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Sample records for adjusted d-dimer cut-off

  1. Elevated d-dimer cut-off values for computed tomography pulmonary angiography—d-dimer correlates with location of embolism

    Science.gov (United States)

    Kubak, Mateuzs Piotr; Borthne, Arne; Ruud, Espen Asak; Ashraf, Haseem

    2016-01-01

    Background Acute pulmonary embolism (APE) is a potentially fatal condition, and making a timely diagnosis can be challenging. Computed tomography pulmonary angiography (CTPA) has become the modality of choice, and this contributes to the increasing load on emergency room CT scanners. Our purpose was to investigate whether an elevated d-dimer cut-off could reduce the demand for CTPA while maintaining a high sensitivity and negative predictive value (NPV). Methods We retrospectively reviewed all patients referred for CTPA with suspicion of APE in 2012, and collected d-dimer values and CTPA results. We investigated the diagnostic performance of d-dimer using a 0.5 mg/L cut-off and an age adjusted cut-off. We also evaluated a new and elevated cut-off. Cases were categorized according to their CTPA result into: no embolism, peripheral embolism, lobar embolism and central embolism. Finally we investigated a possible correlation between d-dimer values and location of embolism. Results We included 1,051 CTPAs, from which 216 (21%) showed pulmonary embolism. There were concomitant d-dimer analyses in 822 CTPA examinations. The current 0.5 mg/L cut-off achieved a sensitivity and NPV of 99%. The age-adjusted cut-off achieved a sensitivity and NPV of 98%, and our suggested cut-off of 0.9 mg/L achieved a sensitivity and NPV of 97%. Conclusions We conclude that the elevated d-dimer cut-off of 0.9 mg/L achieved a high sensitivity and NPV, while reducing the number of CTPA by 27%. The correlation between d-dimer values and location of embolisms supports the suggestion of an elevated d-dimer value. PMID:27386486

  2. Diagnostic accuracy of deep vein thrombosis is increased by analysis using combined optimal cut-off values of postoperative plasma D-dimer levels

    Science.gov (United States)

    JIANG, YONG; LI, JIE; LIU, YANG; ZHANG, WEIGUO

    2016-01-01

    The present study aimed to evaluate the accuracy of analysis using optimal cut-off values of plasma D-dimer levels in the diagnosis of deep vein thrombosis (DVT). A total of 175 orthopedic patients with DVT and 162 patients without DVT were included in the study. Ultrasonic color Doppler imaging was performed on lower limb veins prior to and following orthopedic surgery in order to determine the types of orthopedic conditions that were present. An enzyme-linked fluorescent assay was performed to detect the expression levels of D-dimer in plasma, and receiver operating characteristic analysis was performed to predict the occurrence of DVT on the basis of the expression levels of D-dimer. After surgery, the expression levels of D-dimer in the plasma of DVT patients were significantly higher in comparison with those in orthopedic patients without DVT (P<0.05). When the patients were divided into subgroups according to the underlying orthopedic condition, the expression levels of D-dimer in the plasma of each subgroup were higher 1 day after orthopedic surgery in comparison to those prior to surgery (P<0.05). The diagnostic accuracy achieved using combined optimal cut-off values at 1 and 3 days post-surgery was significantly higher than the accuracy when using a single optimal cut-off value (P<0.05). In conclusion, detection of D-dimer expression levels at 1 day post-orthopedic surgery may be important in predicting DVT. In addition, the diagnostic accuracy of DVT is significantly increased by analysis using combined optimal cut-off values of D-dimer plasma expression levels. PMID:27168793

  3. Age-dependent D-dimer cut-off to avoid unnecessary CT-exams for ruling-out pulmonary embolism

    International Nuclear Information System (INIS)

    To evaluate the effect of an age-dependent D-Dimer cut-off in patients who underwent a computed tomography pulmonary angiogram (CTPA) for suspected pulmonary embolism (PE). Retrospective application of an age-dependent D-dimer cut-off (age/100 in patients aged over 50) in 530 consecutive patients, both in- and outpatients, aged over 18, who underwent CTPA for suspected PE according to the guidelines. The application of an age-dependent D-dimer cut-off showed a now negative test-result in 17 of 530 patients (3.2 %). The proportion was 4.1 % (17 of 418) in patients aged over 50. None of these 17 cases was diagnosed with PE in CTPA, the false-negative rate was 0 %. The effect could be seen in outpatients (14 of 377 [3.7 %]) as well as in inpatients(3 of 153 [2.0 %]) with no statistically significant difference (p > 0.05). The application of an age-dependent D-dimer cut-off as part of the guideline-based algorithm for suspected PE reduced the number of necessary CTPA in outpatients as well as in inpatients.

  4. Age-dependent D-dimer cut-off to avoid unnecessary CT-exams for ruling-out pulmonary embolism; Altersangepasste Anhebung des D-Dimer-Grenzwertes zur Vermeidung unnoetiger CT-Untersuchungen bei Verdacht auf Lungenarterienembolie

    Energy Technology Data Exchange (ETDEWEB)

    Altmann, M.M.; Hoehne, M.; Herold, T. [HELIOS Klinikum Berlin-Buch (Germany). Radiology; Wrede, C.E. [HELIOS Klinikum Berlin-Buch (Germany). Emergency Department; Peetz, D. [HELIOS Klinikum Berlin-Buch (Germany). Laboratory Medicine; Stroszczynski, C. [University Medical Center, Radiology, Regensburg (Germany)

    2015-09-15

    To evaluate the effect of an age-dependent D-Dimer cut-off in patients who underwent a computed tomography pulmonary angiogram (CTPA) for suspected pulmonary embolism (PE). Retrospective application of an age-dependent D-dimer cut-off (age/100 in patients aged over 50) in 530 consecutive patients, both in- and outpatients, aged over 18, who underwent CTPA for suspected PE according to the guidelines. The application of an age-dependent D-dimer cut-off showed a now negative test-result in 17 of 530 patients (3.2 %). The proportion was 4.1 % (17 of 418) in patients aged over 50. None of these 17 cases was diagnosed with PE in CTPA, the false-negative rate was 0 %. The effect could be seen in outpatients (14 of 377 [3.7 %]) as well as in inpatients(3 of 153 [2.0 %]) with no statistically significant difference (p > 0.05). The application of an age-dependent D-dimer cut-off as part of the guideline-based algorithm for suspected PE reduced the number of necessary CTPA in outpatients as well as in inpatients.

  5. The age-adjusted D-dimer safely excludes a high number of pulmonary embolisms in combination with four different clinical decision rules

    NARCIS (Netherlands)

    van Es, J.; Mos, I.C.M.; Douma, R.A.; Nizet, T.A.C.; Durian, M.; van Houten, A.A.; Hofstee, H.M.A.; ten Cate, H.; Ullmann, E.F.; Buller, H.R.; Huisman, M.V.; Kamphuisen, P.W.

    2011-01-01

    Background: Four different clinical decision rules (CDRs) (Wells score, Revised Geneva score (RGS), simplified Wells score and simplified RGS) safely exclude pulmonary embolism (PE), when combined with a normal D-dimer test. Recently, an age adjusted cut-off of the D-dimer (patient's age x 10 ig/L)

  6. How to use D-dimer in acute cardiovascular care

    DEFF Research Database (Denmark)

    Giannitsis, Evangelos; Mair, Johannes; Christersson, Christina;

    2015-01-01

    D-dimer testing is important to aid in the exclusion of venous thromboembolic events (VTEs), including deep venous thrombosis and pulmonary embolism, and it may be used to evaluate suspected aortic dissection. D-dimer is produced upon activation of the coagulation system with the generation...... testing. For the exclusion of pulmonary embolism/deep vein thrombosis, age-adjusted cut-offs are recommend. Clinicians must be aware of the validated use of their hospital's D-dimer assay to avoid inappropriate use of this biomarker in routine care....

  7. Global Emergency Medicine Journal Club: A Social Media Discussion About the Age-Adjusted D-Dimer Cutoff Levels to Rule Out Pulmonary Embolism Trial

    OpenAIRE

    Rezaie, SR; Swaminathan, AK; Chan, T.; Shaikh, S; Lin, M.

    2015-01-01

    © 2015 American College of Emergency Physicians. Study objective: Annals of Emergency Medicine collaborated with an educational Web site, Academic Life in Emergency Medicine (ALiEM), to host an online discussion session featuring the 2014 Journal of the American Medical Association publication on the Age-Adjusted D-Dimer Cutoff Levels to Rule Out Pulmonary Embolism (ADJUST-PE) trial by Righini et al. The objective is to describe a 14-day (August 25 to September 7, 2014) worldwide academic dia...

  8. High Pretreatment D-Dimer Levels Correlate with Adverse Clinical Features and Predict Poor Survival in Patients with Natural Killer/T-Cell Lymphoma

    Science.gov (United States)

    Sun, Peng; Yan, Shu-mei; Liu, Pan-pan; Li, Zhi-ming; Jiang, Wen-qi

    2016-01-01

    Pretreatment plasma D-dimer levels have been reported to predict survival in several types of malignancies. The aim of this study was to evaluate the prognostic value of D-dimer levels in patients with newly diagnosed natural killer/T-cell lymphoma (NKTCL). The cut-off value of D-dimer to predict survival was set as 1.2 μg/mL based on the receiver operating curve analysis. Patients with a D-dimer level ≥ 1.2 μg/mL had significantly more adverse clinical features, including poor performance status, advanced stage diseases, B symptoms, elevated serum lactic dehydrogenase levels, involvement of regional lymph nodes, more extranodal diseases, and higher International Prognostic Index and natural killer/T-cell lymphoma prognostic index scores. A D-dimer level ≥ 1.2 μg/mL was significantly associated with inferior 3-year overall survival (OS, 13.0 vs. 68.5%, P < 0.001). In the multivariate analysis, a D-dimer level ≥ 1.2 μg/mL remained an independent predictor for worse OS (HR: 3.13, 95% CI: 1.47–6.68, P = 0.003) after adjusting for other confounding prognostic factors. Among patients with Ann Arbor stage I-II diseases, those with a D-dimer level ≥ 1.2 μg/mL had a significantly worse survival than those with a D-dimer level < 1.2 μg/mL (3 year-OS: 76.2 vs. 22.2%, P < 0.001). Survival of early-stage patients with a high D-dimer level was similar to that of the advanced-stage patients. In conclusion, pretreatment plasma D-dimer level may serve as a simple but effective predictor of prognosis in patients with NKTCL. PMID:27032016

  9. Serum Potassium Levels Inversely Correlate with D-Dimer In Patients with Acute-Onset Atrial Fibrillation

    International Nuclear Information System (INIS)

    D-dimer values are frequently increased in patients with atrial fibrillation (AF) compared to subjects in sinus rhythm. Hypokalemia plays a role in several cardiovascular diseases, but little is known about the association with AF. D-dimer values are frequently increased in patients with atrial fibrillation (AF) compared with subjects in sinus rhythm. Hypokalemia plays a role in several cardiovascular diseases, but little is known about the association with AF. The aim of this study was to investigate correlations between D-dimer and serum potassium in acute-onset AF (AAF). To investigate the potential correlation between the values of serum potassium and D-dimer in patients with AAF, we retrospectively reviewed clinical and laboratory data of all emergency department visits for AAF in 2013. Among 271 consecutive AAF patients with D-dimer assessments, those with hypokalemia (n = 98) had significantly higher D-dimer values than normokalemic patients (139 versus 114 ng/mL, p = 0.004). The rate of patients with D-dimer values exceeding the diagnostic cut-off was higher in the group of patients with hypokalemia than in those with normal serum potassium (26.5% versus 16.2%; p = 0.029). An inverse and highly significant correlation was found between serum potassium and D-dimer (r = −0.21; p < 0.001), even after adjustments for age and sex (beta coefficient −94.8; p = 0.001). The relative risk for a positive D-dimer value attributed to hypokalemia was 1.64 (95% CI, 1.02 to 2.63; p = 0.040). The correlation remained statistically significant in patients free from antihypertensive drugs (r = −0.25; p = 0.018), but not in those taking angiotensin-receptor blockers, angiotensin-converting enzyme inhibitors, or diuretics. The inverse correlation between values of potassium and D-dimer in patients with AAF provides important and complementary information about the thromboembolic risk of these patients

  10. Serum Potassium Levels Inversely Correlate with D-Dimer In Patients with Acute-Onset Atrial Fibrillation

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    Cervellin, Gianfranco, E-mail: gcervellin@ao.pr.it; Bonfanti, Laura; Picanza, Alessandra; Lippi, Giuseppe [1Academic Hospital of Parma (Italy)

    2015-03-15

    D-dimer values are frequently increased in patients with atrial fibrillation (AF) compared to subjects in sinus rhythm. Hypokalemia plays a role in several cardiovascular diseases, but little is known about the association with AF. D-dimer values are frequently increased in patients with atrial fibrillation (AF) compared with subjects in sinus rhythm. Hypokalemia plays a role in several cardiovascular diseases, but little is known about the association with AF. The aim of this study was to investigate correlations between D-dimer and serum potassium in acute-onset AF (AAF). To investigate the potential correlation between the values of serum potassium and D-dimer in patients with AAF, we retrospectively reviewed clinical and laboratory data of all emergency department visits for AAF in 2013. Among 271 consecutive AAF patients with D-dimer assessments, those with hypokalemia (n = 98) had significantly higher D-dimer values than normokalemic patients (139 versus 114 ng/mL, p = 0.004). The rate of patients with D-dimer values exceeding the diagnostic cut-off was higher in the group of patients with hypokalemia than in those with normal serum potassium (26.5% versus 16.2%; p = 0.029). An inverse and highly significant correlation was found between serum potassium and D-dimer (r = −0.21; p < 0.001), even after adjustments for age and sex (beta coefficient −94.8; p = 0.001). The relative risk for a positive D-dimer value attributed to hypokalemia was 1.64 (95% CI, 1.02 to 2.63; p = 0.040). The correlation remained statistically significant in patients free from antihypertensive drugs (r = −0.25; p = 0.018), but not in those taking angiotensin-receptor blockers, angiotensin-converting enzyme inhibitors, or diuretics. The inverse correlation between values of potassium and D-dimer in patients with AAF provides important and complementary information about the thromboembolic risk of these patients.

  11. Serum Potassium Levels Inversely Correlate with D-Dimer In Patients with Acute-Onset Atrial Fibrillation

    Directory of Open Access Journals (Sweden)

    Gianfranco Cervellin

    2015-03-01

    Full Text Available Background: D-dimer values are frequently increased in patients with atrial fibrillation (AF compared to subjects in sinus rhythm. Hypokalemia plays a role in several cardiovascular diseases, but little is known about the association with AF. Objective: D-dimer values are frequently increased in patients with atrial fibrillation (AF compared with subjects in sinus rhythm. Hypokalemia plays a role in several cardiovascular diseases, but little is known about the association with AF. The aim of this study was to investigate correlations between D-dimer and serum potassium in acute-onset AF (AAF. Methods: To investigate the potential correlation between the values of serum potassium and D-dimer in patients with AAF, we retrospectively reviewed clinical and laboratory data of all emergency department visits for AAF in 2013. Results: Among 271 consecutive AAF patients with D-dimer assessments, those with hypokalemia (n = 98 had significantly higher D-dimer values than normokalemic patients (139 versus 114 ng/mL, p = 0.004. The rate of patients with D-dimer values exceeding the diagnostic cut-off was higher in the group of patients with hypokalemia than in those with normal serum potassium (26.5% versus 16.2%; p = 0.029. An inverse and highly significant correlation was found between serum potassium and D-dimer (r = −0.21; p < 0.001, even after adjustments for age and sex (beta coefficient −94.8; p = 0.001. The relative risk for a positive D-dimer value attributed to hypokalemia was 1.64 (95% CI, 1.02 to 2.63; p = 0.040. The correlation remained statistically significant in patients free from antihypertensive drugs (r = −0.25; p = 0.018, but not in those taking angiotensin-receptor blockers, angiotensin-converting enzyme inhibitors, or diuretics. Conclusions: The inverse correlation between values of potassium and D-dimer in patients with AAF provides important and complementary information about the thromboembolic risk of these patients.

  12. 热阻可调式断桥复合保温砌块的研制%Development of a bridge-cut-off composite insulation block with the adjustable thermal resistance feature

    Institute of Scientific and Technical Information of China (English)

    胡永权; 任增茂; 罗天祥; 陈延军

    2015-01-01

    This paper introduces a bridge-cut-off composite insulation block with the adjustable thermal resistance feature,which structure is constituted by a new force block and insulating material.Regulating the proportion size of the insulation material and air interlayer on the basis of constant force main structure,the block can meet the demand of the wall thermal performance in different climatic regions with an economical way, and the performance price ratio of the block enhances at the same time.The block can use many kinds of waste in its production,e.g.,fly ash,construction waste.It has many advantages,such as environmental protection,energy conservation,fire preventing and so on,which can be generalized in nationwide.%介绍了一种热阻可调式断桥复合保温砌块,该砌块采用新型受力块体与绝热材料复合构造,在受力主体结构不变的基础上,可以通过调节绝热材料和空气间层配合尺寸,以最经济的方式满足不同气候环境区域对墙体热工性能的要求,增强了复合保温砌块节能性价比。该砌块在生产过程中可以利用粉煤灰、建筑垃圾等多种废弃物,具有经济、环保、节能和防火性能好等特点,适合在全国范围内推广应用。

  13. High Pretreatment D-Dimer Levels Correlate with Adverse Clinical Features and Predict Poor Survival in Patients with Natural Killer/T-Cell Lymphoma

    OpenAIRE

    Bi, Xi-wen; Wang, Liang; Zhang, Wen-Wen; Sun, Peng; Yan, Shu-Mei; Liu, Pan-pan; Li, Zhi-Ming; Jiang, Wen-qi

    2016-01-01

    Pretreatment plasma D-dimer levels have been reported to predict survival in several types of malignancies. The aim of this study was to evaluate the prognostic value of D-dimer levels in patients with newly diagnosed natural killer/T-cell lymphoma (NKTCL). The cut-off value of D-dimer to predict survival was set as 1.2 μg/mL based on the receiver operating curve analysis. Patients with a D-dimer level ≥ 1.2 μg/mL had significantly more adverse clinical features, including poor performance st...

