The design and implementation of a relational programming system.

The declarative class of computer languages consists mainly of two paradigms - the logic and the functional. Much research has been devoted in recent years to the integration of the two with the aim of securing the advantages of both without retaining their disadvantages. To date this research has, arguably, been less fruitful than initially hoped. A large number of composite functional/logical languages have been proposed but have generally been marred by the lack of a firm, cohesive, mathematical basis. More recently new declarative paradigms, equational and constraint languages, have been advocated. These however do not fully encompass those features we perceive as being central to functional and logic languages. The crucial functional features are higher-order definitions, static polymorphic typing, applicative expressions and laziness. The crucial logic features are ability to reason about both functional and non-functional relationships and to handle computations involving search. This thesis advocates a new declarative paradigm which lies midway between functional and logic languages - the so-called relational paradigm. In a relationallanguage program and data alike are denoted by relations. All expressions are relations constructed from simpler expressions using operators which form a relational algebra. The impetus for use of relations in a declarative language comes from observations concerning their connection to functional and logic programming. Relations are mathematically more general than functions modelling non-functional as well as functional relationships. They also form the basis of many logic languages, for example, Prolog. This thesis proposes a new relational language based entirely on binary relations, named Drusilla. We demonstrate the functional and logic aspects of Drusilla. It retains the higher-order objects and polymorphism found in modern functional languages but handles non-determinism and models relationships between objects in the manner of a logic language with notion of algorithm being composed of logic and control elements. Different programming styles - functional, logic and relational- are illustrated. However, such expressive power does not come for free; it has associated with it a high cost of implementation. Two main techniques are used in the necessarily complex language interpreter. A type inference system checks programs to ensure they are meaningful and simultaneously performs automatic representation selection for relations. A symbolic manipulation system transforms programs to improve. efficiency of expressions and to increase the number of possible representations for relations while preserving program meaning

Prognostic indicators and outcomes of hospitalised COVID-19 patients with neurological disease: An individual patient data meta-analysis

BACKGROUND: Neurological COVID-19 disease has been reported widely, but published studies often lack information on neurological outcomes and prognostic risk factors. We aimed to describe the spectrum of neurological disease in hospitalised COVID-19 patients; characterise clinical outcomes; and investigate factors associated with a poor outcome. METHODS: We conducted an individual patient data (IPD) meta-analysis of hospitalised patients with neurological COVID-19 disease, using standard case definitions. We invited authors of studies from the first pandemic wave, plus clinicians in the Global COVID-Neuro Network with unpublished data, to contribute. We analysed features associated with poor outcome (moderate to severe disability or death, 3 to 6 on the modified Rankin Scale) using multivariable models. RESULTS: We included 83 studies (31 unpublished) providing IPD for 1979 patients with COVID-19 and acute new-onset neurological disease. Encephalopathy (978 [49%] patients) and cerebrovascular events (506 [26%]) were the most common diagnoses. Respiratory and systemic symptoms preceded neurological features in 93% of patients; one third developed neurological disease after hospital admission. A poor outcome was more common in patients with cerebrovascular events (76% [95% CI 67-82]), than encephalopathy (54% [42-65]). Intensive care use was high (38% [35-41]) overall, and also greater in the cerebrovascular patients. In the cerebrovascular, but not encephalopathic patients, risk factors for poor outcome included breathlessness on admission and elevated D-dimer. Overall, 30-day mortality was 30% [27-32]. The hazard of death was comparatively lower for patients in the WHO European region. INTERPRETATION: Neurological COVID-19 disease poses a considerable burden in terms of disease outcomes and use of hospital resources from prolonged intensive care and inpatient admission; preliminary data suggest these may differ according to WHO regions and country income levels. The different risk factors for encephalopathy and stroke suggest different disease mechanisms which may be amenable to intervention, especially in those who develop neurological symptoms after hospital admission

Prognostic indicators and outcomes of hospitalised COVID-19 patients with neurological disease: An individual patient data meta-analysis.

