Alien Registration- Augusto, Zambelli V. (Millinocket, Penobscot County)

https://digitalmaine.com/alien_docs/7926/thumbnail.jp

Scaling-up an evidence-based intervention for osteoarthritis in real-world settings : a pragmatic evaluation using the RE-AIM framework

Scaling-up and sustaining effective healthcare interventions is essential for improving healthcare; however, relatively little is known about these processes. In addition to quantitative experimental designs, we need approaches that use embedded, observational studies on practice-led, naturally occurring scale-up processes. There are also tensions between having adequately rigorous systems to monitor and evaluate scale-up well that are proportionate and pragmatic in practice. The study investigated the scale-up of an evidence-based complex intervention for knee and hip osteoarthritis (ESCAPE-pain) within 'real-world' settings by England's 15 Academic Health Science Networks (AHSNs). A pragmatic evaluation of the scale-up of ESCAPE-pain using the RE-AIM framework to measure Reach, Effectiveness, Adoption, Implementation and Maintenance. The evaluation used routine monitoring data collected from April 2014 to December 2018 as part of a national scale-up programme. Between 2014 and 2018, ESCAPE-pain was adopted by over 110 clinical and non-clinical sites reaching over 9000 people with osteoarthritis. The programme showed sustained clinical effectiveness (pain, function and quality of life) and high levels of adherence (78.5% completing 75% of the programme) within a range of real-world settings. Seven hundred seventy people (physiotherapists and exercise professionals) have been trained to deliver ESCAPE-pain, and 84.1% of sites have continued to deliver the programme post-implementation. ESCAPE-pain successfully moved from being an efficacious "research intervention" into an effective intervention within 'real-world' clinical and non-clinical community settings. However, scale-up has been a gradual process requiring on-going, dedicated resources over 5 years by a national network of Academic Health Science Networks (AHSNs). Whilst the collection of monitoring and evaluation data is critical in understanding implementation and scale-up, there remain significant challenges in developing systems sufficiently rigorous, proportionate and locally acceptable

Approximation of corner polyhedra with families of intersection cuts

We study the problem of approximating the corner polyhedron using intersection cuts derived from families of lattice-free sets in $\mathbb{R}^n$. In particular, we look at the problem of characterizing families that approximate the corner polyhedron up to a constant factor, which depends only on $n$ and not the data or dimension of the corner polyhedron. The literature already contains several results in this direction. In this paper, we use the maximum number of facets of lattice-free sets in a family as a measure of its complexity and precisely characterize the level of complexity of a family required for constant factor approximations. As one of the main results, we show that, for each natural number $n$, a corner polyhedron with $n$ basic integer variables and an arbitrary number of continuous non-basic variables is approximated up to a constant factor by intersection cuts from lattice-free sets with at most $i$ facets if $i> 2^{n-1}$ and that no such approximation is possible if $i \leq 2^{n-1}$. When the approximation factor is allowed to depend on the denominator of the fractional vertex of the linear relaxation of the corner polyhedron, we show that the threshold is $i > n$ versus $i \leq n$. The tools introduced for proving such results are of independent interest for studying intersection cuts

Nickel and gtp modulate helicobacter pylori ureg structural flexibility

UreG is a P-loop GTP hydrolase involved in the maturation of nickel-containing urease, an essential enzyme found in plants, fungi, bacteria, and archaea. This protein couples the hydrolysis of GTP to the delivery of Ni(II) into the active site of apo-urease, interacting with other urease chaperones in a multi-protein complex necessary for enzyme activation. Whereas the conformation of Helicobacter pylori (Hp) UreG was solved by crystallography when it is in complex with two other chaperones, in solution the protein was found in a disordered and flexible form, defining it as an intrinsically disordered enzyme and indicating that the well-folded structure found in the crystal state does not fully reflect the behavior of the protein in solution. Here, isothermal titration calorimetry and site-directed spin labeling coupled to electron paramagnetic spectroscopy were successfully combined to investigate HpUreG structural dynamics in solution and the effect of Ni(II) and GTP on protein mobility. The results demonstrate that, although the protein maintains a flexible behavior in the metal and nucleotide bound forms, concomitant addition of Ni(II) and GTP exerts a structural change through the crosstalk of different protein regions

Wikistudents : teaching consumption through production

This paper describes and reflects on a fascinating teaching experience that we developed for the unit Consumer Culture in Academic Year 2014-5, a subject examining the history, theory and politics of consumption, and which was taught at the University of Milan within the Master of Arts Program in Corporate Communication. A collaborative teamwork workshop was set up to complement the main textbook (Sassatelli 2007) and to reflect more critically on the complexities of the commodity circuit as it goes through the so called \u201csign economy\u201d (Baudrillard 1981) and the increasing engagement of consumers qua producers. The workshop began by providing the class with a general introduction to the notion of \u201cprosumption\u201d (Fuchs 2013; Humphreys & Grayson 2008; Ritzer & Jurgenson 2010). Prosumption, a term coined by Alvin Toffler (1980), identifies the trend in late capitalism toward putting consumers to work (at the fast-food outlet or at the ATM machine, shopping on line or animating a brand community). Prosumption, by rejecting any sharp division between the production and the consumption sphere, is a concept that allows the co-creation of value and the dynamics of exploitation and control under regimes of unpaid labor and post-scarcity markets. Within this new \u201cwikinomic\u201d model, and the development of Web 2.0 in particular, consumers are increasingly asked to contribute to the production of both the symbolic value of commodities (fan communities, for example; see Cova, Kozinets & Shankar 2012; Van Zoonen 2014) and, notably, the production of knowledge about commodities and the world more generally. The ways consumers contribute to the generation of value in the sign economy include the production of knowledge, via, for example, reviews of films and books on Amazon and reviews of travel hotels on Booking.com. More specifically, consumers can become producers contributing to the construction of a common base of knowledge in Wikipedia, the online open-access encyclopedia based on an openly editable content and the collaboration of thousands of anonymous contributors who write for free. Wikipedia is well-known to university students worldwide as a source of information. Founded in 2001, Wikipedia can be understood as a kind of \u201ccommons\u201d; ideally, it will provide well written, balanced entries containing comprehensive and verifiable (via clear quotations) knowledge. The challenge was to involve students into writing and editing entries, thus critically appreciating the way it engages \u201cconsumers\u201d in the production process

