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Showing papers by "Suffolk University published in 2020"


Journal ArticleDOI
03 Jul 2020-Science
TL;DR: A general and mild strategy to activate C(sp3)–H bonds in methane, ethane, propane, and isobutane through hydrogen atom transfer using inexpensive decatungstate as photocatalyst at room temperature is reported.
Abstract: Direct activation of gaseous hydrocarbons remains a major challenge for the chemistry community Because of the intrinsic inertness of these compounds, harsh reaction conditions are typically required to enable C(sp3)–H bond cleavage, barring potential applications in synthetic organic chemistry Here, we report a general and mild strategy to activate C(sp3)–H bonds in methane, ethane, propane, and isobutane through hydrogen atom transfer using inexpensive decatungstate as photocatalyst at room temperature The corresponding carbon-centered radicals can be effectively trapped by a variety of Michael acceptors, leading to the corresponding hydroalkylated adducts in good isolated yields and high selectivity (38 examples)

202 citations


Journal ArticleDOI
TL;DR: This document describes a set of definitions and criteria for diabetic foot disease and suggests they be used consistently in both clinical practice and research to facilitate clear communication between professionals.
Abstract: Multiple disciplines are involved in the management of diabetic foot disease, and a common vocabulary is essential for clear communication. Based on the systematic reviews of the literature that form the basis of the International Working Group on the Diabetic Foot (IWGDF) Guidelines, the IWGDF has developed a set of definitions and criteria for diabetic foot disease. This document describes these definitions and criteria. We suggest these definitions be used consistently in both clinical practice and research to facilitate clear communication between professionals.

150 citations


Journal ArticleDOI
TL;DR: Results confirm the published 3-year findings that a once-weekly 5-fr schedule of whole-breast radiotherapy can be identified that appears to be radiobiologically comparable for NTE to a conventionally fractionated regimen.
Abstract: PURPOSEPrevious studies of hypofractionated adjuvant whole-breast radiotherapy for early breast cancer established a 15- or 16-fraction (fr) regimen as standard. The FAST Trial (CRUKE/04/015) evalu...

147 citations


Journal ArticleDOI
22 Oct 2020-PLOS ONE
TL;DR: It is shown in an analysis of Botometer scores over time that Botometer's thresholds, even when used very conservatively, are prone to variance, which will lead to false negatives and false positives, which has immediate consequences for academic research as most studies in social science using the tool will unknowingly count a high number of human users as bots and vice versa.
Abstract: The identification of bots is an important and complicated task. The bot classifier "Botometer" was successfully introduced as a way to estimate the number of bots in a given list of accounts and, as a consequence, has been frequently used in academic publications. Given its relevance for academic research and our understanding of the presence of automated accounts in any given Twitter discourse, we are interested in Botometer's diagnostic ability over time. To do so, we collected the Botometer scores for five datasets (three verified as bots, two verified as human; n = 4,134) in two languages (English/German) over three months. We show that the Botometer scores are imprecise when it comes to estimating bots; especially in a different language. We further show in an analysis of Botometer scores over time that Botometer's thresholds, even when used very conservatively, are prone to variance, which, in turn, will lead to false negatives (i.e., bots being classified as humans) and false positives (i.e., humans being classified as bots). This has immediate consequences for academic research as most studies in social science using the tool will unknowingly count a high number of human users as bots and vice versa. We conclude our study with a discussion about how computational social scientists should evaluate machine learning systems that are developed for identifying bots.

