5,081 results on '"P. A. Bourne"'
Search Results
102. Utility of illness symptoms for predicting COVID-19 infections in children.
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Zhou, Geena Y, Penwill, Nicole Y, Cheng, Grace, Singh, Prachi, Cheung, Ann, Shin, Minkyung, Nguyen, Margaret, Mittal, Shalini, Burrough, William, Spad, Mia-Ashley, Bourne, Sarah, Bardach, Naomi S, and Perito, Emily R
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Humans ,Retrospective Studies ,Adolescent ,Child ,Child ,Preschool ,Infant ,Infant ,Newborn ,United States ,Pandemics ,COVID-19 ,SARS-CoV-2 ,COVID-19 Testing ,School ,Screening ,Symptoms ,Testing ,Testing and exclusion ,Emerging Infectious Diseases ,Pediatric ,Clinical Research ,Prevention ,Vaccine Related ,Biodefense ,Infection ,Good Health and Well Being ,Paediatrics and Reproductive Medicine ,Pediatrics - Abstract
BackgroundThe Centers for Disease Control and Prevention and the American Academy of Pediatrics recommend that symptomatic children remain home and get tested to identify potential coronavirus disease 2019 (COVID-19) cases. As the pandemic moves into a new phase, approaches to differentiate symptoms of COVID-19 versus other childhood infections can inform exclusion policies and potentially prevent future unnecessary missed school days.MethodsRetrospective analysis of standardized symptom and exposure screens in symptomatic children 0-18 years tested for SARS-CoV-2 at three outpatient sites April to November 2020. Likelihood ratios (LR), number needed to screen to identify one COVID-19 case, and estimated missed school days were calculated.ResultsOf children studied (N = 2,167), 88.9% tested negative. Self-reported exposure to COVID-19 was the only factor that statistically significantly increased the likelihood of a positive test for all ages (Positive LR, 5-18 year olds: 5.26, 95% confidence interval (CI): 4.37-6.33; 0-4 year olds: 5.87, 95% CI: 4.67-7.38). Across ages 0-18, nasal congestion/rhinorrhea, sore throat, abdominal pain, and nausea/vomiting/diarrhea were commonly reported, and were either not associated or had decreased association with testing positive for COVID-19. The number of school days missed to identify one case of COVID-19 ranged from 19 to 48 across those common symptoms.ConclusionsWe present an approach for identifying symptoms that are non-specific to COVID-19, for which exclusion would likely lead to limited impact on school safety but contribute to school-days missed. As variants and symptoms evolve, students and schools could benefit from reconsideration of exclusion and testing policies for non-specific symptoms, while maintaining testing for those who were exposed.
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- 2022
103. The Most Difference in Means: A Statistic for the Strength of Null and Near-Zero Results
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Corliss, Bruce A., Brown, Taylor R., Zhang, Tingting, Janes, Kevin A., Shakeri, Heman, and Bourne, Philip E.
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Statistics - Methodology ,Quantitative Biology - Quantitative Methods - Abstract
Statistical insignificance does not suggest the absence of effect, yet scientists must often use null results as evidence of negligible (near-zero) effect size to falsify scientific hypotheses. Doing so must assess a result's null strength, defined as the evidence for a negligible effect size. Such an assessment would differentiate strong null results that suggest a negligible effect size from weak null results that suggest a broad range of potential effect sizes. We propose the most difference in means ($\delta_M$) as a two-sample statistic that can both quantify null strength and perform a hypothesis test for negligible effect size. To facilitate consensus when interpreting results, our statistic allows scientists to conclude that a result has negligible effect size using different thresholds with no recalculation required. To assist with selecting a threshold, $\delta_M$ can also compare null strength between related results. Both $\delta_M$ and the relative form of $\delta_M$ outperform other candidate statistics in comparing null strength. We compile broadly related results and use the relative $\delta_M$ to compare null strength across different treatments, measurement methods, and experiment models. Reporting the relative $\delta_M$ may provide a technical solution to the file drawer problem by encouraging the publication of null and near-zero results.
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- 2022
104. CATO INSTITUTE REPORT TO THE DEPARTMENT OF GOVERNMENT EFFICIENCY (DOGE) : How to Downsize and Reform the Federal Government
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Nowrasteh, Alex, Bourne, Ryan, Nowrasteh, Alex, and Bourne, Ryan
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- 2024
105. Assessing Factor V Antigen and Degradation Products in Burn and Trauma Patients.
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Keyloun, John W, Le, Tuan D, Orfeo, Thomas, Brummel-Ziedins, Kathleen E, Bravo, Maria C, Kaye, Matthew D, Bourne, Dana E, Carney, Bonnie C, Freeman, Kalev, Mann, Kenneth G, Pusateri, Anthony E, Shupp, Jeffrey W, and SYSCOT Study Group
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SYSCOT Study Group ,Humans ,Blood Coagulation Disorders ,Burns ,Factor V ,Factor Va ,Injury Severity Score ,Coagulopathy ,Protein C ,Trauma ,Physical Injury - Accidents and Adverse Effects ,Clinical Research ,Clinical Sciences ,Surgery - Abstract
IntroductionProposed mechanisms of acute traumatic coagulopathy (ATC) include decreased clotting potential due to factor consumption and proteolytic inactivation of factor V (FV) and activated factor V (FVa) by activated protein C (aPC). The role of FV/FVa depletion or inactivation in burn-induced coagulopathy is not well characterized. This study evaluates FV dynamics following burn and nonburn trauma.MethodsBurn and trauma patients were prospectively enrolled. Western blotting was performed on admission plasma to quantitate levels of FV antigen and to assess for aPC or other proteolytically derived FV/FVa degradation products. Statistical analysis was performed with Spearman's, Chi-square, Mann-Whitney U test, and logistic regression.ResultsBurn (n = 60) and trauma (n = 136) cohorts showed similar degrees of FV consumption with median FV levels of 76% versus 73% (P = 0.65) of normal, respectively. Percent total body surface area (TBSA) was not correlated with FV, nor were significant differences in median FV levels observed between low and high TBSA groups. The injury severity score (ISS) in trauma patients was inversely correlated with FV (ρ = -0.26; P = 0.01) and ISS ≥ 25 was associated with a lower FV antigen level (64% versus. 93%; P = 0.009). The proportion of samples showing proteolysis-derived FV was greater in trauma than burn patients (42% versus. 16%; P = 0.0006).ConclusionsIncreasing traumatic injury severity is associated with decreased FV antigen levels, and a greater proportion of trauma patient samples exhibit proteolytically degraded FV fragments. These associations are not present in burns, suggesting that mechanisms underlying FV depletion in burn and nonburn trauma are not identical.