  14. The relationship between D-dimer level and the development of atrial fibrillation in patients with systolic heart failure.

    Science.gov (United States)

    Zorlu, Ali; Akkaya, Emre; Altay, Hakan; Bektasoglu, Gokhan; Turkdogan, Kenan Ahmet; Sincer, Isa; Vuruskan, Ertan; Cınar, Ziynet; Tandogan, Izzet; Yilmaz, Mehmet Birhan

    2012-05-01

    Heart failure (HF) is one of the most common and leading cause of death worldwide. Clinical trials provide evidence that the development of atrial fibrillation (AF) is a marker of poor prognosis in patients with HF. Furthermore, elevated D-dimer level is associated with increased cardiovascular mortality independent of AF in HF patients. We investigated whether plasma D-dimer levels in patients with hospitalized systolic HF could predict development of AF. A total of 150 consecutive patients with sinus rhythm who admitted to the emergency department with hospitalized systolic HF were evaluated. All hospitalized patients were obtained D-dimer levels within the first 24 h following admission. Atrial fibrillation developed in 31 (20.7%) patients during follow-up period of 6.3 ± 5 months. Patients who developed atrial fibrillation had significantly increased levels of D-dimer [608 (339-1,022) ng/ml versus 1,100 (608-2,599) ng/ml, P = 0.001]. Optimal cut-off level of D-dimer to predict development of AF was found to be >792 ng/ml. D-dimer >792 ng/ml, right ventricular dilatation, age, systolic pulmonary pressure, left atrium size, moderate to severe tricuspid regurgitation, and beta blocker usage were found to have prognostic significance in univariate analysis. In multivariate Cox proportional-hazards model, D-dimer levels >792 ng/ml (HR = 3.019, P = 0.006), and right ventricular dilatation (HR = 8.676, P = 0.003) were associated with an increased risk of new-onset AF. In conclusion, D-dimer could predict development of AF in patients with hospitalized systolic HF. PMID:22139027

  15. Cut-off walls in dams for reliable seepage control

    Energy Technology Data Exchange (ETDEWEB)

    Balian, Sebouh; Beckhaus, Karsten; Wiedenmann, Ulli [Baeur Spezialtiefbau GmbH, Schrobenhausen (Germany); Richter, Lars [Bauer Fondations Canada Inc, Calgary (Canada)

    2010-07-01

    Water seepage control is becoming more difficult with the increasing demand for hydroelectricity which tends to lead to dam projects being implemented at sites with inadequate geological conditions. The present paper presented the cut-off wall techniques developed to provide safe solutions against seepage in new dams, upgrading and remedial works. Case studies were presented for each possible use of the cut-off wall techniques. At the Hinze Dam in Australia, located on the Nerang River, a cut-off wall was built in 2009 to allow an upgrade of the existing dam in order to double its storage capacity. The Peribonka River in Quebec, Canada, owned by Hydro-Quebec, was designed with the building of the plastic concrete cut-off wall being done by trench cutter. The Herbert Hoover Rehabilitation, Florida, USA, is an on-going program using CSM cut-off walls. These examples of projects showed that plastic concrete cut-off walls allow safe and reliable seepage control in new dams as well as in upgrading and rehabilitation of existing dams.

  16. Kadar D-Dimer Plasma sebagai Prediktor Kematian Penderita Pneumonia Usia 2–59 Bulan

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    Retno Saraswati

    2012-03-01

    Full Text Available Intravascular and intraalveolar coagulation can be found in severe pneumonia as a response to local and systemic inflammation process in severe pneumonia. Clinical consequences of this coagulation changes is an increase of plasma D-dimer levels as a marker of coagulation and fibrinolyis activation, the number of organ dysfunction even death. The aim of this study was to understand the validity of high plasma D-dimer levels as a predictor of mortality in 2 to 59-month-old pneumonia patients. This was a prospective observational analytic study which was held in Dr. Hasan Sadikin Hospital Bandung. The subjects of this study were 2 to 59 months old children who were diagnosed as pneumonia and visited Pediatric Emergency Departement during October–November 2009. Plasma D-dimer assay was performed at admission and observed until the patient died or discharged from the hospital. Forty-five children were included in this study, 15 (33% died during observation. Plasma D-dimer level showed significant correlations (p=0.04 with the mortality in 2 to 59-month-old pneumonia patients with median and range of 0.60 mg/L (0.1–5.10 mg/L. Plasma D-dimer cut-off point of >0.4 mg/L gave 73.3% sensitivity (CI 95%, 44.9–92.0%, and 70.0% specificity (CI 95%, 50.6–85.2% with 71.1% accuracy for predicting mortality in 2 to 59-month-old pneumonia patients. In conclusions, there were significant correlations between elevated plasma Ddimer levels and mortality in 2 to 59-month-old patients with pneumonia.

  17. Designing the sound of a cut-off drum

    CERN Document Server

    Martinetti, Pierre

    2015-01-01

    The spectral action in noncommutative geometry naturally implements an ultraviolet cut-off, by counting the eigenvalues of a (generalized) Dirac operator lower than an energy of unification. Inverting the well known question "how to hear the shape of a drum ?", we ask what drum can be designed by hearing the truncated music of the spectral action ? This makes sense because the same Dirac operator also determines the metric, via Connes distance. The latter thus offers an original way to implement the high-momentum cut-off of the spectral action as a short distance cut-off on space. This is a non-technical presentation of the results of http://arxiv.org/abs/1305.2605

  18. Admission Values of D-dimer and C-reactive Protein (CRP) Predict the Long-term Outcomes in Acute Aortic Dissection.

    Science.gov (United States)

    Mori, Kentaro; Tamune, Hidetaka; Tanaka, Hiroyuki; Nakamura, Mitsuhiro

    2016-01-01

    Objective Admission D-dimer and C-reactive protein (CRP) values have been reported to predict the short-term outcomes in acute aortic dissection (AAD). However, the association between D-dimer values and the long-term outcomes has not been investigated. Methods The primary endpoints included events determined to be all-cause death, recurrence of aortic dissection, aortic rupture, and surgical intervention for the aortic aneurysm following the first hospital discharge. We performed a receiver operating characteristic analysis and determined the optimal cut-off levels of admission D-dimer, admission CRP and peak CRP values in terms of the sensitivity and specificity for predicting the presence of events. Using the optimal cut-off values, we performed a multiple Cox analysis and investigated the hazard ratio of admission D-dimer, admission CRP and peak CRP. Patients We retrospectively identified 173 AAD patients hospitalized between January 2005 and December 2013. Results A multiple Cox regression analysis revealed that the hazard ratios were 3.4 for admission D-dimer [95% Confidence Interval (CI) 1.5 to 7.3, p=0.004] and 2.7 for admission CRP (95% CI 1.2 to 5.5, p=0.014). Conclusion Admission D-dimer and CRP values may predict the long-term outcomes in AAD. Moreover, admission D-dimer values may be a valuable marker to predict not only the short-term outcomes, but also the long-term outcomes in AAD. PMID:27432090

  19. Cut-off wall construction at the Peribonka hydroelectric project

    Energy Technology Data Exchange (ETDEWEB)

    Ouellette, C.; Morency, J.Y.; Bigras, A.; Hammamji, Y. [Hydro-Quebec Equipment, Montreal, PQ (Canada); Gagne, B. [SNC-Lavalin, Montreal, PQ (Canada); Rattue, A. [SNC-Lavalin, Montreal, PQ (Canada). Energy Division

    2007-07-01

    The Peribonka hydroelectric development, located in Quebec includes a 80 metre high dam and two dikes consisting of zoned earth and rock fills with a till core, an underground power house, a diversion tunnel and a spillway. The project is in its final stages of construction and presented several challenges related to the presence of a deep canyon under the river bed filled with alluvial sand, gravel, cobbles and boulders. The design included an approximately 10 metre high working platform in the river and the construction of a plastic concrete cut-off wall down to bedrock. The construction of a 116 metre deep single cut-off wall that is at the limit of precedent in terms of present knowledge and equipment capacity was the main challenge for the project. In addition, a 52 metre deep plastic concrete cut-off wall was built under a dyke. This conference discussed the cut-off wall construction experience, as well as the challenges encountered and how they were addressed. The paper presented a description of the site conditions and the scope of the work, as well as the typical specifications of the cut-offs. The paper also provided an overview of an extensive quality control program that was implemented for all phases of the project construction and results of the project. Last, the paper described the challenges, problems encountered and the modifications from the initial design and specifications. It was concluded that the topography at the Peribonka dam site showed a deep narrow gully filled with alluvial material comprising sand, gravel, cobbles and boulders. Elaborate quality control was essential to ensure that excavation and concreting were done to satisfactory standards. 4 refs., 4 tabs., 11 figs.

  20. The diagnostic value of ventilation-perfusion scintigraphy combined with plasma D-dimer assay in diagnosis of pulmonary embolism

    International Nuclear Information System (INIS)

    Objective: To investigate the clinical diagnostic value of ventilation-perfusion scintigraphy combined with plasma D-dimer assay in diagnosis of pulmonary embolism (PE). Methods: One hundred and four patients with clinically suspected PE underwent both pulmonary ventilation-perfusion scintigraphy and plasma D-dimer assay. According to the criteria of prospective investigation of the pulmonary embolism diagnosis (PIOPED), ventilation-perfusion scintigraphy was interpreted as normal, very low or low probability of PE, intermediate probability of PE and high probability of PE. High probability was considered as positive; normal and very low or low probability as negative and intermediate probability as non-diagnostic. Plasma D-dimer levels were measured using a quantitative immunoturbidimetric method, and a cut-off value of 500 mg/L was used in the diagnosis of PE. Clinical diagnostic value of ventilation-perfusion scintigraphy, D-dimer assay and combined use of ventilation-perfusion scintigraphy and D-dimer assay for diagnosing PE was evaluated, respectively, comparing with the final clinical diagnosis that was based on the clinical findings. Results: Among the 104 patients, 44 were diagnosed with PE and 60 were excluded. Ventilation-perfusion scintigraphy provided diagnostic interpretations for 86 (82.7%) patients, and non-diagnostic interpretations for 18 (17.3%) patients. For diagnosing PE, the sensitivity, specificity, accuracy, positive predictive value and negative predictive value of ventilation-perfusion scintigraphy was 84.1%, 75.0%, 78.8%, 71.2% and 86.5%, respectively, and with D-dimer assay was 93.2%, 60.0%, 74.0%, 63.1% and 92.3%, respectively. If a plasma D-dimer level of < 500 mg/L was taken as a criterion to exclude PE for those intermediate probability of ventilation-perfusion scintigraphy, the diagnostic specificity and accuracy would be raised to 85.0% and 84.6%, respectively. Conclusions: When a non-diagnostic interpretation was occurred on

  1. A PROBLEM OF CUTTING OFF THE LAMINATED SEMIS TYPE PLATE

    Directory of Open Access Journals (Sweden)

    Florin Ciofu

    2012-11-01

    Full Text Available A problem often coped on many domains such as wood manufacturing, glass, plastics and metallic platework industry, is the shaping or cutting off a big plate in many pieces. With this purpose there are algorithms of optimizing for positioning the parts following to be cut off from a row plate. From mathematical point of view, in positioning the parts on a raw plate the number of solutions increase four times evrey time a new part is added, and in case of finding the best solution for about few hundreds of pieces or parts would require years of processing on the most performant computers nowadays – for an analogy remember the famous story with the rice beads which the King had to pay to the master teaching him the chess: twice more for each square of the chessboard; for the total quantity assessment, King ascertained that the crops in his whole life wouldn’t have been enough.

  2. Hemoglobin cut-off values in healthy Turkish infants

    Institute of Scientific and Technical Information of China (English)

    Ahmet Arvas; Emel Gür; DurmuşDoğan

    2014-01-01

    Background: Anemia is a widespread public health problem associated with an increased risk of morbidity and mortality. This study was undertaken to determine the cut-off value of hemoglobin for infant anemia. Methods: A cross-sectional retrospective study was carried out at well-baby clinics of a tertiary care hospital. A total of 1484 healthy infants aged between 4 to 24 months were included in the study. The relationship of hemoglobin (Hb) levels with mother age, birth weight, weight gain rate, feeding, and gender was evaluated. Results: The Hb levels were assessed in four age groups (4 months, 6 months, 9-12 months, and 15-24 months) and the cut-off values of Hb were determined. Hb cut-off values (5th percentile for age) were detected as 97 g/L and 93 g/L at 4 months and 6 months, respectively. In older infants, the 5th percentile was 90.5 g/L and 93.4 g/L at 9-12 months and 15-24 months, respectively. The two values were lower than the World Health Organization criteria for anemia, which could partly due to the lack of information on iron status in our population. However, this difference highlights the need for further studies on normal Hb levels in healthy infants in developing countries. Hb levels of females were higher in all age groups; however, a statistically significant difference was found in gender in only 6 month-old infants. No statistically significant difference was found among Hb levels, mother's age, birth weight, weight gain rate, and nutritional status. Conclusion: Hb cut-off values in infants should be re-evaluated and be compatible with growth and development of children in that community.

  3. Resonance and cut-off surfaces in the ion cyclotron frequency range in toroidal geometry

    International Nuclear Information System (INIS)

    Resonances and cut-offs of the fast Alfven and ion-cyclotron waves have been studied for a multicomponent plasma in a toroidal axisymmetric geometry. The resonance and cut-off frequencies are given by eigenvalues of ordinary differential equations on the rosonance and cut-off sufaces, respectively. These surfaces coincide with magnetic surfaces. (author)

  4. Impact of d-Dimers on the Differential Diagnosis of Acute Chest Pain: Current Aspects Besides the Widely Known.

    Science.gov (United States)

    Hahne, Kathrin; Lebiedz, Pia; Breuckmann, Frank

    2014-01-01

    d-dimers are cleavage products of fibrin that occur during plasmin-mediated fibrinolysis of blood clots. In the emergency department, d-dimer measurement represents a valuable and cost-effective tool in the differential diagnosis of acute chest pain including the main life-threatening entities: acute coronary syndrome, pulmonary embolism, and acute aortic syndrome. Whereas the diagnostic and prognostic values of d-dimer testing in acute coronary syndrome is of less priority, increases of d-dimers are frequently found in venous thromboembolism and acute aortic syndromes, especially acute aortic dissection. As to the high negative predictive value of d-dimer in those disorders, patients with low to intermediate pretest probability may profit in terms of less necessity of further non-invasive or even invasive imaging, simultaneously reducing potential complications and healthcare-related costs. However, because of the low specificity of the different d-dimer tests in contrast to its frequent usage, adequate interpretation is required. Age-related adjustment of d-dimer levels may be used to increase its diagnostic power. PMID:25392700

  5. D-Dimer predicts prognosis and non-resectability in patients with pancreatic cancer: a prospective cohort study.

    Science.gov (United States)

    Stender, Mogens T; Larsen, Anders C; Sall, Mogens; Thorlacius-Ussing, Ole

    2016-07-01

    To examine the impact of plasma D-dimer levels in predicting 3-year survival and nonresectability in pancreatic cancer patients. Ninety-five patients were divided into three groups according to plasma D-dimer levels. Kaplan-Meier survival curves and hazard ratios were computed, and diagnostic indices of D-dimer in the prediction of resectability were assessed. The median survival among patients with low, medium and high D-dimer levels was 13.7 [95% confidence interval (CI): 10.2-19.6], 6.2 (95% CI: 2.0-15.1) and 2.4 months (95% CI: 1.4-3.3), respectively. The adjusted hazard ratio of death in the group of patients with high D-dimer levels was 2.2 (95% CI: 1.1-4.2). The positive and negative predictive values of D-dimer in the prediction of nonresectability were 89% (95% CI: 77-96%) and 48% (95% CI: 33- 63%), respectively. An elevated D-dimer level is associated with reduced survival in pancreatic cancer and predicts nonresectability. PMID:27182687

  6. Energetics of southeastern Pacific cut-off lows

    Science.gov (United States)

    Gan, Manoel Alonso; Piva, Everson Dal

    2016-06-01

    The existence of cut-off lows (COLs) over South Pacific and South America is often associated with adverse weather events such as intense precipitation over the central region of South America, frost episodes in southern Brazil and the development of Andes lee cyclones and intense cyclones over the southern coast of Brazil. Despite this importance, the formation and maintenance mechanisms of the COLs are not well understood. To detail the significant variability in terms of the eddy kinetic energy equation for fifty cases of COLs that formed over the southeastern Pacific Ocean is the aim of this study. Only the cases of COLs that formed over the ocean and remained there during most of their life were chosen. The main terms of the equation [ageostrophic flux convergence (AFC), baroclinic conversion (BRC) and barotropic conversion (BRT)] were calculated using the 6-hourly gridded data from the National Centers for Environmental Prediction/Department of Energy reanalysis. The formation mechanism of the COLs was associated with BRC and AFC. During the midlife period, the BRC term converted eddy kinetic energy to eddy potential energy and the AFC had a positive contribution until 6 h after the midlife point. In the dissipation phase, the BRC term remained positive and AFC became negative. The BRT extracted kinetic energy from the COL during the entire life cycle. The AFC term was the most important in all phases of the cut-off lifetime, and it was the responsible for extending the cut-off lifetime while the others terms were negatives.

  7. Reconfigurable pyramidal antenna loaded by a cut-off waveguide-application to ARNS/RNSS services

    OpenAIRE

    Hebib, Sami; Aubert, Hervé; Pascal, Olivier; Fonseca, Nelson; Ries, Lionel; Lopez, Jean-Marc

    2009-01-01

    International audience A novel reconfigurable and circularly polarized antenna topology for satellite application services, based on a pyramidal geometry, is proposed. Frequency agility is simply obtained by loading the radiating elements by Radio-Frequency switches. The ground plane of the antenna is perforated and loaded by a cut-off and open-ended waveguide. The length of this waveguide is adjusted to achieve a good trade-off between rear radiation and impedance matching. A specific app...