123 citations



Journal ArticleDOI
TL;DR: In this article, an empirical subsampling approach involving 2225 camera deployments run at 41 study areas around the world to evaluate three aspects of camera trap study design (number of sites, duration and season of sampling) and their influence on the estimation of three ecological metrics (species richness, occupancy, detection rate) for mammals.
Abstract: 1. Camera traps deployed in grids or stratified random designs are a well-established survey tool for wildlife but there has been little evaluation of study design parameters. 2. We used an empirical subsampling approach involving 2225 camera deployments run at 41 study areas around the world to evaluate three aspects of camera trap study design (number of sites, duration and season of sampling) and their influence on the estimation of three ecological metrics (species richness, occupancy, detection rate) for mammals. 3. We found that 25-35 camera locations were needed for precise estimates of species richness, depending on scale of the study. The precision of species-level estimates of occupancy was highly sensitive to occupancy level, with 0.75) species, but more than 150 sites likely needed for rare (<0.25) species. Species detection rates were more difficult to estimate precisely at the grid level due to spatial heterogeneity, presumably driven by unaccounted for habitat variability within the study area. Running a camera at a site for 2 weeks was most efficient for detecting new species, but 3-4 weeks were needed for precise estimates of local detection rate, with no gains in precision observed after 1 month. Metrics for all mammal communities were sensitive to seasonality, with 37-50% of the species at the sites we examined fluctuating significantly in their occupancy or detection rates over the year. This effect was more pronounced in temperate sites, where seasonally sensitive species varied in relative abundance by an average factor of 4-5, and some species were completely absent in one season due to hibernation or migration. 4. We recommend the following guidelines to efficiently obtain precise estimates of species richness, occupancy and detection rates with camera trap arrays: run each camera for 3-5 weeks across 40-60 sites per array. We recommend comparisons of detection rates be model-based and include local covariates to help account for small-scale variation. Furthermore, comparisons across study areas or times must account for seasonality, which had strong impacts on mammal communities in both tropical and temperate sites.,We used camera trap data already available through repositories or collaborators. Most data came from the eMammal or TEAM repositories. We also used one data set (China) from collaborators that was not already archived. All camera traps were set similarly, in being placed on a tree at 0.5m facing parallel to the ground, with no bait. A variety of camera models were used, but all had infrared flashes and fast (<0.5s) trigger times. Camera trap designs were either regular (grid) or stratified random.,For this paper we wanted to asess the importance of three things to camera trap study design: amount of locations surveyed (spatial), amount of time each survey ran (temporal), and rather season mattered (seasonal). We broke into three teams to analyze these data, and used three slightly different collections of data for each team. Thus, you will find three datasets labeled as to which analyses they were part of: spatial, temporal, or seasonal. All data is presented as raw detection data, giving the date, time, and species for each time photograph was recorded. These are organized as 'deployments' representing a time period a camera was placed in a given location. We are including a TXT file with the Data Dictionary from eMammal that describes all the standard fields. A few files have additional fields we added that should be self explanatory.,

101 citations


Journal ArticleDOI
TL;DR: In this article, a model explaining the mediation role played by satisfaction in the relationship between motivation, emotion, and behavioural intentions is developed, and a sample of 460 seniors visiting Lisbon is used, and through the application of structural equation modelling to the data obtained, it is found that satisfaction mediates the relationship among motivations and emotions, and behavioral intentions, simultaneously strengthening the positive association between push and pull motivations.
Abstract: A noticeable void remains in the appreciation of what motivates the senior tourism market. This study aims to contribute to the advancement of knowledge in the field of tourism consumer psychology by improving the existing understanding of the motivation and related psychological processes that underly intentions and decision-making in respect of tourist destinations. A model explaining the mediation role played by satisfaction in the relationship between motivation, emotion, and behavioural intentions is developed. A sample of 460 seniors visiting Lisbon is used, and through the application of structural equation modelling to the data obtained, it is found that satisfaction mediates the relationship between motivations and emotions, and behavioural intentions, simultaneously strengthening the positive association between push and pull motivations. Seniors’ previous experience is seen to moderate the positive effect of satisfaction on intention. Additionally, there is support for motivational differences, which have a significant impact on behavioural intentions, between younger (55–60 years) and older seniors (> 60 years). Finally, several academic and managerial implications are outlined, including the usefulness of the model developed in different geographical settings.

96 citations


Journal ArticleDOI
TL;DR: The principles and practical aspects of right heart assessment by echocardiography, including quantification of chamber dimensions and function, as well as assessment of valvular function are described and cut-off values for normality are included.
Abstract: The structure and function of the right side of the heart is influenced by a wide range of physiological and pathological conditions. Quantification of right heart parameters is important in a variety of clinical scenarios including diagnosis, prognostication, and monitoring response to therapy. Although echocardiography remains the first-line imaging investigation for right heart assessment, published guidance is relatively sparse in comparison to that for the left ventricle. This guideline document from the British Society of Echocardiography describes the principles and practical aspects of right heart assessment by echocardiography, including quantification of chamber dimensions and function, as well as assessment of valvular function. While cut-off values for normality are included, a disease-oriented approach is advocated due to the considerable heterogeneity of structural and functional changes seen across the spectrum of diseases affecting the right heart. The complex anatomy of the right ventricle requires special considerations and echocardiographic techniques, which are set out in this document. The clinical relevance of right ventricular diastolic function is introduced, with practical guidance for its assessment. Finally, the relatively novel techniques of three-dimensional right ventricular echocardiography and right ventricular speckle tracking imaging are described. Despite these techniques holding considerable promise, issues relating to reproducibility and inter-vendor variation have limited their clinical utility to date.

