284,813 research outputs found

    Efficacy of galcanezumab in patients with migraine and history of failure to 3–4 preventive medication categories: subgroup analysis from CONQUER study

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    Background: Chronic migraine (CM) and episodic migraine (EM) are associated with substantial headache-related disability, poor quality of life and global societal burden. In this subgroup analysis from the CONQUER study, we report efficacy outcomes from a pre-specified analysis of galcanezumab versus placebo in patients with CM or EM and 3–4 prior preventive medication category failures due to inadequate efficacy (after at least 2 months at maximum tolerated dose), or safety or tolerability reasons. The patient population is of particular interest due to evidence of decreased quality of life and increased economic burden among patients with migraine that is inadequately managed and is of interest to decision-makers globally. Methods: Key outcomes included overall mean change from baseline in monthly migraine headache days and proportions of patients achieving ≥30% (CM), ≥50%, and ≥ 75% reduction (response rates) in monthly migraine headache days across Months 1–3. Patient functioning and disability were evaluated at Month 3. Results: Of the 462 randomized patients, 186 (40.3%) had a history of 3–4 preventive category failures. Galcanezumab versus placebo resulted in significantly (P ≤.001) larger overall mean reduction in monthly migraine headache days (total: − 5.49 versus − 1.03; CM: − 6.70 versus − 1.56; EM: − 3.64 versus − 0.65). Similarly, the ≥50% response rate was significantly (P ≤.001) higher with galcanezumab versus placebo (total: 41.0 versus 12.7; CM: 41.5 versus 8.4; EM: 41.1 versus 16.5). In the CM group, the ≥30% response rate was significantly higher in the galcanezumab group than the placebo group (CM, 57.5 versus 19.8, P ≤.0001) as was the ≥75% response rate (13.3 versus 2.6, P ≤.05). Galcanezumab also resulted in significant (P <.0001) improvements in patient functioning and reductions in disability. Conclusions: Galcanezumab was effective in a difficult-to-treat population of patients with CM or EM who had failed 3–4 prior preventive medication categories. Trial registration: CONQUER. Clinicaltrials.gov identifier: NCT03559257

    A new facile solvometallurgical leaching method for the selective Co dissolution & recovery from hard metals waste

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    Hard Metals (HM) production plays a fundamental role in economy and technological development. Due to the criticality of its main raw materials, W and Co, a sustainable HM waste recycling is hence desirable for both environmental and economic reasons and strongly encouraged by European waste management directives. This work describes a new solvometallurgical leaching method based on diluted maleic acid (H2Mal) ethanolic solutions, which demonstrated to couple effectiveness in materials enhancement from HM waste, with mildness and sustainability of operative conditions. Specifically, H2Mal (0.5 M, EtOH) selectively and quantitatively leached Co trapped within WC-Co powders, to afford [Co(HMal)2(H2O)4] complex within 4 h at room temperature and leaving WC unreacted and ready for re-employment in HM manufacturing. Characterization of the resultant materials i.e. treated powders (SEM-EDS, p-XRD, ICP-OES) and Co-leaching solutions (ICP-OES), confirmed the near quantitative Co removal as well as the possibility to finely tune the composition of WC-Co mixtures. Parameters for best leaching conditions, i.e. time and liquid-to-solid ratio, were obtained. A scale-up experiment addressed to test the leaching conditions and the quality of the recycled material is also described. The quality of the recycled material for direct re-employment in HM manufacturing was validated by Metallurgical Quality Control, to good effect. Finally, preliminary experiments on cobalt metal recovery from the metal complex by electrowinning and by quantitative precipitation as CoCO3 were performed with encouraging results: a step forward resources circularity

    Is the rate of revision of 36 mm metal-on-metal total hip arthroplasties with Pinnacle acetabular components related to the year of the initial operation? An interrupted time-series analysis using data from the national joint registry for England and Wales

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    Aims The aim of this study was to determine whether the rates of revision for metal-on-metal (MoM) total hip arthroplasties (THAs) with Pinnacle components varied according to the year of the initial operation, and compare these with the rates of revision for other designs of MoM THA. Patients and Methods Data from the National Joint Registry for England and Wales included 36 mm MoM THAs with Pinnacle acetabular components which were undertaken between 2003 and 2012 with follow-up for at least five years (n = 10 776) and a control group of other MoM THAs (n = 13 817). The effect of the year of the primary operation on all-cause rates of revision was assessed using Cox regression and interrupted time-series analysis. Results For MoM THAs involving Pinnacle components, those undertaken between 2007 and 2012 had higher rates of revision compared with those undertaken between 2004 and 2006 (hazard ratio (HR) 2.01; 95% confidence interval (CI) 1.57 to 2.57; p &lt; 0.001). For THAs undertaken during and after 2007, the number of revisions per 1000 implant-years at risk significantly increased by 5.20 (95% CI 0.52 to 9.89; p = 0.033) compared with those undertaken before this time. In the control group, THAs undertaken between 2007 and 2012 also had higher rates of revision (HR 1.77; 95% CI 1.49 to 2.10; p &lt; 0.001), with revisions per 1000 implant-years for those undertaken during and after 2007 significantly increasing by 6.13 (95% CI 1.42 to 10.83; p = 0.016). Conclusion The five-year revision rates were significantly increased for all primary MoM THAs undertaken from 2007 onwards. Contrary to recent reports, this finding was not specific to those involving Pinnacle acetabular components and may be explained by increased surveillance and recent lowering of the threshold for revision.</p

