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Showing papers by "Keele University published in 2015"


Journal ArticleDOI
28 Aug 2015-Science
TL;DR: A large-scale assessment suggests that experimental reproducibility in psychology leaves a lot to be desired, and correlational tests suggest that replication success was better predicted by the strength of original evidence than by characteristics of the original and replication teams.
Abstract: Reproducibility is a defining feature of science, but the extent to which it characterizes current research is unknown. We conducted replications of 100 experimental and correlational studies published in three psychology journals using high-powered designs and original materials when available. Replication effects were half the magnitude of original effects, representing a substantial decline. Ninety-seven percent of original studies had statistically significant results. Thirty-six percent of replications had statistically significant results; 47% of original effect sizes were in the 95% confidence interval of the replication effect size; 39% of effects were subjectively rated to have replicated the original result; and if no bias in original results is assumed, combining original and replication results left 68% with statistically significant effects. Correlational tests suggest that replication success was better predicted by the strength of original evidence than by characteristics of the original and replication teams.

5,532 citations


Journal ArticleDOI
TL;DR: This discussion of the practical and ethical details of anonymising is designed to add to the largely theoretical literature on this topic and to be of illustrative use to other researchers confronting similar dilemmas.
Abstract: Anonymising qualitative research data can be challenging, especially in highly sensitive contexts such as catastrophic brain injury and end-of-life decision-making. Using examples from in-depth interviews with family members of people in vegetative and minimally conscious states, this article discusses the issues we faced in trying to maximise participant anonymity alongside maintaining the integrity of our data. We discuss how we developed elaborate, context-sensitive strategies to try to preserve the richness of the interview material wherever possible while also protecting participants. This discussion of the practical and ethical details of anonymising is designed to add to the largely theoretical literature on this topic and to be of illustrative use to other researchers confronting similar dilemmas.

354 citations


Journal ArticleDOI
TL;DR: There is evidence that different non-pharmacological interventions can be used with preterms, neonates, and older infants to significantly manage pain behaviors associated with acutely painful procedures.
Abstract: Background Infant acute pain and distress is commonplace. Infancy is a period of exponential development. Unrelieved pain and distress can have implications across the lifespan. This is an update of a previously published review in the Cochrane Database of Systematic Reviews, Issue 10 2011 entitled 'Non-pharmacological management of infant and young child procedural pain'. Objectives To assess the efficacy of non-pharmacological interventions for infant and child (up to three years) acute pain, excluding kangaroo care, and music. Analyses were run separately for infant age (preterm, neonate, older) and pain response (pain reactivity, immediate pain regulation). Search methods For this update, we searched the Cochrane Central Register of Controlled Trials (CENTRAL) in The Cochrane Library (Issue 2 of 12, 2015), MEDLINE-Ovid platform (March 2015), EMBASE-OVID platform (April 2011 to March 2015), PsycINFO-OVID platform (April 2011 to February 2015), and CINAHL-EBSCO platform (April 2011 to March 2015). We also searched reference lists and contacted researchers via electronic list-serves. New studies were incorporated into the review. We refined search strategies with a Cochrane-affiliated librarian. For this update, nine articles from the original 2011 review pertaining to Kangaroo Care were excluded, but 21 additional studies were added. Selection criteria Participants included infants from birth to three years. Only randomised controlled trials (RCTs) or RCT cross-overs that had a no-treatment control comparison were eligible for inclusion in the analyses. However, when the additive effects of a non-pharmacological intervention could be assessed, these studies were also included. We examined studies that met all inclusion criteria except for study design (e.g. had an active control) to qualitatively contextualize results. There were 63 included articles in the current update. Data collection and analysis Study quality ratings and risk of bias were based on the Cochrane Risk of Bias Tool and GRADE approach. We analysed the standardized mean difference (SMD) using the generic inverse variance method. Main results Sixty-three studies, with 4905 participants, were analysed. The most commonly studied acute procedures were heel-sticks (32 studies) and needles (17 studies). The largest SMD for treatment improvement over control conditions on pain reactivity were: non-nutritive sucking-related interventions (neonate: SMD -1.20, 95% CI -2.01 to -0.38) and swaddling/facilitated tucking (preterm: SMD -0.89; 95% CI -1.37 to -0.40). For immediate pain regulation, the largest SMDs were: non-nutritive sucking-related interventions (preterm: SMD -0.43; 95% CI -0.63 to -0.23; neonate: SMD -0.90; 95% CI -1.54 to -0.25; older infant: SMD -1.34; 95% CI -2.14 to -0.54), swaddling/facilitated tucking (preterm: SMD -0.71; 95% CI -1.00 to -0.43), and rocking/holding (neonate: SMD -0.75; 95% CI -1.20 to -0.30). Fifty two of our 63 trials did not report adverse events. The presence of significant heterogeneity limited our confidence in the findings for certain analyses, as did the preponderance of very low quality evidence. Authors' conclusions There is evidence that different non-pharmacological interventions can be used with preterms, neonates, and older infants to significantly manage pain behaviors associated with acutely painful procedures. The most established evidence was for non-nutritive sucking, swaddling/facilitated tucking, and rocking/holding. All analyses reflected that more research is needed to bolster our confidence in the direction of the findings. There are significant gaps in the existing literature on non-pharmacological management of acute pain in infancy.