92 citations


Journal ArticleDOI
TL;DR: Recommendations against the use of growth factors, autologous platelet gels, bioengineered skin products, ozone, topical carbon dioxide, nitric oxide or interventions reporting improvement of ulcer healing through an alteration of the physical environment or through other systemic medical or nutritional means also remain, while new recommendations include consideration of theUse of sucrose‐octasulfate impregnated dressings in difficult to heal neuro‐ischaemic ulcers.
Abstract: The International Working Group on the Diabetic Foot (IWGDF) has published evidence-based guidelines on the prevention and management of diabetic foot disease since 1999. In conjunction with advice from internal and external reviewers and expert consultants in the field, this update is based on a systematic review of the literature centred on the following: the Population (P), Intervention (I), Comparator (C) and Outcomes (O) framework; the use of the SIGN guideline/Cochrane review system; and the 21 point scoring system advocated by IWGDF/EWMA. This has resulted in 13 recommendations. The recommendation on sharp debridement and the selection of dressings remain unchanged from the last recommendations published in 2016. The recommendation to consider negative pressure wound therapy in post-surgical wounds and the judicious use of hyperbaric oxygen therapy in certain non-healing ischaemic ulcers also remains unchanged. Recommendations against the use of growth factors, autologous platelet gels, bioengineered skin products, ozone, topical carbon dioxide, nitric oxide or interventions reporting improvement of ulcer healing through an alteration of the physical environment or through other systemic medical or nutritional means also remain. New recommendations include consideration of the use of sucrose-octasulfate impregnated dressings in difficult to heal neuro-ischaemic ulcers and consideration of the use of autologous combined leucocyte, platelet and fibrin patch in ulcers that are difficult to heal, in both cases when used in addition to best standard of care. A further new recommendation is the consideration of topical placental derived products when used in addition to best standard of care.

89 citations


Journal ArticleDOI
TL;DR: This guideline presents reference limits for use in echocardiographic practice, updating previous guidance from the British Society of E chocardiography, and introduces new terminology for left ventricular function and left atrial size.
Abstract: This guideline presents reference limits for use in echocardiographic practice, updating previous guidance from the British Society of Echocardiography. The rationale for change is discussed, in addition to how the reference intervals were defined and the current limitations to their use. The importance of interpretation of echocardiographic parameters within the clinical context is explored, as is grading of abnormality. Each of the following echo parameters are discussed and updated in turn: left ventricular linear dimensions and LV mass; left ventricular volumes; left ventricular ejection fraction; left atrial size; right heart parameters; aortic dimensions; and tissue Doppler imaging. There are several important conceptual changes to the assessment of the heart’s structure and function within this guideline. New terminology for left ventricular function and left atrial size are introduced. The British Society of Echocardiography has advocated a new approach to the assessment of the aortic root, the right heart, and clarified the optimal methodology for assessment of LA size. The British Society of Echocardiography has emphasized a preference to use, where feasible, indexed measures over absolute values for any chamber size.

78 citations


Journal ArticleDOI
TL;DR: In this article, a literature review summarizes knowledge on how marine renewable energy devices affect benthic environments, explains how these effects could alter ecosystem processes that support major ecosystem services, and provides an approach to determine urgent research needs.
Abstract: As the EU's commitment to renewable energy is projected to grow to 20% of energy generation by 2020, the use of marine renewable energy from wind, wave and tidal resources is increasing. This literature review (233 studies) (i) summarizes knowledge on how marine renewable energy devices affect benthic environments, (ii) explains how these effects could alter ecosystem processes that support major ecosystem services and (iii) provides an approach to determine urgent research needs. Conceptual diagrams were set up to structure hypothesized cause-effect relationships (i.e. paths). Paths were scored for (i) temporal and spatial scale of the effect, (ii) benthic sensitivity to these effects, (iii) the effect consistency and iv) scoring confidence, and consecutively ranked. This approach identified prominent knowledge gaps and research needs about (a) hydrodynamic changes possibly resulting in altered primary production with potential consequences for filter feeders, (b) the introduction and range expansion of non-native species (through stepping stone effects) and, (c) noise and vibration effects on benthic organisms. Our results further provide evidence that benthic sensitivity to offshore renewable effects is higher than previously indicated. Knowledge on changes of ecological functioning through cascading effects is limited and requires distinct hypothesis-driven research combined with integrative ecological modelling.