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Diffusive author(s), cohesive author: Analysis of S/N (1994)

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    This study indicates the ways in which various aspects of the author(s) are brought forth in Dumb type’s performance art, the S/N production. Previous research has suggested a non-hierarchical organization of Dumb type and the absence of a “privileged author” in Dumb type’s collaborative work, S/N. However, the results that I have investigated from member’s interviews on the creative process of S/N along with my analysis of the recorded images of S/N, indicate a different aspect of the author(s). First, S/N was created through, so to speak, the collective ideas of the members of Dumb type. Further, S/N has at least nine quotations from previous performances, installations, and printed writings, besides the work-in-progress technique. Explicating one of the “author functions” as given by Michel Foucault, each text has plural subjects of the author. However, it has been revealed from members’ interviews that Teiji Furuhashi had a decision-making role in selecting the members’ ideas within the performance. Since then, S/N has had plural subjects of creation; however, Furuhashi is one of the subjects of creation along with the “privileged author.” S/N has plural authors (diffusive authors) yet at the same time, it has a “privileged author,” Teiji Furuhashi (cohesive author)

    sj-pdf-1-cep-10.1177_03331024221095153 - Supplemental material for The prevalence of headache disorders in Postural Tachycardia Syndrome: A systematic review and meta-analysis of the literature

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    Supplemental material, sj-pdf-1-cep-10.1177_03331024221095153 for The prevalence of headache disorders in Postural Tachycardia Syndrome: A systematic review and meta-analysis of the literature by Jason C Ray, Xiuxian Pham, Emma Foster, Sanjay Cheema, Susan J Corcoran, Manjit S Matharu and Elspeth J Hutton in Cephalalgia</p

    The vanishing author in computer-generated works: a critical analysis of recent Australian case law

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    Abstract The use of software is ubiquitous in the creation of many copyright works, yet the requirement in copyright law that every work have a human author who engages in independent intellectual effort means that its use may prevent copyright subsistence. Several recent Australian cases have refocused attention on authorship as an essential criterion of copyright subsistence, and these cases suggest that much computer-produced output may be authorless and thus lack copyright protection. This article, the first in a two-part series, analyses how each case deals with the question of authorship of computer-produced works and why the use of software diminishes copyright protection for a significant number of computer-generated works. The article critiques the application of conventional notions of human authorship developed in the pre-computer age to modern productions and suggests alternative approaches to authorship that satisfy both the major objectives of copyright policy and the need to adapt to the computer age. The article argues that, without a broader judicial approach to authorship of computer-generated works, Parliament must remedy the lacuna in protection for these ‘authorless’ works. Possible solutions for reform are suggested. In a forthcoming article, the author comprehensively examines those reform proposals

    Pigmy resonances, transfer, and separable potentials

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    © 2017 Author(s). In this contribution we make a short review of recent progress on topics of current interest in nuclear physics and nuclear astrophysics. In particular, we discuss a re-analysis of the extraction of the dipole response of the pigmy resonance in 68 Ni based on a continuum discretized coupled-channels calculation in relativistic Coulomb excitation experiments. We also discuss the forthcoming progresses made by our group on the Alt-Sandhas-Grassberber approach to (d,p) reactions and future expectations. The role of separable potentials in solving such equations with a test case based on applications of such potentials to phase-shift analysis is also presented

    Na2Ti6O13 Thin films as Anode for Thin Film Sodium Ion Batteries

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    The pulsed laser deposition was employed to produce Na2Ti6O13 (NTO) thin films, which were applied as an anode material for Sodium-Ion batteries (SIBs). X-ray diffraction made it clear that the film is crystalline in single phase. Morphology and elemental composition studies were done using FESEM. Grain size and surface roughness was measured from atomic force microscopy. The electrochemical measurements were performed at 0.5 - 3V range and it exhibited the initial discharge capacity was 49.7 mu Ah/mu m-cm(2) with coulombic efficiency 69.8%
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