836 research outputs found
A positive SeHCAT test results in fewer subsequent investigations in patients with chronic diarrhoea.
Chronic diarrhoea is a common condition, resulting from a number of different disorders. Bile acid diarrhoea, occurring in about a third of these patients, is often undiagnosed. We hypothesised that a positive diagnosis of bile acid diarrhoea would reduce the need for subsequent investigations for alternative diagnoses. METHODS: Patients previously recruited to a study of chronic diarrhoea who had selenium homocholic acid taurine (SeHCAT) testing and subsequent follow-up at our institution were identified. In a retrospective analysis, the numbers of defined investigations undertaken from the first 3 months after SeHCAT in the following 5 years were compared. RESULTS: 90 patients were identified with primary bile acid diarrhoea (SeHCAT retention 15%, n=54). Follow-up had been performed on 29 and 39 subjects, respectively, with no differences in previous investigations or the last contact date. In the follow-up period, the proportions of these patients who had undergone endoscopic procedures (gastroscopy, colonoscopy and sigmoidoscopy) were the same. However, there was a higher proportion of patients in the SeHCAT-negative group who had other investigations, including imaging, physiological tests and blood tests (p=0.037). The use of cross-sectional imaging was significantly higher in this group (p=0.015) with greater proportions having CT (0.44 vs 0.10) and MRI (0.26 vs 0.07). Ultrasound use and the number of blood tests were higher in the SeHCAT-negative group whereas the SeHCAT-positive group attended more clinic appointments (p=0.013). CONCLUSION: A positive diagnosis of bile acid diarrhoea, made by a SeHCAT test, resulted in reduced use of diagnostic investigations over the subsequent 5 years
Non-global logarithms and jet algorithms in high-pT jet shapes
We consider jet-shape observables of the type proposed recently, where the
shapes of one or more high-pT jets, produced in a multi-jet event with definite
jet multiplicity, may be measured leaving other jets in the event unmeasured.
We point out the structure of the full next-to-leading logarithmic resummation
specifically including resummation of non-global logarithms in the leading-Nc
limit and emphasising their properties. We also point out differences between
jet algorithms in the context of soft gluon resummation for such observables.Comment: 22 pages, 4 figures. Title and a few words changed. Several typos
corrected. Version accepted by JHE
Optimal jet radius in kinematic dijet reconstruction
Obtaining a good momentum reconstruction of a jet is a compromise between
taking it large enough to catch the perturbative final-state radiation and
small enough to avoid too much contamination from the underlying event and
initial-state radiation. In this paper, we compute analytically the optimal jet
radius for dijet reconstructions and study its scale dependence. We also
compare our results with previous Monte-Carlo studies.Comment: 30 pages, 11 figures; minor corrections; published in JHE
Behavioural stress responses predict environmental perception in European sea bass (Dicentrarchus labrax)
Individual variation in the response to environmental challenges depends partly on innate reaction norms, partly on experience-based cognitive/emotional evaluations that individuals make of the situation. The goal of this study was to investigate whether pre-existing differences in behaviour predict the outcome of such assessment of environmental cues, using a conditioned place preference/avoidance (CPP/CPA) paradigm. A comparative vertebrate model (European sea bass, Dicentrarchus labrax) was used, and ninety juvenile individuals were initially screened for behavioural reactivity using a net restraining test. Thereafter each individual was tested in a choice tank using net chasing as aversive stimulus or exposure to familiar conspecifics as appetitive stimulus in the preferred or non preferred side respectively (called hereafter stimulation side). Locomotor behaviour (i.e. time spent, distance travelled and swimming speed in each tank side) of each individual was recorded and analysed with video software. The results showed that fish which were previously exposed to appetitive stimulus increased significantly the time spent on the stimulation side, while aversive stimulus led to a strong decrease in time spent on the stimulation side. Moreover, this study showed clearly that proactive fish were characterised by a stronger preference for the social stimulus and when placed in a putative aversive environment showed a lower physiological stress responses than reactive fish. In conclusion, this study showed for the first time in sea bass, that the CPP/CPA paradigm can be used to assess the valence (positive vs. negative) that fish attribute to different stimuli and that individual behavioural traits is predictive of how stimuli are perceived and thus of the magnitude of preference or avoidance behaviour.European Commission [265957]; Portuguese Fundacao para a Ciencia e Tecnologia (FCT) [FRH/BPD/72952/2010]; FCT [SFRH/BD/80029/2011