Journal ArticleDOI
TL;DR: This study reviews and analyzes 132 DEA application studies in the insurance industry published from 1993 through July 2018, covering both applications and methodologies, and highlights the existing gaps in the DEA applications in the industry.

Journal ArticleDOI
TL;DR: The focus on serving others first has drawn much attention in the last decade to leadership studies on account of its focus on service as mentioned in this paper, and this focus has attracted much attention from the literature.
Abstract: Servant leadership style has drawn much attention in the last decade to leadership studies on account of its focus on serving others first. Extant literature calls for a better understanding of the...

Journal ArticleDOI
TL;DR: It is confirmed that no significant increase in relative brain size accompanied the trend toward miniaturization or evolution of flight during the theropod-bird transition, and patterns suggest that an early adaptive radiation in brain size laid the foundation for subsequent selection and stabilization.

Journal ArticleDOI
TL;DR: This article found no evidence that bond fund redemptions drive fire sale price pressure after controlling for time-varying issuer level information that could also affect funds' trading decisions, using a novel identification strategy that exploits same-issuer bonds held by funds with differing outflows.

Journal ArticleDOI
TL;DR: In this article, a meta-analytic aggregation of 404 effect sizes from 158 independent samples (N = 100,099) provides evidence that dispositional gratitude is moderately to strongly correlated with well-being.

Journal ArticleDOI
TL;DR: In this article, the authors explore how digital marketers think about marketing in the age of Big Data surveillance, automatic computational analyses, and algorithmic shaping of choice contexts, and explore the role of context in the decision process.
Abstract: In this article, we explore how digital marketers think about marketing in the age of Big Data surveillance, automatic computational analyses, and algorithmic shaping of choice contexts. Our starti...

Journal ArticleDOI
TL;DR: This paper presented a lifespan model of ethnic-racial identity (ERI) from infancy into adulthood, and conceptualized that ethnic racial priming during infancy prompts nascent awareness of ethnic race and ethnicity.
Abstract: The current paper presents a lifespan model of ethnic-racial identity (ERI) from infancy into adulthood. We conceptualize that ethnic-racial priming during infancy prompts nascent awareness of ethn...

Journal ArticleDOI
TL;DR: The results imply that crude oil returns can be used for active prediction of GCC stock market returns, once econometric issues are accounted for and the findings remain mostly unaffected when excess risk adjusted returns are used.

Journal ArticleDOI
TL;DR: A phylogeographic network analysis supports a northeast Asian source for the US populations of Asian longhorned ticks, supporting phenotypic evidence that US ALT are parthenogenetic.
Abstract: Established populations of Asian longhorned ticks (ALT), Haemaphysalis longicornis , were first identified in the United States (US) in 2017 by sequencing the mitochondrial cytochrome c oxidase subunit I (cox1 ) ‘barcoding’ locus followed by morphological confirmation. Subsequent investigations detected ALT infestations in 12, mostly eastern, US states. To gain information on the origin and spread of US ALT, we (1) sequenced cox1 from ALT populations across 9 US states and (2) obtained cox1 sequences from potential source populations [China, Japan and Republic of Korea (ROK) as well as Australia, New Zealand and the Kingdom of Tonga (KOT)] both by sequencing and by downloading publicly available sequences in NCBI GenBank. Additionally, we conducted epidemiological investigations of properties near its initial detection locale in Hunterdon County, NJ, as well as a broader risk analysis for importation of ectoparasites into the area. In eastern Asian populations (China/Japan/ROK), we detected 35 cox1 haplotypes that neatly clustered into two clades with known bisexual versus parthenogenetic phenotypes. In Australia/New Zealand/KOT, we detected 10 cox1 haplotypes all falling within the parthenogenetic cluster. In the United States, we detected three differentially distributed cox1 haplotypes from the parthenogenetic cluster, supporting phenotypic evidence that US ALT are parthenogenetic. While none of the source populations examined had all three US cox1 haplotypes, a phylogeographic network analysis supports a northeast Asian source for the US populations. Within the United States, epidemiological investigations indicate ALT can be moved long distances by human transport of animals, such as horses and dogs, with smaller scale movements on wildlife. These results have relevant implications for efforts aimed at minimizing the spread of ALT in the United States and preventing additional exotic tick introductions.

