202 research outputs found

    Astrometric Methods and Instrumentation to Identify and Characterize Extrasolar Planets: A Review

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    I present a review of astrometric techniques and instrumentation utilized to search for, detect, and characterize extra-solar planets. First, I briefly summarize the properties of the present-day sample of extrasolar planets, in connection with predictions from theoretical models of planet formation and evolution. Next, the generic approach to planet detection with astrometry is described, with significant discussion of a variety of technical, statistical, and astrophysical issues to be faced by future ground-based as well as space-borne efforts in order to achieve the required degree of measurement precision. After a brief summary of past and present efforts to detect planets via milli-arcsecond astrometry, I then discuss the planet-finding capabilities of future astrometric observatories aiming at micro-arcsecond precision. Lastly, I outline a number experiments that can be conducted by means of high-precision astrometry during the next decade, to illustrate its potential for important contributions to planetary science, in comparison with other indirect and direct methods for the detection and characterization of planetary systems.Comment: 61 pages, 8 figures, PASP, accepted (October 2005 issue

    TREC-Rio trial: a randomised controlled trial for rapid tranquillisation for agitated patients in emergency psychiatric rooms [ISRCTN44153243]

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    Agitated or violent patients constitute 10% of all emergency psychiatric treatment. Management guidelines, the preferred treatment of clinicians and clinical practice all differ. Systematic reviews show that all relevant studies are small and none are likely to have adequate power to show true differences between treatments. Worldwide, current treatment is not based on evidence from randomised trials. In Brazil, the combination haloperidol-promethazine is frequently used, but no studies involving this mix exist. TREC-Rio (Tranquilização Rápida-Ensaio Clínico [Translation: Rapid Tranquillisation-Clinical Trial]) will compare midazolam with haloperidol-promethazine mix for treatment of agitated patients in emergency psychiatric rooms of Rio de Janeiro, Brazil. TREC-Rio is a randomised, controlled, pragmatic and open study. Primary measure of outcome is tranquillisation at 20 minutes but effects on other measures of morbidity will also be assessed. TREC-Rio will involve the collaboration of as many health care professionals based in four psychiatric emergency rooms of Rio as possible. Because the design of this trial does not substantially complicate clinical management, and in several aspects simplifies it, the study can be large, and treatments used in everyday practice can be evaluated

    Perceived Outcomes of Web-Based Modules Designed to Enhance Athletic Trainers\u27 Knowledge of Evidence-Based Practice

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    Context: The release of evidence-based practice (EBP) Web-based learning modules to the membership of the National Athletic Trainers\u27 Association has provided athletic trainers (ATs) the opportunity to enhance their knowledge of the various EBP concepts. Whereas increasing the knowledge of EBP among ATs is important, assessing whether this newfound knowledge is being translated into clinical practice and didactic education is crucial. Objective: To explore the effectiveness of an educational intervention regarding EBP on the didactic instruction patterns of athletic training educators and the clinical practice behaviors of clinicians. Design: Qualitative study. Setting: Individual telephone interviews. Patients or Other Participants: A total of 25 ATs (12 educators, 13 clinicians; experience as an AT = 16.00 ± 9.41 years) were interviewed. Data Collection and Analysis: We conducted 1 individual telephone interview with each participant. After transcription, the data were analyzed and coded into common themes and categories. Triangulation of the data occurred via the use of multiple researchers and member checking to confirm the accuracy of the data. Results: Participants perceived the EBP Web-based modules to produce numerous outcomes regarding education and clinical practice. These outcomes included perceived knowledge gain among participants, an increase in the importance and scope of EBP, a positive effect on educators\u27 didactic instruction patterns and on instilling value and practice of EBP among students, and an enhanced ability among clinicians to implement EBP within clinical practice. However, some clinicians reported the Web-based modules had no current effect on clinical practice. Conclusions: Although the EBP Web-based modules were successful at enhancing knowledge among ATs, translation of knowledge into the classroom and clinical practice remains limited. Researchers should aim to identify effective strategies to help ATs implement EBP concepts into didactic education and clinical practice