  8. Permeability porosity relationships (K, Phi cut-off)

    Energy Technology Data Exchange (ETDEWEB)

    Djettou, F.; Reda, H. [Sonatrach, Algiers (Algeria)

    1995-08-01

    Several reservoirs of Lower Devonian in Ghadames basin present porosities greater than 10 Pu, but during the test they are rather impermeable. It seems that this phenomena extends to BERKINE and Rhourd Messaoud areas. This seriously affect the estimation of recovery reserves. The best we can do is to study and try to understand reservoir problems. The method we choose is based on statistical analysis of test results and their comparison with core and log measurements. It concerns mainly cummulative curves of productive and non-productive tests (dry test). This involves about 20 wells where are can define: Siegenian with: Fine grained in BBK and ROM Coarse grained toward BRN - Emsian is rather homogeneous in the region. The sand cut-off porosity is greater than 11 Pu. However the reservoir can`t produce itself then we can not take account in reserve estimation. In conclusion, a sandy reservoir of Lower Devonian in Ghadames basin may be very porous (11-12%) and impermeable while in the other cases reservoirs can produce with porosity of 7 or 8 Po. However a HC definition based on cut-off porosity in Ghadames basin should be done before net pay an recovery reserves estimation.

  9. The Value of D-Dimer in Diagnosis of Acute Mesenteric Ischemia and Differential Diagnosis from Acute Pancreatitis and Acute Cholecystitis

    Directory of Open Access Journals (Sweden)

    Semih Hot

    2016-03-01

    Full Text Available Objective: Because of its poor prognosis and high mor­tality rate, early diagnosis of acute mesenteric ischemia (AMI is a challenge. The value of serum markers in the diagnosis of AMI is limited and the studies related with the D-dimer test carried out in recent years. In this prospec­tive study we investigated the value of the level of plasma D-dimer in the diagnosis of AMI and the differential diag­nosis from acute pancreatitis and acute cholecystitis. Methods: We included 89 patients who admitted to our emergency department with abdominal pain. The number and the diagnosis of the patients were 17 AMI, 42 acute pancreatitis and 30 acute cholecystitis, respectively. We measured the levels of plasma D-dimer of all patients by using a latex agglutination ‘immunoassay’ method. Even­tually we calculated the sensitivity and specificity of D-dimer test in the diagnosis of AMI. Results: We determined the specificity of the D-dimer test in the differential diagnosis of AMI as 50% from acute pancreatitis, 70% from acute cholecystitis, 58.3% from all the control group and the sensitivity was 100%. Conclusion: The measurement of plasma D-dimer con­centration may be useful in the differential diagnosis of AMI from acute pancreatitis and acute cholecystitis. How­ever, to reveal the diagnostic value of D-dimer test more clearly, further studies with larger series are needed, where cut-off value is highly defined, and other patients with acute abdominal pain are added into the control group.

  10. Physical and cut-off effects of heavy sea quarks

    CERN Document Server

    Knechtli, Francesco; Bruno, Mattia; Finkenrath, Jacob; Leder, Björn; Marinkovic, Marina; Sommer, Rainer

    2014-01-01

    We simulate a theory with two dynamical O($a$) improved Wilson quarks whose mass $M$ ranges from a factor eight up to a factor two below the charm quark mass and at three values of the lattice spacing ranging from 0.066 to 0.034 fm. This theory is a prototype to study the decoupling of heavy quarks. We measure the mass and cut-off dependence of ratios of gluonic observables defined from the Wilson flow or the static potential. The size of the 1/$M$ corrections can be determined and disentangled from the lattice artifacts. The difference with the pure gauge theory is at the percent level when two quarks with a mass of the charm quark are present.

  11. Effective Potential in Curved Space and Cut-Off Regularizations

    CERN Document Server

    Sobreira, Flavia; Shapiro, Ilya L

    2011-01-01

    We consider derivation of the effective potential for a scalar field in curved space-time within the physical regularization scheme, using two sorts of covariant cut-off regularizations. The first one is based on the local momentum representation and Riemann normal coordinates and the second is operatorial regularization, based on the Fock-Schwinger-DeWitt proper-time representation. We show, on the example of a self-interacting scalar field, that these two methods produce equal results for divergences, but the first one gives more detailed information about the finite part. Furthermore, we calculate the contribution from a massive fermion loop and discuss renormalization group equations and their interpretation for the multi-mass theories.

  12. Serum Potassium Levels Inversely Correlate with D-Dimer In Patients with Acute-Onset Atrial Fibrillation.

    Science.gov (United States)

    Cervellin, Gianfranco; Bonfanti, Laura; Picanza, Alessandra; Lippi, Giuseppe

    2014-12-01

    Background: D-dimer values are frequently increased in patients with atrial fibrillation (AF) compared to subjects in sinus rhythm. Hypokalemia plays a role in several cardiovascular diseases, but little is known about the association with AF. Objective: D-dimer values are frequently increased in patients with atrial fibrillation (AF) compared with subjects in sinus rhythm. Hypokalemia plays a role in several cardiovascular diseases, but little is known about the association with AF. The aim of this study was to investigate correlations between D-dimer and serum potassium in acute-onset AF (AAF). Methods: To investigate the potential correlation between the values of serum potassium and D-dimer in patients with AAF, we retrospectively reviewed clinical and laboratory data of all emergency department visits for AAF in 2013. Results: Among 271 consecutive AAF patients with D-dimer assessments, those with hypokalemia (n = 98) had significantly higher D-dimer values than normokalemic patients (139 versus 114 ng/mL, p = 0.004). The rate of patients with D-dimer values exceeding the diagnostic cut-off was higher in the group of patients with hypokalemia than in those with normal serum potassium (26.5% versus 16.2%; p = 0.029). An inverse and highly significant correlation was found between serum potassium and D-dimer (r = -0.21; p investigar a correlação entre os níveis séricos de D-dímero e potássio na FA aguda (FAA). Métodos: Para investigar a existência de uma potencial correlação entre os níveis séricos de potássio e D-dímero em pacientes com FAA, realizamos uma revisão retrospectiva de dados clínicos e laboratoriais relacionados a todas as visitas ao departamento de emergência devido à FAA, no ano de 2013. Resultados: Entre os 271 pacientes com FAA, aqueles com hipopotassemia (n = 98) mostraram aumento significativo nos níveis de D-dímero, quando comparados com pacientes com concentrações normais de potássio (139 versus 114 ng/mL, p = 0

  13. Transmission characteristics of the wave cut-off probe with parallel plates

    Science.gov (United States)

    Kang, Hyun-Ju; Kim, Yu-Sin; Chung, Chin-Wook

    2012-10-01

    A cut-off probe has been used to obtain an absolute electron density from a plasma frequency. A cut-off probe with parallel plates was constructed to investigate the transmission characteristics of electromagnetic waves and electrostatic waves at various gaps, pressures and powers. It is found that a clear cut-off peak at a plasma frequency and many other peaks due to plasma sheath series resonance, cavity resonance and transmission line are observed. By using circuit model of plasma and transmission line theory, the various peaks was analyzed and discussed.

  14. Explaining the use of attribute cut-off values in decision making by means of involvement

    DEFF Research Database (Denmark)

    Peschel, Anne Odile; Grebitus, Carola; Colson, Gregory;

    2016-01-01

    evidence on consumers’ heterogeneous use of attribute cut-offs with a unique focus on the relationship with consumer involvement, a key component in consumer choice theory. Behavioral data from an online choice experiment on beef steak employing shelf simulations are combined with questions defining...... a latent class model identifies several key consumer segments (e.g., a price sensitive group) based on their choice behavior and reveals that the relationship between involvement, cut-off use and cut-off violations is not uniform across consumer segments....

  15. Human papillomavirus testing in primary cervical screening and the cut-off level for hybrid capture 2 tests

    DEFF Research Database (Denmark)

    Rebolj, Matejka; Bonde, Jesper; Njor, Sisse Helle;

    2011-01-01

    To determine the trade-off between the sensitivity and the specificity for high grade cervical intraepithelial neoplasia at hybrid capture 2 cut-off values above the standard = 1 relative light units/cut-off level (rlu/co)....

  16. Epidemiological cut-off values for Flavobacterium psychrophilum MIC data generated by a standard test protocol

    DEFF Research Database (Denmark)

    Smith, P.; Endris, R.; Kronvall, G.;

    2016-01-01

    Epidemiological cut-off values were developed for application to antibiotic susceptibility data for Flavobacterium psychrophilum generated by standard CLSI test protocols. The MIC values for ten antibiotic agents against Flavobacterium psychrophilum were determined in two laboratories. For five...

  17. The acoustic cut-off frequency of the Sun and the solar magnetic activity cycle

    CERN Document Server

    Jimenez, A; Palle, P L

    2011-01-01

    The acoustic cut-off frequency -the highest frequency for acoustic solar eigenmodes- is an important parameter of the solar atmosphere as it determines the upper boundary of the p-mode resonant cavities. At frequencies beyond this value, acoustic disturbances are no longer trapped but traveling waves. Interference amongst them give rise to higher-frequency peaks -the pseudomodes- in the solar acoustic spectrum. The pseudomodes are shifted slightly in frequency with respect to p modes making possible the use of pseudomodes to determine the acoustic cut-off frequency. Using data from GOLF and VIRGO instruments on board the SOHO spacecraft, we calculate the acoustic cut-off frequency using the coherence function between both the velocity and intensity sets of data. By using data gathered by these instruments during the entire lifetime of the mission (1996 till the present), a variation in the acoustic cut-off frequency with the solar magnetic activity cycle is found.

  18. The Mass Shell of the Nelson Model without Cut-Offs

    CERN Document Server

    Bachmann, S; Pizzo, A

    2011-01-01

    The massless Nelson model describes non-relativistic, spinless quantum particles interacting with a relativistic, massless, scalar quantum field. The interaction is linear in the field. We analyze the one particle sector. First, we construct the renormalized mass shell of the non-relativistic particle for an arbitrarily small infrared cut-off that turns off the interaction with the low energy modes of the field. No ultraviolet cut-off is imposed. Second, we implement a suitable Bogolyubov transformation of the Hamiltonian in the infrared regime. This transformation depends on the total momentum of the system and is non-unitary as the infrared cut-off is removed. For the transformed Hamiltonian we construct the mass shell in the limit where both the ultraviolet and the infrared cut-off are removed. Our approach is constructive and leads to explicit expansion formulae which are amenable to rigorously control the S-matrix elements.

  19. Phase properties of the cut-off high-order harmonics

    CERN Document Server

    Khokhlova, M A

    2015-01-01

    The cut-off regime of high-order harmonic generation (HHG) by atoms in an intense laser field is studied numerically and analytically. We find that the cut-off regime is characterized by equal dephasing between the successive harmonics. The change of the harmonic phase-locking when HHG evolves from the cut-off to the plateau regime determines the optimal bandwidth of the spectral region which should be used for attosecond pulse generation via amplitude gating technique. The cut-off regime is also characterized by a linear dependence of the harmonic phase on the fundamental intensity. The proportionality coefficient grows as the cube of the fundamental wavelength, thus this dependence becomes very important for the HHG by mid-infrared fields. Moreover, for every high harmonic there is a {\\it range} of laser intensities providing the generation in the cut-off regime and the atomic response magnitude in this regime can be greater than that in the plateau regime. Thus the cut-off regime substantially contributes ...

  20. Effect of copper slag recovery on hydrometallurgical cut-off grades considering environmental aspects

    Institute of Scientific and Technical Information of China (English)

    AFSHIN AKBARI; ESMAEIL RAHIMI

    2016-01-01

    Determining the hydrometallurgical cut-off grades specifies the destination of low grade materials and this is subjected to more benefits in mining. Copper production rate is considered as one of the fundamental issues in hydrometallurgical cut-off grades determination. Slags are remarked as one of the main sources of copper. It is not only regarded as a waste but also identified as another resource extracting base metals. Slags are characterized by copper high grade. Thus, slag copper recovery can be led to different cut-off grades and net present value (NPV). The current research scrutinizes the effect of slag recovery by both flotation and hydrometallurgical methods on the hydrometallurgical cut-off grades. For this purpose, the optimum cut-off grade algorithms of hydrometallurgical methods are developed by considering associated environmental parameters, incomes and also the costs. Then, their optimum amounts are calculated with NPV maximization as an objective function. The results indicate that considering slag copper recovery in the hydrometallurgical cut-off grade algorithms reduces the environmental costs caused by slag dumping and leads to more NPV by 9%.

  1. Preoperative plasma D-dimer is a predictor of one-year survival in colorectal cancer patients: a prospective clinical cohort study

    DEFF Research Database (Denmark)

    Stender, Mogens; Larsen, Torben Bjerregaard; Frøkjær, J.B.;

    PURPOSE: The study examined if preoperative plasma D-dimer level was associated with the postoperative cumulative incidence of deep venous thrombosis in patients with colorectal cancer admitted for intended curative surgery. METHODS: In 176 consecutive patients with newly-diagnosed colorectal...... cancer and absence of preoperative deep venous thrombosis, we measured the preoperative plasma D-dimer levels and performed compression ultrasonography for deep venous thrombosis prior to surgery, as well as one week, one month, and one year after surgery. RESULTS: The cumulative incidence of deep venous...... thrombosis up to one year after surgery was 20 percent (95 percent confidence interval, 12 to 31 percent) in the positive D-dimer group compared with 5 percent (95 percent confidence interval, 2 to 12 percent) in the negative D-dimer group. The adjusted hazard ratio of deep venous thrombosis in the positive...

  2. Plasma D-dimer concentration in patients with systemic sclerosis

    Directory of Open Access Journals (Sweden)

    Montagnana Martina

    2006-01-01

    Full Text Available Abstract Background Systemic sclerosis (SSc is an autoimmune disorder of the connective tissue characterized by widespread vascular lesions and fibrosis. Little is known so far on the activation of the hemostatic and fibrinolytic systems in SSc, and most preliminary evidences are discordant. Methods To verify whether SSc patients might display a prothrombotic condition, plasma D-dimer was assessed in 28 consecutive SSc patients and in 33 control subjects, matched for age, sex and environmental habit. Results and discussion When compared to healthy controls, geometric mean and 95% confidence interval (IC95% of plasma D-dimer were significantly increased in SSc patients (362 ng/mL, IC 95%: 361–363 ng/mL vs 229 ng/mL, IC95%: 228–231 ng/mL, p = 0.005. After stratifying SSc patients according to disease subset, no significant differences were observed between those with limited cutaneous pattern and controls, whereas patients with diffuse cutaneous pattern displayed substantially increased values. No correlation was found between plasma D-dimer concentration and age, sex, autoantibody pattern, serum creatinine, erythrosedimentation rate, nailfold videocapillaroscopic pattern and pulmonary involvement. Conclusion We demonstrated that SSc patients with diffuse subset are characterized by increased plasma D-dimer values, reflecting a potential activation of both the hemostatic and fibrinolytic cascades, which might finally predispose these patients to thrombotic complications.

  3. Calculating broad neutron resonances in a cut-off Woods-Saxon potential

    CERN Document Server

    Baran, Á; Salamon, P; Vertse, T

    2015-01-01

    In a cut-off Woods-Saxon potential with realistic depth $S$-matrix poles being far from the imaginary wave number axis form a sequence where the distances of the consecutive resonances are inversely proportional with the cut-off radius value. Other poles lying closer to the imaginary wave number axis might have trajectories with irregular shapes as the depth of the potential increases. Poles being close repel each other, and their repulsion is responsible for the changes of the directions of the corresponding trajectories. The interaction is extremely sensitive to the cut-off radius value. The repulsion might cause that certain resonances become antibound and later resonances again when they collide on the imaginary axis.

  4. Calculating broad neutron resonances in a cut-off Woods-Saxon potential

    Energy Technology Data Exchange (ETDEWEB)

    Baran, A.; Noszaly, Cs. [Faculty of Informatics, University of Debrecen, PO Box 12, Debrecen (Hungary); Salamon, P. [Hungarian Academy of Sciences (ATOMKI), Institute for Nuclear Research, PO Box 51, Debrecen (Hungary); Vertse, T. [Faculty of Informatics, University of Debrecen, PO Box 12, Debrecen (Hungary); Hungarian Academy of Sciences (ATOMKI), Institute for Nuclear Research, PO Box 51, Debrecen (Hungary)

    2015-07-15

    In a cut-off Woods-Saxon (CWS) potential with realistic depth S -matrix poles being far from the imaginary wave number axis form a sequence where the distances of the consecutive resonances are inversely proportional with the cut-off radius value, which is an unphysical parameter. Other poles lying closer to the imaginary wave number axis might have trajectories with irregular shapes as the depth of the potential increases. Poles being close repel each other, and their repulsion is responsible for the changes of the directions of the corresponding trajectories. The repulsion might cause that certain resonances become antibound and later resonances again when they collide on the imaginary axis. The interaction is extremely sensitive to the cut-off radius value, which is an apparent handicap of the CWS potential. (orig.)

  5. Secondary proton production at small atmospheric depths as a function of the geomagnetic cut-off

    Energy Technology Data Exchange (ETDEWEB)

    Papini, P. [Florence Univ. (Italy)]|[INFN, Florence (Italy); Grimani, C. [Perugia Univ. (Italy)]|[INFN, Perugia (Italy); Stephens, S.A. [Tata Institute of Fundamental Research, Bombay (International Commission on Radiation Units and Measurements)

    1995-09-01

    A detailed calculation of the energy spectrum of secondary protons in the atmosphere is being carried out in the energy range 20 MeV - 40 GeV. In this calculation, it is taken into account all processes leading to the production of secondary protons as a function of the atmospheric depth has been calculated using all relevant energy loss processes. In this paper, it is examine the effect of the geomagnetic cut-off on the spectral shape of secondary protons specially at energies below the geomagnetic cut-off for small atmospheric depths.

