Comparison of the National Institutes of Health Stroke Scale with disability outcome measures in acute stroke trials

<p><b>Background and Purpose:</b> Acute stroke trials typically use disability scales as their primary end point. Neurologic impairment scales such as the National Institutes of Health Stroke Scale (NIHSS) are possibly more sensitive to change in patient status. We aimed to compare a range of potential NIHSS end points with modified Rankin Scale (mRS) and Barthel Index (BI) end points.</p> <p><b>Methods:</b> We simulated a total of 6000 clinical trials, each with 1400 patients. We estimated statistical power for a range of NIHSS end points, including prognosis-adjusted and fixed dichotomized end points. These end points were compared with the BI and mRS dichotomized at 95 and 1, respectively.</p> <p><b>Results:</b> The most powerful fixed end point was the NIHSS dichotomized at 1. For prognosis-adjusted outcome, we found greatest power if we defined success as achieving a score of ≤1 or improvement by at least 11 points from baseline. We are more likely to achieve a statistically significant result by using this prognosis-adjusted end point instead of NIHSS ≤1 (odds ratio, 2.8; 95% confidence interval [CI], 2.5 to 3.2). Use of the optimal NIHSS prognosis-adjusted end point rather than BI ≥95 could justify a reduction in sample size of approximately 68% (95% CI, 67% to 69%) without loss of statistical power.</p> <p><b>Conclusions:</b> The NIHSS neurologic scale appears more sensitive than the BI or mRS, allowing smaller sample sizes or greater statistical power. The use of an NIHSS prognosis-adjusted end point could allow therapeutic effects from drugs to be more easily identified.</p&gt

A mixed life-cycle stage bloom of Syracosphaera bannockii (Borsetti and Cati, 1976) Cros et al. 2000 (Bay of Biscay, April 2010)

High concentrations (464 cells mL-1) of Syracosphaera bannockii have been identified for the first time, in the Bay of Biscay during April 2010. These high concentrations combined with coccolithophore community dominance (~87%) indicated that a bloom of S. bannockii had formed. While the bloom consisted mostly of heterococcolith coccospheres, both holococcolith coccospheres and holococcolith-heterococcolith combination coccospheres were observed. This is only the second time that combination coccospheres of S. bannockii have been observed

Specifying and Verifying Concurrent Algorithms with Histories and Subjectivity

We present a lightweight approach to Hoare-style specifications for fine-grained concurrency, based on a notion of time-stamped histories that abstractly capture atomic changes in the program state. Our key observation is that histories form a partial commutative monoid, a structure fundamental for representation of concurrent resources. This insight provides us with a unifying mechanism that allows us to treat histories just like heaps in separation logic. For example, both are subject to the same assertion logic and inference rules (e.g., the frame rule). Moreover, the notion of ownership transfer, which usually applies to heaps, has an equivalent in histories. It can be used to formally represent helping---an important design pattern for concurrent algorithms whereby one thread can execute code on behalf of another. Specifications in terms of histories naturally abstract granularity, in the sense that sophisticated fine-grained algorithms can be given the same specifications as their simplified coarse-grained counterparts, making them equally convenient for client-side reasoning. We illustrate our approach on a number of examples and validate all of them in Coq.Comment: 17 page

Strange quarks and lattice QCD

The last few years have seen a dramatic improvement in our knowledge of the strange form factors of the nucleon. With regard to the vector from factors the level of agreement between theory and experiment gives us considerable confidence in our ability to calculate with non-perturbative QCD. The calculation of the strange scalar form factor has moved significantly in the last two years, with the application of new techniques which yield values considerably smaller than believed for the past 20 years. These new values turn out to have important consequences for the detection of neutralinos, a favourite dark matter candidate. Finally, very recent lattice studies have resurrected interest in the famed H-dibaryon, with modern chiral extrapolation of lattice data suggesting that it may be only slightly unbound. We review some of the major sources of uncertainty in that chiral extrapolation.Comment: Invited talk at the Asia-Pacific few Body Conference, Seoul Kore

Quasi-1D dynamics and nematic phases in the 2D Emery model

We consider the Emery model of a Cu-O plane of the high temperature superconductors. We show that in a strong-coupling limit, with strong Coulomb repulsions between electrons on nearest-neighbor O sites, the electron-dynamics is strictly one dimensional, and consequently a number of asymptotically exact results can be obtained concerning the electronic structure. In particular, we show that a nematic phase, which spontaneously breaks the point- group symmetry of the square lattice, is stable at low enough temperatures and strong enough coupling.Comment: 8 pages, 5 eps figures; revised manuscript with more detailed discussions; two new figures and three edited figuresedited figures; 14 references; new appendix with a detailed proof of the one-dimensional dynamics of the system in the strong coupling limi