328 citations


Journal ArticleDOI
20 Feb 2015-Science
TL;DR: A signature in x-ray spectra of a strong persistent outflow in the quasar PDS 456 is seen, estimating a broad solid angle spanned by the wind that enables a far greater impact on the host galaxy than narrower jet outflows.
Abstract: The evolution of galaxies is connected to the growth of supermassive black holes in their centers. During the quasar phase, a huge luminosity is released as matter falls onto the black hole, and radiation-driven winds can transfer most of this energy back to the host galaxy. Over five different epochs, we detected the signatures of a nearly spherical stream of highly ionized gas in the broadband x-ray spectra of the luminous quasar PDS 456. This persistent wind is expelled at relativistic speeds from the inner accretion disk, and its wide aperture suggests an effective coupling with the ambient gas. The outflow’s kinetic power larger than 1046 ergs per second is enough to provide the feedback required by models of black hole and host galaxy coevolution.

257 citations


Journal ArticleDOI
TL;DR: In this paper, the r-process nucleosynthesis in core-collapse supernovae (CC-SNe) is studied, with a focus on the explosion scenario induced by rotation and strong magnetic fields.
Abstract: The r-process nucleosynthesis in core-collapse supernovae (CC-SNe) is studied, with a focus on the explosion scenario induced by rotation and strong magnetic fields. Nucleosynthesis calculations are conducted based on magneto-hydrodynamical explosion models with a wide range of parameters for initial rotation and magnetic fields. The explosion models are classified in two different types: i.e., prompt-magnetic-jet and delayed-magnetic-jet, for which the magnetic fields of proto-neutron stars (PNSs) during collapse and the core-bounce are strong and comparatively moderate, respectively. Following the hydrodynamical trajectories of each explosion model, we confirmed that r-processes successfully occur in the prompt-magnetic-jets, which produce heavy nuclei including actinides. On the other hand, the r-process in the delayed-magnetic-jet is suppressed, which synthesizes only nuclei up to the second peak (A∼130). Thus, the r-process in the delayed-magnetic-jets could explain only "weak r-process" patterns observed in metal-poor stars rather than the "main r-process", represented by the solar abundances. Our results imply that core-collapse supernovae are possible astronomical sources of heavy r-process elements if their magnetic fields are strong enough, while weaker magnetic explosions may produce "weak r-process" patterns (A≲130). We show the potential importance and necessity of magneto-rotational supernovae for explaining the galactic chemical evolution, as well as abundances of r-process enhanced metal-poor stars. We also examine the effects of the remaining uncertainties in the nature of PNSs due to weak interactions that determine the final neutron-richness of ejecta. Additionally, we briefly discuss radioactive isotope yields in primary jets (e.g., 56Ni), with relation to several optical observation of SNe and relevant high-energy astronomical phenomena.

255 citations


Journal ArticleDOI
TL;DR: Overall consensus was reached for the inclusion of three domains in this COS: ‘physical functioning’, ‘pain intensity” and ‘health-related quality of life’ and the domain ‘number of deaths’.
Abstract: Purpose Inconsistent reporting of outcomes in clinical trials of patients with non-specific low back pain (NSLBP) hinders comparison of findings and the reliability of systematic reviews. A core outcome set (COS) can address this issue as it defines a minimum set of outcomes that should be reported in all clinical trials. In 1998, Deyo et al. recommended a standardized set of outcomes for LBP clinical research. The aim of this study was to update these recommendations by determining which outcome domains should be included in a COS for clinical trials in NSLBP.