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- 2022
106. Exploration of Dark Chemical Genomics Space via Portal Learning: Applied to Targeting the Undruggable Genome and COVID-19 Anti-Infective Polypharmacology
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Cai, Tian, Xie, Li, Chen, Muge, Liu, Yang, He, Di, Zhang, Shuo, Mura, Cameron, Bourne, Philip E., and Xie, Lei
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Quantitative Biology - Quantitative Methods ,Computer Science - Artificial Intelligence ,Computer Science - Machine Learning ,68T07 - Abstract
Advances in biomedicine are largely fueled by exploring uncharted territories of human biology. Machine learning can both enable and accelerate discovery, but faces a fundamental hurdle when applied to unseen data with distributions that differ from previously observed ones -- a common dilemma in scientific inquiry. We have developed a new deep learning framework, called {\textit{Portal Learning}}, to explore dark chemical and biological space. Three key, novel components of our approach include: (i) end-to-end, step-wise transfer learning, in recognition of biology's sequence-structure-function paradigm, (ii) out-of-cluster meta-learning, and (iii) stress model selection. Portal Learning provides a practical solution to the out-of-distribution (OOD) problem in statistical machine learning. Here, we have implemented Portal Learning to predict chemical-protein interactions on a genome-wide scale. Systematic studies demonstrate that Portal Learning can effectively assign ligands to unexplored gene families (unknown functions), versus existing state-of-the-art methods, thereby allowing us to target previously "undruggable" proteins and design novel polypharmacological agents for disrupting interactions between SARS-CoV-2 and human proteins. Portal Learning is general-purpose and can be further applied to other areas of scientific inquiry., Comment: 18 pages, 6 figures
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- 2021
107. Blandford-Znajek jets in galaxy formation simulations: exploring the diversity of outflows produced by spin-driven AGN jets in Seyfert galaxies
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Talbot, Rosie Y., Sijacki, Debora, and Bourne, Martin A.
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Astrophysics - Astrophysics of Galaxies - Abstract
Recent observations of Seyfert galaxies indicate that low power, misaligned jets can undergo significant interaction with the gas in the galactic disc and may be able to drive large-scale, multiphase outflows. We apply our novel sub-grid model for Blandford-Znajek jets to simulations of the central regions of Seyferts, in which a black hole is embedded in a dense, sub-kpc circumnuclear disc (CND) and surrounded by a dilute circumgalactic medium (CGM). We find that the variability of the accretion flow is highly sensitive both to the jet power and to the CND thermodynamics and, ultimately, is determined by the complex interplay between jet-driven outflows and backflows. Even at moderate Eddington ratios, AGN jets are able to significantly alter the thermodynamics and kinematics of CNDs and entrain up to 10% of their mass in the outflow. Mass outflow rates and kinetic powers of the warm outflowing component are in agreement with recent observations for black holes with similar bolometric luminosities, with outflow velocities that are able to reach 500 km/s. Depending on their power and direction, jets are able to drive a wide variety of large-scale outflows, ranging from light, hot and collimated structures to highly mass-loaded, multiphase, bipolar winds. This diversity of jet-driven outflows highlights the importance of applying physically motivated models of AGN feedback to realistic galaxy formation contexts. Such simulations will play a crucial role in accurately interpreting the wealth of data that next generation facilities such as JWST, SKA and Athena will provide., Comment: 25 pages, 12 figures, 2 appendices, MNRAS accepted
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- 2021
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108. Why it takes a village to manage and share data
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Borgman, Christine L. and Bourne, Philip E.
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Computer Science - Digital Libraries ,E.0 ,H.1 ,J.3 - Abstract
Implementation plans for the National Institutes of Health policy for data management and sharing, which takes effect in 2023, provide an opportunity to reflect on the stakeholders, infrastructures, practice, economics, and sustainability of data sharing. Responsibility for fulfilling data sharing requirements tends to fall on principal investigators, whereas it takes a village of stakeholders to construct, manage, and sustain the necessary knowledge infrastructure for disseminating data products. Individual scientists have mixed incentives, and many disincentives to share data, all of which vary by research domain, methods, resources, and other factors. Motivations and investments for data sharing also vary widely among academic institutional stakeholders such as university leadership, research computing, libraries, and individual schools and departments. Stakeholder concerns are interdependent along many dimensions, seven of which are explored: what data to share; context and credit; discovery; methods and training; intellectual property; data science programs; and international tensions. Data sharing is not a simple matter of individual practice, but one of infrastructure, institutions, and economics. Governments, funding agencies, and international science organizations all will need to invest in commons approaches for data sharing to develop into a sustainable international ecosystem., Comment: 22 pages, Changing the Culture of Data Management and Sharing: A Workshop. https://www.nationalacademies.org/event/04-29-2021/changing-the-culture-of-data-management-and-sharing-a-workshop. Sponsored by National Institutes of Health; preprint version of manuscript accepted for the Harvard Data Science Review. To appear in summer, 2022
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- 2021
109. Confusion around Certification of Vision Impairment (CVI) and registration processes—are patients falling through the cracks?
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Pardhan, Shahina, Driscoll, Robin, Ingleton, Hilary, Slade, John, Bowen, Michael, Lovell-Patel, Rupal, Farrell, Sarah, Bourne, Rupert, Mahoney, Simon, Ahluwalia, Sanjiv, and Trott, Mike
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- 2023
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110. Identifying areas of high drought risk in southwest Western Australia
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Bourne, Amanda R., Bruce, John, Guthrie, Meredith M., Koh, Li-Ann, Parker, Kaylene, Mastrantonis, Stanley, and Veljanoski, Igor
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- 2023
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111. The Health and Well-being of Sex Workers in Decriminalised Contexts: A Scoping Review
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Macioti, P. G., Power, Jennifer, and Bourne, Adam
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- 2023
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112. Locally equivalent quasifree states and index theory
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Bourne, Chris
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Mathematical Physics ,Mathematics - K-Theory and Homology ,Mathematics - Operator Algebras - Abstract
We consider quasifree ground states of Araki's self-dual CAR algebra from the viewpoint of index theory and symmetry protected topological (SPT) phases. We first review how Clifford module indices characterise a topological obstruction to connect pairs of symmetric gapped ground states. This construction is then generalised to give invariants in $KO_\ast(A^\mathfrak{r})$ with $A$ a $C^{*,\mathfrak{r}}$-algebra of allowed deformations. When $A=C^*(X)$, the Roe algebra of a coarse space $X$, and we restrict to gapped ground states that are locally equivalent with respect $X$, a $K$-homology class is also constructed. The coarse assembly map relates these two classes and clarifies the relevance of $K$-homology to free-fermionic SPT phases., Comment: v3: Final version to appear in J. Phys A, 31 pages
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- 2021
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113. Advance in Reversible Covalent Kinase Inhibitors
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Zhao, Zheng and Bourne, Philip E.