  6. Suppressing the weakly bound states in the photoassociation dynamics by using a frequency cut-off laser pulse

    Institute of Scientific and Technical Information of China (English)

    Lin Feng; Zhang Wei; Zhao Ze-Yu; Cong Shu-Lin

    2012-01-01

    The photoassociation dynamics of ultracold lithium atoms controlled by a cut-off pulse has been investigated theoretically by solving numerically the time-dependent Schr(o)dinger equation using the mapped Fourier grid method.The frequency components of the laser pulse close to the atomic resonance are partly cut off.Compared with the typical Gauss-type pulses,the cut-off pulse is helpful to suppress efficiently the weakly bound states and prepare the associated molecules in the lower vibrational states.Especially,the dependence of photoassociation probability on the cut-off position of the laser pulse is explored.

  7. Determination of a saliva cotinine cut-off to distinguish pregnant smokers from pregnant non-smokers

    DEFF Research Database (Denmark)

    Hegaard, Hanne K; Kjaergaard, Hanne; Møller, Lars F;

    2007-01-01

    Objective validation of smoking status is necessary. Earlier studies have used saliva cotinine concentrations between 14.2 and 30 ng/ml as cut-off values to distinguish pregnant smokers from non-smokers. However, these cut-offs derive from studies including men and non-pregnant women. This consti......Objective validation of smoking status is necessary. Earlier studies have used saliva cotinine concentrations between 14.2 and 30 ng/ml as cut-off values to distinguish pregnant smokers from non-smokers. However, these cut-offs derive from studies including men and non-pregnant women...

  8. A New Regularization Mechanism for the Boltzmann Equation Without Cut-Off

    Science.gov (United States)

    Silvestre, Luis

    2016-11-01

    We apply recent results on regularity for general integro-differential equations to derive a priori estimates in Hölder spaces for the space homogeneous Boltzmann equation in the non cut-off case. We also show an a priori estimate in {L^∞} which applies in the space inhomogeneous case as well, provided that the macroscopic quantities remain bounded.

  9. Establishing streptomycin epidemiological cut-off values for Salmonella and Escherichia coli. Microbial Drug Resistance

    NARCIS (Netherlands)

    Garcia-Migura, L.; Sunde, M.; Karlsmose, S.; Veldman, K.T.; Schroeter, A.; Guerra, B.; Granier, S.A.; Perrin-Guyomard, A.; Gicquel-Bruneau, M.; Franco, A.; Englund, S.; Teale, C.; Heiska, H.; Clemente, L.; Boerlin, P.; Moreno, M.A.; Daignault, D.; Mevius, D.J.; Hendriksen, R.S.; Aarestrup, F.M.

    2012-01-01

    This study was conducted to elucidate the accuracy of the current streptomycin epidemiological cut-off value (ECOFF) for Escherichia coli and Salmonella spp. A total of 236 Salmonella enterica and 208 E. coli isolates exhibiting MICs between 4 and 32¿mg/L were selected from 12 countries. Isolates we

  10. Poverty and cutting off the power: Evaluation of the social contract of the Electricite de France

    International Nuclear Information System (INIS)

    Measures put in place by the French Electric Utility, Electricite de France (EDF) to assist those in default of payment of their electricity bills are evaluated. When introduced in 1996, it was expected that the new measures would reduce the necessity of cutting off power to the poor by one third. Notwithstanding these expectations and some progress in reducing the rate of power cut-off, the number of instances where service was denied, has risen. The evaluation is based on the annual survey of poor clients of the EDF undertaken by the Polling Institute Lavialle. The annual survey concerns itself chiefly with the attitude towards the service and the quality of dialogue between the Utility and its clients. The analysis resulted in three conclusions: (1) EDF appears to make progress in dealing with the problem based on evidence of higher client satisfaction and lower rate of cutting off power; (2) there is evidence of important beneficial changes in the policies of local EDF centres; and (3) there is noticeable evidence of improved coordination with social services agencies and higher quality of information made available; both these factors should contribute to higher client satisfaction. In general, EDF is to be congratulated for their efforts to date, for commissioning the survey and for participating in the evaluation. Nevertheless, in France the instances of cutting off electricity to poor households is still a fact of life, despite the commitment and the new measures put in place by EDF. 21 refs., 7 tabs., 1 fig

  11. Chronic kidney disease : Defining clinical cut-offs for albumin:creatinine ratio

    NARCIS (Netherlands)

    Bakker, Stephan J L

    2013-01-01

    Albuminuria is rapidly gaining recognition as a marker of the presence and of the progression of chronic kidney disease (CKD). In a new study, Naresh et al. attempt to define cut-off values for percentage change in urinary albumin:creatinine ratio that reflect changes in CKD status rather than rando

  12. The INTEGRAL high energy cut-off distribution of Seyfert galaxies

    Science.gov (United States)

    Malizia, Angela; Ubertini, Pietro; Bird, Antony; Bazzano, Angela; Stephen, John; Molina, Manuela; Bassani, Loredana

    We present the primary continuum parameters, the photon index and the high energy cut-off, of Seyfert galaxies extracted from the INTEGRAL complete sample of AGN. We performed a broad band (0.3-100 keV) spectral analysis by fitting simultaneously the soft and hard X-ray spectra obtained by XMM and INTEGRAL/IBIS-Swift/BAT respectively in order to investigate the general properties of these parameters in particular their distribution and mean values. We present the mean photon index for the t type 1 and type 2 objects of the whole sample as well as their mean high energy cut-off. This is the first time that the cut-off energy is constrained in a such large number of AGN. Using the main parameters of the primary continuum, we are able to obtain the actual physical parameters of the Comptonizing region i.e. the plasma temperature kTe the optical depth tau. Finally, with the high S/N spectra starting to come from NuSTAR it will soon be possible to better constrain the cut-off values in many AGN, allowing the determination of more physical models and so to better understand the continuum emission and geometry of the region surrounding black holes.

  13. The INTEGRAL high energy cut-off distribution of type 1 AGN

    CERN Document Server

    Malizia, A; Bassani, L; Stephen, J B; Bazzano, A; Ubertini, P; Bird, A J

    2014-01-01

    In this letter we present the primary continuum parameters, the photon index Gamma and the high energy cut-off Ec, of 41 type-1 Seyfert galaxies extracted from the INTEGRAL complete sample of AGN. We performed a broad band (0.3-100 keV) spectral analysis by fitting simultaneously the soft and hard X-ray spectra obtained by XMM and INTEGRAL/IBIS-Swift/BAT respectively in order to investigate the general properties of these parameters in particular their distribution and mean values. We find a mean photon index for the whole sample of 1.73 with a standard deviation of 0.17 and a mean high energy cut-off of 128 keV with a standard deviation of 46 keV. This is the first time that the cut-off energy is constrained in a such large number of AGN. We have 26 measurements of the cut-off, which corresponds to 63% of the entire sample, distributed between 50 and 200 keV. There are a further 11 lower limits mostly below 300 keV. Using the main parameters of the primary continuum, we have been able to obtain the actual ph...

  14. Multiple Sclerosis Questionnaire for Job Difficulties (MSQ-Job): definition of the cut-off score.

    Science.gov (United States)

    Schiavolin, Silvia; Giovannetti, Ambra Mara; Leonardi, Matilde; Brenna, Greta; Brambilla, Laura; Confalonieri, Paolo; Frangiamore, Rita; Mantegazza, Renato; Moscatelli, Marco; Clerici, Valentina Torri; Cortese, Francesca; Covelli, Venusia; Ponzio, Michela; Zaratin, Paola; Raggi, Alberto

    2016-05-01

    Multiple Sclerosis (MS) mainly affects people of working age. The Multiple Sclerosis Questionnaire for Job Difficulties (MSQ-Job) was designed to measure difficulties in work-related tasks. Our aim is to define cut-off score of MSQ-Job to identify potential critical situations that might require specific attention. A sample of patients with MS completed the MSQ-Job, WHODAS 2.0 and MSQOL-54 respectively for work difficulties, disability and health-related quality of life (HRQoL) evaluation. K-means Cluster Analysis was used to divide the sample in three groups on the basis of HRQoL and disability. ANOVA test was performed to compare the response pattern between these groups. The cut-off score was defined using the receiver operating characteristic (ROC) curve analyses for MSQ-Job total and count of MSQ-Job items scores ≥3: a score value corresponding to the maximum of the sensitivity-to-specificity ratio was chosen as the cut-off. Out of 180 patients enrolled, twenty were clustered in the higher severity group. The area under the ROC curve was 0.845 for the MSQ-Job total and 0.859 for the count of MSQ-Job items scores ≥3 while the cut-off score was 15.8 for MSQ-Job total and 8 for count of items scored ≥3. We recommend the use of MSQ-Job with this calculation as cut-off for identifying critical situations, e.g. in vocational rehabilitation services, where work-related difficulties have a significant impact in terms of lower quality of life and higher disability.

  15. The INTEGRAL High-energy Cut-off Distribution of Type 1 Active Galactic Nuclei

    Science.gov (United States)

    Malizia, A.; Molina, M.; Bassani, L.; Stephen, J. B.; Bazzano, A.; Ubertini, P.; Bird, A. J.

    2014-02-01

    In this Letter we present the primary continuum parameters, the photon index Γ, and the high-energy cut-off E c of 41 type-1 Seyfert galaxies extracted from the International Gamma-Ray Astrophysics Laboratory (INTEGRAL) complete sample of active galactic nuclei (AGNs). We performed broadband (0.3-100 keV) spectral analysis by simultaneously fitting the soft and hard X-ray spectra obtained by XMM and INTEGRAL/IBIS-Swift/BAT, respectively, in order to investigate the general properties of these parameters, in particular their distribution and mean values. We find a mean photon index of 1.73 with a standard deviation of 0.17 and a mean high-energy cut-off of 128 keV with a standard deviation of 46 keV for the whole sample. This is the first time that the cut-off energy is constrained in such a large number of AGNs. We have 26 measurements of the cut-off, which corresponds to 63% of the entire sample, distributed between 50 and 200 keV. There are a further 11 lower limits mostly below 300 keV. Using the main parameters of the primary continuum, we have been able to obtain the actual physical parameters of the Comptonizing region, i.e., the plasma temperature kT e from 20 to 100 keV and the optical depth τ < 4. Finally, with the high signal-to-noise ratio spectra starting to come from NuSTAR it will soon be possible to better constrain the cut-off values in many AGNs, allowing the determination of more physical models and thus better understand the continuum emission and geometry of the region surrounding black holes.

  16. Comparison of different DIAGNOdent cut-off limits for in vivo detection of occlusal caries.

    Science.gov (United States)

    Heinrich-Weltzien, Roswitha; Kühnisch, J; Oehme, T; Ziehe, A; Stösser, L; García-Godoy, F

    2003-01-01

    This study tested recently recommended cut-off limits for the laser fluorescence based device DIAGNOdent (KaVo) for detection of occlusal caries. Two hundred and forty-eight permanent molars from 94 patients (mean age 19.2 years) of a general dental practice were included. After professional tooth cleaning, the teeth were examined visually and by the laser fluorescence method. The extent of occlusal lesions (gold standard) was determined after minimal operative intervention. Upon fissure opening, 24 teeth had enamel caries and 224 teeth revealed dentin caries, of which 58 and 166, respectively, were up to or beyond half the dentin. The optimal cut-off limits based on the highest kappa-values (0.51 and 0.54) were > 18 for superficial dentinal caries (D3) and > 37 for deep dentinal caries (D4). The comparison with DIAGNOdent cut-offs given by the manufacturer (n = 4) and those based on clinical trials with in vivo validation (n = 4) and in vitro studies with histological validation (n = 3) revealed a considerable variation in performance. Recommended cut-offs between 17 and 21 for superficial dentin lesions were in the same order of magnitude (0.48-0.51). On the D4 level, only the manufacturer's cut-off of > 34 achieved the best performance (0.51). According to the highest kappa-values and the area under the ROC curves (D3: A(z) = 0.903; D4: A(z) = 0.830), the agreement between the extent of validated caries and laser fluorescence value is still unsatisfactory.

  17. Raised BMI cut-off for overweight in Greenland Inuit – a review

    Directory of Open Access Journals (Sweden)

    Stig Andersen

    2013-08-01

    Full Text Available Background. Obesity is associated with increased morbidity and premature death. Obesity rates have increased worldwide and the WHO recommends monitoring. A steep rise in body mass index (BMI, a measure of adiposity, was detected in Greenland from 1963 to 1998. Interestingly, the BMI starting point was in the overweight range. This is not conceivable in a disease-free, physically active, pre-western hunter population. Objective. This led us to reconsider the cut-off point for overweight among Inuit in Greenland. Design and findings. We found 3 different approaches to defining the cut-off point of high BMI in Inuit. First, the contribution to the height by the torso compared to the legs is relatively high. This causes relatively more kilograms per centimetre of height that increases the BMI by approximately 10% compared to Caucasian whites. Second, defining the cut-off by the upper 90-percentile of BMI from height and weight in healthy young Inuit surveyed in 1963 estimated the cut-off point to be around 10% higher compared to Caucasians. Third, if similar LDL-cholesterol and triglycerides are assumed for a certain BMI in Caucasians, the corresponding BMI in Inuit in both Greenland and Canada is around 10% higher. However, genetic admixture of Greenland Inuit and Caucasian Danes will influence this difference and hamper a clear distinction with time. Conclusion. Defining overweight according to the WHO cut-off of a BMI above 25 kg/m2 in Greenland Inuit may overestimate the number of individuals with elevated BMI.

  18. D-dimer testing for safe exclusion and risk stratification in patients with acute pulmonary embolism in primary care

    Directory of Open Access Journals (Sweden)

    Zhou Yin

    2015-01-01

    Full Text Available Background: Safe exclusion and risk stratification are currently recommended for the initial management of patients with acute pulmonary embolism (APE. The aim of this study was to assess the safe exclusion and risk stratification value of D-dimer (DD for APE when tested at the beginning of admission. Materials and Methods: All consecutive Chinese APE patients and controls were recruited from January 2010 to December 2012. All measurements of serum indexes were made in duplicate and blinded to the patients′ status. All the 40 patients with the first episode of APE were confirmed by multi-detector computed tomographic pulmonary angiography. The plasma prothrombin time (PT, activated partial thromboplastin time, thrombin time, fibrinogen, and DD levels were measured within 24 h of admission. We used the Mann-Whitney U-test to determine the differences between groups and drew receiver operator characteristic curve to evaluate the indexes′ value in the APE screening. Results: The PT and DD in the APE group were significantly higher than those in the disease control group (P 1820 μg/L as cut-off value, the sensitivity, specificity, positive and negative predictive value was 82.5%, 75.2%, 56.9%, and 91.6%, respectively. Conclusion: The patients with APE showed significant higher DD levels compared with disease controls, suggesting a negative qualitative DD test result can safely and efficiently exclude APE in primary care.

  19. Mathematical model of processes in cut-off leaking steam generator as a part of operating ship reactor

    International Nuclear Information System (INIS)

    A mathematical model of processes in cut-off leaking steam generator of an operating ship reactor was presented. The model describes the coolant pressure increasing when filling the heat pipes system of cut-off leaking direct-flow steam generator, and allows estimating the time lag before putting restrictions on power maneuvering of the ship reactor

  20. Correlation analysis between plasma D-dimer levels and orthopedic trauma severity

    Institute of Scientific and Technical Information of China (English)

    ZHANG Li-dan; LIU Hong-bo; LI Yu-neng; MA Hai-mei; LIU Ya-bo; WANG Man-yi

    2012-01-01

    Background The correlation between the plasma D-dimer level and deep vein thrombosis has not been conclusive in various studies.The aim of this research was to study the relationship between plasma D-dimer levels and the severity of orthopedic trauma by retrospective examination of orthopedic trauma cases.Methods Clinically acute trauma and non-acute trauma patients were selected and their plasma D-dimer levels were measured.Plasma D-dimer levels in patients of these two groups were compared.The relationship between the plasma D-dimer level and the severity of the trauma was also studied.Results There were 548 cases in the acute trauma group and 501 cases in the non-acute trauma group.The levels of plasma D-dimer were significantly higher in the acute trauma group than in the non-acute trauma group (P <0.01).In the acute trauma group,the correlation between the D-dimer level and the number of fractures was a positive linear correlation (r=0.9532).Conclusions Elevated plasma D-dimer is common in trauma patients.The D-dimer level and the number of fractures in the trauma patients are closely correlated.D-dimer is not only an indicator for the diagnosis of deep vein thrombosis and pulmonary embolus,but also an indicator of the severity of trauma in acute trauma patients.

  1. "Cut-off" effect of antioxidants and/or probes of variable lipophilicity in microheterogeneous media.

    Science.gov (United States)

    Aliaga, Carolina; López de Arbina, Amaia; Rezende, Marcos Caroli

    2016-09-01

    The activities of two hydrophilic (ascorbic acid and Trolox) and two hydrophobic (α-tocopherol and BHT) antioxidants were measured by reaction with a series of 4-alkanoyloxyTEMPO radical probes 1 in buffered (pH 7), aqueous, micellar solutions of reduced Triton-X 100. In all cases, a cut-off effect was observed, in line with previous observations of the same effect for the partitioning of probe series 1 in this medium. These results support an interpretation of the cut-off effect in food emulsions, based on the "amphiphobic" nature of either the antioxidants or probes: competition between two molecular moieties, for the micellar hydrophobic core, tends to expose a reacting fragment differently to a more hydrophilic microenvironment, as the probe or antioxidant hydrophobicity increases. PMID:27041306

  2. Fast beam cut-off method in RF-knockout extraction for spot-scanning

    CERN Document Server

    Furukawa, T

    2002-01-01

    An irradiation method with magnetic scanning has been developed in order to provide accurate irradiation even for an irregular target shape. The scanning method has strongly required a lower ripple of the beam spill and a faster response to beam-on/off in slow extraction from a synchrotron ring. At HIMAC, RF-knockout extraction has utilized a bunched beam to reduce the beam-spill ripple. Therefore, particles near the resonance can be spilled out from the separatrices by synchrotron oscillation as well as by a transverse RF field. From this point of view, a fast beam cut-off method has been proposed and verified by both simulations and experiments. The maximum delay from the beam cut-off signal to beam-off has been improved to around 60 mu s from 700 mu s by a usual method. Unwanted dose has been considerably reduced by around a factor of 10 compared with that by the usual method.