251 citations


Journal ArticleDOI
16 Feb 2015-BMJ
TL;DR: Collaborative care that incorporates brief low intensity psychological therapy delivered in partnership with practice nurses in primary care can reduce depression and improve self management of chronic disease in people with mental and physical multimorbidity.
Abstract: Objective To test the effectiveness of an integrated collaborative care model for people with depression and long term physical conditions. Design Cluster randomised controlled trial. Setting 36 general practices in the north west of England. Participants 387 patients with a record of diabetes or heart disease, or both, who had depressive symptoms (≥10 on patient health questionaire-9 (PHQ-9)) for at least two weeks. Mean age was 58.5 (SD 11.7). Participants reported a mean of 6.2 (SD 3.0) long term conditions other than diabetes or heart disease; 240 (62%) were men; 360 (90%) completed the trial. Interventions Collaborative care included patient preference for behavioural activation, cognitive restructuring, graded exposure, and/or lifestyle advice, management of drug treatment, and prevention of relapse. Up to eight sessions of psychological treatment were delivered by specially trained psychological wellbeing practitioners employed by Improving Access to Psychological Therapy services in the English National Health Service; integration of care was enhanced by two treatment sessions delivered jointly with the practice nurse. Usual care was standard clinical practice provided by general practitioners and practice nurses. Main outcome measures The primary outcome was reduction in symptoms of depression on the self reported symptom checklist-13 depression scale (SCL-D13) at four months after baseline assessment. Secondary outcomes included anxiety symptoms (generalised anxiety disorder 7), self management (health education impact questionnaire), disability (Sheehan disability scale), and global quality of life (WHOQOL-BREF). Results 19 general practices were randomised to collaborative care and 20 to usual care; three practices withdrew from the trial before patients were recruited. 191 patients were recruited from practices allocated to collaborative care, and 196 from practices allocated to usual care. After adjustment for baseline depression score, mean depressive scores were 0.23 SCL-D13 points lower (95% confidence interval −0.41 to −0.05) in the collaborative care arm, equal to an adjusted standardised effect size of 0.30. Patients in the intervention arm also reported being better self managers, rated their care as more patient centred, and were more satisfied with their care. There were no significant differences between groups in quality of life, disease specific quality of life, self efficacy, disability, and social support. Conclusions Collaborative care that incorporates brief low intensity psychological therapy delivered in partnership with practice nurses in primary care can reduce depression and improve self management of chronic disease in people with mental and physical multimorbidity. The size of the treatment effects were modest and were less than the prespecified effect but were achieved in a trial run in routine settings with a deprived population with high levels of mental and physical multimorbidity. Trial registration ISRCTN80309252.

251 citations


Journal ArticleDOI
TL;DR: In this article, the authors report the 2015 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) recommendations for the management of polymyalgia rheumatica (PMR).
Abstract: Therapy for polymyalgia rheumatica (PMR) varies widely in clinical practice as international recommendations for PMR treatment are not currently available. In this paper, we report the 2015 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) recommendations for the management of PMR. We used the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) methodology as a framework for the project. Accordingly, the direction and strength of the recommendations are based on the quality of evidence, the balance between desirable and undesirable effects, patients' and clinicians' values and preferences, and resource use. Eight overarching principles and nine specific recommendations were developed covering several aspects of PMR, including basic and follow-up investigations of patients under treatment, risk factor assessment, medical access for patients and specialist referral, treatment strategies such as initial glucocorticoid (GC) doses and subsequent tapering regimens, use of intramuscular GCs and disease modifying anti-rheumatic drugs (DMARDs), as well as the roles of non-steroidal anti-rheumatic drugs and non-pharmacological interventions. These recommendations will inform primary, secondary and tertiary care physicians about an international consensus on the management of PMR. These recommendations should serve to inform clinicians about best practices in the care of patients with PMR.

244 citations


Journal ArticleDOI
TL;DR: Jayne Tierney and colleagues offer guidance on how to spot a well-designed and well-conducted individual participant data meta-analysis.
Abstract: Jayne Tierney and colleagues offer guidance on how to spot a well-designed and well-conducted individual participant data meta-analysis.

240 citations


Journal ArticleDOI
01 Aug 2015-Stroke
TL;DR: Stroke-associated pneumonia (SAP) is the recommended terminology for the spectrum of lower respiratory tract infections within the first 7 days after stroke onset and modified Centers for Disease Control and Prevention (CDC) criteria are proposed for SAP.
Abstract: Background and Purpose—Lower respiratory tract infections frequently complicate stroke and adversely affect outcome. There is currently no agreed terminology or gold-standard diagnostic criteria for the spectrum of lower respiratory tract infections complicating stroke, which has implications for clinical practice and research. The aim of this consensus was to propose standardized terminology and operational diagnostic criteria for lower respiratory tract infections complicating acute stroke. Methods—Systematic literature searches of multiple electronic databases were undertaken. An evidence review and 2 rounds of consensus consultation were completed before a final consensus meeting in September 2014, held in Manchester, United Kingdom. Consensus was defined a priori as ≥75% agreement between the consensus group members. Results—Consensus was reached for the following: (1) stroke-associated pneumonia (SAP) is the recommended terminology for the spectrum of lower respiratory tract infections within the fi...