BackgroundNeurological COVID-19 disease has been reported widely, but published studies often lack information on neurological outcomes and prognostic risk factors. We aimed to describe the spectrum of neurological disease in hospitalised COVID-19 patients; characterise clinical outcomes; and investigate factors associated with a poor outcome.MethodsWe conducted an individual patient data (IPD) meta-analysis of hospitalised patients with neurological COVID-19 disease, using standard case definitions. We invited authors of studies from the first pandemic wave, plus clinicians in the Global COVID-Neuro Network with unpublished data, to contribute. We analysed features associated with poor outcome (moderate to severe disability or death, 3 to 6 on the modified Rankin Scale) using multivariable models.ResultsWe included 83 studies (31 unpublished) providing IPD for 1979 patients with COVID-19 and acute new-onset neurological disease. Encephalopathy (978 [49%] patients) and cerebrovascular events (506 [26%]) were the most common diagnoses. Respiratory and systemic symptoms preceded neurological features in 93% of patients; one third developed neurological disease after hospital admission. A poor outcome was more common in patients with cerebrovascular events (76% [95% CI 67-82]), than encephalopathy (54% [42-65]). Intensive care use was high (38% [35-41]) overall, and also greater in the cerebrovascular patients. In the cerebrovascular, but not encephalopathic patients, risk factors for poor outcome included breathlessness on admission and elevated D-dimer. Overall, 30-day mortality was 30% [27-32]. The hazard of death was comparatively lower for patients in the WHO European region.InterpretationNeurological COVID-19 disease poses a considerable burden in terms of disease outcomes and use of hospital resources from prolonged intensive care and inpatient admission; preliminary data suggest these may differ according to WHO regions and country income levels. The different risk factors for encephalopathy and stroke suggest different disease mechanisms which may be amenable to intervention, especially in those who develop neurological symptoms after hospital admission

Iron Fertilization and the Trichodesmiumresponse on the West Florida Shelf

Prior laboratory studies of Trichodesmium have shown a high iron requirement that is consistent with the biochemical demand for iron in the enzyme nitrogenase. Summer delivery of iron, in the form of Saharan dust, may provide an explanation for Trichodesmium blooms observed in offshore waters of the West Florida shelf over the last 50 yr. During ecology and oceanography of harmful algal blooms (ECOHAB) field studies, background iron levels (0.1–0.5 nmol kg−1) were found at the surface during periods of minimal dust delivery (May 2000 and October 1999). In contrast, total dissolved iron concentrations on the order of ∼16 nmol kg−1 were measured at the West Florida shelfߚbreak after a July 1999 Saharan dust event that was identified by advanced very high resolution radiometer (AVHRR) imagery, groundߚbased radiometers, air mass analysis, and aerosol samples (dust and nonߚseaߚsalt nitrate) collected throughout South Florida. The Trichodesmium response following this July dust event was a 100–fold increase over background biomass, reaching a surface stock of ∼20 colonies L−1. Surface dissolved concentrations of both inorganic and organic phosphorus decreased below detectable limits during this bloom. Dissolved organic nitrogen concentrations associated with the bloom (15–20 µM) were 3–4–fold greater than background and much larger than ambient NO3− concentrations (\u3c0.5 µmol kg−1). If all dissolved organic nitrogen (DON) is converted to urea and ammonium, this organic nitrogen could have supported the red tide of \u3e20 µg chl L−1 of the toxic dinoflagellate, Gymnodinium breve, found along the West Florida coast during October 1999

Prognostic indicators and outcomes of hospitalised COVID-19 patients with neurological disease: An individual patient data meta-analysis.

BackgroundNeurological COVID-19 disease has been reported widely, but published studies often lack information on neurological outcomes and prognostic risk factors. We aimed to describe the spectrum of neurological disease in hospitalised COVID-19 patients; characterise clinical outcomes; and investigate factors associated with a poor outcome.MethodsWe conducted an individual patient data (IPD) meta-analysis of hospitalised patients with neurological COVID-19 disease, using standard case definitions. We invited authors of studies from the first pandemic wave, plus clinicians in the Global COVID-Neuro Network with unpublished data, to contribute. We analysed features associated with poor outcome (moderate to severe disability or death, 3 to 6 on the modified Rankin Scale) using multivariable models.ResultsWe included 83 studies (31 unpublished) providing IPD for 1979 patients with COVID-19 and acute new-onset neurological disease. Encephalopathy (978 [49%] patients) and cerebrovascular events (506 [26%]) were the most common diagnoses. Respiratory and systemic symptoms preceded neurological features in 93% of patients; one third developed neurological disease after hospital admission. A poor outcome was more common in patients with cerebrovascular events (76% [95% CI 67-82]), than encephalopathy (54% [42-65]). Intensive care use was high (38% [35-41]) overall, and also greater in the cerebrovascular patients. In the cerebrovascular, but not encephalopathic patients, risk factors for poor outcome included breathlessness on admission and elevated D-dimer. Overall, 30-day mortality was 30% [27-32]. The hazard of death was comparatively lower for patients in the WHO European region.InterpretationNeurological COVID-19 disease poses a considerable burden in terms of disease outcomes and use of hospital resources from prolonged intensive care and inpatient admission; preliminary data suggest these may differ according to WHO regions and country income levels. The different risk factors for encephalopathy and stroke suggest different disease mechanisms which may be amenable to intervention, especially in those who develop neurological symptoms after hospital admission