Journal ArticleDOI
TL;DR: In this article, the authors argue that global e-government innovations are at the forefront of municipal efforts to be better organized and more efficient in delivering services and improving outcomes for the public.

Journal ArticleDOI
TL;DR: In this article, the authors explore the question of whether some employees engage in unethical behavior because they actually believe it is the right thing to do and explore this question in this article.
Abstract: Do some employees engage in unethical behavior because they actually believe it is the right thing to do? We explore this question in this article. Unlike other forms of unethical behavior, unethic...

Journal ArticleDOI
TL;DR: This work uses random effects meta-analysis to investigate the effects of 3 identity-blind ideologies-colorblindness, meritocracy, and assimilation-and 1 identity-conscious ideology-multiculturalism-on 4 indicators of high quality intergroup relations-reduced prejudice, discrimination, and stereotyping and increased diversity policy support.
Abstract: Significant debate exists regarding whether different diversity ideologies, defined as individuals' beliefs regarding the importance of demographic differences and how to navigate them, improve intergroup relations in organizations and the broader society. We seek to advance understanding by drawing finer-grained distinctions among diversity ideology types and intergroup relations outcomes. To this end, we use random effects meta-analysis (k = 296) to investigate the effects of 3 identity-blind ideologies-colorblindness, meritocracy, and assimilation-and 1 identity-conscious ideology-multiculturalism-on 4 indicators of high quality intergroup relations-reduced prejudice, discrimination, and stereotyping and increased diversity policy support. Multiculturalism is generally associated with high quality intergroup relations (prejudice: ρ = -.32; discrimination: ρ = -.22; stereotyping: ρ = -.17; policy support: ρ = .57). In contrast, the effects of identity-blind ideologies vary considerably. Different identity-blind ideologies have divergent effects on the same outcome; for example, colorblindness is negatively related (ρ = -.19), meritocracy is unrelated (ρ = .00), and assimilation is positively related (ρ = .17) to stereotyping. Likewise, the same ideology has divergent effects on different outcomes; for example, meritocracy is negatively related to discrimination (ρ = -.48), but also negatively related to policy support (ρ = -.45) and unrelated to prejudice (ρ = -.15) and stereotyping (ρ = .00). We discuss the implications of our findings for theory, practice, and future research. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Journal ArticleDOI
TL;DR: This commentary presents and discusses the similarities and differences between PAP and PAPE and elaborates on a new taxonomy for better describing performance potentiation in sport settings, to avoid erroneous identification of isolated physiological attributes and provide individualization and better applicability of conditioning protocols in sport setting.
Abstract: Postactivation potentiation (PAP) mechanisms and responses have a long scientific history. However, to this day there is still controversy regarding the mechanisms underlying enhanced performance after a conditioning activity. More recently, the term postactivation performance enhancement (PAPE) has been proposed with differing associated mechanisms and protocols than with PAP. However, these 2 terms (PAP and PAPE) may not adequately describe all specific potentiation responses and mechanisms and can also be complementary, in some cases. Purpose: This commentary presents and discusses the similarities and differences between PAP and PAPE and, subsequently, elaborates on a new taxonomy for better describing performance potentiation in sport settings. Conclusion: The elaborated taxonomy proposes the formula "Post-[CONDITIONING ACTIVITY] [VERIFICATION TEST] potentiation in [POPULATION]." This taxonomy would avoid erroneous identification of isolated physiological attributes and provide individualization and better applicability of conditioning protocols in sport settings.

