Keele University

About: Keele University is a education organization based out in Newcastle-under-Lyme, United Kingdom. It is known for research contribution in the topics: Population & Stars. The organization has 11318 authors who have published 26323 publications receiving 894671 citations. The organization is also known as: Keele University.

Eccentric loading compared with shock wave treatment for chronic insertional achilles tendinopathy. A randomized, controlled trial.

Abstract: Background Nonoperative management of chronic tendinopathy of the Achilles tendon insertion has been poorly studied. With the recently demonstrated effectiveness of eccentric loading and of repetitive low-energy shock wave therapy in patients with midsubstance Achilles tendinopathy, the aim of the present randomized, controlled trial was to verify the effectiveness of both procedures exclusively in patients with insertional Achilles tendinopathy. Methods Fifty patients with chronic (six months or more) recalcitrant insertional Achilles tendinopathy were enrolled in a randomized, controlled study. All patients had received treatment, including local injections of an anesthetic and/or corticosteroids, a prescription of nonsteroidal anti-inflammatory drugs, and physiotherapy, without success for at least three months. A computerized random-number generator was used to draw up an allocation schedule. Twenty-five patients were allocated to receive eccentric loading (Group 1), and twenty-five patients were allocated to treatment with repetitive low-energy shock wave therapy (Group 2). Analysis was on an intention-to-treat basis. Primary follow-up was at four months, and afterward patients were allowed to cross over. The last follow-up evaluation was at one year after completion of the initial treatment. The patients were assessed for pain, function, and activity with use of a validated questionnaire (the Victorian Institute of Sport Assessment-Achilles [VISA-A] questionnaire). Results At four months from baseline, the mean VISA-A score had increased in both groups, from 53 to 63 points in Group 1 and from 53 to 80 points in Group 2. The mean pain rating decreased from 7 to 5 points in Group 1 and from 7 to 3 points in Group 2. Seven patients (28%) in Group 1 and sixteen patients (64%) in Group 2 reported that they were completely recovered or much improved. For all outcome measures, the group that received shock wave therapy showed significantly more favorable results than the group treated with eccentric loading (p = 0.002 through p = 0.04). At four months, eighteen of the twenty-five patients from Group I had opted to cross over, as did eight of the twenty-five patients from Group 2. The favorable results after shock wave therapy at four months were stable at the one-year follow-up evaluation. Conclusions Eccentric loading as applied in the present study showed inferior results to low-energy shock wave therapy as applied in patients with chronic recalcitrant tendinopathy of the insertion of the Achilles tendon at four months of follow-up. Further research is warranted to better define the indications for this treatment modality.

The Gaia-ESO Survey: the analysis of high-resolution UVES spectra of FGK-type stars

Abstract: Context. The ongoing Gaia-ESO Public Spectroscopic Survey is using FLAMES at the VLT to obtain high-quality medium-resolution Giraffe spectra for about 10(5) stars and high-resolution UVES spectra for about 5000 stars. With UVES, the Survey has already observed 1447 FGK-type stars. Aims. These UVES spectra are analyzed in parallel by several state-of-the-art methodologies. Our aim is to present how these analyses were implemented, to discuss their results, and to describe how a final recommended parameter scale is defined. We also discuss the precision (method-to-method dispersion) and accuracy (biases with respect to the reference values) of the final parameters. These results are part of the Gaia-ESO second internal release and will be part of its first public release of advanced data products. Methods. The final parameter scale is tied to the scale defined by the Gaia benchmark stars, a set of stars with fundamental atmospheric parameters. In addition, a set of open and globular clusters is used to evaluate the physical soundness of the results. Each of the implemented methodologies is judged against the benchmark stars to define weights in three different regions of the parameter space. The final recommended results are the weighted medians of those from the individual methods. Results. The recommended results successfully reproduce the atmospheric parameters of the benchmark stars and the expected T-eff-log g relation of the calibrating clusters. Atmospheric parameters and abundances have been determined for 1301 FGK-type stars observed with UVES. The median of the method-to-method dispersion of the atmospheric parameters is 55K for T-eff, 0.13dex for log g and 0.07 dex for [Fe/H]. Systematic biases are estimated to be between 50-100 K for T-eff, 0.10-0.25 dex for log g and 0.05-0.10 dex for [Fe/H]. Abundances for 24 elements were derived: C, N, O, Na, Mg, Al, Si, Ca, Sc, Ti, V, Cr, Mn, Fe, Co, Ni, Cu, Zn, Y, Zr, Mo, Ba, Nd, and Eu. The typical method-to-method dispersion of the abundances varies between 0.10 and 0.20 dex. Conclusions. The Gaia-ESO sample of high-resolution spectra of FGK-type stars will be among the largest of its kind analyzed in a homogeneous way. The extensive list of elemental abundances derived in these stars will enable significant advances in the areas of stellar evolution and Milky Way formation and evolution.

Meta-analysis of comparative efficacy of increasing dose of Atorvastatin versus Rosuvastatin versus Simvastatin on lowering levels of atherogenic lipids (from VOYAGER).