  3. Methodological issues in the design of a rheumatoid arthritis activity score and its cut-offs

    Directory of Open Access Journals (Sweden)

    Collignon O

    2014-07-01

    Full Text Available Olivier Collignon Centre de Recherche Public de la Santé (CRP-Santé, Competences Centre for Methodology and Statistics (CCMS, Strassen, Luxembourg Abstract: Activity of rheumatoid arthritis (RA can be evaluated using several scoring scales based on clinical features. The most widely used one is the Disease Activity Score involving 28 joint counts (DAS28 for which cut-offs were proposed to help physicians classify patients. However, inaccurate scoring can lead to inappropriate medical decisions. In this article some methodological issues in the design of such a score and its cut-offs are highlighted in order to further propose a strategy to overcome them. As long as the issues reviewed in this article are not addressed, results of studies based on standard disease activity scores such as DAS28 should be considered with caution. Keywords: DAS28, disease activity score, penalized logistic regression, clinical prediction, modeling

  4. Edge plasmons and cut-off behavior of graphene nano-ribbon waveguides

    Science.gov (United States)

    Hou, Haowen; Teng, Jinghua; Palacios, Tomás; Chua, Soojin

    2016-07-01

    Graphene nano-ribbon waveguides with ultra-short plasmon wavelength are a promising candidate for nanoscale photonic applications. Graphene edge plasmons are the fundamental and lowest losses mode. Through finite element method, edge plasmons show large effective refractive index and strong field confinement on nanoscale ribbons. The edge plasmons follow a k1/2 dispersion relation. The wavelengths of the edge plasmons and center plasmons differ by a fixed factor. The width of edge plasmon is inversely proportional to wave vector of edge plasmon kedge. Edge defects associate with graphene nano-ribbon induce extra losses and reduce the propagation length. Cut-off width of edge plasmons reduces with increasing frequency. Cut-off width of center plasmon is enlarged by edge component but the enlargement effect diminishing with the increase of kedge. The results are important for the application of graphene plasmon towards ultra-compact photonic devices.

  5. Relevance of Interleukin-6 and D-Dimer for Serious Non-AIDS Morbidity and Death among HIV-Positive Adults on Suppressive Antiretroviral Therapy

    Science.gov (United States)

    Baker, Jason V; Deeks, Steven G.; Wolfson, Julian; Wentworth, Deborah; Cozzi-Lepri, Alessandro; Cohen, Calvin J.; Phillips, Andrew; Lundgren, Jens D.; Neaton, James D.

    2016-01-01

    Background Despite effective antiretroviral treatment (ART), HIV-positive individuals are at increased risk of serious non-AIDS conditions (cardiovascular, liver and renal disease, and cancers), perhaps due in part to ongoing inflammation and/or coagulation. To estimate the potential risk reduction in serious non-AIDS conditions or death from any cause that might be achieved with treatments that reduce inflammation and/or coagulation, we examined associations of interleukin-6 (IL-6), D-dimer, and high-sensitivity C-reactive protein (hsCRP) levels with serious non-AIDS conditions or death in 3 large cohorts. Methods In HIV-positive adults on suppressive ART, associations of IL-6, D-dimer, and hsCRP levels at study entry with serious non-AIDS conditions or death were studied using Cox regression. Hazard ratios (HR) adjusted for age, gender, study, and regression dilution bias (due to within-person biomarker variability) were used to predict risk reductions in serious non-AIDS conditions or death associated with lower “usual” levels of IL-6 and D-dimer. Results Over 4.9 years of mean follow-up, 260 of the 3766 participants experienced serious non-AIDS conditions or death. IL-6, D-dimer and hsCRP were each individually associated with risk of serious non-AIDS conditions or death, HR = 1.45 (95% CI: 1.30 to 1.63), 1.28 (95% CI: 1.14 to 1.44), and 1.17 (95% CI: 1.09 to 1.26) per 2x higher biomarker levels, respectively. In joint models, IL-6 and D-dimer were independently associated with serious non-AIDS conditions or death, with consistent results across the 3 cohorts and across serious non-AIDS event types. The association of IL-6 and D-dimer with serious non-AIDS conditions or death was graded and persisted throughout follow-up. For 25% lower “usual” IL-6 and D-dimer levels, the joint biomarker model estimates a 37% reduction (95% CI: 28 to 46%) in the risk of serious non-AIDS conditions or death if the relationship is causal. Conclusions Both IL-6 and D-dimer

  6. Relevance of Interleukin-6 and D-Dimer for Serious Non-AIDS Morbidity and Death among HIV-Positive Adults on Suppressive Antiretroviral Therapy.

    Directory of Open Access Journals (Sweden)

    Birgit Grund

    Full Text Available Despite effective antiretroviral treatment (ART, HIV-positive individuals are at increased risk of serious non-AIDS conditions (cardiovascular, liver and renal disease, and cancers, perhaps due in part to ongoing inflammation and/or coagulation. To estimate the potential risk reduction in serious non-AIDS conditions or death from any cause that might be achieved with treatments that reduce inflammation and/or coagulation, we examined associations of interleukin-6 (IL-6, D-dimer, and high-sensitivity C-reactive protein (hsCRP levels with serious non-AIDS conditions or death in 3 large cohorts.In HIV-positive adults on suppressive ART, associations of IL-6, D-dimer, and hsCRP levels at study entry with serious non-AIDS conditions or death were studied using Cox regression. Hazard ratios (HR adjusted for age, gender, study, and regression dilution bias (due to within-person biomarker variability were used to predict risk reductions in serious non-AIDS conditions or death associated with lower "usual" levels of IL-6 and D-dimer.Over 4.9 years of mean follow-up, 260 of the 3766 participants experienced serious non-AIDS conditions or death. IL-6, D-dimer and hsCRP were each individually associated with risk of serious non-AIDS conditions or death, HR = 1.45 (95% CI: 1.30 to 1.63, 1.28 (95% CI: 1.14 to 1.44, and 1.17 (95% CI: 1.09 to 1.26 per 2x higher biomarker levels, respectively. In joint models, IL-6 and D-dimer were independently associated with serious non-AIDS conditions or death, with consistent results across the 3 cohorts and across serious non-AIDS event types. The association of IL-6 and D-dimer with serious non-AIDS conditions or death was graded and persisted throughout follow-up. For 25% lower "usual" IL-6 and D-dimer levels, the joint biomarker model estimates a 37% reduction (95% CI: 28 to 46% in the risk of serious non-AIDS conditions or death if the relationship is causal.Both IL-6 and D-dimer are independently associated with

  7. Interacting Entropy-Corrected Holographic Dark Energy and IR Cut-Off Length

    Science.gov (United States)

    Sadeghi, J.; Pourhassan, B.; Abbaspour Moghaddam, Z.

    2014-01-01

    In this paper we consider holographic dark energy model with corrected holographic energy density and show that this model may be equivalent to the modified Chaplygin gas model. Then we obtain relation between entropy corrected holographic dark energy model and scalar field models. We do these works by using choices of IR cut-off length proportional to the Hubble radius, the event horizon radius, the Ricci length, and the Granda-Oliveros length.

  8. Interacting Entropy-Corrected Holographic Dark Energy and IR Cut-Off Length

    CERN Document Server

    Sadeghi, J; Moghaddam, Z Abbaspour

    2013-01-01

    In this paper we consider holographic dark energy model with corrected holographic energy density and show that this model may be equivalent to the modified Chaplygin gas model. Then we obtain relation between entropy corrected holographic dark energy model and scalar field models. We do these works by using choices of IR cut-off length proportional to the Hubble radius, the event horizon radius, the Ricci length, and the Granda-Oliveros length.

  9. Introduction of a distance cut-off into structural alignment by the double dynamic programming algorithm.

    Science.gov (United States)

    Toh, H

    1997-08-01

    Two approximations were introduced into the double dynamic programming algorithm, in order to reduce the computational time for structural alignment. One of them was the so-called distance cut-off, which approximately describes the structural environment of each residue by its local environment. In the approximation, a sphere with a given radius is placed at the center of the side chain of each residue. The local environment of a residue is constituted only by the residues with side chain centers that are present within the sphere, which is expressed by a set of center-to-center distances from the side chain of the residue to those of all the other constituent residues. The residues outside the sphere are neglected from the local environment. Another approximation is associated with the distance cut-off, which is referred to here as the delta N cut-off. If two local environments are similar to each other, the numbers of residues constituting the environments are expected to be similar. The delta N cut-off was introduced based on the idea. If the difference between the numbers of the constituent residues of two local environments is greater than a given threshold value, delta N, the evaluation of the similarity between the local environments is skipped. The introduction of the two approximations dramatically reduced the computational time for structural alignment by the double dynamic programming algorithm. However, the approximations also decreased the accuracy of the alignment. To improve the accuracy with the approximations, a program with a two-step alignment algorithm was constructed. At first, an alignment was roughly constructed with the approximations. Then, the epsilon-suboptimal region for the alignment was determined. Finally, the double dynamic programming algorithm with full structural environments was applied to the residue pairs within the epsilon-suboptimal region to produce an improved alignment.

  10. Effectiveness and Cut off Points of Anthropometric Measurements in Predicting Metabolic Syndrome in Turkish Women

    Directory of Open Access Journals (Sweden)

    Sultan Keskin Demircan1

    2016-03-01

    Full Text Available Objective: Examination of the anthropometric methods and cut off points that are most appropriate to predict metabolic syndrome (MS for the female Turkish population. Methods: Waist circumference (WC, waist-hip ratio (WHR, body mass index (BMI, arm circumference (AC, total skin thickness (TST using caliper, body fat percentage (BFP and fat free mass (FFM using bioelectrical impedance were taken in 202 female patients. Blood glucose, lipid panel and blood pressure were also checked. We defined two different MS excluding anthropometric measurements. Low HDL and high triglyceride were separate criteria in the first definition; dyslipidemia was defined one criteria as low HDL and/or high triglyceride and/or triglyceride/HDL≥3 in the second. Efficiency, sensitivity and specificity of anthropometric measurements in predicting MS criteria were assessed using ROC analysis. Results: When compared in determining three or more of the MS parameters of dysglicemia, low HDL, high triglyceride and hypertension, BMI, WC, BFP, WHR and AC were found to be significant (p<0.0001. TST was significant as well (p=0.001. FFM was insignificant (p=0.337. Cut off points for BMI, WC and WHR in predicting MS were 27.7 kg/m2, 92.5 cm, 0.86. When dyslipidemia was defined in one criteria, cut off points were found similarly 27.8 kg/m2, 92.5 cm, 0.86. Conclusion: BMI, WHR, BFP and WC were more valuable than TST and AC in predicting MS but they had no statistically significant superiority over each other. However, with a 95% confidence interval, predictive cut off points were significantly above those observed in western populations.

  11. Evaluation of novel large cut-off ultrafiltration membranes for adenovirus serotype 5 (Ad5 concentration.

    Directory of Open Access Journals (Sweden)

    Piergiuseppe Nestola

    Full Text Available The purification of virus particles and viral vectors for vaccine and gene therapy applications is gaining increasing importance in order to deliver a fast, efficient, and reliable production process. Ultrafiltration (UF is a widely employed unit operation in bioprocessing and its use is present in several steps of the downstream purification train of biopharmaceuticals. However, to date few studies have thoroughly investigated the performance of several membrane materials and cut-offs for virus concentration/diafiltration. The present study aimed at developing a novel class of UF cassettes for virus concentration/diafiltration. A detailed study was conducted to evaluate the effects of (i membrane materials, namely polyethersulfone (PES, regenerated cellulose (RC, and highly cross-linked RC (xRC, (ii nominal cut-off, and (iii UF device geometry at different production scales. The results indicate that the xRC cassettes with a cut-off of approximately 500 kDa are able to achieve a 10-fold concentration factor with 100% recovery of particles with a process time twice as fast as that of a commercially available hollow fiber. DNA and host cell protein clearances, as well as hydraulic permeability and fouling behavior, were also assessed.

  12. Evaluation of novel large cut-off ultrafiltration membranes for adenovirus serotype 5 (Ad5) concentration.

    Science.gov (United States)

    Nestola, Piergiuseppe; Martins, Duarte L; Peixoto, Cristina; Roederstein, Susanne; Schleuss, Tobias; Alves, Paula M; Mota, José P B; Carrondo, Manuel J T

    2014-01-01

    The purification of virus particles and viral vectors for vaccine and gene therapy applications is gaining increasing importance in order to deliver a fast, efficient, and reliable production process. Ultrafiltration (UF) is a widely employed unit operation in bioprocessing and its use is present in several steps of the downstream purification train of biopharmaceuticals. However, to date few studies have thoroughly investigated the performance of several membrane materials and cut-offs for virus concentration/diafiltration. The present study aimed at developing a novel class of UF cassettes for virus concentration/diafiltration. A detailed study was conducted to evaluate the effects of (i) membrane materials, namely polyethersulfone (PES), regenerated cellulose (RC), and highly cross-linked RC (xRC), (ii) nominal cut-off, and (iii) UF device geometry at different production scales. The results indicate that the xRC cassettes with a cut-off of approximately 500 kDa are able to achieve a 10-fold concentration factor with 100% recovery of particles with a process time twice as fast as that of a commercially available hollow fiber. DNA and host cell protein clearances, as well as hydraulic permeability and fouling behavior, were also assessed.

  13. Cut-off proposal for the detection of ketamine in hair.

    Science.gov (United States)

    Salomone, A; Gerace, E; Diana, P; Romeo, M; Malvaso, V; Di Corcia, D; Vincenti, M

    2015-03-01

    Ketamine is a powerful anesthetic drug used in both human and veterinary surgery, but it is also commonly misused because of its psychotropic properties. Since the abuse of this drug has been reported in many countries worldwide, its determination in hair samples is offered as a specialist test by hundreds of laboratories. However, unlike other common drugs of abuse, a cut-off level for ketamine in hair has not been fixed yet. Therefore, aim of this study is to propose a concentration value for ketamine in hair analysis, in order to discriminate between chronic and occasional use, and between active use and external contamination. After considering the chemical properties of this molecule, and the experimental data collected in our laboratory or reported in several other published studies, we propose a cut-off level of 0.5ng/mg, as indicative of repeated exposure to ketamine. Additionally, we suggest that the detection of the metabolite norketamine should be mandatory to prove active intake and exclude false positive result from external contamination. Thus, a reasonable cut-off value for norketamine could be fixed at 0.1ng/mg, while the minimal concentration ratio norketamine/ketamine may be positively established at 0.05. PMID:25616219

  14. Spectral geometry with a cut-off: topological and metric aspects

    CERN Document Server

    D'Andrea, Francesco; Martinetti, Pierre

    2013-01-01

    Inspired by regularization in quantum field theory, we study topological and metric properties of spaces in which a cut-off is introduced. We work in the framework of noncommutative geometry, and focus on Connes distance associated to a spectral triple (A,H,D). A high momentum (short distance) cut-off is implemented by the action of a projection P on the Dirac operator D and/or on the algebra A. This action induces two new distances. We first individuate conditions making them equivalent to the original distance. We then study the Gromov-Hausdorff limit of the set of truncated states, first for quantum metric spaces in the sense of Rieffel, and then for arbitrary spectral triples. In the commutative case, we show that the cut-off induces a minimal length between points, which is infinite if P has finite rank. When P is a spectral projection of D, we work out an approximation of points by non-pure states that are at finite distance from each other. We apply the results to Moyal plane and to the fuzzy sphere, o...

  15. Factors associated with D-dimer levels in HIV-infected individuals.

    Directory of Open Access Journals (Sweden)

    Alvaro H Borges

    Full Text Available Higher plasma D-dimer levels are strong predictors of mortality in HIV+ individuals. The factors associated with D-dimer levels during HIV infection, however, remain poorly understood.In this cross-sectional study, participants in three randomized controlled trials with measured D-dimer levels were included (N = 9,848. Factors associated with D-dimer were identified by linear regression. Covariates investigated were: age, gender, race, body mass index, nadir and baseline CD4+ count, plasma HIV RNA levels, markers of inflammation (C-reactive protein [CRP], interleukin-6 [IL-6], antiretroviral therapy (ART use, ART regimens, co-morbidities (hepatitis B/C, diabetes mellitus, prior cardiovascular disease, smoking, renal function (estimated glomerular filtration rate [eGFR] and cystatin C and cholesterol.Women from all age groups had higher D-dimer levels than men, though a steeper increase of D-dimer with age occurred in men. Hepatitis B/C co-infection was the only co-morbidity associated with higher D-dimer levels. In this subgroup, the degree of hepatic fibrosis, as demonstrated by higher hyaluronic acid levels, but not viral load of hepatitis viruses, was positively correlated with D-dimer. Other factors independently associated with higher D-dimer levels were black race, higher plasma HIV RNA levels, being off ART at baseline, and increased levels of CRP, IL-6 and cystatin C. In contrast, higher baseline CD4+ counts and higher high-density lipoprotein cholesterol were negatively correlated with D-dimer levels.D-dimer levels increase with age in HIV+ men, but are already elevated in women at an early age due to reasons other than a higher burden of concomitant diseases. In hepatitis B/C co-infected individuals, hepatic fibrosis, but not hepatitis viral load, was associated with higher D-dimer levels.

