9,556 research outputs found

    PMD32 Cost-Effectiveness of Drug-Eluting Stents Versus Bare-Metal Stents for Single- and Multi-Vessel Percutaneous Coronary Intervention

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    Structural and functional brain changes following four weeks of unimanual motor training: evidence from fMRI-guided diffusion MRI tractography

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    We have reported reliable changes in behaviour, brain structure and function in 24 healthy right-handed adults who practiced a finger-thumb opposition sequence task with their left hand for 10 mins daily, over four weeks. Here we extend these findings by employing diffusion MRI to investigate white-matter changes in the corticospinal tract, basal-ganglia, and connections of the dorsolateral prefrontal cortex. Twenty-three participant datasets were available with pre-training and post-training scans. Task performance improved in all participants (mean: 52.8%, SD: 20.0%; group

    Globular Cluster Distance Determinations

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    The present status of the distance scale to Galactic globular clusters is reviewed. Six distance determination techniques which are deemed to be most reliable are discussed in depth. These different techniques are used to calibrate the absolute magnitude of the RR Lyrae stars. The various calibrations fall into three groups. Main sequence fitting using Hipparcos parallaxes, theoretical HB models and the RR Lyrae in the LMC all favor a bright calibration, implying a `long' globular cluster distance scale. White dwarf fitting and the astrometric distances yield a somewhat fainter RR Lyrae calibration, while the statistical parallax solution yields faint RR Lyrae stars implying a `short' distance scale to globular clusters. Various secondary distance indicators discussed all favor the long distance scale. The `long' and `short' distance scales differ by (0.31+/-0.16) mag. Averaging together all of the different distance determinations yields Mv(RR) = (0.23+/-0.04)([Fe/H] + 1.6) + (0.56+/-0.12) mag.Comment: Invited review article to appear in: `Post-Hipparcos Cosmic Candles', A. Heck & F. Caputo (Eds), Kluwer Academic Publ., Dordrecht, in pres

    The Effect of Pravastatin on Intima Media Thickness of the Carotid Artery in Patients with Normal Cholesterol

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    AbstractObjectiveCarotid intima media thickness (IMT) is a good indicator of the severity of atherosclerotic disease. Statins have been found to reduce carotid IMT in patients with hypercholesterolaemia. The aim of this study was to investigate if pravastatin is effective in reducing IMT in normocholesterolaemic patients with carotid artery disease.MethodsPatients with carotid artery stenosis and normal cholesterol levels who were not on a statin, were recruited. Patients were randomised to receive pravastatin or placebo daily. Serum concentration of cholesterol and IMT of common carotid arteries were measured before randomisation and at 3 monthly intervals thereafter, for 9 months. IMT was analysed to give the mean of a standardised 2cm of the common carotid artery (CCA). Results are expressed as median (IQR) and comparison made using the Wilcoxon signed ranks test.ResultsFifty-four patients were examined. Twenty-eight patients were randomised to active treatment. There was no difference in demographic details and co-morbid states between the two groups. A significant reduction in cholesterol concentration was observed from 3 months in patients randomised to the pravastatin group [5.14(4.72–5.88) vs. 4.11(3.44–5.33), p<0.05], while there was also a significant decrease in combined IMT form 6 months [1.53(1.36–1.87) vs. 1.41 (1.33–1.78), p<0.05].ConclusionsThe results demonstrate that pravastatin reduces intima media thickness of the common carotid artery in normocholesterolaemic patients with moderate carotid stenosis

    The asymmetric drift, the local standard of rest, and implications from RAVE data

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    Context. The determination of the local standard of rest (LSR), which corresponds to the measurement of the peculiar motion of the Sun based on the derivation of the asymmetric drift of stellar populations, is still a matter of debate. The classical value of the tangential peculiar motion of the Sun with respect to the LSR was challenged in recent years, claiming a significantly larger value. Aims. We present an improved Jeans analysis, which allows a better interpretation of the measured kinematics of stellar populations in the Milky Way disc. We show that the Radial Velocity Experiment (RAVE) sample of dwarf stars is an excellent data set to derive tighter boundary conditions to chemodynamical evolution models of the extended solar neighbourhood. Methods. We propose an improved version of the Stromberg relation with the radial scalelengths as the only unknown. We redetermine the asymmetric drift and the LSR for dwarf stars based on RAVE data. Additionally, we discuss the impact of adopting a different LSR value on the individual scalelengths of the subpopulations. Results. Binning RAVE stars in metallicity reveals a bigger asymmetric drift (corresponding to a smaller radial scalelength) for more metal-rich populations. With the standard assumption of velocity-dispersion independent radial scalelengths in each metallicity bin, we redetermine the LSR. The new Stromberg equation yields a joint LSR value of V-circle dot = 3.06 +/- 0.68 km s(-1), which is even smaller than the classical value based on Hipparcos data. The corresponding radial scalelength increases from 1.6 kpc for the metal-rich bin to 2.9 kpc for the metal-poor bin, with a trend of an even larger scalelength for young metal-poor stars. When adopting the recent Schonrich value of V-circle dot = 12.24 km s(-1) for the LSR, the new Stromberg equation yields much larger individual radial scalelengths of the RAVE subpopulations, which seem unphysical in part. Conclusions. The new Stromberg equation allows a cleaner interpretation of the kinematic data of disc stars in terms of radial scalelengths. Lifting the LSR value by a few km s(-1) compared to the classical value results in strongly increased radial scalelengths with a trend of smaller values for larger velocity dispersions

    X-ray Emission near the Substellar Limit: The sigma Orionis and Taurus Star Forming Regions