South Korean energy outlook: Coal and electricity focus

An energy profile for South Korea is presented. The emphasis is on coal and electricity

Signatures of Electronic Nematic Phase at Isotropic-Nematic Phase Transition

The electronic nematic phase occurs when the point-group symmetry of the lattice structure is broken, due to electron-electron interactions. We study a model for the nematic phase on a square lattice with emphasis on the phase transition between isotropic and nematic phases within mean field theory. We find the transition to be first order, with dramatic changes in the Fermi surface topology accompanying the transition. Furthermore, we study the conductivity tensor and Hall constant as probes of the nematic phase and its transition. The relevance of our findings to Hall resistivity experiments in the high-$T_c$ cuprates is discussed.Comment: 5 pages, 3 figure

The democratic origins of the term "group analysis": Karl Mannheim's "third way" for psychoanalysis and social science.

It is well known that Foulkes acknowledged Karl Mannheim as the first to use the term ‘group analysis’. However, Mannheim’s work is otherwise not well known. This article examines the foundations of Mannheim’s sociological interest in groups using the Frankfurt School (1929–1933) as a start point through to the brief correspondence of 1945 between Mannheim and Foulkes (previously unpublished). It is argued that there is close conjunction between Mannheim’s and Foulkes’s revision of clinical psychoanalysis along sociological lines. Current renderings of the Frankfurt School tradition pay almost exclusive attention to the American connection (Herbert Marcuse, Eric Fromm, Theodor Adorno and Max Horkheimer) overlooking the contribution of the English connection through the work of Mannheim and Foulkes

Exploring the Trade-offs of Aggregated versus Disaggregated Architectures for Environmental Monitoring in Low-Earth Orbit

Traditionally, government space agencies have developed aggregated systems that co-host multiple capabilities on shared spacecraft buses. However, in response to cost growth and schedule delays on past programs, leaders in the government space community have expressed an interest in disaggregation, or distributing their capabilities across multiple spacecraft. Since their aggregated National Polar-orbiting Operational Satellite System (NPOESS) program was cancelled in 2010, both the National Oceanic and Atmospheric Administration (NOAA) and the Department of Defense (DoD) have investigated opportunities to reduce program costs through disaggregation. This paper expands their initial investigation and explores the cost impacts of aggregation and disaggregation across a large trade space of candidate architectures for environmental monitoring in low-Earth orbit. We find that on average, aggregated architectures are less costly than fully disaggregated ones but also find opportunities for cost savings by developing semi-aggregated systems, or systems with one or two satellites per orbital plane. Finally, we investigate several trades that are currently under consideration by NOAA and the DoD and make recommendations for future environmental monitoring systems in low-Earth orbit.Massachusetts Institute of Technology (Sandia Corporation Excellence in Engineering Graduate Fellowship)Skolkovo Institute of Science and Technolog

Hypoxia modulates platelet purinergic signalling pathways.

BACKGROUND:  Hypoxia resulting from ascent to high-altitude or pathological states at sea level is known to increase platelet reactivity. Previous work from our group has suggested that this may be adenosine diphosphate (ADP)-specific. Given the clinical importance of drugs targeting ADP pathways, research into the impact of hypoxia on platelet ADP pathways is highly important. METHODS:  Optimul aggregometry was performed on plasma from 29 lowland residents ascending to 4,700 m, allowing systematic assessment of platelet reactivity in response to several platelet agonists. Aggregometry was also performed in response to ADP in the presence of inhibitors of the two main ADP receptors, P2Y1 and P2Y12 (MRS2500 and cangrelor, respectively). Phosphorylation of vasodilator-stimulated phosphoprotein (VASP), a key determinant of platelet aggregation, was analysed using the VASPFix assay. RESULTS:  Hypobaric hypoxia significantly reduced the ability of a fixed concentration of cangrelor to inhibit ADP-induced aggregation and increased basal VASP phosphorylation. However, in the absence of P2Y receptor inhibitors, we did not find evidence of increased platelet sensitivity to any of the agonists tested and found reduced sensitivity to thrombin receptor-activating peptide-6 amide. CONCLUSION:  Our results provide evidence of increased P2Y1 receptor activity at high altitude and suggest down-regulation of the P2Y12 pathway through increased VASP phosphorylation. These changes in ADP pathway activity are of potential therapeutic significance to high-altitude sojourners and hypoxic sea level patients prescribed platelet inhibitors and warrant further investigation