  16. Genetic Predictors of Fibrin D-Dimer Levels in Healthy Adults

    OpenAIRE

    Smith, N. L.; J.E. Huffman; Strachan, D. P.; Huang, J.; A. Dehghan; Trompet, S.; Lopez, L.M. (Lorna M.); Shin, S.-Y.; Baumert, J.; Vitart, V; Bis, J.C.; Wild, S.H.; Rumley, A; Yang, Q.; Uitterlinden, A G

    2011-01-01

    Background-Fibrin fragment D-dimer, one of several peptides produced when crosslinked fibrin is degraded by plasmin, is the most widely used clinical marker of activated blood coagulation. To identity genetic loci influencing D-dimer levels, we performed the first large-scale, genome-wide association search. Methods and Results-A genome-wide investigation of the genomic correlates of plasma D-dimer levels was conducted among 21 052 European-ancestry adults. Plasma levels of D-dimer were measu...

  17. Brug af D-dimer til at udelukke dyb venøs trombose i overekstremiteterne

    DEFF Research Database (Denmark)

    Ahler-Toftehøj, Hans-Ulrik; Mikkelsen, Peter

    2009-01-01

    D-dimer is often used to exclude deep venous thrombosis, primarily in the lower extremities. We describe a 38-year-old man who had deep venous thrombosis in the left vena subclavia in spite of a normal D-dimer. Only one inconclusive survey compares the value of D-dimer and upper extremity deep...... venous thrombosis. We conclude that where deep venous thrombosis of the upper extremities is suspected, you cannot rely on the D-dimer value, but should examine the patient using other modalities such as colour Doppler ultrasound. Udgivelsesdato: 2009-Sep...

  18. Defining a BMI Cut-Off Point for the Iranian Population: The Shiraz Heart Study.

    Science.gov (United States)

    Babai, Mohammad Ali; Arasteh, Peyman; Hadibarhaghtalab, Maryam; Naghizadeh, Mohammad Mehdi; Salehi, Alireza; Askari, Alireza; Homayounfar, Reza

    2016-01-01

    In this study we evaluated and redefined the optimum body mass index (BMI) cut-off point for the Iranian population based on metabolic syndrome (MeS) risk factors. We further evaluated BMI cut-off points with and without waist circumference (WC) as a cofactor of risk and compared the differences. This study is part of the largest surveillance programs conducted in Shiraz, Iran, termed the Shiraz Heart study. Our study sample included subjects between the ages of 20 to 65 years old. After excluding pregnant women, those with missing data and those with comorbid disease, a total of 12283 made up the study population. The participants underwent a series of tests and evaluations by trained professionals in accordance with WHO recommendations. Hypertension, abnormal fasting blood sugar (FBS), triglyceride (TG) and high density lipoprotein cholesterol (HDL) (in the context of the definition of metabolic syndrome) were prevalent among 32.4%, 27.6%, 42.1 and 44.2% of our participants, respectively. Women displayed higher rates of overall obesity compared to men (based on the definition by the WHO as higher than 30 kg/m2). Regarding MeS, 38.9% of our population had the all symptoms of MeS which was more prevalent among women (41.5% vs. 36%). When excluding WC in the definition of MeS, results showed that males tend to show a higher rate of metabolic risk factors (19.2% vs. 15.6%). Results of multivariate analysis showed that parallel to an increase in BMI, the odds ratio (OR) for acquiring each component of the metabolic syndrome increased (OR = 1.178; CI: 1.166-1.190). By excluding WC, the previous OR decreased (OR = 1.105; CI: 1.093-1.118). Receiver Operating Characteristic (ROC) curve analysis showed that the optimum BMI cut-off point for predicting metabolic syndrome was 26.1 kg/m2 and 26.2 kg/m2 [Accuracy (Acc) = 69% and 61%, respectively)] for males and females, respectively. The overall BMI cut-off for both sexes was 26.2 kg/m2 (Acc = 65%) with sensitivity and

  19. Determination of a saliva cotinine cut-off to distinguish pregnant smokers from pregnant non-smokers

    DEFF Research Database (Denmark)

    Hegaard, Hanne K; Kjaergaard, Hanne; Møller, Lars F;

    2007-01-01

    Objective validation of smoking status is necessary. Earlier studies have used saliva cotinine concentrations between 14.2 and 30 ng/ml as cut-off values to distinguish pregnant smokers from non-smokers. However, these cut-offs derive from studies including men and non-pregnant women....... This constitutes a problem, as recent studies have reported an accelerated metabolism in pregnant smokers. The aim of this study was to determine the optimum cut-off cotinine level distinguishing pregnant smokers from pregnant non-smokers....

  20. D-dimer: a useful tool in gauging optimal duration of oral anticoagulant therapy?

    Directory of Open Access Journals (Sweden)

    M. Silingardi

    2013-05-01

    Full Text Available BACKGROUND AND AIM OF THE STUDY Optimal duration of oral anticoagulant therapy (OAT in idiopathic venous thromboembolism (VTE is unknown. Indefinite OAT carries an unacceptable risk of major bleeding and prospective studies have demonstrated that OAT is no longer protective after its withdrawal. How to identify the patients at risk for recurrence? D-dimer is a marker of thrombin activity. Early prospective studies showed that elevated D-dimer levels after anticoagulation had a highly predictive value for a recurrent episode. Does D-dimer assay have a role in gauging the appropriate duration of anticoagulant therapy? The PROLONG study tries to answer this question. METHOD D-dimer assay was performed one month after stopping anticoagulation. Patiens with normal D-dimer levels did not resume anticoagulation while patients with elevated D-dimer levels were randomized to discontinue or resume anticoagulation. Study end-points was the composite of recurrent VTE and major bleeding during an average follow-up of 1.4 years. RESULTS The rate of recurrence is significantly higher in patients with elevated D-dimer levels who discontinued anticoagulation. Resuming anticoagulation in this cohort of patients markedly reduces recurrent events without increasing major bleeding. DISCUSSION AND CONCLUSIONS PROLONG study is provocative, because D-dimer assay is simple, thus not requiring dedicated laboratory facilities. D-dimer test has otherwise high sensitivity but low specificity in VTE diagnosis. Aspecifically elevated D-dimer levels are available in the elderly and the majority of patients included in the study were > 65 years old, thus introducing a possible selection bias. Nonetheless the results of the study are useful for the clinician. Prolongation of vitamin K antagonists in patients with elevated D-dimer levels one month after discontinuation of OAT for a first unprovoked episode of VTE results in a favourable risk-benefit relationship. Probably this

  1. Ultrahigh energy neutrinos scattering off relic light neutrinos to explain UHECR above GZK cut off and thin blazars

    CERN Document Server

    Fargion, D; Fargion, Daniele; Mele, Barbara

    1999-01-01

    UHE neutrinos may transfer highest cosmic-rays energies overcoming $2.75K^\\circ$ BBR and radio-waves opacities (the GZK cut off) from most distant AGN sources at the age of the Universe. These UHE $\

  2. On-site raw gas cut-off during the shut down of Baosteel phase I coke ovens

    Institute of Scientific and Technical Information of China (English)

    ZHOU Haizhong

    2015-01-01

    The preparation and implementation of raw coke oven gas cut-off,which was the key process involved with shutting down the Baosteel phase I coke ovens,were investigated,and the main technical points and countermeasures are presented.

  3. Cut-off values of blessed dementia rating scale and its clinical application in elderly Taiwanese.

    Science.gov (United States)

    Yang, Yuan-Han; Lai, Chiou-Lian; Lin, Ruey-Tay; Tai, Chih-Ta; Liu, Ching-Kuan

    2006-08-01

    Although the Blessed Dementia Rating Scale (BDRS), a clinical screening instrument, has been applied extensively, no suitable cut-off values and clinical application have been proposed, particularly in mild cognitive impairment (MCI), the precursor of dementia. The BDRS, Mini Mental State Examination (MMSE), and Clinical Dementia Rating Scale (CDR) were administrated in people aged 65 years and above, who were enrolled from southern Taiwan with multistep stratified random sampling and followed-up for 2 years. All subjects (total number = 3,027), with new onset of MCI (defined as CDR = 0.5) in the first year and dementia (defined as CDR > or = 1) in the second and third years were subjected to statistical analysis. In distinguishing normal from MCI, except in the literate group aged 65-74 years, MMSE was superior to BDRS, with cut-off values of 1 in both literate groups aged 65-74 years and > or = 75 years, and 1.5 and 2 in less educated groups aged 65-74 and > or = 75 years, respectively. In distinguishing MCI from dementia, BDRS had cut-off values of 2.5 in both literate groups aged 65-74 and > or = 75 years, and 2.5 and 3 in less educated groups aged 65-74 and > or = 75 years, respectively. These values were better than those for MMSE in all groups. BDRS might be considered as a better tool than MMSE to screen for MCI and dementia in the increasing proportion of literate elderly aged 65-74 years in the aging population. PMID:16911919

  4. Genetic predictors of fibrin D-dimer levels in healthy adults

    NARCIS (Netherlands)

    N.L. Smith (Nicholas); J.E. Huffman (Jennifer E.); D.P. Strachan (David); J. Huang (Jian); A. Dehghan (Abbas); S. Trompet (Stella); L.M. Lopez (Lorna M.); S.Y. Shin (So Youn); J. Baumert (Jens); V. Vitart (Veronique); J.C. Bis (Joshua); S.H. Wild (Sarah); A. Rumley (Ann); Q. Yang (Qiong Fang); A.G. Uitterlinden (André); D.J. Stott (David. J.); G. Davies (Gareth); A.M. Carter (Angela M.); B. Thorand (Barbara); O. Polašek (Ozren); B. McKnight (Barbara); H. Campbell (Harry); A.R. Rudnicka (Alicja); M.H. Chen (Min-hsin); B.M. Buckley (Brendan M.); S.E. Harris (Sarah); A. Peters (Annette); D. Pulanic (Drazen); T. Lumley (Thomas); A.J.M. de Craen (Anton J.M.); D.C. Liewald (David C.); C. Gieger (Christian); I. Ford (Ian); A.J. Gow (Alan J.); M. Luciano (Michelle); D.J. Porteous (David J.); X. Guo (Xiuqing); N. Sattar (Naveed); A. Tenesa (Albert); M. Cushman (Mary Ann); P.E. Slagboom (Eline); P.M. Visscher (Peter M.); T.D. Spector (Tim); T. Illig (Thomas); I. Rudan (Igor); E.G. Bovill (Edwin G.); A.F. Wright (Alan); W.L. McArdle (Wendy); G.H. Tofler (Geoffrey); A. Hofman (Albert); R.G.J. Westendorp (Rudi); J.M. Starr (John); P.J. Grant (Peter J.); M. Karakas (Mahir); N.D. Hastie (Nicholas D.); B.M. Psaty (Bruce); J.F. Wilson (James); G.D.O. Lowe (Gordon); C.J. O'Donnell (Christopher); J.C.M. Witteman (Jacqueline); J.W. Jukema (Jan Wouter); I.J. Deary (Ian); N. Soranzo (Nicole); W. Koenig (Wolfgang); C. Hayward (Caroline)

    2011-01-01

    textabstractBACKGROUND: Fibrin fragment D-dimer, one of several peptides produced when crosslinked fibrin is degraded by plasmin, is the most widely used clinical marker of activated blood coagulation. To identity genetic loci influencing D-dimer levels, we performed the first large-scale, genome-wi

  5. D-dimer testing to determine the duration of anticoagulation therapy

    NARCIS (Netherlands)

    G. Palareti; B. Cosmi; C. Legnani; A. Tosetto; C. Brusi; A. Iorio; V. Pengo; A. Ghirarduzzi; C. Pattacini; S. Testa; A.W.A. Lensing; A. Tripodi

    2006-01-01

    BACKGROUND: The optimal duration of oral anticoagulation in patients with idiopathic venous thromboembolism is uncertain. Testing of D-dimer levels may play a role in the assessment of the need for prolonged anticoagulation. METHODS: We performed D-dimer testing 1 month after the discontinuation of

  6. Knowledge of the D-dimer test result influences clinical probability assessment of pulmonary embolism

    NARCIS (Netherlands)

    R.A. Douma; J.B.F. Kessels; H.R. Büller; V.E.A. Gerdes

    2010-01-01

    Background: In patients with suspected pulmonary embolism (PE), an unlikely or non-high probability assessment combined with a normal D-dimer test can safely exclude the diagnosis. We studied the influence of early D-dimer knowledge on clinical probability assessment. Methods: A questionnaire was se

  7. Evaluation of Serum D-dimer Levels in Children with Pneumonia

    Directory of Open Access Journals (Sweden)

    Nilgün Selçuk Duru

    2016-03-01

    Full Text Available Aim: The aim of this study was to investigate the relationship of plasma D-dimer levels with duration of hospitalization and radiological and laboratory findings in patients with pneumonia. Methods: Forty-seven patients with pneumonia (31 boys and 16 girls, mean age: 4.2±4.7 years were included in the study. The patients were divided into two groups according to duration of hospitalization and three groups according to radiological findings. D-dimer and other laboratory findings were compared between the groups. Results: The mean serum D-dimer level was 1333.5±1364.4 ng/L. There was no statistically significant difference in D-dimer, leukocyte, erythrocyte sedimentation rate (ESR and C-reactive protein (CRP between the groups divided according to duration of hospitalization. In addition, there was no statistically difference in D-dimer levels between the groups divided according to radiological findings. Age, percentage of neutrophils, ESR and fibrinogen levels were higher in patients with lobar pneumonia when compared with the other groups and CRP level was higher in lobar pneumonia group when compared to interstitial pneumonia group. D-dimer levels were negatively correlated with age and positively correlated with ESR, CRP, and fibrinogen. Conclusion: In our study, D-dimer levels were high in patient with pneumonia. Further studies with a larger number of patients are necessary to determine the role of D-dimer levels as an acutephase reactant in patients with pneumonia

  8. Markedly elevated plasma D-dimer and the prevalence of acute pulmonary embolus

    Directory of Open Access Journals (Sweden)

    Andrew W. Bowman

    2011-11-01

    Full Text Available Objective. To evaluate if increasingly elevated levels of plasma D-dimer are associated with higher prevalence of acute pulmonaryembolus (PE. Patients and Methods. A retrospective study wasconducted evaluating all PE protocol CT examinations performed inlow-to-intermediate risk emergency department and hospitalized patients during 2007. All PE protocol CT reports were reviewed for thepresence or absence of acute PE. Th e charts of all of these subjectswere then reviewed for quantitative plasma D-dimer values, measuredin mg/ml Fibrinogen Equivalent Units, drawn within one day prior tothe CT exam. Th e prevalence of acute PE at different D-dimer threshold results was then evaluated using D-dimer groups as follows: < 1.0 mg/ml, ≥ 1.0 but < 2.0 mg/ml, ≥ 2.0 but < 4.0 mg/ml, and ≥ 4.0 mg/ml. Results. 943 PE protocol CT exams were reviewed. 410 subjectshad D-dimer values drawn before their CT exams; 30 (7.3% of thesewere positive for acute PE. As D-dimer values became increasingly elevated, the prevalence of acute PE increased accordingly. In particular, D-dimer elevation ≥4.0 mg/ml was almost 94% specific for acute PE by CT criteria. Conclusion. Increased elevation of plasma D-dimer is associated with increased prevalence of acute PE in low-to-intermediate risk patients.

  9. On the discovery of the Greisen–Zatzepin–Kuzmin cut-off

    Indian Academy of Sciences (India)

    Tadeusz Wibig

    2009-11-01

    The recent claim of the `5 sigma' observation of the Greisen–Zatzepin–Kuzmin cut-off by the HiRes group based on their nine years data is a significant step towards the eventual solution of one of the most intriguing questions in physics for more than 40 years. Recent results from Pierre Auger Observatory seem to confirm the statement. However, the word `significance' is used in the mentioned paper in a sense which is not quite obvious. In the present paper we argue that this claim is a little premature.

  10. Dimensional versus cut-off renormalization and the nucleon-nucleon interaction

    CERN Document Server

    Ghosh, A; Talukdar, B; Ghosh, Angsula; Adhikari, Sadhan K.

    1998-01-01

    The role of dimensional regularization is discussed and compared with that of cut-off regularization in some quantum mechanical problems with ultraviolet divergence in two and three dimensions with special emphasis on the nucleon-nucleon interaction. Both types of renormalizations are performed for attractive divergent one- and two-term separable potentials, a divergent tensor potential, and the sum of a delta function and its derivatives. We allow energy-dependent couplings, and determine the form that these couplings should take if equivalence between the two regularization schemes is to be enforced. We also perform renormalization of an attractive separable potential superposed on an analytic divergent potential.

  11. Dimensional versus cut-off renormalization and the nucleon-nucleon interaction

    Science.gov (United States)

    Ghosh, Angsula; Adhikari, Sadhan K.; Talukdar, B.

    1998-10-01

    The role of dimensional regularization is discussed and compared with that of cut-off regularization in some quantum mechanical problems with ultraviolet divergence in two and three dimensions with special emphasis on the nucleon-nucleon interaction. Both types of renormalizations are performed for attractive divergent one- and two-term separable potentials, a divergent tensor potential, and the sum of a delta function and its derivatives. We allow energy-dependent couplings, and determine the form that these couplings should take if equivalence between the two regularization schemes is to be enforced. We also perform renormalization of an attractive separable potential superposed on an analytic divergent potential.

  12. Sensitivity studies of spin cut-off models on fission fragment observables

    Science.gov (United States)

    Thulliez, L.; Litaize, O.; Serot, O.

    2016-03-01

    A fission fragment de-excitation code, FIFRELIN, is being developed at CEA Cadarache. It allows probing the characteristics of the prompt emitted particles, neutrons and gammas, during the de-excitation process of fully accelerated fission fragments. The knowledge of the initial states of the fragments is important to accurately reproduce the fission fragment observables. In this paper a sensitivity study of various spin cut-off models, completely defining the initial fission fragment angular momentum distribution has been performed. This study shows that the choice of the model has a significant impact on gamma observables such as spectrum and multiplicity and almost none on the neutron observables.

  13. Sensitivity studies of spin cut-off models on fission fragment observables

    Directory of Open Access Journals (Sweden)

    Thulliez L.