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Quantitative Biology - Molecular Networks - Abstract
Reversible covalent kinase inhibitors (RCKIs) are a class of novel kinase inhibitors attracting increasing attention because they simultaneously show the selectivity of covalent kinase inhibitors, yet avoid permanent protein-modification-induced adverse effects. Over the last decade, RCKIs have been reported to target different kinases, including atypical kinases. Currently, three RCKIs are undergoing clinical trials to treat specific diseases, for example, Pemphigus, an autoimmune disorder. In this perspective, first, RCKIs are systematically summarized, including characteristics of electrophilic groups, chemical scaffolds, nucleophilic residues, and binding modes. Second, we provide insights into privileged electrophiles, the distribution of nucleophiles and hence effective design strategies for RCKIs. Finally, we provide a brief perspective on future design strategies for RCKIs, including those that target proteins other than kinases., Comment: 55 pages; 12 figures
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- 2021
114. High Tension Lines: Predicting robustness of high-voltage power-grids to cascading failure using network embedding
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Bourne, Jonathan
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Electrical Engineering and Systems Science - Systems and Control - Abstract
This paper explores whether graph embedding methods can be used as a tool for analysing the robustness of power-grids within the framework of network science. The paper focuses on the strain elevation tension spring embedding (SETSe) algorithm and compares it to node2vec and Deep Graph Infomax, and the measures mean edge capacity and line load. These five methods are tested on how well they can predict the collapse point of the giant component of a network under random attack. The analysis uses seven power-grid networks, ranging from 14 to 2000 nodes. In total, 3456 load profiles are created for each network by loading the edges of the network to have a range of tolerances and concentrating network capacity into fewer edges. One hundred random attack sequences are generated for each load profile, and the mean number of attacks required for the giant component to collapse for each profile is recorded. The relationship between the embedding values for each load profile and the mean collapse point is then compared across all five methods. It is found that only SETSe and line load perform well as proxies for robustness with $R^2 = 0.89$ for both measures. When tested on a time series normal operating conditions line load performs exceptionally well ($R=0.99$). However, the SETSe algorithm provides valuable qualitative insight into the state of the power-grid by leveraging its method local smoothing and global weighting of node features to provide an interpretable geographical embedding. This paper shows that graph representation algorithms can be used to analyse network properties such as robustness to cascading failure attacks, even when the network is embedded at node level., Comment: 5 figures 21 pages
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- 2021
115. Using the structural kinome to systematize kinase drug discovery
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Zhao, Zheng and Bourne, Philip E.
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Quantitative Biology - Biomolecules ,Quantitative Biology - Molecular Networks - Abstract
Kinase-targeted drug design is challenging. It requires designing inhibitors that can bind to specific kinases when all kinase catalytic domains share a common folding scaffold that binds ATP. Thus, obtaining the desired selectivity, given the whole human kinome, is a fundamental task during early-stage drug discovery. This begins with deciphering the kinase-ligand characteristics, analyzing the structure-activity relationships, and prioritizing the desired drug molecules across the whole kinome. Currently, there are more than 300 kinases with released PDB structures, which provides a substantial structural basis to gain these necessary insights. Here, we review in silico structure-based methods - notably, a function-site interaction fingerprint approach used in exploring the complete human kinome. In silico methods can be explored synergistically with multiple cell-based or protein-based assay platforms such as KINOMEscan. We conclude with new drug discovery opportunities associated with kinase signaling networks and using machine/deep learning techniques broadly referred to as structural biomedical data science., Comment: 22 pages, 2 figures, 3 tables
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- 2021
116. A Birds-eye (Re)View of Acid-suppression Drugs, COVID-19, and the Highly Variable Literature
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Mura, Cameron, Preissner, Saskia, Preissner, Robert, and Bourne, Philip E.
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Quantitative Biology - Tissues and Organs ,Quantitative Biology - Molecular Networks - Abstract
We consider the recent surge of information on the potential benefits of acid-suppression drugs in the context of COVID-19, with an eye on the variability (and confusion) across the reported findings--at least as regards the popular antacid famotidine. The inconsistencies reflect contradictory conclusions from independent clinical-based studies that took roughly similar approaches, in terms of experimental design (retrospective, cohort-based, etc.) and statistical analyses (propensity-score matching and stratification, etc.). The confusion has significant ramifications in choosing therapeutic interventions: e.g., do potential benefits of famotidine indicate its use in a particular COVID-19 case? Beyond this pressing therapeutic issue, conflicting information on famotidine must be resolved before its integration in ontological and knowledge graph-based frameworks, which in turn are useful in drug repurposing efforts. To begin systematically structuring the rapidly accumulating information, in the hopes of clarifying and reconciling the discrepancies, we consider the contradictory information along three proposed 'axes': (1) a context-of-disease axis, (2) a degree-of-[therapeutic]-benefit axis, and (3) a mechanism-of-action axis. We suspect that incongruencies in how these axes have been (implicitly) treated in past studies has led to the contradictory indications for famotidine and COVID-19. We also trace the evolution of information on acid-suppression agents as regards the transmission, severity, and mortality of COVID-19, given the many literature reports that have accumulated. By grouping the studies conceptually and thematically, we identify three eras in the progression of our understanding of famotidine and COVID-19. Harmonizing these findings is a key goal for both clinical standards-of-care (COVID and beyond) as well as ontological and knowledge graph-based approaches., Comment: 10 pages, 1 figure
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- 2021
117. Final Year Research Project as a Tool for Maximising Students' Employability Prospects
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Serbic, Danijela and Bourne, Victoria
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Embedding employability in higher education is a key Teaching Excellence Framework requirement, and psychology departments across the UK recognise that this is indeed important for students' employability prospects. The Final Year Research Project is the most important independent piece of work that psychology undergraduate students undertake, contributing considerably to the overall degree classification. Therefore, it can provide a fertile ground for embedding employability and allows for innovation in teaching and supervision of projects. Yet, based on our extensive Final Year Research Project supervision and coordination experience, this opportunity tends to be overlooked by psychology departments, project coordinators and supervisors; often resulting in projects being given insufficient attention in students' job and further study applications and interviews. In this practice exchange paper, we first detail how employability is built into Years One and Two of our undergraduate degree, before outlining how it is integrated in Year Three within Final Year Research Projects. We then describe and discuss several initiatives that we developed and implemented to embed employability in Final Year Research Projects. We developed the 3R approach to helping students Recognise and Reflect on their skill development and Relate them to the next step in their career.
