15,281 research outputs found
Data uncertainties in geographic information system
2006-2007 > Academic research: refereed > Publication in refereed journalVersion of RecordPublishe
Treatment of stiff thoracic scoliosis by thoracoscopic anterior release combined with posterior instrumentation and fusion
Background. Thoracoscopic anterior release has been shown that it can effectively improve spinal flexibility in animal and human cadaveric studies, and has been advocated for use in patients with scoliosis. This prospective case series aims to investigate the improvement of the spinal flexibility and the effectiveness in deformity correction by anterior thoracoscopic release and posterior spinal fusion. Methods. Eleven patients with stiff idiopathic thoracic scoliosis underwent anterior thoracoscopic release followed by posterior instrumentation. The average number of discs excised was five. Spinal flexibility was assessed by the fulcrum bending technique. Cobb angle before and after the anterior release was compared. Results. The patients were followed for an average of 5.6 years (range 2.2 to 8.1 years). Fulcrum bending flexibility was increased from 39% before the thoracoscopic anterior spinal release to 54% after the release. The average Cobb angle before anterior release was 74° on the standing radiograph and 45° with the fulcrum-bending radiograph. This reduced to 34° on the fulcrum-bending radiograph after the release, and highly corresponded to the 31° measured at the post-operative standing radiograph. Conclusion. It was demonstrated in patients with stiff idiopathic thoracic scoliosis that thoracoscopic anterior spinal release can effectively improve the spinal flexibility and increase the correction of the spinal deformity.published_or_final_versio
Power-Law Distributions in a Two-sided Market and Net Neutrality
"Net neutrality" often refers to the policy dictating that an Internet
service provider (ISP) cannot charge content providers (CPs) for delivering
their content to consumers. Many past quantitative models designed to determine
whether net neutrality is a good idea have been rather equivocal in their
conclusions. Here we propose a very simple two-sided market model, in which the
types of the consumers and the CPs are {\em power-law distributed} --- a kind
of distribution known to often arise precisely in connection with
Internet-related phenomena. We derive mostly analytical, closed-form results
for several regimes: (a) Net neutrality, (b) social optimum, (c) maximum
revenue by the ISP, or (d) maximum ISP revenue under quality differentiation.
One unexpected conclusion is that (a) and (b) will differ significantly, unless
average CP productivity is very high
A Schwarz lemma for K\"ahler affine metrics and the canonical potential of a proper convex cone
This is an account of some aspects of the geometry of K\"ahler affine metrics
based on considering them as smooth metric measure spaces and applying the
comparison geometry of Bakry-Emery Ricci tensors. Such techniques yield a
version for K\"ahler affine metrics of Yau's Schwarz lemma for volume forms. By
a theorem of Cheng and Yau there is a canonical K\"ahler affine Einstein metric
on a proper convex domain, and the Schwarz lemma gives a direct proof of its
uniqueness up to homothety. The potential for this metric is a function
canonically associated to the cone, characterized by the property that its
level sets are hyperbolic affine spheres foliating the cone. It is shown that
for an -dimensional cone a rescaling of the canonical potential is an
-normal barrier function in the sense of interior point methods for conic
programming. It is explained also how to construct from the canonical potential
Monge-Amp\`ere metrics of both Riemannian and Lorentzian signatures, and a mean
curvature zero conical Lagrangian submanifold of the flat para-K\"ahler space.Comment: Minor corrections. References adde
Cytosine-to-Uracil Deamination by SssI DNA Methyltransferase
The prokaryotic DNA(cytosine-5)methyltransferase M.SssI shares the specificity of eukaryotic DNA methyltransferases (CG) and is an important model and experimental tool in the study of eukaryotic DNA methylation. Previously, M.SssI was shown to be able to catalyze deamination of the target cytosine to uracil if the methyl donor S-adenosyl-methionine (SAM) was missing from the reaction. To test whether this side-activity of the enzyme can be used to distinguish between unmethylated and C5-methylated cytosines in CG dinucleotides, we re-investigated, using a sensitive genetic reversion assay, the cytosine deaminase activity of M.SssI. Confirming previous results we showed that M.SssI can deaminate cytosine to uracil in a slow reaction in the absence of SAM and that the rate of this reaction can be increased by the SAM analogue 5’-amino-5’-deoxyadenosine. We could not detect M.SssI-catalyzed deamination of C5-methylcytosine (m5C). We found conditions where the rate of M.SssI mediated C-to-U deamination was at least 100-fold higher than the rate of m5C-to-T conversion. Although this difference in reactivities suggests that the enzyme could be used to identify C5-methylated cytosines in the epigenetically important CG dinucleotides, the rate of M.SssI mediated cytosine deamination is too low to become an enzymatic alternative to the bisulfite reaction. Amino acid replacements in the presumed SAM binding pocket of M.SssI (F17S and G19D) resulted in greatly reduced methyltransferase activity. The G19D variant showed cytosine deaminase activity in E. coli, at physiological SAM concentrations. Interestingly, the C-to-U deaminase activity was also detectable in an E. coli ung+ host proficient in uracil excision repair
Exploring the roles of urinary HAI-1, EpCAM and EGFR in bladder cancer prognosis and risk stratification
Objectives:
To investigate whether elevated urinary HAI-1, EpCAM and EGFR are independent prognostic biomarkers within non-muscle-invasive bladder cancer (NMIBC) patients, and have utility for risk stratification to facilitate treatment decisions.