    2016-01-01

    Full Text Available A fission fragment de-excitation code, FIFRELIN, is being developed at CEA Cadarache. It allows probing the characteristics of the prompt emitted particles, neutrons and gammas, during the de-excitation process of fully accelerated fission fragments. The knowledge of the initial states of the fragments is important to accurately reproduce the fission fragment observables. In this paper a sensitivity study of various spin cut-off models, completely defining the initial fission fragment angular momentum distribution has been performed. This study shows that the choice of the model has a significant impact on gamma observables such as spectrum and multiplicity and almost none on the neutron observables.

  14. Aligning DNA on Si surface and cutting off by tips of atomic force microscope

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    DNA is a kind of promising molecule as nano-lead to build or connect nano-devices due to its stable linear structure and certain conductivity. Many methods have been applied to constructing nano-patterns by using DNA molecule. In this report it is presented that (-DNA was aligned on Si substrate by using the free-flowing method and then imaged by an atomic force microscope (AFM). After the second liquid flow, a catenary-like pattern and a crossed network of -DNA were formed. In addition, the aligned (-DNA was successfully cut off by tips of AFM.

  15. Changes in fibrin D-dimer, fibrinogen, and protein S during pregnancy

    DEFF Research Database (Denmark)

    Hansen, Anette Tarp; Andreasen, Birgitte Horst; Salvig, Jannie Dalby;

    2010-01-01

    Background. Pregnancy is a hypercoagulable state with a 5- to 10- fold higher risk of venous thromboembolism. Existing reference intervals for fibrin D-dimer (D-dimer), functional fibrinogen (fibrinogen) and protein S, free antigen (protein S) are based on non-pregnant patients and reference...... intervals for pregnant patients are warranted. Objectives. The aim of the present study was to contribute to the establishment of reference intervals for D-dimer, fibrinogen and protein S during pregnancy and to discuss the use of the analyses during pregnancy. Methods. We included 55 healthy pregnant women...... in gestational week 11–17, with normal current pregnancy. Blood samples were collected in gestational weeks 11–17, 21–27 and 34–37. The three plasma parameters D-dimer, fibrinogen and protein S were analysed by STA-R Evolution®. Results. A significant rise in D-dimer was found from first to second trimester (p...

  16. The current role and future prospects of D-dimer biomarker.

    Science.gov (United States)

    Soomro, Armaghan Y; Guerchicoff, Alejandra; Nichols, Dru J; Suleman, Javed; Dangas, George D

    2016-07-01

    D-dimers have been discovered as by-products of fibrinolysis. In situations where the fundamental pathology is associated with increased thrombolytic activity, D-dimer assays could serve an integral role in the clinical workup, and have an already established role in the diagnosis of clinical disorders of venous thromboembolism, and disseminated intravascular coagulation. However, there is growing literature suggesting that this is not the only clinical scenario where D-dimers may be of significance. They may also become an important biomarker in coronary and carotid artery atherosclerosis and aortic diseases. Being a non-invasive and quick means of diagnosis, D-dimers are a cost-effective tool used for diagnosing diseases. With the future being steered in the direction of preventive cardiology, it is imperative for clinicians to understand how to effectively utilize biomarkers in order to diagnose disorders. In this context, we review D-dimer's origin, current clinical utility, and potential future applications. PMID:27533759

  17. Open Skies and monitoring a fissile materials cut-off treaty

    International Nuclear Information System (INIS)

    The Treaty on Open Skies (Open Skies) is intended among other things to provide, in the words of its preamble, means ''to facilitate the monitoring of compliance with existing or future arms control agreements.'' Open Skies permits overflights of the territory of member states by aircraft equipped with an array of sensors of various types. Their types and capabilities are treaty-limited. To find useful application in monitoring a cut-off treaty Open Skies would need to be amended. The number of signatories would need to be expanded so as to provide greater geographical coverage, and restrictions on sensor-array capabilities would need to be relaxed. To facilitate the detection of impending violations of a cut-off convention by Open Skies overflights, the data base provided by parties to the former should include among other things an enumeration of existing and former fuel cycle and research facilities including those converted to other uses, their precise geographic location, and a site plan

  18. Revisiting AdS/CFT at a finite radial cut-off

    CERN Document Server

    Mandal, Gautam

    2016-01-01

    We revisit AdS/CFT at finite radial cut-off, specifically in the context of double trace perturbations, $\\mathbb{O}_n$= $\\mathbb{O}(x) (\\partial^2)^{n} {\\mathcal O}(x)$, with arbitrary $n$. As well-known, the standard GKPW prescription, applied to a finite radial cut-off, leads to contact terms in correlators. de Haro et al \\cite{deHaro:2000vlm} introduced bulk counterterms to remove these. However, this prescription yields additional terms in the correlator corresponding to spurious double trace deformations. Further, if we view GKPW prescription coupled with the prescription in \\cite{deHaro:2000vlm}, in terms of a boundary wavefunction, we find that it is incompatible with radial Schrodinger evolution (in the spirit of holographic Wilsonian RG). We consider a more general wavefunction satisfying the Schrodinger equation, and find that generically such wavefunctions generate both (a) double trace deformations and (b) contact terms. However, we find that there exist special choices of these wavefunctions, amo...

  19. Cut-Off Values of Visceral Adiposity to Predict NAFLD in Brazilian Obese Adolescents

    Directory of Open Access Journals (Sweden)

    Ana Paula Grotti Clemente

    2013-01-01

    Full Text Available Objectives. The present study aimed at determining cut-off points of visceral fat to predict NAFLD and analyzed metabolic disorders of obese adolescents. Methods. Cross-sectional study involved 165 obese adolescents ranged in age from 15 to 19 years. Glycemia, hepatic transaminases, lipid profile, and insulin resistance were analyzed. Visceral and subcutaneous fat were measured by ultrasound and body composition by plesthysmography. Results. The NAFLD adolescents had significantly higher values for body mass, BMI-for-age, BMI, total fat, waist circumference, and visceral fat when compared with non-NAFLD obese adolescents in both genders. Moreover, there were significant positive correlations between visceral fat with the variables BMI-for-age (r=0.325,, TG (r=0.277, AST (r=0.509, ALT (r=0.519, WC (r=0.390, and visceral/subcutaneous ratio (r=0.790 for NAFLD group. Total fat, triglycerides, and visceral fat were the independent predictors to NAFLD. Analysis of the ROC curves revealed cut-off points of visceral fat of 4.47 cm for girls and 4.21 cm for boys. Conclusions. The results may suggest that abdominal ultrasonography procedure may be a safe alternative method of assessing visceral adiposity aiming to be considered to the development of preventive and treatment strategies in obese individuals. This clinial trial is registered with ClinicalTrial.gov (NCT01358773.

  20. Determining a diagnostic cut-off on the Teate Depression Inventory

    Directory of Open Access Journals (Sweden)

    Balsamo M

    2014-06-01

    Full Text Available Michela Balsamo, Aristide SagginoDepartment of Psychological Sciences, Humanities and Territory, G. d’Annunzio University of Chieti-Pescara, Chieti, ItalyAbstract: A small but growing body of literature suggests that the Teate Depression ­Inventory (TDI may be an “objective” measure of depression compared with other commonly used scales. Furthermore, the TDI has strong psychometric properties in both clinical and nonclinical samples. The present study aimed to extend the use of TDI by identifying cut-off scores that could differentiate varying levels of depression severity in a group of clinically diagnosed depression disorder patients (N=125. Three receiver operating characteristic curve analyses indicated cut-off scores of 21 (sensitivity =0.86, specificity =0.94, and classification accuracy =0.90; 36 (sensitivity =0.84, specificity =0.96, and classification accuracy =0.92; and 50 (sensitivity =0.81, specificity =0.93, and classification accuracy =0.90, for minimal, mild, moderate, and severe depression, respectively. Results suggest that the TDI measures depression severity across a broad range with high test accuracy and may be appropriately used to screen for depression.Keywords: major depression, ROC curve, self-report scales, Rasch analysis, depression screening

  1. The cut-off criterion for a positive hydrogen breath test in children: a reappraisal.

    Science.gov (United States)

    Solomons, N W; Barillas, C

    1986-01-01

    Seventy-three preschool children with adequate nutritional status underwent interval-sampling, 3-hour breath-hydrogen carbohydrate absorption tests after consuming either 240 ml of intact milk (containing 12 g of lactose) or the same volume of milk with 90-95% of its lactose prehydrolyzed in vitro (containing less than 1 g lactose, with the remaining sugar as glucose and galactose). Results were examined in a reappraisal of the cut-off criterion for the rise of breath H2 concentration signifying biologically incomplete absorption. If the greater than or equal to 10-ppm criterion advocated by some investigators is used, 83% of our subjects would have been classified as incomplete lactose digesters and 30% would have their tests with the monosaccharide-rich milk classified as positive. With the greater than or equal to 20 ppm criterion used in our laboratory and others, the prevalence of lactose maldigestion in the sample becomes 60% and only 4% of subjects have apparent monosaccharide absorption, 96% having a rise below the cut-off level with prehydrolyzed milk. At least in Guatemalan preschoolers, the 20-ppm criterion for a positive breath H2 test provides a superior specificity-sensitivity balance and more reasonable diagnostic conclusions. PMID:3794911

  2. Proceedings from the Fissile Material Cut-off seminar in Stockholm

    International Nuclear Information System (INIS)

    The Swedish Defence Research Establishment hosted an international expert seminar on the subject of verifying a prohibition of the production of fissile material for nuclear weapons purpose (cut-off) in Stockholm, June 3-5 1998. The objective of the seminar was to provide an opportunity for informal discussions among scientific and technical experts on various technical matters relating to the verification of a future Fissile Material Cut-off Treaty (FMCT). A stated aim of the seminar was to keep issues of scope to a minimum. Invited speakers and commentators were given an opportunity to present their views as written contributions. The present seminar proceedings are essentially the result of these views. In addition, short summaries of the discussions following each session are included. Although an attempt was made to be as complete and accurate as possible in reproducing these discussions, the editors apologise if some important points or statements have been omitted. If so, the main reason is that the documentation of the discussions were based on written notes, not taped recordings. Eight longer contributions have been separately indexed

  3. Short-range Cut-Off of the Summed-Up van der Waals Series

    Science.gov (United States)

    Patra, Abhirup; Perdew, John P.

    2015-03-01

    van der Waals interactions are important in typical van der Waals-bound systems such as noble-gas, hydrocarbon, alkali and alkaline-earth dimers. The summed-up van der Waals series works well and gives an accurate result at large separation between two atoms. But it has a strong singularity at short non-zero separation, where the two atoms touch. In this work we remove that singularity with a reasonable and physical choice of the cut-off distance. Only one fitting parameter has been introduced for the short-range cut off. The parameter in our model has been optimized for each system, and a system-averaged value has been used to get the final binding energy curves. When this correction is added to the binding energy curve from the semilocal density functional meta-GGA-MS2, we get vdW- corrected binding energy curve. These curves are compared with the results of other vdW-corrected methods such as PBE-D2 and vdW-DF2 .Binding energy curves are in reasonable agreement with those from experiment. These curves also predict reasonably good equilibrium bond length. Supported by NSF (DMR).

  4. Proceedings from the Fissile Material Cut-off seminar in Stockholm

    Energy Technology Data Exchange (ETDEWEB)

    Arbman, G. [ed.

    1998-07-01

    The Swedish Defence Research Establishment hosted an international expert seminar on the subject of verifying a prohibition of the production of fissile material for nuclear weapons purpose (cut-off) in Stockholm, June 3-5 1998. The objective of the seminar was to provide an opportunity for informal discussions among scientific and technical experts on various technical matters relating to the verification of a future Fissile Material Cut-off Treaty (FMCT). A stated aim of the seminar was to keep issues of scope to a minimum. Invited speakers and commentators were given an opportunity to present their views as written contributions. The present seminar proceedings are essentially the result of these views. In addition, short summaries of the discussions following each session are included. Although an attempt was made to be as complete and accurate as possible in reproducing these discussions, the editors apologise if some important points or statements have been omitted. If so, the main reason is that the documentation of the discussions were based on written notes, not taped recordings. Eight longer contributions have been separately indexed.

  5. One strategy to enhance electrochemical properties of Ni-based cathode materials under high cut-off voltage for Li-ion batteries

    Science.gov (United States)

    Liang, Longwei; Jiang, Feng; Cao, Yanbing; Hu, Guorong; Du, Ke; Peng, Zhongdong

    2016-10-01

    Well-distributed, nano-sized and amorphous or crystalized NaTi2(PO4)3 (NTP) coating layer with high ionic conductivity is successfully introduced onto the surface of LiNi0.6Co0.2Mn0.2O2 (LNCM) particles by a simple and effective mechanical activation method followed by adjusting the reheating temperature appropriately. The promoting influence of NTP coating on the structure stability, cycle life and high rate capability under elevated cut-off voltage has been investigated in-depth. Particularly for the crystalized NTP-coated LNCM, the main reason for the enhanced electrochemical performance can be attributed to the NTP layer with rhombohedral structure providing convenient and low activation barrier diffusion pathways for Li+ ions to insert/extract the interface of electrode/electrolyte. Besides, the NTP-coated layer with stable structure can effectively inhibit the surface side reaction during the long charge/discharge process under high cut-off voltage, which will reduce the harmful insulative by-products. It's worth mentioning that the cyclic stability of crystalized NTP-coated LNCM between 3.0 and 4.6 V is also improved significantly even under the rigorous test environment.

  6. High circulating D-dimers are associated with ascites and hepatocellular carcinoma in liver cirrhosis

    Institute of Scientific and Technical Information of China (English)

    Aldo Spadaro; Antonino Ajello; Oscar Ferraù; Maria Antonietta Freni; Vincenza Tortorella; Carmela Morce; Agostino Fortiguerra; Paola Composto; Caterina Bonfiglio; Angela Alibrandi; Carmelo Luigiano; Giuseppe De Caro

    2008-01-01

    AIM:To measure plasma D-dimer levels in cirrhotic patients with and without ascites,assessing the effect of ascites resolution in D-dimer concentration.METHODS:Seventy consecutive cirrhotic patients(M=44,F=26,mean age 65 years,SD±13),observed from OdDber 2005 to March 2006 were enrolled.Circulating D-dimer Ievels were measured using a latex-enhanced,immunoturbidimetric test.In patients with ascites(,7=42)the test was repeated after ascites resolution.RESULTS:Ascites was present in 42 patients(group A)and absent in 28(group B).Group A patients had more advanced Iiver disease.Hepatocellular carcinoma(HCC)was diagnosed in 14 patients and was more frequent in group B.Above normaI range D-dimers were found in 45/70 patients.High D-dimers were more frequent in group A than in group B(P=0.001).High D-dimers were associated with presence of HCC(P=0.048)only in group B.Afber ascites resolution,obtained in all patienIs,mean D-dimer values decreased in those 34 patients with high basal levels(P=0.007),returning to normal in 17.CONCLUSION:In patients with Iiver cirrhosis,ascites and HCC are the main factors associated with increased fibrinolytic activiby.

  7. Screening for pulmonary embolism with a D-dimer assay: do we still need to assess clinical probability as well?

    OpenAIRE

    Hammond, Christopher J; Hassan, Tajek B.

    2005-01-01

    Clinical risk stratification and D-dimer assay can be of use in excluding pulmonary embolism in patients presenting to emergency departments but many D-dimer assays exist and their accuracy varies. We used clinical risk stratification combined with a quantitative latex-agglutination D-dimer assay to screen patients before arranging further imaging if required. Retrospective analysis of a sequential series of 376 patients revealed that no patient with a D-dimer of

  8. Appropriate body mass index cut-offs to determine thinness, overweight and obesity in South Asian children in the Netherlands.

    Directory of Open Access Journals (Sweden)

    Jeroen A de Wilde

    Full Text Available BACKGROUND: Asian populations have an increased risk of developing cardiometabolic disorders at a lower body mass index (BMI than other ethnic groups. Therefore, lower adult BMI cut-offs to determine overweight and obesity are recommended to assess the associated health risks for Asian (23 and 27.5 kg/m(2 respectively and Asian Indian (23, 25 kg/m(2 populations. The objective of this study was to develop BMI cut-offs for thinness, overweight, and obesity for South Asian children in the Netherlands, and to compare the BMI cut-offs and distribution with an Asian Indian reference, the WHO Child Growth Reference, and universal BMI cut-offs. METHODS: A reference cohort of 546 Surinamese South Asian boys and 521 girls, born between 1974-1976 (during the pre-obesity era with 3408 and 3267 BMI measurements respectively, was retrospectively analysed. BMI-for-age charts were created with the LMS method. BMI centile curves passing through the cut-off points of 15 (thinness, 23 (overweight, 25 and 27.5 kg/m(2 (obesity at 18y were drawn as cut-off levels. RESULTS: The BMI of Surinamese South Asian children had a similar distribution to the Asian Indian reference, apart from a lower mean and less variation. The BMI distribution differed considerably from the WHO reference and universal BMI criteria. The calculated BMI cut-offs corresponding to a BMI of 15, 23, 25, and 27.5 kg/m(2 at 18y were at the 7.1, 81.1, 89.8, and 95.5 percentile respectively in boys, and at the 2.7, 79.5, 89.2, and 95.2 percentile in girls. CONCLUSIONS: This is the first study proposing BMI cut-offs for South Asian children based on measurements from a prosperous population unaffected by the obesity epidemic. We recommend the use of these cut-offs in South Asian children in the Netherlands as these better reflect the health risks associated with thinness, overweight and obesity, and therefore may prevent the development of cardiometabolic disorders.

  9. Distributions of the S-matrix poles in Woods-Saxon and cut-off Woods-Saxon potentials

    Science.gov (United States)

    Salamon, P.; Baran, Á.; Vertse, T.

