutral-current reactions in the MINOS far detector is reconstructed. Comparison of this spectrum to that inferred from a similarly selected near-detector sample shows that of the portion of the ¿µ flux observed to disappear in charged-current interaction data, the fraction that could be converting to a sterile state is less than 52% at 90% confidence level (C.L.). The hypothesis that active neutrinos mix with a single sterile neutrino via oscillations is tested by fitting the data to various models. In the particular four-neutrino models considered, the mixing angles ¿24 and ¿34 are constrained to be less than 11° and 56° at 90% C.L., respectively. The possibility that active neutrinos may decay to sterile neutrinos is also investigated. Pure neutrino decay without oscillations is ruled out at 5.4 standard deviations. For the scenario in which active neutrinos decay into sterile states concurrently with neutrino oscillations, a lower limit is established for the neutrino decay lifetime t3/m3>2.1×10-12¿¿s/eV at 90% C.L
Prostate-specific antigen at or before age 50 as a predictor of advanced prostate cancer diagnosed up to 25 years later: A case-control study
BACKGROUND: Based on a large, representative unscreened cohort from Malmö, Sweden, we have recently reported that a single prostate-specific antigen (PSA) measurement at or before age 50 is a strong predictor of prostate cancer occurring up to 25 years subsequently. We aimed to determine whether this association holds for advanced cancers, defined as clinical stage T3 or higher, or skeletal metastasis at the time of the cancer diagnosis. METHODS: In 1974-1986 blood samples were obtained from a cohort of 21,277 men aged up to 50. Through 1999, 498 men were diagnosed with prostate cancer, and of these 161 had locally advanced or metastatic prostate cancers. Three controls, matched for age and date of venipuncture, were selected for each case. Conditional logistic regression was used to test associations between molecular markers and advanced cancer. RESULTS: Median time from venipuncture to diagnosis was 17 years. Levels of all PSA forms and hK2 were associated with case status. Total PSA was a strong and statistically significant predictor of subsequent advanced cancer (area under the curve 0.791; p < 0.0005). Two-thirds of the advanced cancer cases occurred in men with the top 20% of PSA levels (0.9 ng/ml or higher). CONCLUSION: A single PSA test taken at or before age 50 is a very strong predictor of advanced prostate cancer diagnosed up to 25 years later. This suggests the possibility of using an early PSA test to risk-stratify patients so that men at highest risk are the focus of the most intensive screening efforts
Observation of the electromagnetic doubly OZI-suppressed decay
Using a sample of billion events accumulated with the BESIII
detector at the BEPCII collider, we report the observation of the decay , which is the first evidence for a doubly
Okubo-Zweig-Iizuka suppressed electromagnetic decay. A clear structure
is observed in the mass spectrum around 1.02 GeV/, which can
be attributed to interference between and
decays. Due to this interference, two
possible solutions are found. The corresponding measured values of the
branching fraction of are and .Comment: 7 pages, 4 figures, published in Phys. Rev.
GRADE Guidelines 30: the GRADE approach to assessing the certainty of modeled evidence—An overview in the context of health decision-making
Objectives:
The objective of the study is to present the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) conceptual approach to the assessment of certainty of evidence from modeling studies (i.e., certainty associated with model outputs). /
Study Design and Setting:
Expert consultations and an international multidisciplinary workshop informed development of a conceptual approach to assessing the certainty of evidence from models within the context of systematic reviews, health technology assessments, and health care decisions. The discussions also clarified selected concepts and terminology used in the GRADE approach and by the modeling community. Feedback from experts in a broad range of modeling and health care disciplines addressed the content validity of the approach. /
Results:
Workshop participants agreed that the domains determining the certainty of evidence previously identified in the GRADE approach (risk of bias, indirectness, inconsistency, imprecision, reporting bias, magnitude of an effect, dose–response relation, and the direction of residual confounding) also apply when assessing the certainty of evidence from models. The assessment depends on the nature of model inputs and the model itself and on whether one is evaluating evidence from a single model or multiple models. We propose a framework for selecting the best available evidence from models: 1) developing de novo, a model specific to the situation of interest, 2) identifying an existing model, the outputs of which provide the highest certainty evidence for the situation of interest, either “off-the-shelf” or after adaptation, and 3) using outputs from multiple models. We also present a summary of preferred terminology to facilitate communication among modeling and health care disciplines. /
Conclusion:
This conceptual GRADE approach provides a framework for using evidence from models in health decision-making and the assessment of certainty of evidence from a model or models. The GRADE Working Group and the modeling community are currently developing the detailed methods and related guidance for assessing specific domains determining the certainty of evidence from models across health care–related disciplines (e.g., therapeutic decision-making, toxicology, environmental health, and health economics)
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