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- 2020
118. The Impact of Early Stages of COVID-19 on the Mental Health of Autistic Adults in the United Kingdom: A Longitudinal Mixed-Methods Study
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Bundy, Rebecca, Mandy, Will, Crane, Laura, Belcher, Hannah, Bourne, Laura, Brede, Janina, Hull, Laura, Brinkert, Jana, and Cook, Julia
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We used mixed methods to learn about the nature and drivers of mental health changes among autistic adults in the United Kingdom during the early stages of the COVID-19 pandemic. In quantitative analyses, we examined the nature and predictors of change in depression, anxiety and stress, prospectively measured in 70 autistic adults at Wave 1 (just before the United Kingdom's first lockdown) and Wave 2 (10-15 weeks into the United Kingdom's first lockdown). Retrospective Wave 2 reports of mental health change were also analysed for these 70 participants. For the qualitative analysis, 133 participants (including the 70 from the quantitative analyses) provided reports on their experiences of the pandemic at Wave 2. In quantitative analyses, retrospective reports indicated that participants' mental health worsened, but prospective data showed a different picture, with overall anxiety and stress scores reducing between Waves 1 and 2. Nevertheless, the mental health impact of the pandemic on autistic adults was variable, with a sizable minority reporting a significant decline in mental health. Qualitative analysis yielded four themes that contributed to mental health changes: (a) adjusting to changes to the social world, (b) living with uncertainty, (c) disruptions to self-regulation, and (d) barriers to fulfilling basic needs.
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- 2022
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119. Advances for Future Working Following an Online Dramatherapy Group for Adults with Intellectual Disabilities and Mental Ill Health during the COVID-19 Pandemic: A Service Evaluation for Cumbria, Northumberland Tyne and Wear NHS Foundation Trust
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Bourne, Jane, Brown, Claire, Corrigan, Debbie, Goldblatt, Phil, and Hackett, Simon
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Background: During the COVID-19 pandemic, social distancing measures were enforced and the national lockdown underlined our reliance on virtual means as a way to communicate. This new way of interacting highlighted that people with an intellectual disability were a large proportion of a digitally excluded population. Methods: A service evaluation, using a mixed method design in the form of four self-reported outcome measures and qualitative feedback. Findings: Clinical services need to continue when face to face sessions are not possible. Remote groups can be an alternative option not only when self-isolating due to pandemics but when living in remote locations, having physical health problems or excessive expenses and travel costs. Conclusions: Online dramatherapy groups can be a beneficial alternative when face to face groups are not possible or challenging to attend due to access difficulties. Online groups can offer opportunities to meet with peers, build relationships, improve confidence and learn new skills in technology.
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- 2022
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120. A multi-center retrospective cohort study defines the spectrum of kidney pathology in Coronavirus 2019 Disease (COVID-19)
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May, Rebecca M, Cassol, Clarissa, Hannoudi, Andrew, Larsen, Christopher P, Lerma, Edgar V, Haun, Randy S, Braga, Juarez R, Hassen, Samar I, Wilson, Jon, VanBeek, Christine, Vankalakunti, Mahesha, Barnum, Lilli, Walker, Patrick D, Bourne, T David, Messias, Nidia C, Ambruzs, Josephine M, Boils, Christie L, Sharma, Shree S, Cossey, L Nicholas, Baxi, Pravir V, Palmer, Matthew, Zuckerman, Jonathan E, Walavalkar, Vighnesh, Urisman, Anatoly, Gallan, Alexander J, Al-Rabadi, Laith F, Rodby, Roger, Luyckx, Valerie, Espino, Gustavo, Santhana-Krishnan, Srivilliputtur, Alper, Brent, Lam, Son G, Hannoudi, Ghadeer N, Matthew, Dwight, Belz, Mark, Singer, Gary, Kunaparaju, Srikanth, Price, Deborah, Chawla, Saurabh, Rondla, Chetana, Abdalla, Mazen A, Britton, Marcus L, Paul, Subir, Ranjit, Uday, Bichu, Prasad, Williamson, Sean R, Sharma, Yuvraj, Gaspert, Ariana, Grosse, Philipp, Meyer, Ian, Vasudev, Brahm, El Kassem, Mohamad, Velez, Juan Carlos Q, and Caza, Tiffany N
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Biomedical and Clinical Sciences ,Clinical Sciences ,HIV/AIDS ,Vaccine Related ,Kidney Disease ,Lung ,Biodefense ,Infectious Diseases ,Prevention ,Clinical Research ,Genetics ,2.1 Biological and endogenous factors ,Aetiology ,Renal and urogenital ,Infection ,Good Health and Well Being ,Acute Kidney Injury ,Apolipoprotein L1 ,COVID-19 ,Humans ,Kidney ,Retrospective Studies ,SARS-CoV-2 ,acute kidney injury ,coronavirus ,kidney biopsy ,renal pathology ,Urology & Nephrology ,Clinical sciences - Abstract
Kidney failure is common in patients with Coronavirus Disease-19 (COVID-19), resulting in increased morbidity and mortality. In an international collaboration, 284 kidney biopsies were evaluated to improve understanding of kidney disease in COVID-19. Diagnoses were compared to five years of 63,575 native biopsies prior to the pandemic and 13,955 allograft biopsies to identify diseases that have increased in patients with COVID-19. Genotyping for APOL1 G1 and G2 alleles was performed in 107 African American and Hispanic patients. Immunohistochemistry for SARS-CoV-2 was utilized to assess direct viral infection in 273 cases along with clinical information at the time of biopsy. The leading indication for native biopsy was acute kidney injury (45.4%), followed by proteinuria with or without concurrent acute kidney injury (42.6%). There were more African American patients (44.6%) than patients of other ethnicities. The most common diagnosis in native biopsies was collapsing glomerulopathy (25.8%), which was associated with high-risk APOL1 genotypes in 91.7% of cases. Compared to the five-year biopsy database, the frequency of myoglobin cast nephropathy and proliferative glomerulonephritis with monoclonal IgG deposits was also increased in patients with COVID-19 (3.3% and 1.7%, respectively), while there was a reduced frequency of chronic conditions (including diabetes mellitus, IgA nephropathy, and arterionephrosclerosis) as the primary diagnosis. In transplants, the leading indication was acute kidney injury (86.4%), for which rejection was the predominant diagnosis (61.4%). Direct SARS-CoV-2 viral infection was not identified. Thus, our multi-center large case series identified kidney diseases that disproportionately affect patients with COVID-19 and demonstrated a high frequency of APOL1 high-risk genotypes within this group, with no evidence of direct viral infection within the kidney.
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- 2021
121. Periodic seismicity detection without declustering
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Park, Timothy, Kiraly, Franz J., and Bourne, Stephen J.