Non-Global Logarithms in Filtered Jet Algorithms
We analytically and numerically study the effect of perturbative gluons
emission on the "Filtering analysis", which is part of a subjet analysis
procedure proposed two years ago to possibly identify a low-mass Higgs boson
decaying into b\bar{b} at the LHC. This leads us to examine the non-global
structure of the resulting perturbative series in the leading single-log
large-N_c approximation, including all-orders numerical results, simple
analytical approximations to them and comments on the structure of their series
expansion. We then use these results to semi-analytically optimize the
parameters of the Filtering analysis so as to suppress as much as possible the
effect of underlying event and pile-up on the Higgs mass peak reconstruction
while keeping the major part of the perturbative radiation from the b\bar{b}
dipole.Comment: 47 pages, 25 figures, 1 figure and a few comments added, version
accepted for publication in JHE
“It’s hard to tell”. The challenges of scoring patients on standardised outcome measures by multidisciplinary teams: a case study of Neurorehabilitation
Background
Interest is increasing in the application of standardised outcome measures in clinical practice. Measures designed for use in research may not be sufficiently precise to be used in monitoring individual patients. However, little is known about how clinicians and in particular, multidisciplinary teams, score patients using these measures. This paper explores the challenges faced by multidisciplinary teams in allocating scores on standardised outcome measures in clinical practice.
Methods
Qualitative case study of an inpatient neurorehabilitation team who routinely collected standardised outcome measures on their patients. Data were collected using non participant observation, fieldnotes and tape recordings of 16 multidisciplinary team meetings during which the measures were recited and scored. Eleven clinicians from a range of different professions were also interviewed. Data were analysed used grounded theory techniques.
Results
We identified a number of instances where scoring the patient was 'problematic'. In 'problematic' scoring, the scores were uncertain and subject to revision and adjustment. They sometimes required negotiation to agree on a shared understanding of concepts to be measured and the guidelines for scoring. Several factors gave rise to this problematic scoring. Team members' knowledge about patients' problems changed over time so that initial scores had to be revised or dismissed, creating an impression of deterioration when none had occurred. Patients had complex problems which could not easily be distinguished from each other and patients themselves varied in their ability to perform tasks over time and across different settings. Team members from different professions worked with patients in different ways and had different perspectives on patients' problems. This was particularly an issue in the scoring of concepts such as anxiety, depression, orientation, social integration and cognitive problems.
Conclusion
From a psychometric perspective these problems would raise questions about the validity, reliability and responsiveness of the scores. However, from a clinical perspective, such characteristics are an inherent part of clinical judgement and reasoning. It is important to highlight the challenges faced by multidisciplinary teams in scoring patients on standardised outcome measures but it would be unwarranted to conclude that such challenges imply that these measures should not be used in clinical practice for decision making about individual patients. However, our findings do raise some concerns about the use of such measures for performance management
Study of decays to the final state and evidence for the decay
A study of decays is performed for the first time
using data corresponding to an integrated luminosity of 3.0
collected by the LHCb experiment in collisions at centre-of-mass energies
of and TeV. Evidence for the decay
is reported with a significance of 4.0 standard deviations, resulting in the
measurement of
to
be .
Here denotes a branching fraction while and
are the production cross-sections for and mesons.