240 citations


Journal ArticleDOI
TL;DR: The final catalog of eclipsing binary systems within the 105 square degree Kepler field of view is presented in this article, where the authors identify several classes of systems including those that exhibit tertiary eclipse events, systems that show clear evidence of additional bodies, heartbeat systems, and systems exhibiting only one eclipse event over the duration of the mission.
Abstract: The primary Kepler Mission provided nearly continuous monitoring of ~200,000 objects with unprecedented photometric precision. We present the final catalog of eclipsing binary systems within the 105 square degree Kepler field of view. This release incorporates the full extent of the data from the primary mission (Q0-Q17 Data Release). As a result, new systems have been added, additional false positives have been removed, ephemerides and principal parameters have been recomputed, classifications have been revised to rely on analytical models, and eclipse timing variations have been computed for each system. We identify several classes of systems including those that exhibit tertiary eclipse events, systems that show clear evidence of additional bodies, heartbeat systems, systems with changing eclipse depths, and systems exhibiting only one eclipse event over the duration of the mission. We have updated the period and galactic latitude distribution diagrams and included a catalog completeness evaluation. The total number of identified eclipsing and ellipsoidal binary systems in the Kepler field of view has increased to 2878, 1.3% of all observed Kepler targets. An online version of this catalog with downloadable content and visualization tools is maintained at this http URL

Journal ArticleDOI
TL;DR: The use of a gas-permeable fluoropolymer, Teflon AF-2400, is identified as a simple method of achieving efficient gas-liquid contact to afford homogeneous solutions of reactive gases in flow and the development of computer-aided imaging techniques to allow automated in-line monitoring of gas concentration and stoichiometry in real time is examined.
Abstract: ConspectusThe previous decade has witnessed the expeditious uptake of flow chemistry techniques in modern synthesis laboratories, and flow-based chemistry is poised to significantly impact our approach to chemical preparation. The advantages of moving from classical batch synthesis to flow mode, in order to address the limitations of traditional approaches, particularly within the context of organic synthesis are now well established. Flow chemistry methodology has led to measurable improvements in safety and reduced energy consumption and has enabled the expansion of available reaction conditions. Contributions from our own laboratories have focused on the establishment of flow chemistry methods to address challenges associated with the assembly of complex targets through the development of multistep methods employing supported reagents and in-line monitoring of reaction intermediates to ensure the delivery of high quality target compounds.Recently, flow chemistry approaches have addressed the challenges...

Journal ArticleDOI
TL;DR: Feedback is not easy to get right, but it is essential to learning in medicine, and there is a wealth of evidence supporting the Do’s and warning against the Don’ts.
Abstract: Introduction The guidelines offered in this paper aim to amalgamate the literature on formative feedback into practical Do’s, Don’ts and Don’t Knows for individual clinical supervisors and for the institutions that support clinical learning.

Journal ArticleDOI
TL;DR: In this article, the improvement in bio-fuels sector in relation to revitalizing and restraining the rural economies across the globe along with the global statistics for lignocellulosic biomass availability.
Abstract: Biofuels are promoted in a wide-scale as a means of achieving energy security and reducing greenhouse gas emissions. Biofuels derived from lignocellulosic biomass, particularly from agricultural crops are being massively supported worldwide for meeting multiple strategy objectives such as climate change mitigation, energy security and development of the rural economy. Recently, the negative implications of using food crops for fuel have been realized to possess a significant threat towards global food security and competition for arable land. In contrast, lignocellulosic biomass in the form of waste residues from agriculture, forestry and energy crop systems are geographically abundant worldwide and have the potential to support the sustainable production of liquid transportation fuels. This paper encompasses the improvement in biofuels sector in relation to revitalizing and restraining the rural economies across the globe along with the global statistics for lignocellulosic biomass availability. In addition, the socio-environmental impacts of energy and greenhouse gas emissions from biomass conversion technologies have been addressed through highlights on life-cycle assessment of several biomasses.