Journal ArticleDOI
TL;DR: There is still a gap in the literature providing precise recommendations on how to accurately design and prescribe flywheel exercises using a systematic approach especially in elite sport athletes, thus facilitating an informed implementation of this conditioning method in research and applied settings.
Abstract: The concept of isoinertial training using flywheel devices has been developed in the recent past with the first evidence supporting its efficacy as conditioning method only dating back to the early 1990’s (Colliander and Tesch, 1990; Dudley et al., 1991). Flywheel exercises were initially proposed to mitigate the neuromuscular dysfunctions and concurrent muscle atrophy of the musculoskeletal system in astronauts caused by the absence of gravity during long-duration space travels (Dudley et al., 1991; Berg and Tesch, 1994; Norrbrand et al., 2008). Since then, many studies have described the mechanical advantages of the flywheel devices and attempted to clarify the neurophysiological mechanisms, morphological adaptations and training effects induced by flywheel exercise as both acute and chronic conditioning strategies (Maroto-Izquierdo et al., 2017; Tesch et al., 2017; Beato et al., 2019d). The preliminary and promising evidence has inherently fostered increasing interest among sport science researchers and applied practitioners toward the potential and beneficial implementation of flywheel exercises in the fields of athletic performance development, injury prevention, and clinical rehabilitation (Tous-Fajardo et al., 2006, 2016; de Hoyo et al., 2015; Tesch et al., 2017; Beato et al., 2019a). However, in spite of the growing use of flywheel exercises in the last few years, there is still a gap in the literature providing precise recommendations on how to accurately design and prescribe flywheel exercises using a systematic approach especially in elite sport athletes (Maroto-Izquierdo et al., 2017; Beato et al., 2019c; Franchi and Maffiuletti, 2019). In light of the contemporary scientific evidence, the purpose of this commentary is to provide precise recommendations about flywheel training to enhance sports performance, thus facilitating an informed implementation of this conditioning method in research and applied settings.

Journal ArticleDOI
TL;DR: While the current focus is on limiting the terrible harm caused by the pandemic, it is possible that a positive lasting legacy of COVID-19 might include accelerated innovation in chronic disease management, particularly around prioritisation of communicable vs non-communicable disease.
Abstract: The COVID-19 pandemic is a major international emergency leading to unprecedented medical, economic and societal challenges. Countries around the globe are facing challenges with diabetes care and are similarly adapting care delivery, with local cultural nuances. People with diabetes suffer disproportionately from acute COVID-19 with higher rates of serious complications and death. In-patient services need specialist support to appropriately manage glycaemia in people with known and undiagnosed diabetes presenting with COVID-19. Due to the restrictions imposed by the pandemic, people with diabetes may suffer longer-term harm caused by inadequate clinical support and less frequent monitoring of their condition and diabetes-related complications. Outpatient management need to be reorganised to maintain remote advice and support services, focusing on proactive care for the highest risk, and using telehealth and digital services for consultations, self-management and remote monitoring, where appropriate. Stratification of patients for face-to-face or remote follow-up should be based on a balanced risk assessment. Public health and national organisations have generally responded rapidly with guidance on care management, but the pandemic has created a tension around prioritisation of communicable vs non-communicable disease. Resulting challenges in clinical decision-making are compounded by a reduced clinical workforce. For many years, increasing diabetes mellitus incidence has been mirrored by rising preventable morbidity and mortality due to complications, yet innovation in service delivery has been slow. While the current focus is on limiting the terrible harm caused by the pandemic, it is possible that a positive lasting legacy of COVID-19 might include accelerated innovation in chronic disease management.

Journal ArticleDOI
TL;DR: This guideline protocol aims to outline the minimum dataset required to confirm normal cardiac structure and function when performing a comprehensive standard adult transthoracic echocardiogram and is structured according to the recommended sequence of acquisition.
Abstract: Since cardiac ultrasound was introduced into medical practice around the middle twentieth century, transthoracic echocardiography has developed to become a highly sophisticated and widely performed cardiac imaging modality in the diagnosis of heart disease. This evolution from an emerging technique with limited application, into a complex modality capable of detailed cardiac assessment has been driven by technological innovations that have both refined 'standard' 2D and Doppler imaging and led to the development of new diagnostic techniques. Accordingly, the adult transthoracic echocardiogram has evolved to become a comprehensive assessment of complex cardiac anatomy, function and haemodynamics. This guideline protocol from the British Society of Echocardiography aims to outline the minimum dataset required to confirm normal cardiac structure and function when performing a comprehensive standard adult echocardiogram and is structured according to the recommended sequence of acquisition. It is recommended that this structured approach to image acquisition and measurement protocol forms the basis of every standard adult transthoracic echocardiogram. However, when pathology is detected and further analysis becomes necessary, views and measurements in addition to the minimum dataset are required and should be taken with reference to the appropriate British Society of Echocardiography imaging protocol. It is anticipated that the recommendations made within this guideline will help standardise the local, regional and national practice of echocardiography, in addition to minimising the inter and intra-observer variation associated with echocardiographic measurement and interpretation.