An indication of weak annihilation is found for the region
, with a significance of
2.4 standard deviations.Comment: All figures and tables, along with any supplementary material and
additional information, are available at
https://lhcbproject.web.cern.ch/lhcbproject/Publications/LHCbProjectPublic/LHCb-PAPER-2016-022.html,
link to supplemental material inserted in the reference
Behavioral responses to injury and death in wild Barbary macaques (Macaca sylvanus)
The wounding or death of a conspecific has been shown to elicit varied behavioral responses throughout thanatology. Recently, a number of reports have presented contentious evidence of epimeletic behavior towards the dying and dead among non-human animals, a behavioral trait previously considered uniquely human. Here, we report on the behavioral responses of Barbary macaques, a social, non-human primate, to the deaths of four group members (one high-ranking adult female, one high-ranking adult male, one juvenile male, and one female infant), all caused by road traffic accidents. Responses appeared to vary based on the nature of the death (protracted or instant) and the age class of the deceased. Responses included several behaviors with potential adaptive explanations or consequences. These included exploration, caretaking (guarding, carrying, and grooming), and proximity to wounded individuals or corpses, and immediate as well as longer-lasting distress behaviors from other group members following death, all of which have been reported in other non-human primate species. These observations add to a growing body of comparative evolutionary analysis of primate thanatology and help to highlight the multifaceted impacts of human-induced fatalities on an endangered and socially complex primate. © 2016, Japan Monkey Centre and Springer Japan
Concepts of Animal Health and Welfare in Organic Livestock Systems
In 2005, The International Federation of Organic Agricultural Movements (IFOAM) developed four new ethical principles of organic agriculture to guide its future development: the principles of health, ecology, care, and fairness. The key distinctive concept of animal welfare in organic agriculture combines naturalness and human care, and can be linked meaningfully with these principles. In practice, a number of challenges are connected with making organic livestock systems work. These challenges are particularly dominant in immature agro-ecological systems, for example those that are characterized by industrialization and monoculture. Some of the current challenges are partly created by shortages of land and manure, which encourage zero-grazing and other confined systems. Other challenges are created in part by the conditions for farming and the way in which global food distribution systems are organized, e.g., how live animals are transported, how feed is traded and transported all over the globe, and the development of infrastructure and large herds. We find that the overall organic principles should be included when formulating guidelines for practical organic animal farming. This article explores how the special organic conceptions of animal welfare are related to the overall principles of organic agriculture. The aim is to identify potential routes for future development of organic livestock systems in different contexts and with reference to the specific understanding of animal welfare in organic agriculture. We include two contrasting cases represented by organic livestock systems in northwestern Europe and farming systems in tropical low-income countries; we use these cases to explore the widely different challenges of organic livestock systems in different parts of the world
Bulk Axions, Brane Back-reaction and Fluxes
Extra-dimensional models can involve bulk pseudo-Goldstone bosons (pGBs)
whose shift symmetry is explicitly broken only by physics localized on branes.
Reliable calculation of their low-energy potential is often difficult because
it requires details of the stabilization of the extra dimensions. In rugby ball
solutions, for which two compact extra dimensions are stabilized in the
presence of only positive-tension brane sources, the effects of brane
back-reaction can be computed explicitly. This allows the calculation of the
shape of the low-energy pGB potential and response of the extra dimensional
geometry as a function of the perturbing brane properties. If the
pGB-dependence is a small part of the total brane tension a very general
analysis is possible, permitting an exploration of how the system responds to
frustration when the two branes disagree on what the proper scalar vacuum
should be. We show how the low-energy potential is given by the sum of brane
tensions (in agreement with common lore) when only the brane tensions couple to
the pGB. We also show how a direct brane coupling to the flux stabilizing the
extra dimensions corrects this result in a way that does not simply amount to
the contribution of the flux to the brane tensions. We calculate the mass of
the would-be zero mode, and briefly describe several potential applications,
including a brane realization of `natural inflation,' and a dynamical mechanism
for suppressing the couplings of the pGB to matter localized on the branes.
Since the scalar can be light enough to be relevant to precision tests of
gravity (in a technically natural way) this mechanism can be relevant to
evading phenomenological bounds.Comment: 36 pages, JHEP styl
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