Journal ArticleDOI
TL;DR: In this article, the authors presented new Herschel photometric and spectroscopic observations of Supernova 1987A, carried out in 2012, which provided new 70 micron data and improved imaging quality at 100 and 160 micron compared to previous observations in 2010.
Abstract: We present new Herschel photometric and spectroscopic observations of Supernova 1987A, carried out in 2012. Our dedicated photometric measurements provide new 70 micron data and improved imaging quality at 100 and 160 micron compared to previous observations in 2010. Our Herschel spectra show only weak CO line emission, and provide an upper limit for the 63 micron [O I] line flux, eliminating the possibility that line contaminations distort the previously estimated dust mass. The far-infrared spectral energy distribution (SED) is well fitted by thermal emission from cold dust. The newly measured 70 micron flux constrains the dust temperature, limiting it to nearly a single temperature. The far-infrared emission can be fitted by 0.5+-0.1 Msun of amorphous carbon, about a factor of two larger than the current nucleosynthetic mass prediction for carbon. The observation of SiO molecules at early and late phases suggests that silicates may also have formed and we could fit the SED with a combination of 0.3 Msun of amorphous carbon and 0.5 Msun of silicates, totalling 0.8 Msun of dust. Our analysis thus supports the presence of a large dust reservoir in the ejecta of SN 1987A. The inferred dust mass suggests that supernovae can be an important source of dust in the interstellar medium, from local to high-redshift galaxies.

Proceedings Article
25 Jan 2015
TL;DR: This work proposes an assessment system that abides practical usability constraints and applies deep learning to differentiate disease state in data collected in naturalistic settings and illustrates that deep learning outperforms other approaches in generalisation performance, despite the unreliable labelling characteristic for this problem setting.
Abstract: Management of Parkinson's Disease (PD) could be improved significantly if reliable, objective information about fluctuations in disease severity can be obtained in ecologically valid surroundings such as the private home. Although automatic assessment in PD has been studied extensively, so far no approach has been devised that is useful for clinical practice. Analysis approaches common for the field lack the capability of exploiting data from realistic environments, which represents a major barrier towards practical assessment systems. The very unreliable and infrequent labelling of ambiguous, low resolution movement data collected in such environments represents a very challenging analysis setting, where advances would have significant societal impact in our ageing population. In this work we propose an assessment system that abides practical usability constraints and applies deep learning to differentiate disease state in data collected in naturalistic settings. Based on a large data-set collected from 34 people with PD we illustrate that deep learning outperforms other approaches in generalisation performance, despite the unreliable labelling characteristic for this problem setting, and how such systems could improve current clinical practice.

Journal ArticleDOI
07 Jul 2015-Genes
TL;DR: Progress has been made in the understanding of the molecular mechanisms of GAS5 lncRNA action in recent years, including riborepression of certain steroid hormone receptors and sequestration of miR-21, impacting key regulatory pathways of cell survival.
Abstract: It is increasingly recognised that lncRNAs play essential regulatory roles in fundamental biological processes and, consequently, that their dysregulation may contribute to major human diseases, including cancer. Better understanding of lncRNA biology may therefore offer new insights into pathogenetic mechanisms and thereby offer novel opportunities for diagnosis and therapy. Of particular interest in this regard is GAS5 lncRNA, which is down-regulated in multiple cancers, with expression levels related to both clinico-pathological characteristics and patient prognosis. Functional studies have further shown that GAS5 lncRNA both inhibits the proliferation and promotes the apoptosis of multiple cell types, and that together these cellular mechanisms of action are likely to form the basis of its tumour suppressor action. At the same time, advances have been made in our understanding of the molecular mechanisms of GAS5 lncRNA action in recent years, including riborepression of certain steroid hormone receptors and sequestration of miR-21, impacting key regulatory pathways of cell survival. Overall this accumulating knowledge has the potential to improve both the diagnosis and treatment of cancer, and ultimately patient outcome.

Journal ArticleDOI
TL;DR: Patient prognosis can provide the framework for modern clinical practice to integrate information from the expanding biological, social, and clinical database for more effective and efficient care.
Abstract: Diagnosis is the traditional basis for decision-making in clinical practice Evidence is often lacking about future benefits and harms of these decisions for patients diagnosed with and without disease We propose that a model of clinical practice focused on patient prognosis and predicting the likelihood of future outcomes may be more useful Disease diagnosis can provide crucial information for clinical decisions that influence outcome in serious acute illness However, the central role of diagnosis in clinical practice is challenged by evidence that it does not always benefit patients and that factors other than disease are important in determining patient outcome The concept of disease as a dichotomous ‘yes’ or ‘no’ is challenged by the frequent use of diagnostic indicators with continuous distributions, such as blood sugar, which are better understood as contributing information about the probability of a patient’s future outcome Moreover, many illnesses, such as chronic fatigue, cannot usefully be labelled from a disease-diagnosis perspective In such cases, a prognostic model provides an alternative framework for clinical practice that extends beyond disease and diagnosis and incorporates a wide range of information to predict future patient outcomes and to guide decisions to improve them Such information embraces non-disease factors and genetic and other biomarkers which influence outcome Patient prognosis can provide the framework for modern clinical practice to integrate information from the expanding biological, social, and clinical database for more effective and efficient care