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Physics - Geophysics ,Statistics - Applications - Abstract
Any periodic variations of earthquake occurrence rates in response to small, known, periodic stress variations provide important opportunities to learn about the earthquake nucleation process. Yet, reliable detection of earthquake periodicity is complicated by the presence of earthquake clustering due to aftershocks and foreshocks. Existing methods for detecting periodicity in an earthquake catalogue typically require the prior removal of these clustered events. Declustering is a highly uncertain process, so declustering methods are inherently non-unique. Incorrect declustering may remove some independent events, or fail to remove some aftershocks or foreshocks, or both. These two types of error could respectively lead to false negative or false positive reporting of periodic seismicity. To overcome these limitations, we propose a new method for detecting earthquake periodicity that does not require declustering. Our approach is to modify the existing Schuster Spectrum Test (SST) by adapting a test statistic for periodic seismicity to account for the presence of clustered earthquakes within the catalogue without requiring their identification and removal., Comment: 55 pages, 9 figures
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- 2021
122. Mental health support across the sight loss pathway: a qualitative exploration of eye care patients, optometrists, and ECLOs
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Trott, M., Driscoll, R., Bourne, R., Slade, J., Ingleton, H., Farrell, S., Bowen, M., Lovell-Patel, R., Kidd, J., and Pardhan, S.
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- 2023
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123. Quantifying capture and ingestion of live feeds across three coral species
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Saper, Julia, Høj, Lone, Humphrey, Craig, and Bourne, David G.
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- 2023
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124. Exploring the adoption and expression of subcultural identities among gay, bisexual, and queer-identifying men in Australia
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Franklin, Jake D., Lyons, Anthony, and Bourne, Adam
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- 2023
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125. Bringing Fundamental Insights of Induced Resistance to Agricultural Management of Herbivore Pests
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Poelman, Erik H., Bourne, Mitchel E., Croijmans, Luuk, Cuny, Maximilien A. C., Delamore, Zoë, Joachim, Gabriel, Kalisvaart, Sarah N., Kamps, Bram B. J., Longuemare, Maxence, Suijkerbuijk, Hanneke A. C., and Zhang, Nina Xiaoning
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- 2023
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126. The Virtual Radiology Reading Room: Initial Perceptions of Referring Providers and Radiologists
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Yacoub, Joseph H., Bourne, Matthew D., and Krishnan, Pranay
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- 2023
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127. Asymptotic optimality of the triangular lattice for a class of optimal location problems
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Bourne, David P. and Cristoferi, Riccardo
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Mathematics - Optimization and Control ,Mathematics - Probability - Abstract
We prove an asymptotic crystallization result in two dimensions for a class of nonlocal particle systems. To be precise, we consider the best approximation with respect to the 2-Wasserstein metric of a given absolutely continuous probability measure $f \mathrm{d}x$ by a discrete probability measure $\sum_i m_i \delta_{z_i}$, subject to a constraint on the particle sizes $m_i$. The locations $z_i$ of the particles, their sizes $m_i$, and the number of particles are all unknowns of the problem. We study a one-parameter family of constraints. This is an example of an optimal location problem (or an optimal sampling or quantization problem) and it has applications in economics, signal compression, and numerical integration. We establish the asymptotic minimum value of the (rescaled) approximation error as the number of particles goes to infinity. In particular, we show that for the constrained best approximation of the Lebesgue measure by a discrete measure, the discrete measure whose support is a triangular lattice is asymptotically optimal. In addition, we prove an analogous result for a problem where the constraint is replaced by a penalization. These results can also be viewed as the asymptotic optimality of the hexagonal tiling for an optimal partitioning problem. They generalise the crystallization result of Bourne, Peletier and Theil (Communications in Mathematical Physics, 2014) from a single particle system to a class of particle systems, and prove a case of a conjecture by Bouchitt\'{e}, Jimenez and Mahadevan (Journal de Math\'ematiques Pures et Appliqu\'ees, 2011). Finally, we prove a crystallization result which states that optimal configurations with energy close to that of a triangular lattice are geometrically close to a triangular lattice.
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- 2020
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128. Reliable transition properties from excited-state mean-field calculations
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Worster, Susannah Bourne, Feighan, Oliver, and Manby, Frederick R.
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Physics - Chemical Physics - Abstract
Delta-self-consistent field theory (delta-SCF) is a conceptually simple and computationally inexpensive method for finding excited states. Using the maximum overlap method to guide optimization of the excited state, delta-SCF has been shown to predict excitation energies with a level of accuracy that is competitive with, and sometimes better than, that of TDDFT. Here we benchmark delta-SCF on a larger set of molecules than has previously been considered, and, in particular, we examine the performance of delta-SCF in predicting transition dipole moments, the essential quantity for spectral intensities. A potential downfall for delta-SCF transition dipoles is origin dependence induced by the nonorthogonality of delta-SCF ground and excited states. We propose and test the simplest correction for this problem, based on symmetric orthogonalization of the states, and demonstrate its use on bacteriochlorophyll structures sampled from the photosynthetic antenna in purple bacteria., Comment: 24 pages, 4 figure, 1 excel spreadsheet containing supplementary material
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- 2020
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129. Blandford-Znajek jets in galaxy formation simulations: method and implementation
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Talbot, Rosie Y., Bourne, Martin A., and Sijacki, Debora
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Astrophysics - Astrophysics of Galaxies ,Astrophysics - High Energy Astrophysical Phenomena - Abstract
Jets launched by active galactic nuclei (AGN) are believed to play a significant role in shaping the properties of galaxies and provide an energetically viable mechanism through which galaxies can become quenched. Here we present a novel AGN feedback model, which we have incorporated into the AREPO code, that evolves the black hole mass and spin as the accretion flow proceeds through a thin $\alpha$-disc which we self-consistently couple to a Blandford-Znajek jet. We apply our model to the central region of a typical radio-loud Seyfert galaxy embedded in a hot circumgalactic medium (CGM). We find that jets launched into high pressure environments thermalise efficiently due to the formation of recollimation shocks and the vigorous instabilities that these shocks excite increase the efficiency of the mixing of CGM and jet material. The beams of more overpressured jets, however, are not as readily disrupted by instabilities so the majority of the momentum flux at the jet base is retained out to the head, where the jet terminates in a reverse shock. All jets entrain a significant amount of cold circumnuclear disc material which, while energetically insignificant, dominates the lobe mass together with the hot, entrained CGM material. The jet power evolves significantly due to effective self-regulation by the black hole, fed by secularly-driven, intermittent mass flows. The direction of jets launched directly into the circumnuclear disc changes considerably due to effective Bardeen-Petterson torquing. Interestingly, these jets obliterate the innermost regions of the disc and drive large-scale, multi-phase, turbulent, bipolar outflows., Comment: 33 pages, 12 figures, 2 appendices, published in MNRAS
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- 2020
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130. Comparative Analysis of Control Barrier Functions and Artificial Potential Fields for Obstacle Avoidance