Results:
After accounting for EAU risk group in NMIBC patients, the risk of BC-specific death was 2.14 times higher (95% CI: 1.08 to 4.24) if HAI-1 was elevated and 2.04 times higher (95% CI: 1.02 to 4.07) if EpCAM was elevated. The majority of events occurred in the high-risk NMIBC group and this is where the biggest difference is seen in the survival curves when plotted for EAU risk groups separately. In MIBC patients, being elevated for any of the three biomarkers was significantly associated with BC-specific mortality after accounting for other risk factors, HR = 4.30 (95% CI: 1.85 to 10.03).
Patients and Methods:
Urinary levels of HAI-1, EpCAM and EGFR were measured by ELISA in 683 and 175 patients with newly-diagnosed NMIBC and MIBC, respectively, recruited to the Bladder Cancer Prognosis Programme. Associations between biomarkers and progression, BC-specific mortality and all-cause mortality were evaluated using univariable and multivariable Cox regression models, adjusted for European Association of Urology (EAU) NMIBC risk groups. The upper 25% of values for each biomarker within NMIBC patients were considered as elevated. Exploratory analyses in urine from MIBC patients were also undertaken.
Conclusion:
Urinary HAI-1 and EpCAM are prognostic biomarkers for NMIBC patients. These biomarkers have potential to guide treatment decisions for high-risk NMIBC patients. Further analyses are required to define the roles of HAI-1, EpCAM and EGFR in MIBC patients
Self-rated health in middle-aged and elderly Chinese : distribution, determinants and associations with cardio-metabolic risk factors
Background: Self-rated health (SRH) has been demonstrated to be an accurate reflection of a person's health and a valid predictor of incident mortality and chronic morbidity. We aimed to evaluate the distribution and factors associated with SRH and its association with biomarkers of cardio-metabolic diseases among middle-aged and elderly Chinese.
Methods: Survey of 1,458 men and 1,831 women aged 50 to 70 years, conducted in one urban and two rural areas of Beijing and Shanghai in 2005. SRH status was measured and categorized as good (very good and good) vs. not good (fair, poor and very poor). Determinants of SRH and associations with biomarkers of cardio-metabolic diseases were evaluated using logistic regression.
Results: Thirty two percent of participants reported good SRH. Males and rural residents tended to report good SRH. After adjusting for potential confounders, residence, physical activity, employment status, sleep quality and presence of diabetes, cardiovascular disease, and depression were the main determinants of SRH. Those free from cardiovascular disease (OR 3.68; 95%CI 2.39; 5.66), rural residents (OR 1.89; 95% CI 1.47; 2.43), non-depressed participants (OR 2.50; 95% CI 1.67; 3.73) and those with good sleep quality (OR 2.95; 95% CI 2.22; 3.91) had almost twice or over the chance of reporting good SRH compared to their counterparts. There were significant associations -and trend- between SRH and levels of inflammatory markers, insulin levels and insulin resistance.
Conclusion: Only one third of middle-aged and elderly Chinese assessed their health status as good or very good. Although further longitudinal studies are required to confirm our findings, interventions targeting social inequalities, lifestyle patterns might not only contribute to prevent chronic morbidity but as well to improve populations' perceived health
Parity Doubling and the S Parameter Below the Conformal Window
We describe a lattice simulation of the masses and decay constants of the
lowest-lying vector and axial resonances, and the electroweak S parameter, in
an SU(3) gauge theory with and 6 fermions in the fundamental
representation. The spectrum becomes more parity doubled and the S parameter
per electroweak doublet decreases when is increased from 2 to 6,
motivating study of these trends as is increased further, toward the
critical value for transition from confinement to infrared conformality.Comment: 4 pages, 5 figures; to be submitted to PR
Effects of cold water immersion on muscle oxygenation during repeated bouts of fatiguing exercise : a randomized controlled study
2015-2016 > Academic research: refereed > Publication in refereed journalVersion of RecordPublishe
Energy- and flux-budget (EFB) turbulence closure model for the stably stratified flows. Part I: Steady-state, homogeneous regimes
We propose a new turbulence closure model based on the budget equations for
the key second moments: turbulent kinetic and potential energies: TKE and TPE
(comprising the turbulent total energy: TTE = TKE + TPE) and vertical turbulent
fluxes of momentum and buoyancy (proportional to potential temperature).
Besides the concept of TTE, we take into account the non-gradient correction to
the traditional buoyancy flux formulation. The proposed model grants the
existence of turbulence at any gradient Richardson number, Ri. Instead of its
critical value separating - as usually assumed - the turbulent and the laminar
regimes, it reveals a transition interval, 0.1< Ri <1, which separates two
regimes of essentially different nature but both turbulent: strong turbulence
at Ri<<1; and weak turbulence, capable of transporting momentum but much less
efficient in transporting heat, at Ri>1. Predictions from this model are
consistent with available data from atmospheric and lab experiments, direct
numerical simulation (DNS) and large-eddy simulation (LES).Comment: 40 pages, 6 figures, Boundary-layer Meteorology, resubmitted, revised
versio
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