Pathological characterization of tumor immune microenvironment (Time) in malignant pleural mesothelioma

SIMPLE SUMMARY: Tumor immune microenvironment is an important structural component of malignant pleural mesothelioma that contributes to disease growth support and progression. Its study and pathological characterization are important tools to find new biomarkers for advanced therapeutic strategies. ABSTRACT: Malignant pleural mesothelioma (MPM) is a rare and highly aggressive disease that arises from pleural mesothelial cells, characterized by a median survival of approximately 13–15 months after diagnosis. The primary cause of this disease is asbestos exposure and the main issues associated with it are late diagnosis and lack of effective therapies. Asbestos-induced cellular damage is associated with the generation of an inflammatory microenvironment that influences and supports tumor growth, possibly in association with patients’ genetic predisposition and tumor genomic profile. The chronic inflammatory response to asbestos fibers leads to a unique tumor immune microenvironment (TIME) composed of a heterogeneous mixture of stromal, endothelial, and immune cells, and relative composition and interaction among them is suggested to bear prognostic and therapeutic implications. TIME in MPM is known to be constituted by immunosuppressive cells, such as type 2 tumor-associated macrophages and T regulatory lymphocytes, plus the expression of several immunosuppressive factors, such as tumor-associated PD-L1. Several studies in recent years have contributed to achieve a greater understanding of the pathogenetic mechanisms in tumor development and pathobiology of TIME, that opens the way to new therapeutic strategies. The study of TIME is fundamental in identifying appropriate prognostic and predictive tissue biomarkers. In the present review, we summarize the current knowledge about the pathological characterization of TIME in MPM

Multilevel HfO2-based RRAM devices for low-power neuromorphic networks

Training and recognition with neural networks generally require high throughput, high energy efficiency, and scalable circuits to enable artificial intelligence tasks to be operated at the edge, i.e., in battery-powered portable devices and other limited-energy environments. In this scenario, scalable resistive memories have been proposed as artificial synapses thanks to their scalability, reconfigurability, and high-energy efficiency, and thanks to the ability to perform analog computation by physical laws in hardware. In this work, we study the material, device, and architecture aspects of resistive switching memory (RRAM) devices for implementing a 2-layer neural network for pattern recognition. First, various RRAM processes are screened in view of the device window, analog storage, and reliability. Then, synaptic weights are stored with 5-level precision in a 4 kbit array of RRAM devices to classify the Modified National Institute of Standards and Technology (MNIST) dataset. Finally, classification performance of a 2-layer neural network is tested before and after an annealing experiment by using experimental values of conductance stored into the array, and a simulation-based analysis of inference accuracy for arrays of increasing size is presented. Our work supports material-based development of RRAM synapses for novel neural networks with high accuracy and low-power consumption. (C) 2019 Author(s)

Detection of vorticity in Bose-Einstein condensed gases by matter-wave interference

A phase-slip in the fringes of an interference pattern is an unmistakable characteristic of vorticity. We show dramatic two-dimensional simulations of interference between expanding condensate clouds with and without vorticity. In this way, vortices may be detected even when the core itself cannot be resolved.Comment: 3 pages, RevTeX, plus 6 PostScript figure

Coherent Tunneling of Atoms from Bose-condensed Gases at Finite Temperatures

Tunneling of atoms between two trapped Bose-condensed gases at finite temperatures is explored using a many-body linear response tunneling formalism similar to that used in superconductors. To lowest order, the tunneling currents can be expressed quite generally in terms of the single-particle Green's functions of the isolated Bose gases. A coherent first-order tunneling Josephson current between two atomic Bose-condensates is found, in addition to coherent and dissipative contributions from second-order condensate-noncondensate and noncondensate-noncondensate tunneling. Our work is a generalization of Meier and Zwerger, who recently treated tunneling between uniform atomic Bose gases. We apply our formalism to the analysis of an out-coupling experiment induced by light wave fields, using a simple Bogoliubov-Popov quasiparticle approximation for the trapped Bose gas. For tunneling into the vacuum, we recover the results of Japha, Choi, Burnett and Band, who recently pointed out the usefulness of studying the spectrum of out-coupled atoms. In particular, we show that the small tunneling current of noncondensate atoms from a trapped Bose gas has a broad spectrum of energies, with a characteristic structure associated with the Bogoliubov quasiparticle u^2 and v^2 amplitudes.Comment: 26 pages, 5 figures, minor changes, to appear in PR