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Singletary, Andrew, Klingebiel, Karl, Bourne, Joseph, Browning, Andrew, Tokumaru, Phil, and Ames, Aaron
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Computer Science - Robotics ,Electrical Engineering and Systems Science - Systems and Control - Abstract
Artificial potential fields (APFs) and their variants have been a staple for collision avoidance of mobile robots and manipulators for almost 40 years. Its model-independent nature, ease of implementation, and real-time performance have played a large role in its continued success over the years. Control barrier functions (CBFs), on the other hand, are a more recent development, commonly used to guarantee safety for nonlinear systems in real-time in the form of a filter on a nominal controller. In this paper, we address the connections between APFs and CBFs. At a theoretic level, we prove that APFs are a special case of CBFs: given a APF one obtains a CBFs, while the converse is not true. Additionally, we prove that CBFs obtained from APFs have additional beneficial properties and can be applied to nonlinear systems. Practically, we compare the performance of APFs and CBFs in the context of obstacle avoidance on simple illustrative examples and for a quadrotor, both in simulation and on hardware using onboard sensing. These comparisons demonstrate that CBFs outperform APFs., Comment: 8 pages, submitted to RA-L
- Published
- 2020
131. Localised module frames and Wannier bases from groupoid Morita equivalences
- Author
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Bourne, Chris and Mesland, Bram
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Mathematics - Operator Algebras ,Mathematical Physics ,Mathematics - Functional Analysis - Abstract
Following the operator algebraic approach to Gabor analysis, we construct frames of translates for the Hilbert space localisation of the Morita equivalence bimodule arising from a groupoid equivalence between Hausdorff groupoids, where one of the groupoids is \'{e}tale and with a compact unit space. For finitely generated and projective submodules, we show these frames are orthonormal bases if and only if the module is free. We then apply this result to the study of localised Wannier bases of spectral subspaces of Schr\"{o}dinger operators with atomic potentials supported on (aperiodic) Delone sets. The noncommutative Chern numbers provide a topological obstruction to fast-decaying Wannier bases and we show this result is stable under deformations of the underlying Delone set., Comment: v2: name changed and other minor changes. To appear in J. Fourier Anal. Appl. 28 pages
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- 2020
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132. Semi-discrete optimal transport methods for the semi-geostrophic equations
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Bourne, David P., Egan, Charlie P., Pelloni, Beatrice, and Wilkinson, Mark
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Mathematics - Analysis of PDEs - Abstract
We give a new and constructive proof of the existence of global-in-time weak solutions of the 3-dimensional incompressible semi-geostrophic equations (SG) in geostrophic coordinates, for arbitrary initial measures with compact support. This new proof, based on semi-discrete optimal transport techniques, works by characterising discrete solutions of SG in geostrophic coordinates in terms of trajectories satisfying an ordinary differential equation. It is advantageous in its simplicity and its explicit relation to Eulerian coordinates through the use of Laguerre tessellations. Using our method, we obtain improved time-regularity for a large class of discrete initial measures, and we compute explicitly two discrete solutions. The method naturally gives rise to an efficient numerical method, which we illustrate by presenting simulations of a 2-dimensional semi-geostrophic flow in geostrophic coordinates generated using a numerical solver for the semi-discrete optimal transport problem coupled with an ordinary differential equation solver., Comment: 35 pages, 2 figures
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- 2020
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133. AGN jet feedback on a moving mesh: gentle cluster heating by weak shocks and lobe disruption
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Bourne, Martin A. and Sijacki, Debora
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Astrophysics - High Energy Astrophysical Phenomena ,Astrophysics - Astrophysics of Galaxies - Abstract
While there is overwhelming observational evidence of AGN-driven jets in galaxy clusters and groups, if and how the jet energy is delivered to the ambient medium remains unanswered. Here we perform very high resolution AGN jet simulations within a live, cosmologically evolved cluster with the moving mesh code AREPO. We find that mock X-ray and radio lobe properties are in good agreement with observations with different power jets transitioning from FR-I to FR-II-like morphologies. During the lobe inflation phase, heating by both internal and bow shocks contributes to lobe energetics, and $\sim 40$ per cent of the feedback energy goes into the $PdV$ work done by the expanding lobes. Low power jets are more likely to simply displace gas during lobe inflation, but higher power jets become more effective at driving shocks and heating the intracluster medium (ICM), although shocks rarely exceed $\mathcal{M}\sim 2-3$. Once the lobe inflation phase ceases, cluster weather significantly impacts the lobe evolution. Lower power jet lobes are more readily disrupted and mixed with the ICM, depositing up to $\sim 70$ per cent of the injected energy, however, ultimately the equivalent of $\gtrsim 50$ per cent of the feedback energy ends up as potential energy of the system. Even though the mean ICM entropy is increased up to $80$~Myr after the jets switch off, AGN heating is gentle, inducing no large variations in cluster radial profiles in accord with observations., Comment: 29 pages, 14 figures, accepted for publication in MNRAS
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- 2020
- Full Text
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134. The spring bounces back: Introducing the Strain Elevation Tension Spring embedding algorithm for network representation
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Bourne, Jonathan
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Computer Science - Social and Information Networks ,Physics - Physics and Society - Abstract
This paper introduces the Strain Elevation Tension Spring embedding (SETSe) algorithm, a graph embedding method that uses a physics model to create node and edge embeddings in undirected attribute networks. Using a low-dimensional representation, SETSe is able to differentiate between graphs that are designed to appear identical using standard network metrics such as number of nodes, number of edges and assortativity. The embeddings generated position the nodes such that sub-classes, hidden during the embedding process, are linearly separable, due to the way they connect to the rest of the network. SETSe outperforms five other common graph embedding methods on both graph differentiation and sub-class identification. The technique is applied to social network data, showing its advantages over assortativity as well as SETSe's ability to quantify network structure and predict node type. The algorithm has a convergence complexity of around $\mathcal{O}(n^2)$, and the iteration speed is linear ($\mathcal{O}(n)$), as is memory complexity. Overall, SETSe is a fast, flexible framework for a variety of network and graph tasks, providing analytical insight and simple visualisation for complex systems., Comment: 27 pages; 7000 words
- Published
- 2020
135. The classification of symmetry protected topological phases of one-dimensional fermion systems
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Bourne, Chris and Ogata, Yoshiko
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Mathematical Physics ,Condensed Matter - Statistical Mechanics ,Mathematics - Operator Algebras ,Quantum Physics - Abstract
We introduce an index for symmetry protected topological (SPT) phases of infinite fermionic chains with an on-site symmetry given by a finite group $G$. This index takes values in $\mathbb{Z}_2 \times H^1(G,\mathbb{Z}_2) \times H^2(G, U(1)_{\mathfrak{p}})$ with a generalized Wall group law under stacking. We show that this index is an invariant of the classification of SPT phases. When the ground state is translation invariant and has reduced density matrices with uniformly bounded rank on finite intervals, we derive a fermionic matrix product representative of this state with on-site symmetry., Comment: To appear in Forum of Mathematics, Sigma
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- 2020
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136. Deep Learning of Protein Structural Classes: Any Evidence for an 'Urfold'?
