856 research outputs found
KELVIN: A Software Package for Rigorous Measurement of Statistical Evidence in Human Genetics
This paper describes the software package KELVIN, which supports the PPL (posterior probability of linkage) framework for the measurement of statistical evidence in human (or more generally, diploid) genetic studies. In terms of scope, KELVIN supports two-point (trait-marker or marker-marker) and multipoint linkage analysis, based on either sex-averaged or sex-specific genetic maps, with an option to allow for imprinting; trait-marker linkage disequilibrium (LD), or association analysis, in case-control data, trio data, and/or multiplex family data, with options for joint linkage and trait-marker LD or conditional LD given linkage; dichotomous trait, quantitative trait and quantitative trait threshold models; and certain types of gene-gene interactions and covariate effects. Features and data (pedigree) structures can be freely mixed and matched within analyses. The statistical framework is specifically tailored to accumulate evidence in a mathematically rigorous way across multiple data sets or data subsets while allowing for multiple sources of heterogeneity, and KELVIN itself utilizes sophisticated software engineering to provide a powerful and robust platform for studying the genetics of complex disorders
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Reflective Journaling: A Theoretical Model and Digital Prototype for Developing Resilience and Creativity
Reflection is commonly discussed as a tool for personal and professional development that is becoming increasingly important in today’s global and digital world. In this paper, we propose a model that suggests ways in which reflection, in the form of Reflective Journaling, can support the development of creativity and resilience, which are needed to enable individuals to function effectively in a fast-changing environment. In addition, the model proposes ways in which external support and progress monitoring can be used in conjunction with skills in adaptive resilience and structured creativity, to support the maintenance of reflective journaling as a habit, in the longer term, thus creating virtuous cycles of skills and behaviours that can reinforce each other. Based on our model, and additional user research, we describe the design of a first digital prototype that aims to support the use of Reflective Journaling and to develop creativity and resilience through suggested mechanisms. Initial evaluations of our prototype are positive. It has been well-received by early test users, and has the potential to address all the connections defined. We therefore suggest that the theoretical model can be used to develop digital tools, such as the one included, to help those who wish to develop the habit of reflective journaling, and through that a range of other skills associated with resilience and creative thinking. We see this as a starting point for investigating this potential in more depth
The selectivity, voltage-dependence and acid sensitivity of the tandem pore potassium channel TASK-1 : contributions of the pore domains
We have investigated the contribution to ionic
selectivity of residues in the selectivity filter and pore
helices of the P1 and P2 domains in the acid sensitive
potassium channel TASK-1. We used site directed mutagenesis
and electrophysiological studies, assisted by structural
models built through computational methods. We have
measured selectivity in channels expressed in Xenopus
oocytes, using voltage clamp to measure shifts in reversal
potential and current amplitudes when Rb+ or Na+ replaced
extracellular K+. Both P1 and P2 contribute to selectivity,
and most mutations, including mutation of residues in the
triplets GYG and GFG in P1 and P2, made channels nonselective.
We interpret the effects of these—and of other
mutations—in terms of the way the pore is likely to be
stabilised structurally. We show also that residues in the
outer pore mouth contribute to selectivity in TASK-1.
Mutations resulting in loss of selectivity (e.g. I94S, G95A)
were associated with slowing of the response of channels to
depolarisation. More important physiologically, pH sensitivity
is also lost or altered by such mutations. Mutations
that retained selectivity (e.g. I94L, I94V) also retained their
response to acidification. It is likely that responses both to
voltage and pH changes involve gating at the selectivity filter
Simultaneous measurements of elastic wave velocities and electrical conductivity in a brine-saturated granitic rock under confining pressures and their implication for interpretation of geophysical observations
Multi-parallel qPCR provides increased sensitivity and diagnostic breadth for gastrointestinal parasites of humans: field-based inferences on the impact of mass deworming
BACKGROUND: Although chronic morbidity in humans from soil transmitted helminth (STH) infections can be reduced by anthelmintic treatment, inconsistent diagnostic tools make it difficult to reliably measure the impact of deworming programs and often miss light helminth infections. METHODS: Cryopreserved stool samples from 796 people (aged 2-81 years) in four villages in Bungoma County, western Kenya, were assessed using multi-parallel qPCR for 8 parasites and compared to point-of-contact assessments of the same stools by the 2-stool 2-slide Kato-Katz (KK) method. All subjects were treated with albendazole and all Ascaris lumbricoides expelled post-treatment were collected. Three months later, samples from 633 of these people were re-assessed by both qPCR and KK, re-treated with albendazole and the expelled worms collected. RESULTS: Baseline prevalence by