Journal ArticleDOI
TL;DR: Synthetic calcium sulfate loaded with antibiotics has the potential to reduce or eliminate biofilm formation on adjacent periprosthetic tissue and prosthesis material and, thus, to reduce the rates of perIProsthetic infection.
Abstract: Periprosthetic infection (PI) causes significant morbidity and mortality after fixation and joint arthroplasty and has been extensively linked to the formation of bacterial biofilms. Poly(methyl methacrylate) (PMMA), as a cement or as beads, is commonly used for antibiotic release to the site of infection but displays variable elution kinetics and also represents a potential nidus for infection, therefore requiring surgical removal once antibiotics have eluted. Absorbable cements have shown improved elution of a wider range of antibiotics and, crucially, complete biodegradation, but limited data exist as to their antimicrobial and antibiofilm efficacy. Synthetic calcium sulfate beads loaded with tobramycin, vancomycin, or vancomycin-tobramycin dual treatment (in a 1:0.24 [wt/wt] ratio) were assessed for their abilities to eradicate planktonic methicillin-resistant Staphylococcus aureus (MRSA) and Staphylococcus epidermidis relative to that of PMMA beads. The ability of the calcium sulfate beads to prevent biofilm formation over multiple days and to eradicate preformed biofilms was studied using a combination of viable cell counts, confocal microscopy, and scanning electron microscopy of the bead surface. Biofilm bacteria displayed a greater tolerance to the antibiotics than their planktonic counterparts. Antibiotic-loaded beads were able to kill planktonic cultures of 10(6) CFU/ml, prevent bacterial colonization, and significantly reduce biofilm formation over multiple days. However, established biofilms were harder to eradicate. These data further demonstrate the difficulty in clearing established biofilms; therefore, early preventive measures are key to reducing the risk of PI. Synthetic calcium sulfate loaded with antibiotics has the potential to reduce or eliminate biofilm formation on adjacent periprosthetic tissue and prosthesis material and, thus, to reduce the rates of periprosthetic infection.

Journal ArticleDOI
TL;DR: The contextual constraints for objects extracted by graph-cut segmentation are used to optimize the initial classification results obtained by the JointBoost classifier and indicate that the proposed features and method are effective for classification of airborne LiDAR data from complex scenarios.
Abstract: The demands for automatic point cloud classification have dramatically increased with the wide-spread use of airborne LiDAR. Existing research has mainly concentrated on a few dominant objects such as terrain, buildings and vegetation. In addition to those key objects, this paper proposes a supervised classification method to identify other types of objects including power-lines and pylons from point clouds using a JointBoost classifier. The parameters for the learning model are estimated with various features computed based on the geometry and echo information of a LiDAR point cloud. In order to overcome the shortcomings stemming from the inclusion of bare ground data before classification, the proposed classifier directly distinguishes terrain using a feature step-off count. Feature selection is conducted using JointBoost to evaluate feature correlations thus improving both classification accuracy and operational efficiency. In this paper, the contextual constraints for objects extracted by graph-cut segmentation are used to optimize the initial classification results obtained by the JointBoost classifier. Our experimental results show that the step-off count significantly contributes to classification. Seventeen effective features are selected for the initial classification results using the JointBoost classifier. Our experiments indicate that the proposed features and method are effective for classification of airborne LiDAR data from complex scenarios.

Journal ArticleDOI
TL;DR: This review discusses the current data obtained from original research in biochemistry and biomaterials science supporting the role of silicon in bone, comparing both the biological function of the element and analysing the evolution of silicon-containing biommaterials.

Journal ArticleDOI
19 Mar 2015-Lung
TL;DR: Chronic cough has a negative impact on quality of life, mood and ability to undertake activities and further work is needed to raise awareness, promote management strategies, develop effective treatments and consider the educational and support needs of patients with chronic cough.
Abstract: Studies that investigate the impact of chronic cough have largely focused on patients attending secondary care. Our aim was to investigate the opinions of the wider general population across Europe. An internet survey was made available in 12 languages on the European Lung Foundation website, between January 2012 and April 2013. Of 1120 respondents from 29 different European countries, 67 % were female, mean age 51 years (SD 15), median cough duration 2–5 years. The majority of respondents reported cough impacted their quality of life, mood and ability to undertake activities. Despite 72 % of respondents having visited their doctor ≥3 times, only 53 % had received a diagnosis. Asthma was the most common diagnosis (23 %). Most respondents reported limited or no effectiveness of medications. 88 % of respondents reported that they would like more information to be available on chronic cough. Chronic cough has a negative impact on quality of life. Further work is needed to raise awareness, promote management strategies, develop effective treatments and consider the educational and support needs of patients with chronic cough.