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Jaiswal, Menuka, Saleem, Saad, Kweon, Yonghyeon, Draizen, Eli J, Veretnik, Stella, Mura, Cameron, and Bourne, Philip E.
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Quantitative Biology - Biomolecules - Abstract
Recent computational advances in the accurate prediction of protein three-dimensional (3D) structures from amino acid sequences now present a unique opportunity to decipher the interrelationships between proteins. This task entails--but is not equivalent to--a problem of 3D structure comparison and classification. Historically, protein domain classification has been a largely manual and subjective activity, relying upon various heuristics. Databases such as CATH represent significant steps towards a more systematic (and automatable) approach, yet there still remains much room for the development of more scalable and quantitative classification methods, grounded in machine learning. We suspect that re-examining these relationships via a Deep Learning (DL) approach may entail a large-scale restructuring of classification schemes, improved with respect to the interpretability of distant relationships between proteins. Here, we describe our training of DL models on protein domain structures (and their associated physicochemical properties) in order to evaluate classification properties at CATH's "homologous superfamily" (SF) level. To achieve this, we have devised and applied an extension of image-classification methods and image segmentation techniques, utilizing a convolutional autoencoder model architecture. Our DL architecture allows models to learn structural features that, in a sense, 'define' different homologous SFs. We evaluate and quantify pairwise 'distances' between SFs by building one model per SF and comparing the loss functions of the models. Hierarchical clustering on these distance matrices provides a new view of protein interrelationships--a view that extends beyond simple structural/geometric similarity, and towards the realm of structure/function properties., Comment: 6 pages, 3 figures, 1 table; IEEE SIEDS conference submission
- Published
- 2020
137. Multiclass risk models for ovarian malignancy: an illustration of prediction uncertainty due to the choice of algorithm
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Ledger, Ashleigh, Ceusters, Jolien, Valentin, Lil, Testa, Antonia, Van Holsbeke, Caroline, Franchi, Dorella, Bourne, Tom, Froyman, Wouter, Timmerman, Dirk, and Van Calster, Ben
- Published
- 2023
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138. A coral-associated actinobacterium mitigates coral bleaching under heat stress
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Li, Jie, Zou, Yiyang, Li, Qiqi, Zhang, Jian, Bourne, David G., Lyu, Yuanjiao, Liu, Cong, and Zhang, Si
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- 2023
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139. Multi-model sequential analysis of MRI data for microstructure prediction in heterogeneous tissue
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Enríquez-Mier-y-Terán, Francisco E., Chatterjee, Aritrick, Antic, Tatjana, Oto, Aytekin, Karczmar, Gregory, and Bourne, Roger
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- 2023
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140. Understandings, attitudes, practices and responses to GHB overdose among GHB consumers
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Freestone, Jack, Ezard, Nadine, Bourne, Adam, Brett, Jonathan, Roberts, Darren M., Hammoud, Mohamed, Nedanoski, Anthony, Prestage, Garrett, and Siefried, Krista J.
- Published
- 2023
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141. Affirming educational and workplace settings are associated with positive mental health and happiness outcomes for LGBTQA + youth in Australia
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Amos, Natalie, Hill, Adam O., Jones, Jami, Melendez-Torres, G. J., Carman, Marina, Lyons, Anthony, and Bourne, Adam
- Published
- 2023
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142. Does sexuality matter? A cross-sectional study of drug use, social injecting, and access to injection-specific care among men who inject drugs in Melbourne, Australia
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Schroeder, Sophia E., Wilkinson, A. L., O’Keefe, D., Bourne, A., Doyle, J. S., Hellard, M., Dietze, P., and Pedrana, A.
- Published
- 2023
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143. Electrically assisted cycling for individuals with type 2 diabetes mellitus: a pilot randomized controlled trial
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Bourne, Jessica E., Leary, Sam, Page, Angie, Searle, Aidan, England, Clare, Thompson, Dylan, Andrews, Robert C., Foster, Charlie, and Cooper, Ashley R.
- Published
- 2023
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144. Study protocol for two pilot randomised controlled trials aimed at increasing physical activity using electrically assisted bicycles to enhance prostate or breast cancer survival
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Bourne, Jessica E., Foster, Charlie, Forte, Chloe, Aning, Jonathan, Potter, Shelley, Hart, Emma C., and Armstrong, Miranda E. G.
- Published
- 2023
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145. Critical care pharmacy workforce: a 2020 re-evaluation of the UK deployment and characteristics
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Borthwick, Mark, Barton, Greg, Ioannides, Christopher P., Forrest, Ruth, Graham-Clarke, Emma, Hanks, Fraser, James, Christie, Kean, David, Sapsford, David, Timmins, Alan, Tomlin, Mark, Warburton, John, and Bourne, Richard S.
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- 2023
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146. Evidence for Lignocellulose-Decomposing Enzymes in the Genome and Transcriptome of the Aquatic Hyphomycete Clavariopsis aquatica.
- Author
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Heeger, Felix, Bourne, Elizabeth C, Wurzbacher, Christian, Funke, Elisabeth, Lipzen, Anna, He, Guifen, Ng, Vivian, Grigoriev, Igor V, Schlosser, Dietmar, and Monaghan, Michael T
- Subjects
RNA-Seq ,aquatic fungi ,differential expression ,laccase ,lignocellulose ,Genetics - Abstract
Fungi are ecologically outstanding decomposers of lignocellulose. Fungal lignocellulose degradation is prominent in saprotrophic Ascomycota and Basidiomycota of the subkingdom Dikarya. Despite ascomycetes dominating the Dikarya inventory of aquatic environments, genome and transcriptome data relating to enzymes involved in lignocellulose decay remain limited to terrestrial representatives of these phyla. We sequenced the genome of an exclusively aquatic ascomycete (the aquatic hyphomycete Clavariopsis aquatica), documented the presence of genes for the modification of lignocellulose and its constituents, and compared differential gene expression between C. aquatica cultivated on lignocellulosic and sugar-rich substrates. We identified potential peroxidases, laccases, and cytochrome P450 monooxygenases, several of which were differentially expressed when experimentally grown on different substrates. Additionally, we found indications for the regulation of pathways for cellulose and hemicellulose degradation. Our results suggest that C. aquatica is able to modify lignin to some extent, detoxify aromatic lignin constituents, or both. Such characteristics would be expected to facilitate the use of carbohydrate components of lignocellulose as carbon and energy sources.