qPCR (n = 796) was 17 % for A. lumbricoides, 18 % for Necator americanus, 41 % for Giardia lamblia and 15% for Entamoeba histolytica. The prevalence was <1% for Trichuris trichiura, Ancylostoma duodenale, Strongyloides stercoralis and Cryptosporidium parvum. The sensitivity of qPCR was 98% for A. lumbricoides and N. americanus, whereas KK sensitivity was 70% and 32%, respectively. Furthermore, qPCR detected infections with T. trichiura and S. stercoralis that were missed by KK, and infections with G. lamblia and E. histolytica that cannot be detected by KK. Infection intensities measured by qPCR and by KK were correlated for A. lumbricoides (r = 0.83, p < 0.0001) and N. americanus (r = 0.55, p < 0.0001). The number of A. lumbricoides worms expelled was correlated (p < 0.0001) with both the KK (r = 0.63) and qPCR intensity measurements (r = 0.60). CONCLUSIONS: KK may be an inadequate tool for stool-based surveillance in areas where hookworm or Strongyloides are common or where intensity of helminth infection is low after repeated rounds of chemotherapy. Because deworming programs need to distinguish between populations where parasitic infection is controlled and those where further treatment is required, multi-parallel qPCR (or similar high throughput molecular diagnostics) may provide new and important diagnostic information
Transoral robotic surgery with radial forearm free flap reconstruction: case control analysis
The Minimal Scale Invariant Extension of the Standard Model
We perform a systematic analysis of an extension of the Standard Model that
includes a complex singlet scalar field and is scale invariant at the tree
level. We call such a model the Minimal Scale Invariant extension of the
Standard Model (MSISM). The tree-level scale invariance of the model is
explicitly broken by quantum corrections, which can trigger electroweak
symmetry breaking and potentially provide a mechanism for solving the gauge
hierarchy problem. Even though the scale invariant Standard Model is not a
realistic scenario, the addition of a complex singlet scalar field may result
in a perturbative and phenomenologically viable theory. We present a complete
classification of the flat directions which may occur in the classical scalar
potential of the MSISM. After calculating the one-loop effective potential of
the MSISM, we investigate a number of representative scenarios and determine
their scalar boson mass spectra, as well as their perturbatively allowed
parameter space compatible with electroweak precision data. We discuss the
phenomenological implications of these scenarios, in particular, whether they
realize explicit or spontaneous CP violation, neutrino masses or provide dark
matter candidates. In particular, we find a new minimal scale-invariant model
of maximal spontaneous CP violation which can stay perturbative up to
Planck-mass energy scales, without introducing an unnaturally large hierarchy
in the scalar-potential couplings.Comment: 71 pages, 34 eps figures, numerical error corrected, clarifying
comments adde
CoRoT 105906206: a short-period and totally eclipsing binary with a Delta Scuti type pulsator
Eclipsing binary systems with pulsating components allow the determination of
several physical parameters of the stars, such as mass and radius, that, when
combined with the pulsation properties, can be used to constrain the modeling
of stellar interiors and evolution. Hereby, we present the results of the study
of CoRoT 105906206, an eclipsing binary system with a pulsating component
located in the CoRoT LRc02 field. The analysis of the CoRoT light curve was
complemented by high-resolution spectra from the Sandiford at McDonald
Observatory and FEROS at ESO spectrographs, which revealed a double-lined
spectroscopic binary. We used an iterative procedure to separate the
pulsation-induced photometric variations from the eclipse signals. First, a
Fourier analysis was used to identify the significant frequencies and
amplitudes due to pulsations. Second, after removing the contribution of the
pulsations from the light curve we applied the PIKAIA genetic-algorithm
approach to derive the best parameters that describe the orbital properties of
the system. The light curve cleaned for pulsations contains the partial eclipse
of the primary and the total eclipse of the secondary. The system has an
orbital period of about 3.694 days and is formed by a primary star with mass M1
= 2.25 +/- 0.04 solar masses, radius R1 = 4.24 +/- 0.02 solar radii, and
effective temperature Teff1 = 6750 +/- 150 K, and a secondary with M2 = 1.29
+/- 0.03 solar masses, R2 = 1.34 +/- 0.01 solar radii, and Teff2 = 6152 +/- 162
K. The best solution for the parameters was obtained by taking into account the
asymmetric modulation observed in the light curve, known as the O'Connell
effect, presumably caused by Doppler beaming. The analysis of the Fourier
spectrum revealed that the primary component has p-mode pulsations in the range
5-13 c/d, which are typical of Delta Scuti type stars.Comment: 11 pages, 8 figures, 3 table
Professionalism and Evolving Concepts of Quality
For much of the twentieth century, quality of care was defined specifically in terms of physician characteristics and behaviors. High-quality physicians were well trained, knowledgeable, skillful, and compassionate. More recently, quality of care has been defined in terms of systems of care. High-quality organizations develop and adopt practices to reduce adverse events and optimize outcomes. This essay discusses this transformation from physician-based to organization-based concepts of quality and the consequences for patient care and medical professionalism
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