Journal ArticleDOI
TL;DR: In this paper, a case-control association study on 1,962 psoriatic arthritis patients and 8,923 controls using the Immunochip genotyping array was conducted.
Abstract: Psoriatic arthritis (PsA) is a chronic inflammatory arthritis associated with psoriasis and, despite the larger estimated heritability for PsA, the majority of genetic susceptibility loci identified to date are shared with psoriasis. Here, we present results from a case-control association study on 1,962 PsA patients and 8,923 controls using the Immunochip genotyping array. We identify eight loci passing genome-wide significance, secondary independent effects at three loci and a distinct PsA-specific variant at the IL23R locus. We report two novel loci and evidence of a novel PsA-specific association at chromosome 5q31. Imputation of classical HLA alleles, amino acids and SNPs across the MHC region highlights three independent associations to class I genes. Finally, we find an enrichment of associated variants to markers of open chromatin in CD8(+) memory primary T cells. This study identifies key insights into the genetics of PsA that could begin to explain fundamental differences between psoriasis and PsA.


Journal ArticleDOI
TL;DR: In this paper, the authors used the long time base of Kepler light curves for the accurate determination of the frequencies and amplitudes of pulsation modes needed for in-depth asteroseismic modeling.
Abstract: The nearly continuous light curves with micromagnitude precision provided by the space mission Kepler are revolutionizing our view of pulsating stars. They have revealed a vast sea of low-amplitude pulsation modes that were undetectable from Earth. The long time base of Kepler light curves allows for the accurate determination of the frequencies and amplitudes of pulsation modes needed for in-depth asteroseismic modeling. However, for an asteroseismic study to be successful, the first estimates of stellar parameters need to be known and they cannot be derived from the Kepler photometry itself. The Kepler Input Catalog provides values for the effective temperature, surface gravity, and metallicity, but not always with sufficient accuracy. Moreover, information on the chemical composition and rotation rate is lacking. We are collecting low-resolution spectra for objects in the Kepler field of view with the Large Sky Area Multi-Object Fiber Spectroscopic Telescope (lamost, Xinglong observatory, China). All of the requested fields have now been observed at least once. In this paper, we describe those observations and provide a useful database for the whole astronomical community.

Journal ArticleDOI
TL;DR: In this paper, a stochastic chemical evolution model was adopted to investigate the production site of Eu in the early Galaxy, and the authors also used the information present in the observed spread in the Eu abundances.
Abstract: Context. The dominant astrophysical production site of the r-process elements has not yet been unambiguously identified. The suggested main r-process sites are core-collapse supernovae and merging neutron stars. Aims. We explore the problem of the production site of Eu. We also use the information present in the observed spread in the Eu abundances in the early Galaxy, and not only its average trend. Moreover, we extend our investigations to other heavy elements (Ba, Sr, Rb, Zr) to provide additional constraints on our results. Methods. We adopt a stochastic chemical evolution model that takes inhomogeneous mixing into account. The adopted yields of Eu from merging neutron stars and from core-collapse supernovae are those that are able to explain the average [Eu/Fe]‐[Fe/H] trend observed for solar neighbourhood stars, the solar abundance of Eu, and the present-day abundance gradient of Eu along the Galactic disc in the framework of a well-tested homogeneous model for the chemical evolution of the Milky Way. Rb, Sr, Zr, and Ba are produced by both the s- and r-processes. The r-process yields were obtained by scaling the Eu yields described above according to the abundance ratios observed in r-process rich stars. The s-process contribution by spinstars is the same as in our previous papers. Results. Neutron star binaries that merge in less than 10 Myr or neutron star mergers combined with a source of r-process generated by massive stars can explain the spread of [Eu/Fe] in the Galactic halo. The combination of r-process production by neutron star mergers and s-process production by spinstars is able to reproduce the available observational data for Sr, Zr, and Ba. We also show the first predictions for Rb in the Galactic halo. Conclusions. We confirm previous results that either neutron star mergers on a very short timescale or both neutron star mergers and at least a fraction of Type II supernovae have contributed to the synthesis of Eu in the Galaxy. The r-process production of Sr, Zr, and Ba by neutron star mergers ‐ complemented by an s-process production by spinstars ‐ provide results that are compatible with our previous findings based on other r-process sites. We critically discuss the weak and strong points of both neutron star merging and supernova scenarios for producing Eu and eventually suggest that the best solution is probably a mixed one in which both sources produce Eu. In fact, this scenario reproduces the scatter observed in all the studied elements better.