- Published
- 2021
147. Informatics-enabled citizen science to advance health equity
- Author
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Valdez, Rupa S, Detmer, Don E, Bourne, Philip, Kim, Katherine K, Austin, Robin, McCollister, Anna, Rogers, Courtney C, and Waters-Wicks, Karen C
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Prevention ,Health Services ,Clinical Research ,Generic health relevance ,Good Health and Well Being ,COVID-19 ,Citizen Science ,Community-Based Participatory Research ,Health Equity ,Humans ,Informatics ,Pandemics ,health equity ,citizen science ,health informatics ,precision health ,patient engagement ,Information and Computing Sciences ,Engineering ,Medical and Health Sciences ,Medical Informatics - Abstract
The COVID-19 pandemic has once again highlighted the ubiquity and persistence of health inequities along with our inability to respond to them in a timely and effective manner. There is an opportunity to address the limitations of our current approaches through new models of informatics-enabled research and clinical practice that shift the norm from small- to large-scale patient engagement. We propose augmenting our approach to address health inequities through informatics-enabled citizen science, challenging the types of questions being asked, prioritized, and acted upon. We envision this democratization of informatics that builds upon the inclusive tradition of community-based participatory research (CBPR) as a logical and transformative step toward improving individual, community, and population health in a way that deeply reflects the needs of historically marginalized populations.
- Published
- 2021
148. Prospective, Randomized, Comparative Study of the Cutaneous Effects of a Topical Body Treatment Compared to a Bland Moisturizer
- Author
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Carruthers, Jean, Bourne, Gyasi, Bell, Michaela, and Widgerow, Alan
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Clinical Research ,Administration ,Cutaneous ,Humans ,Prospective Studies ,Skin ,Treatment Outcome - Abstract
BackgroundOver time human skin thins and loses elasticity; topical treatments attempt to reverse this process.ObjectivesThe aim of this study was to assess the efficacy of TransFORM Body Treatment (TFB) in skin rejuvenation compared to a bland moisturizer on the extensor and volar forearms.MethodsBlinded participants were given 2 products to apply on the designated forearms with follow-up at 4, 8, and 12 weeks. Measurements included skin thickness, photography, dermatopathology, cutaneous elasticity determined by 2 different methods, and patient-reported outcomes. All were compared to baseline.ResultsChanges between bland moisturizer and TFB were recorded for the following parameters. (1) Roughness: extensor -0.09 mm for bland moisturizer and -0.26 mm for TFB (P = 0.174); volar 0.01 mm for bland moisturizer and -0.23 mm for TFB (P = 0.004). (2) Recoil velocity: volar -56°/sec for bland moisturizer and -24°/sec for TFB (P = 0.61); extensor -95°/sec for bland moisturizer and -63°/sec for TFB (P = 0.57). Retraction speed: volar -3.25 ms for bland moisturizer and -20.08 ms for TFB (P = 0.33); extensor -2.17 ms for bland moisturizer and -10.83 ms for TFB (P = 0.66). Histologically, TFB resulted in an increase in mucopolysaccharide content, new collagen, and number of elastin fibers in the papillary dermis. Changes in the Rao-Goldman score were also observed: volar -0.17 for bland moisturizer and -0.33 for TFB (P = 0.25); extensor -0.08 for bland moisturizer and -0.17 for TFB (P = 0.36).ConclusionsHistology showed production of new collagen and elastin. Quantification of changes in skin thickness, skin retraction speed, and skin recoil velocity showed trends that agree with the visual data.Level of evidence: 4
- Published
- 2021
149. Low Incidence of Opioid-Induced Respiratory Depression Observed with Oliceridine Regardless of Age or Body Mass Index: Exploratory Analysis from a Phase 3 Open-Label Trial in Postsurgical Pain
- Author
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Brzezinski, Marek, Hammer, Gregory B, Candiotti, Keith A, Bergese, Sergio D, Pan, Peter H, Bourne, Michael H, Michalsky, Cathy, Wase, Linda, Demitrack, Mark A, and Habib, Ashraf S
- Subjects
Pharmacology and Pharmaceutical Sciences ,Biomedical and Clinical Sciences ,Clinical Sciences ,Lung ,Chronic Pain ,Neurosciences ,Patient Safety ,Nutrition ,Clinical Research ,Clinical Trials and Supportive Activities ,Pain Research ,Aging ,Obesity ,6.1 Pharmaceuticals ,Evaluation of treatments and therapeutic interventions ,Analgesia ,Biased opioid ,Oliceridine ,Postoperative pain ,Respiratory depression ,Clinical sciences ,Public health - Abstract
IntroductionAdvanced age and obesity are reported to increase the risk of opioid-induced respiratory depression (OIRD). Oliceridine, an intravenous opioid, is a G-protein-biased agonist at the µ-opioid receptor that may provide improved safety. The recent phase 3 ATHENA open-label, multicenter study evaluated postoperative use of oliceridine in patients with moderate-to-severe acute pain. This exploratory analysis of the ATHENA data examined the incidence of OIRD in older (≥ 65 years) and/or obese (BMI ≥ 30 kg/m2) patients and analyzed risk factors of OIRD.MethodsPatients aged ≥ 18 years with a score ≥ 4 on an 11-point numeric pain rating scale (NPRS) received IV oliceridine as needed via bolus dosing and/or patient-controlled analgesia (PCA). OIRD occurring within 48 h of last dose of oliceridine was defined using two established definitions: (1) naloxone use, (2) respiratory rate
- Published
- 2021
150. Carbon export and fate beneath a dynamic upwelled filament off the California coast
- Author
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Bourne, HL, Bishop, JKB, Connors, EJ, and Wood, TJ
- Subjects
Meteorology & Atmospheric Sciences ,Earth Sciences ,Environmental Sciences ,Biological Sciences - Abstract
To understand the vertical variations in carbon fluxes in biologically productive waters, four autonomous carbon flux explorers (CFEs), ship-lowered CTD-interfaced particle-sensitive transmissometer and scattering sensors, and surface-drogued sediment traps were deployed in a filament of offshore flowing, recently upwelled water, during the June 2017 California Current Ecosystem-Long Term Ecological Research process study. The Lagrangian CFEs operating at depths from 100-500 m yielded carbon flux and its partitioning with size from 30 μ m-1 cm at three intensive study locations within the filament and in waters outside the filament. Size analysis codes intended to enable long-term CFE operations independent of ships are described. Different particle classes (anchovy pellets, copepod pellets, and > 1000 μ m aggregates) dominated the 100-150 m fluxes during successive stages of the filament evolution as it progressed offshore. Fluxes were very high at all locations in the filament; below 150 m, flux was invariant or increased with depth at the two locations closer to the coast. Martin curve bfactors (± denotes 95 % confidence intervals) for total particulate carbon flux were + 0.37 ± 0.59, + 0.85 ± 0.31,-0.24 ± 0.68, and-0.45 ± 0.70 at the three successively occupied locations within the plume, and in transitional waters. Interestingly, the flux profiles for all particles < 400 μ m were a much closer fit to the canonical Martin profile (b-0.86); however, most (typically > 90 %) of the particle flux was carried by > 1000 μ m sized aggregates which increased with depth. Mechanisms to explain the factor of 3 flux increase between 150 and 500 m at the mid-plume location are investigated.
- Published
- 2021
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