    Doppelheterodyn-Interferometrie fĂĽr hochgenaue Vermessung im Nahbereich

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    In diesem Aufsatz wurde ein Meßsystem vorgestellt, welches sich aus der Kombination der Zweiwellenlängen-Interferometrie mit dem intensitätsunabhängigen Heterodyn-Verfahren zusammensetzt. Die resultierende Doppelheterodyn-Interferometrie vereinigt die Vorteile der beiden Verfahren. Ein großer Eindeutigkeitsbereich entsprechend der effektiven Wellenlänge A entsteht, darüberhinaus sind optisch rauhe Oberflächen als Meßobjekte zulässig; reduzierte Empfindlichkeit gegenüber Vibrationen und Umwelteinflüssen, hohe Auflösung infolge elektronischer Phasenbestimmung sowie hochgenaue Abstandsmessung in Echtzeit sind weitere Vorteile. Das Doppelheterodyn-Interferometer wird in Zukunft zu einem effektiven und dynamischen Meßinstrument zur hochgenauen Entfernungsmessung im Mikrometerbereich bis hin zu Meßdistanzen von 100 m entwickelt werden, für das sich schon jetzt zahlreiche Einsatzmöglichkeiten abzeichnen

    Submillimetric GPS distance measurement over short baselines: case study in inner consistency

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    Distance determination in the open air with submillimetric accuracy is a challenging task usually carried out with the use of submillimetric distancemeters and costly observation campaigns. The present paper represents a first step in the research of the potential use of GPS for submillimetric distance determination for distances up to a few hundred metres consisting in the evaluation of GPS distance determination reproducibility. As will be concluded, reliable submillimetric precision is attainable after some hours of observation if the same equipment in both baseline ends is used, even considering that there still remain some long-term systematic effects of a few tenths of a millimetre. The need for precise absolute antenna calibration values is also shown to be critical for submillimetric distance reproducibility.This research is funded by the Spanish Ministry of Science and Innovation (AYA2011-23232). The authors are grateful to the editor and the anonymous reviewers for their valuable suggestions, corrections and comments that helped improve the original manuscript.Baselga Moreno, S.; García-Asenjo Villamayor, L.; Garrigues Talens, P. (2013). Submillimetric GPS distance measurement over short baselines: case study in inner consistency. Measurement Science and Technology. 24(7):750011-750018. https://doi.org/10.1088/0957-0233/24/7/075001S750011750018247Amiri-Simkooei, A. R., & Tiberius, C. C. J. M. (2006). Assessing receiver noise using GPS short baseline time series. GPS Solutions, 11(1), 21-35. doi:10.1007/s10291-006-0026-8Bruyninx, C., Altamimi, Z., Boucher, C., Brockmann, E., Caporali, A., Gurtner, W., … Weber, G. (2009). The European Reference Frame: Maintenance and Products. International Association of Geodesy Symposia, 131-136. doi:10.1007/978-3-642-00860-3_20Doloca, N. R., Meiners-Hagen, K., Wedde, M., Pollinger, F., & Abou-Zeid, A. (2010). Absolute distance measurement system using a femtosecond laser as a modulator. Measurement Science and Technology, 21(11), 115302. doi:10.1088/0957-0233/21/11/115302Dow, J. M., Neilan, R. E., & Rizos, C. (2009). The International GNSS Service in a changing landscape of Global Navigation Satellite Systems. Journal of Geodesy, 83(3-4), 191-198. doi:10.1007/s00190-008-0300-3Firuzabadì, D., & King, R. W. (2011). GPS precision as a function of session duration and reference frame using multi-point software. GPS Solutions, 16(2), 191-196. doi:10.1007/s10291-011-0218-8Hyun, S., Kim, Y.-J., Kim, Y., Jin, J., & Kim, S.-W. (2009). Absolute length measurement with the frequency comb of a femtosecond laser. Measurement Science and Technology, 20(9), 095302. doi:10.1088/0957-0233/20/9/095302Koivula, H., Häkli, P., Jokela, J., Buga, A., & Putrimas, R. (2011). GPS Metrology: Bringing Traceable Scale to a Local Crustal Deformation GPS Network. International Association of Geodesy Symposia, 105-112. doi:10.1007/978-3-642-20338-1_13Ray, J., Altamimi, Z., Collilieux, X., & van Dam, T. (2007). Anomalous harmonics in the spectra of GPS position estimates. GPS Solutions, 12(1), 55-64. doi:10.1007/s10291-007-0067-7Schuhler, N., Salvadé, Y., Lévêque, S., Dändliker, R., & Holzwarth, R. (2006). Frequency-comb-referenced two-wavelength source for absolute distance measurement. Optics Letters, 31(21), 3101. doi:10.1364/ol.31.003101Snay, R. A., & Soler, T. (2008). Continuously Operating Reference Station (CORS): History, Applications, and Future Enhancements. Journal of Surveying Engineering, 134(4), 95-104. doi:10.1061/(asce)0733-9453(2008)134:4(95