Abstract: Statins are the most commonly prescribed agents for lowering levels of low-density lipoprotein (LDL) cholesterol. Although dose-dependent reductions in levels of atherogenic lipids are observed with all statins, the impact of increasing dose has not been fully elucidated. An individual patient data pooled analysis was performed of 32,258 patients in studies comparing the efficacy of rosuvastatin with that of atorvastatin or simvastatin. The impact of increasing dose on lowering LDL cholesterol, triglycerides, non-high-density lipoprotein (HDL) cholesterol, and apolipoprotein B was investigated. Doubling the dose of each statin was accompanied by a 4% to 7% greater degree of lowering of all atherogenic lipids. A stronger correlation was observed between changes in LDL cholesterol and non-HDL cholesterol (r = 0.92, p <0.001) or apolipoprotein B (r = 0.76, p <0.001) than triglycerides (r = 0.14, p <0.001). On multivariate analysis, baseline lipid level (p <0.0001) and increasing statin dose (p <0.0001) were strong predictors of achieving treatment goals in high-risk patients. Increasing age was a strong independent predictor of achieving goal for all atherogenic lipids (p <0.0001). Achieving LDL cholesterol goals was also more likely in women (p <0.0001), patients with diabetes (p <0.0001), and patients without atherosclerotic disease (p = 0.0002). In contrast, normal triglyceride levels were more often observed in men (p <0.0001) and patients without diabetes mellitus (p = 0.03). In conclusion, doubling statin dose was associated with greater lowering of LDL cholesterol by 4% to 6% and non-HDL cholesterol by 3% to 6%. Greater lipid goal achievement with increasing dose supports the use of high-dose statin therapy for more effective cardiovascular prevention.

Average extinction curves and relative abundances for quasi-stellar object absorption-line systems at 1 ≤zabs < 2

Abstract: We have studied a sample of 809 Mg II absorption systems with 1.0 ≤ z abs ≤ 1.86 in the spectra of Sloan Digital Sky Survey quasi-stellar objects (QSOs), with the aim of understanding the nature and abundance of the dust and the chemical abundances in the intervening absorbers. Normalized, composite spectra were derived, for abundance measurements, for the full sample and several subsamples, chosen on the basis of the line strengths and other absorber and QSO properties. Average extinction curves were obtained for the subsamples by comparing their geometric mean spectra with those of matching samples of QSOs without absorbers in their spectra. There is clear evidence for the presence of dust in the intervening absorbers. The 2175-A feature is not present in the extinction curves, for any of the subsamples. The extinction curves are similar to the Small Magellanic Cloud (SMC) extinction curve with a rising ultraviolet (UV) extinction below 2200 A. The absorber rest-frame colour excess, E(B - V), derived from the extinction curves, depends on the absorber properties and ranges from <0.001 to 0.085 for various subsamples. The column densities of Mg II, Al II, Si II, Ca II, Ti II, Cr II, Mn II, Fe II, Co II, Ni II and Zn II do not show such a correspondingly large variation. The overall depletions in the high E(B - V) samples are consistent with those found for individual damped Lyman a systems, the depletion pattern being similar to halo clouds in the Galaxy. Assuming an SMC gas-to-dust ratio, we find a trend of increasing abundance with decreasing extinction; systems with N H1 ∼ 10 20 cm -2 show solar abundance of Zn. The large velocity spread of strong Mg II systems seems to be mimicked by weak lines of other elements. The ionization of the absorbers, in general appears to be low: the ratio of the column densities of Al III to Al II is always less than 1/2. QSOs with absorbers are, in general, at least three times as likely to have highly reddened spectra as compared to QSOs without any absorption systems in their spectra.

Evolution and fate of very massive stars

Abstract: There is observational evidence that supports the existence of very massive stars (VMS) in the local universe. First, VMS (Mini ≲ 320 M⊙) have been observed in the Large Magellanic Clouds (LMC). Secondly, there are observed supernovae (SNe) that bear the characteristics of pair creation supernovae (PCSNe, also referred to as pair instability SN) which have VMS as progenitors. The most promising candidate to date is SN 2007bi. In order to investigate the evolution and fate of nearby VMS, we calculated a new grid of models for such objects, for solar, LMC and Small Magellanic Clouds (SMC) metallicities, which covers the initial mass range from 120 to 500 M⊙. Both rotating and non-rotating models were calculated using the GENEVA stellar evolution code and evolved until at least the end of helium burning and for most models until oxygen burning. Since VMS have very large convective cores during the main-sequence phase, their evolution is not so much affected by rotational mixing, but more by mass loss through stellar winds. Their evolution is never far from a homogeneous evolution even without rotational mixing. All the VMS, at all the metallicities studied here, end their life as WC(WO)-type Wolf-Rayet stars. Because of very important mass losses through stellar winds, these stars may have luminosities during the advanced phases of their evolution similar to stars with initial masses between 60 and 120 M⊙. A distinctive feature which may be used to disentangle Wolf-Rayet stars originating from VMS from those originating from lower initial masses would be the enhanced abundances of Ne and Mg at the surface of WC stars. This feature is however not always apparent depending on the history of mass loss. At solar metallicity, none of our models is expected to explode as a PCSN. At the metallicity of the LMC, only stars more massive than 300 M⊙ are expected to explode as PCSNe. At the SMC metallicity, the mass range for the PCSN progenitors is much larger and comprises stars with initial masses between about 100 and 290 M⊙. All VMS in the metallicity range studied here produce either a Type Ib SN or a Type Ic SN but not a Type II SN. We estimate that the progenitor of SN 2007bi, assuming a SMC metallicity, had an initial mass between 160 and 175 M⊙. None of models presented in this grid produces gamma-ray bursts or magnetars. They lose too much angular momentum by mass loss or avoid the formation of a black hole by producing a completely disruptive PCSN.