Journal ArticleDOI
TL;DR: In this article, the authors study the change in the red supergiant (RSG) lifetimes, the tracks in the Hertzsprung-Russel diagram (HRD), the positions in this diagram of the pre-supernova progenitor and the structure of the stars at that time for various mass-loss rates during the RSG phase and for two different initial rotation velocities.
Abstract: Context. The post-main-sequence evolution of massive stars is very sensitive to many parameters of the stellar models. Key parameters are the mixing processes, the metallicity, the mass-loss rate, and the effect of a close companion.Aims. We study the change in the red supergiant (RSG) lifetimes, the tracks in the Hertzsprung-Russel diagram (HRD), the positions in this diagram of the pre-supernova progenitor and the structure of the stars at that time for various mass-loss rates during the RSG phase and for two different initial rotation velocities.Methods. Stellar models were computed with the Geneva code for initial masses between 9 and 25 M ⊙ at solar metallicity (Z = 0.014) with 10 times and 25 times the standard mass-loss rates during the RSG phase, with and without rotation.Results. The surface abundances of RSGs are much more sensitive to rotation than to the mass-loss rates during that phase. A change of the RSG mass-loss rate has a strong impact on the RSG lifetimes and in turn on the luminosity function of RSGs. An observed RSG is associated with a model of higher initial mass when models with an enhanced RSG mass-loss rate are used to deduce that mass. At solar metallicity, models with an enhanced mass-loss rate produce significant changes in the populations of blue, yellow, and RSGs. When extended blue loops or blueward excursions are produced by enhanced mass-loss, the models predict that a majority of blue (yellow) supergiants are post-RSG objects. These post-RSG stars are predicted to show much lower surface rotational velocities than similar blue supergiants on their first crossing of the HR gap. Enhanced mass-loss rates during the RSG phase have little impact on the Wolf-Rayet populations. The position in the HRD of the end point of the evolution depends on the mass of the hydrogen envelope. More precisely, whenever at the pre-supernova stage the H-rich envelope contains more than about 5% of the initial mass, the star is a RSG, and whenever the H-rich envelope contains less than 1% of the total mass, the star is a blue supergiant. For intermediate situations, intermediate colors and effective temperatures are obtained. Yellow progenitors for core-collapse supernovae can be explained by models with an enhanced mass-loss rate, while the red progenitors are better fitted by models with the standard mass-loss rate.

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TL;DR: Gout is independently associated with both chronic kidney disease and nephrolithiasis, and patients with gout should be actively screened for chronic kidneys disease and its consequences.
Abstract: To determine the prevalence of chronic kidney disease and nephrolithiasis in people with gout, and the association between gout and prevalent or incident chronic kidney disease and nephrolithiasis. Systematic review and meta-analysis of epidemiological studies. Data sources; MEDLINE, EMBASE and CINAHL databases, hand-searched reference lists, citation history and contact with authors. Eligibility criteria: cohort, case–control or cross-sectional studies which examined the occurrence of chronic kidney disease or nephrolithiasis amongst adults with gout (with or without a non-gout comparator group) in primary care or general population samples. Prevalence and risk estimate meta-analyses were performed using a random-effects model. Seventeen studies were included in the meta-analysis (chronic kidney disease n = 7, nephrolithiasis n = 8, both n = 2). Pooled prevalence estimates of chronic kidney disease stage ≥3 and self-reported lifetime nephrolithiasis in people with gout were 24% (95% confidence interval 19% to 28%) and 14% (95% CI 12% to 17%) respectively. Gout was associated with both chronic kidney disease (pooled adjusted odds ratio 2.41, 95% confidence interval 1.86 to 3.11) and self-reported lifetime nephrolithiasis (1.77, 1.43 to 2.19). Chronic kidney disease and nephrolithiasis are commonly found amongst patients with gout. Gout is independently associated with both chronic kidney disease and nephrolithiasis. Patients with gout should be actively screened for chronic kidney disease and its consequences.

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TL;DR: Investigating structural differences in the brain of lifelong bilingual older adults found bilinguals exhibit greater frontal lobe white matter compared with monolinguals, underscore previous findings implicating an association between bilingualism and preserved frontal and temporal lobe function in aging.

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TL;DR: In this paper, the authors conducted a systematic mapping study to find the related literature, and 67 articles were selected as primary studies that are classified in relation to the focus, research type and contribution type.