Risk factors for acute exacerbations of COPD in a primary care population: A retrospective observational cohort study

Objectives: To evaluate risk factors associated with exacerbation frequency in primary care. Information on exacerbations of chronic obstructive pulmonary disease (COPD) has mainly been generated by secondary care-based clinical cohorts. Design: Retrospective observational cohort study. Setting: Electronic medical records database (England and Wales). Participants: 58 589 patients with COPD aged ≥40 years with COPD diagnosis recorded between 1 April 2009 and 30 September 2012, and with at least 365 days of follow-up before and after the COPD diagnosis, were identified in the Clinical Practice Research Datalink. Mean age: 69 years; 47% female; mean forced expiratory volume in 1s 60% predicted. Outcome measures: Data on moderate or severe exacerbation episodes defined by diagnosis and/or medication codes 12 months following cohort entry were retrieved, together with demographic and clinical characteristics. Associations between patient characteristics and odds of having none versus one, none versus frequent (≥2) and one versus frequent exacerbations over 12 months follow-up were evaluated using multivariate logistic regression models. Results: During follow-up, 23% of patients had evidence of frequent moderate-to-severe COPD exacerbations (24% one; 53% none). Independent predictors of increased odds of having exacerbations during the follow-up, either frequent episodes or one episode, included prior exacerbations, increasing dyspnoea score, increasing grade of airflow limitation, females and prior or current history of several comorbidities (eg, asthma, depression, anxiety, heart failure and cancer). Conclusions: Primary care-managed patients with COPD at the highest risk of exacerbations can be identified by exploring medical history for the presence of prior exacerbations, greater COPD disease severity and co-occurrence of other medical conditions

Development of compressor end seals stator interstage seals, and stator pivot seals in advanced air breathing propulsion systems. Part 1: Screening studies and analysis

Design and characteristics of 28-inch diameter seals for air breathing propulsion systems - Part

Development of compressor end seals stator interstage seals, and stator pivot seals in advanced air breathing propulsion systems. Part 2: Experimental data and analysis

Performance tests of compressor seals and stator pivot seals used with air breathing propulsion systems - Part

Development of compressor end seals, stator interstage seals, and interior pivot seals in advanced air breathing propulsion systems Semiannual report, 30 Jun. - 31 Dec. 1968

Design and performance of seal test equipmen

Ground reaction force estimates from ActiGraph GT3X+ hip accelerations.

Simple methods to quantify ground reaction forces (GRFs) outside a laboratory setting are needed to understand daily loading sustained by the body. Here, we present methods to estimate peak vertical GRF (pGRFvert) and peak braking GRF (pGRFbrake) in adults using raw hip activity monitor (AM) acceleration data. The purpose of this study was to develop a statistically based model to estimate pGRFvert and pGRFbrake during walking and running from ActiGraph GT3X+ AM acceleration data. 19 males and 20 females (age 21.2 ± 1.3 years, height 1.73 ± 0.12 m, mass 67.6 ± 11.5 kg) wore an ActiGraph GT3X+ AM over their right hip. Six walking and six running trials (0.95-2.19 and 2.20-4.10 m/s, respectively) were completed. Average of the peak vertical and anterior/posterior AM acceleration (ACCvert and ACCbrake, respectively) and pGRFvert and pGRFbrake during the stance phase of gait were determined. Thirty randomly selected subjects served as the training dataset to develop generalized equations to predict pGRFvert and pGRFbrake. Using a holdout approach, the remaining 9 subjects were used to test the accuracy of the models. Generalized equations to predict pGRFvert and pGRFbrake included ACCvert and ACCbrake, respectively, mass, type of locomotion (walk or run), and type of locomotion acceleration interaction. The average absolute percent differences between actual and predicted pGRFvert and pGRFbrake were 8.3% and 17.8%, respectively, when the models were applied to the test dataset. Repeated measures generalized regression equations were developed to predict pGRFvert and pGRFbrake from ActiGraph GT3X+ AM acceleration for young adults walking and running. These equations provide a means to estimate GRFs without a force plate

A spectrum of carbon dioxide from 800 to 5500 cm-1

An atlas of CO2 lines obtained from long path length samples at 296 K is presented. Many of the line centers are marked and their positions tabulated

Four dimensional Lie symmetry algebras and fourth order ordinary differential equations

Realizations of four dimensional Lie algebras as vector fields in the plane are explicitly constructed. Fourth order ordinary differential equations which admit such Lie symmetry algebras are derived. The route to their integration is described.Comment: 12 page

On the relationship between sigma models and spin chains

We consider the two-dimensional $\rm O(3)$ non-linear sigma model with topological term using a lattice regularization introduced by Shankar and Read [Nucl.Phys. B336 (1990), 457], that is suitable for studying the strong coupling regime. When this lattice model is quantized, the coefficient $\theta$ of the topological term is quantized as $\theta=2\pi s$, with $s$ integer or half-integer. We study in detail the relationship between the low energy behaviour of this theory and the one-dimensional spin-$s$ Heisenberg model. We generalize the analysis to sigma models with other symmetries.Comment: To appear in Int. J. MOd. Phys.