Journal ArticleDOI
TL;DR: It is found that the unique needs of an accounting information system may not be a good match for blockchain as it currently exists, and several factors raise significant questions about whether blockchain will ever be significantly integrated in the accounting function.
Abstract: The use of blockchain technology has increased tremendously over the last decade. Blockchain continues to evolve and new features and capabilities are developed continuously. Although the use of the technology started in cryptocurrency (specifically, Bitcoin) it has expanded to other areas that can benefit from a shared, secure, ledger. This paper investigates the potential impact of blockchain technology on the accounting profession. The paper analyzes data security and privacy considerations, technology, adoption and implementation considerations, and some considerations that relate specifically to accounting and auditing. We find that the unique needs of an accounting information system may not be a good match for blockchain as it currently exists. While we explain that blockchain may deliver many benefits, particularly in the areas of data reliability and the financial statement audit, we identify several factors which raise significant questions about whether blockchain will ever be significantly integrated in the accounting function. Chief among those concerns is the scalability of the technology at an acceptable cost. While significant investment has and will be made for further development of blockchain business applications, it is our assessment that proponents of blockchain integration in accounting have not yet made the economic case for it. We also have significant concerns about whether blockchain technology can adequately address risks associated with data security and privacy. Addressing all these issues will be a minimum requirement for gaining widespread acceptance by firms and their accountants.

Journal ArticleDOI
TL;DR: In this article, the authors performed atmospheric retrievals on the full optical to infrared (0.3 − 5μm) transmission spectrum of the inflated hot Jupiter WASP-52b by combining HST/STIS, WFC3 IR, and Spitzer/IRAC observations.
Abstract: We perform atmospheric retrievals on the full optical to infrared (0.3 − 5 μm) transmission spectrum of the inflated hot Jupiter WASP-52b by combining HST/STIS, WFC3 IR, and Spitzer/IRAC observations. As WASP-52 is an active star which shows both out-of-transit photometric variability and starspot crossings during transits, we account for the contribution of non-occulted active regions in the retrieval. We recover a 0.1 − 10 × solar atmospheric composition, in agreement with core accretion predictions for giant planets, and a weak contribution of aerosols. We also obtain a <3000 K temperature for the starspots, a measure which is likely affected by the models used to fit instrumental effects in the transits, and a 5% starspot fractional coverage, compatible with expectations for the host star’s spectral type. Such constraints on the planetary atmosphere and on the activity of its host star will inform future JWST GTO observations of this target.

Journal ArticleDOI
TL;DR: Additional evidence is found to support some interventions including a sucrose‐octasulfate dressing, the combined leucocyte, fibrin and platelet patch as well as topical application of some placental membrane products, all when used in addition to usual best care.
Abstract: The management of diabetic foot ulcers (DFU) remains a challenge, and there is continuing uncertainty concerning optimal approaches to wound healing. The International Working Group of the Diabetic Foot (IWGDF) working group on wound healing has previously published systematic reviews of the evidence in 2008, 2012 and 2016 to inform protocols for routine care and to highlight areas which should be considered for further study. The working group has now updated this review by considering papers on the interventions to improve the healing of DFU's published between June 2014 and August 2018. Methodological quality of selected studies was independently assessed by a minimum of two reviewers using the recently published 21-point questionnaire as recommended by IWGDF/European Wound Management Association, as well as the previously incorporated Scottish Intercollegiate Guidelines Network criteria. Of the 2275 papers identified, 97 were finally selected for grading following full text review. Overall, there has been an improvement in study design and a significant rise in the number of published studies. While previous systematic reviews did not find any evidence to justify the use of newer therapies, except for negative pressure wound therapy in post-surgical wounds, in this review we found additional evidence to support some interventions including a sucrose-octasulfate dressing, the combined leucocyte, fibrin and platelet patch as well as topical application of some placental membrane products, all when used in addition to usual best care. Nonetheless, the assessment and comparison of published trials remains difficult with marked clinical heterogeneity between studies: in patient selection, study duration, standard of usual care provision and the timing and description of the clinical endpoints.