    The clinical features of the piriformis syndrome: a systematic review

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    Piriformis syndrome, sciatica caused by compression of the sciatic nerve by the piriformis muscle, has been described for over 70 years; yet, it remains controversial. The literature consists mainly of case series and narrative reviews. The objectives of the study were: first, to make the best use of existing evidence to estimate the frequencies of clinical features in patients reported to have PS; second, to identify future research questions. A systematic review was conducted of any study type that reported extractable data relevant to diagnosis. The search included all studies up to 1 March 2008 in four databases: AMED, CINAHL, Embase and Medline. Screening, data extraction and analysis were all performed independently by two reviewers. A total of 55 studies were included: 51 individual and 3 aggregated data studies, and 1 combined study. The most common features found were: buttock pain, external tenderness over the greater sciatic notch, aggravation of the pain through sitting and augmentation of the pain with manoeuvres that increase piriformis muscle tension. Future research could start with comparing the frequencies of these features in sciatica patients with and without disc herniation or spinal stenosis

    Nonequilibrium thermodynamics and maximum entropy production in the Earth system

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    31st Annual Meeting and Associated Programs of the Society for Immunotherapy of Cancer (SITC 2016) : part two

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    Background The immunological escape of tumors represents one of the main ob- stacles to the treatment of malignancies. The blockade of PD-1 or CTLA-4 receptors represented a milestone in the history of immunotherapy. However, immune checkpoint inhibitors seem to be effective in specific cohorts of patients. It has been proposed that their efficacy relies on the presence of an immunological response. Thus, we hypothesized that disruption of the PD-L1/PD-1 axis would synergize with our oncolytic vaccine platform PeptiCRAd. Methods We used murine B16OVA in vivo tumor models and flow cytometry analysis to investigate the immunological background. Results First, we found that high-burden B16OVA tumors were refractory to combination immunotherapy. However, with a more aggressive schedule, tumors with a lower burden were more susceptible to the combination of PeptiCRAd and PD-L1 blockade. The therapy signifi- cantly increased the median survival of mice (Fig. 7). Interestingly, the reduced growth of contralaterally injected B16F10 cells sug- gested the presence of a long lasting immunological memory also against non-targeted antigens. Concerning the functional state of tumor infiltrating lymphocytes (TILs), we found that all the immune therapies would enhance the percentage of activated (PD-1pos TIM- 3neg) T lymphocytes and reduce the amount of exhausted (PD-1pos TIM-3pos) cells compared to placebo. As expected, we found that PeptiCRAd monotherapy could increase the number of antigen spe- cific CD8+ T cells compared to other treatments. However, only the combination with PD-L1 blockade could significantly increase the ra- tio between activated and exhausted pentamer positive cells (p= 0.0058), suggesting that by disrupting the PD-1/PD-L1 axis we could decrease the amount of dysfunctional antigen specific T cells. We ob- served that the anatomical location deeply influenced the state of CD4+ and CD8+ T lymphocytes. In fact, TIM-3 expression was in- creased by 2 fold on TILs compared to splenic and lymphoid T cells. In the CD8+ compartment, the expression of PD-1 on the surface seemed to be restricted to the tumor micro-environment, while CD4 + T cells had a high expression of PD-1 also in lymphoid organs. Interestingly, we found that the levels of PD-1 were significantly higher on CD8+ T cells than on CD4+ T cells into the tumor micro- environment (p < 0.0001). Conclusions In conclusion, we demonstrated that the efficacy of immune check- point inhibitors might be strongly enhanced by their combination with cancer vaccines. PeptiCRAd was able to increase the number of antigen-specific T cells and PD-L1 blockade prevented their exhaus- tion, resulting in long-lasting immunological memory and increased median survival
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