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    We have carried out an extensive search for X-ray emission from young, very low-mass objects near and beyond the substellar limit, making use of archived ROSAT PSPC and HRI observations pointed at Brown Dwarfs and Brown Dwarf candidates in the young sigma Orionis and Taurus-Auriga associations. In sigma Ori we identify three Brown Dwarf candidates with X-ray sources; in Taurus-Auriga we add one further X-ray detection of a Brown Dwarf to the list published earlier. We combine this data with all previously X-ray detected Brown Dwarfs and Brown Dwarf candidates in young stellar associations and star forming regions to perform a study of stellar activity parameters on the as yet largest sample of young, very low mass objects. A similar relation between X-ray and bolometric luminosity, and H-alpha emission, respectively, as is known for T Tauri stars seems to hold for young objects down to the substellar limit, too. No signs for a change in X-ray activity are found on the transition to substellar masses.Comment: 9 pages, 5 (9) figures; fig. 1-4 are available only in the preprint or in the ps-file via , accepted for publication in A&

    From d-wave to s-wave pairing in the iron-pnictide superconductor (Ba,K)Fe2As2

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    The nature of the pairing state in iron-based superconductors is the subject of much debate. Here we argue that in one material, the stoichiometric iron pnictide KFe2As2, there is overwhelming evidence for a d-wave pairing state, characterized by symmetry-imposed vertical line nodes in the superconducting gap. This evidence is reviewed, with a focus on thermal conductivity and the strong impact of impurity scattering on the critical temperature Tc. We then compare KFe2As2 to Ba0.6K0.4Fe2As2, obtained by Ba substitution, where the pairing symmetry is s-wave and the Tc is ten times higher. The transition from d-wave to s-wave within the same crystal structure provides a rare opportunity to investigate the connection between band structure and pairing mechanism. We also compare KFe2As2 to the nodal iron-based superconductor LaFePO, for which the pairing symmetry is probably not d-wave, but more likely s-wave with accidental line nodes

    Quantifying morbidities by Adjusted Clinical Group system for a Taiwan population: A nationwide analysis

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    <p>Abstract</p> <p>Background</p> <p>The Adjusted Clinical Group (ACG) system has been used in measuring an individual's and a population's morbidities. Although all required inputs for running the ACG system are readily available, patients' morbidities and their associations to health care utilizations have been rarely studied in Taiwan. Therefore, the objective of this study was using the ACG system to quantify morbidities for Taiwanese population and to examine their relationship to ambulatory utilizations and costs.</p> <p>Methods</p> <p>This secondary analysis examined claims data for ambulatory services provided to 2.71 million representative Taiwanese in 2002 and 2003. People were grouped by the ACG system according to age, gender, and all ambulatory diagnosis codes in a given year. The software collapses the full set of ACGs into six morbidity categories (Non-users, Healthy, Low-morbidity, Moderate-, High- and Very-high) termed Resource Utilization Bands (RUBs). Each ACG was assigned a relative weight (RW), which was calculated as the ratio of mean ambulatory cost for each ACG to that for the overall. The distribution of morbidities was compared between years 2002 and 2003. The consistency of the distributions of visits, costs, and RWs of each ACG were examined for a two-year period. The relationship between people's morbidities and their ambulatory utilizations and costs was assessed.</p> <p>Results</p> <p>Ninety-eight percent of the subjects were correctly assigned to ACGs. Except for non-users (7.9 ~ 8.3%), most subjects were assigned to ACGs of acute and minor diseases and ACGs of moderate-to-high-morbid chronic diseases. The distributions of ACG-based morbidities were highly consistent (r = 0.949, <it>p < 0.001</it>) between 2002 and 2003. The ACG-specific visits (r = 0.955, <it>p < 0.001</it>), costs (r = 0.966, <it>p < 0.001</it>) and RWs (r = 0.991, <it>p < 0.001</it>) were correlated across two years. People grouped to the high-morbid ACGs had more visits and costs than those grouped to the low-morbid ACGs. Forty-six percent of the total ambulatory costs were spent by eighteen percent of the population, who were grouped to the High- and Very-high-morbidity RUBs.</p> <p>Conclusion</p> <p>This study demonstrated the feasibility, validity, and reliability of using the ACG system to measure morbidities in a Taiwan population and to explain their associations with ambulatory utilizations and costs for the whole country.</p

    Chiral Perturbation Theory and the pp -> pp pi0 Reaction Near Threshold

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    A chiral-perturbative consideration of the near-threshold pp -> pp pi0 reaction indicates that the pion-rescattering term has a substantial energy and momentum dependence. The existing calculations that incorporate this dependence give pion rescattering contributions significantly larger than those of the conventional treatment, and this enhanced rescattering term interferes destructively with the one-body impulse term, leading to theoretical cross sections that are much smaller than the observed values. However, since the existing calculations are based on coordinate-space representation, they involve a number of simplifying assumptions about the energy-momentum flow in the rescattering diagram, even though the delicate interplay between the one-body and two-body terms makes it desirable to avoid these kinematical assumptions. We carry out here a momentum-space calculation that retains the energy-momentum dependence of the vertices as predicted by chiral perturbation theory. Our improved treatment increases the rescattering amplitude by a factor of 3 over the value obtained in the r-space calculations. The pp -> pp pi0 transition amplitude, which is now dominated by the rescattering term, leads to the cross section much larger than what was reported in the approximate r-space calculations. Thus, the extremely small cross sections obtained in the previous chiral perturbative treatments of this reaction should be considered as an accidental consequence of the approximations employed rather than a general feature.Comment: 25 pages,REVTEX, 5 ps figure
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