    2016-08-01

    The positions of the l = 0S-matrix poles are calculated in generalized Woods-Saxon (GWS) potential and in cut-off generalized Woods-Saxon (CGWS) potential. The solutions of the radial equations are calculated numerically for the CGWS potential and analytically for GWS using the formalism of Gy. Bencze [1]. We calculate CGWS and GWS cases at small non-zero values of the diffuseness in order to approach the square well potential and to be able to separate effects of the radius parameter and the cut-off radius parameter. In the case of the GWS potential the wave functions are reflected at the nuclear radius therefore the distances of the resonant poles depend on the radius parameter of the potential. In CGWS potential the wave function can be reflected at larger distance where the potential is cut to zero and the derivative of the potential does not exist. The positions of most of the resonant poles do depend strongly on the cut-off radius of the potential, which is an unphysical parameter. Only the positions of the few narrow resonances in potentials with barrier are not sensitive to the cut-off distance. For the broad resonances the effect of the cut-off cannot be corrected by using a suggested analytical form of the first order perturbation correction.

  10. Factors associated with D-dimer levels in HIV-infected individuals

    DEFF Research Database (Denmark)

    Borges, Alvaro H; O'Connor, Jemma L; Phillips, Andrew N;

    2014-01-01

    [IL-6]), antiretroviral therapy (ART) use, ART regimens, co-morbidities (hepatitis B/C, diabetes mellitus, prior cardiovascular disease), smoking, renal function (estimated glomerular filtration rate [eGFR] and cystatin C) and cholesterol. RESULTS: Women from all age groups had higher D-dimer levels...... viruses, was positively correlated with D-dimer. Other factors independently associated with higher D-dimer levels were black race, higher plasma HIV RNA levels, being off ART at baseline, and increased levels of CRP, IL-6 and cystatin C. In contrast, higher baseline CD4+ counts and higher high...

  11. D-dimer is useful in assessing the vulnerable blood in elderly patients with coronary disease

    Institute of Scientific and Technical Information of China (English)

    Yansong Zheng; Qiang Zeng; Liping Zhang; Liufa Duan; Kunlun He; Qiufu Zheng

    2008-01-01

    Background and objective The value of D-dimer in the risk stratification of patients with coronary artery diseas(CAD)and the relationship between D-dimer and the diseased coronary arteries remains controversial or unclear.especially in the elderly.Thisstudy was to evaluate the usefulness of D-djmer as a biomarker in assessing the vuinerable blood in the elderly patients with coronarydisease.Methods Sixty elderly (≥60 years old)male patients with suspected CAD were enrolled in this prospective study.Patients were divided into CAD group(n=41,10 with stable angina and 31 with unstable angina)and control group(n=19)according to their coronary angiography Results Clinicalinformation including age,body mass index(BMI),smoking index,and thecomplications of Primary hypertension or diabetes.and CAD family history was collected.Venous blood was sampled serially for thedetermination of total cholesterol,HDL cholesterol,LDL cholesterol,triglycerides,apoAl,apoB,glucose,uric acid,homocysteine(Hey),hs-CRP,soluble thrombomodulin(sTM),and marker of fibrinolytic system and hypercoagulability,such as D-dimer,fibrinogen,etc.The extent of coronary atherosclerosis was assessed.using the Gensini scoring system on the basis of coronary angiography.Results Compared with the controls.the patients with CAD had significantly higher levels of D-dimer.D-dimer level wassignificantly correlated to age.hs-CR P.Hcy,and PAI-1.Patients with D-dimer levels in the top triplicate of D-dimer level hadsignificantly higher prevalence of unstable angina compared with patients in the lowest triplicate(OR=4.8,Z=3.28,P=0.001).In anordinal logistic regression.the OR value ofdeveloping more serious CAD augmented 3.1-foid with each increasing triplicate of D-dimer.Patients with unstable angina had a significantly higher level of D-dimer than the controls(P=0.005),and an increasing trend comparedwith patients with stable angina (P=0.059).whereas there was no difference between the patients with stable angina and

  12. Dynamical behavior and cut-off frequency of Si/SiGe microcoolers

    Science.gov (United States)

    Ezzahri, Y.; Dilhaire, S.; Patiño-Lopez, L. D.; Grauby, S.; Claeys, W.; Bian, Z.; Zhang, Y.; Shakouri, A.

    2007-01-01

    Solid-state microcoolers offer an attractive way to solve some of the problems related to temperature stabilisation and control, not only in optoelectronic and microelectronic applications, but also in biological applications where specimens require cooling. One of the important parameters of these coolers is their transient response or their cut-off frequency. We studied how this parameter is influenced by material properties (e.g., substrate and superlattice layer thermal diffusivities), and by geometrical factors (e.g., microcooler cross sectional area or thickness). Our models are based on a modified Thermal Quadrupole Method, which only takes the Peltier effect into account; the reason behind the modification is that the Peltier and Joule effects are uncorrelated in the frequency domain, so their contributions can be studied separately. The thermophysical properties of the microcooler are assumed to be temperature independent. The effect of the top side heat leakage on the performance of the microcooler is also presented.

  13. Estimation of cut-off wavelength of rare earth doped single-mode fibers

    Science.gov (United States)

    Kaur, Jagneet; Thyagarajan, K.; Pal, B. P.

    1999-11-01

    A new empirical relation is proposed describing spectral variation of mode-field radius (MFR) as inferred from measurements in the far-field of the fiber. It is shown that using this relation, it is possible to estimate the cut-off wavelength ( λc) of the fiber. The proposed technique is successfully tested through measurements made on two standard step index single-mode fibers, as well as on an erbium doped fiber (EDF) having λc falling within its strong absorption band around 980 nm. This empirical formula is more accurate than the widely used Marcuse's formula to describe spectral dependence of MFR determined through measurements made in the fiber's far-field. The proposed technique is especially suited for estimation of λc of doped fibers in which λc falls within an absorption band.

  14. The Warm DM halo mass function below the cut-off scale

    CERN Document Server

    Angulo, Raul E; Abel, Tom

    2013-01-01

    Warm Dark Matter (WDM) cosmologies are a viable alternative to the Cold Dark Matter (CDM) scenario. Unfortunately, an accurate scrutiny of the WDM predictions with N-body simulations has proven difficult due to numerical artifacts. Here, we report on cosmological simulations that, for the first time, are devoid of those problems, and thus, are able to accurately resolve the WDM halo mass function well below the cut-off. We discover a complex picture, with perturbations at different evolutionary stages populating different ranges in the halo mass function. On the smallest mass scales we can resolve, identified objects are typically centres of filaments that are starting to collapse. On intermediate mass scales, objects typically correspond to fluctuations that have collapsed and are in the process of relaxation, whereas the high mass end is dominated by objects similar to haloes identified in CDM simulations. When explicitly show how the formation of low-mass haloes is suppressed, which translates into a stron...

  15. Percentile curves for body fatness and cut-offs to define malnutrition in Russians

    International Nuclear Information System (INIS)

    Here, we report first results of the large-scale ongoing bioelectrical impedance body composition study in Russians. By the end of 2012, 216 out of 800 Russian Health Centres submitted raw bioimpedance data on 844,221 adults and children aged 5–80 years, representing nearly 0.6% of the Russian population, who were accessed cross-sectionally using the same type of bioimpedance meter, ABC-01 Medas. Estimates of overweight, obesity, and normal weight obesity prevalence in the general population, as well as characteristics of diagnostic sensitivity and specificity of the conventional WHO BMI-based criteria of obesity depending on age are obtained. The smoothed reference centile curves for percentage fat mass are constructed, and localized cut-offs for fatness and thinness are provided that can be used both at the individual and epidemiological levels.

  16. Percentile curves for body fatness and cut-offs to define malnutrition in Russians

    Science.gov (United States)

    Nikolaev, D. V.; Rudnev, S. G.; Starunova, O. A.; Eryukova, T. A.; Kolesnikov, V. A.; Ponomareva, E. G.; Soboleva, N. P.; Sterlikov, S. A.

    2013-04-01

    Here, we report first results of the large-scale ongoing bioelectrical impedance body composition study in Russians. By the end of 2012, 216 out of 800 Russian Health Centres submitted raw bioimpedance data on 844,221 adults and children aged 5-80 years, representing nearly 0.6% of the Russian population, who were accessed cross-sectionally using the same type of bioimpedance meter, ABC-01 Medas. Estimates of overweight, obesity, and normal weight obesity prevalence in the general population, as well as characteristics of diagnostic sensitivity and specificity of the conventional WHO BMI-based criteria of obesity depending on age are obtained. The smoothed reference centile curves for percentage fat mass are constructed, and localized cut-offs for fatness and thinness are provided that can be used both at the individual and epidemiological levels.

  17. The Association Between Epicardial Adipose Tissue and Coronary Artery Disease: an Echocardiographic Cut-off Point

    Directory of Open Access Journals (Sweden)

    Mehrnoush Toufan

    2012-09-01

    Full Text Available Introduction: EAT is an independent factor in coronary artery disease (CAD. The objective of the current study was to define an echocardiographic cut-off point for EAT and to determine its diagnostic value in predicting the increase in CAD risk. Methods: Two hundred patients underwent coronary artery angiography for diagnosis of CAD and transthoracic echocardiography for measurement of EAT on the right ventricle (RV, RV apex and RV outlet tract. Sensitivity, specificity, positive predictive value (PPV and negative predictive value (NPV of the EAT cut-off points in the three above-mentioned areas for predicting the severity of CAD were measured. The relation between the EAT and CAD risk factors was evaluated as well. Results: EAT was independent from gender, height, hypertension, diabetes, HDL, total cholesterol, ejection fraction, acute coronary syndrome, and the location of the coronary artery stenosis in the coronary artery in all three anatomical areas. EAT on RV and RV apex had a significant relation with CAD (P ≤ 0.05. Overall, RV EAT≥ 10 mm and RV apex EAT ≥ 8 mm had sensitivity and PPV of more than 70% in predicting coronary stenosis ≥ 50% and acute coronary syndrome (ACS and RVOT EAT ≥ 13 mm is of PPV=83.5% for predicting coronary stenosis ≥ 50%. Conclusion: EAT thickness has an acceptable diagnostic value for predicting severe coronary artery stenosis and ACS. Therefore, non-invasive EAT thickness measurement could be of great assistance to clinicians for detecting the patients at risk and helping them to undergo supplementary evaluations with invasive approaches.

  18. Role of neutron and proton system in spin cut off parameter and entropy of {sup 89,90}Y

    Energy Technology Data Exchange (ETDEWEB)

    Rahmatinejad, A. [Department of Physics, Faculty of Science, University of Zanjan, Zanjan (Iran, Islamic Republic of); Razavi, R., E-mail: rrazavin@ihu.ac.ir [Physics Department, Faculty of Science, Imam Hossein Comprehensive University, Tehran (Iran, Islamic Republic of); Kakavand, T. [Department of Physics, Faculty of Science, Imam Khomeini International University, Qazvin (Iran, Islamic Republic of)

    2015-09-15

    The nuclear level densities, entropies and spin cut off parameters have been determined in {sup 89,90}Y nuclei using the BCS model with inclusion of pairing interaction. The results have a good agreement with the recent experimental data on the level densities measured by the Oslo group. In addition, the entropy excess of {sup 90}Y compared to {sup 89}Y as a function of temperature has been extracted. Also, the role of neutron and proton systems in the entropy excess as well as the spin cut off excess have been investigated using the entropy excess ratio and spin cut off excess ratio introduced in our previous publication. The role of the neutron system at low temperatures, the temperatures below critical temperature, in the semi-magic nucleus {sup 89}Y is similar compared to the closed shell proton system in the tin isotopes.

  19. Role of neutron and proton system in spin cut off parameter and entropy of 89,90Y

    Science.gov (United States)

    Rahmatinejad, A.; Razavi, R.; Kakavand, T.

    2015-09-01

    The nuclear level densities, entropies and spin cut off parameters have been determined in 89,90Y nuclei using the BCS model with inclusion of pairing interaction. The results have a good agreement with the recent experimental data on the level densities measured by the Oslo group. In addition, the entropy excess of 90Y compared to 89Y as a function of temperature has been extracted. Also, the role of neutron and proton systems in the entropy excess as well as the spin cut off excess have been investigated using the entropy excess ratio and spin cut off excess ratio introduced in our previous publication. The role of the neutron system at low temperatures, the temperatures below critical temperature, in the semi-magic nucleus 89Y is similar compared to the closed shell proton system in the tin isotopes.

  20. Sucrose hydrolysis by invertase using a membrane reactor: effect of membrane cut-off on enzyme performance

    Directory of Open Access Journals (Sweden)

    Francesco Di Addezio

    2014-04-01

    Full Text Available Sucrose hydrolysis by invertase [EC.3.2.1.26] produces inverted sugar syrup, an ingredient mainly used in the food industry. To properly catalyze hydrolysis, the enzyme should be reused after this reaction. It is advisable to maintain constant activity over a considerable period. Thus, sucrose hydrolysis was performed in a membrane bioreactor - a continuously stirred tank reactor coupled with an ultrafiltration membrane (UFM which provides good diffusion and high activity per unit volume. Molecular weight cut-off for soluble invertase UFMs was up to 100kDa. This study focused on the role of UFM invertase cut-off as it is the main element in the process. We demonstrated that both the cut-off and chemical nature of the UFM affected specific invertase activity.

  1. Monoclonal antibodies with equal specificity to D-dimer and high-molecular-weight fibrin degradation products

    Science.gov (United States)

    Kogan, Alexander E.; Mukharyamova, Kadriya S.; Bereznikova, Anastasia V.; Filatov, Vladimir L.; Koshkina, Ekaterina V.; Bloshchitsyna, Marina N.; Katrukha, Alexey G.

    2016-01-01

    Fibrin degradation results in the formation of fibrin degradation products (FDPs) of different molecular weights, which include D-dimer. Commercial D-dimer assays recognize multiple forms of FDP with different specificity. As a result, the absence of an international D-dimer standard and the marked discrepancy in the D-dimer values in the same samples measured by assays from different manufacturers have become the primary problems that clinicians face in the D-dimer determination. We consider that an assay with equal specificity to all FDP forms regardless of their molecular weights could help to solve these problems. We aimed to produce mAbs that could equally recognize high-molecular-weight FDP (HMW FDP) and D-dimer. mAbs against D-dimer were produced. The HMW FDP/D-dimer ratios in plasma samples were analyzed following protein separation by gel filtration using the developed fluoroimmunoassay. A sandwich immunoassay with equal specificity to HMW FDP and D-dimer was developed and applied to determine HMW FDP/D-dimer ratios in patients with different diseases. Although the HMW FDP levels prevailed in thrombotic patients, the FDP and D-dimer levels were comparable in septic patients. Meanwhile, the D-dimer levels often exceeded the HMW FDP levels in patients who had undergone surgery. The ‘D-dimer’ levels that were detected by different assays also varied greatly depending on the assay specificities to FDP and D-dimer. Our findings show that the introduction of assays with equal specificities to FDP and D-dimer in clinical practice is a possible way of standardizing D-dimer measurements. PMID:26656897

  2. Using D-Dimer to Diagnose Painless Acute Aortic Dissection: A Case Report

    Directory of Open Access Journals (Sweden)

    Caroline Barniol

    2011-01-01

    Case Presentation. We report the case of a 66-year-old Caucasian male who presented a syncope immediately followed by a left-arm weakness while driving his car. Clinical examination was normal, but bilateral jugular vein distension was noted. Electrocardiogram and chest radiography were unremarkable. Among blood tests performed, troponin I test result was negative, and D-dimer test concentration was >4000 ng/mL. Since D-dimer test result was positive, chest computer tomography angiogram was performed and found a thoracic aortic dissection. Conclusion. Our case report shows that acute aortic dissection diagnosis is difficult and must be associated with the interpretation of various clinical signs and D-dimer measurement. It could be helpful for the emergency physician to have a pretest probability D-dimer like in pulmonary embolism diagnosis.

  3. Cut-off point for WHOQOL-bref as a measure of quality of life of older adults

    Directory of Open Access Journals (Sweden)

    Patrícia Aparecida Barbosa Silva

    2014-06-01

    Full Text Available OBJECTIVE To propose a cut-off for the World Health Organization Quality of Life-Bref (WHOQOL-bref as a predictor of quality of life in older adults.METHODS Cross-sectional study with 391 older adults registered in the Northwest Health District in Belo Horizonte, MG, Southeastern Brazil, between October 8, 2010 and May 23, 2011. The older adults’ quality of life was measured using the WHOQOL-bref. The analysis was rationalized by outlining two extreme and simultaneous groups according to perceived quality of life and satisfaction with health (quality of life good/satisfactory – good or very good self-reported quality of life and being satisfied or very satisfied with health – G5; and poor/very poor quality of life – poor or very poor self-reported quality of life and feeling dissatisfied or very dissatisfied with health – G6. A Receiver-Operating Characteristic curve (ROC was created to assess the diagnostic ability of different cut-off points of the WHOQOL-bref.RESULTS ROC curve analysis indicated a critical value 60 as the optimal cut-off point for assessing perceived quality of life and satisfaction with health. The area under the curve was 0.758, with a sensitivity of 76.8% and specificity of 63.8% for a cut-off of ≥ 60 for overall quality of life (G5 and sensitivity 95.0% and specificity of 54.4% for a cut-off of < 60 for overall quality of life (G6.CONCLUSIONS Diagnostic interpretation of the ROC curve revealed that cut-off < 60 for overall quality of life obtained excellent sensitivity and negative predictive value for tracking older adults with probable worse quality of life and dissatisfied with health.

  4. Fixed Cut-Off for FEV1/FEV6 and FEV6 in Detection of Obstructive and Restrictive Patterns

    OpenAIRE

    Aghili, Rokhsareh; Kia, Maryam; Meysamie, Alipasha; Aghili, Seyed Mojtaba; Paknejad, Omalbanin

    2013-01-01

    Background Chronic obstructive pulmonary diseases (COPD) have been defined by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) as irreversible conditions which are diagnosed by fixed cut-off points of FEV1/FVC. Objective The aim of this study was to determine the cut-off points for FEV1/FEV6 ratio and FEV6 as alternatives for FEV1/FVC and FVC in detection of airway obstruction and lung restriction, respectively. Materials and Methods A total of 318 Spiro metric examinations o...

  5. Kadar Fibrinogen Dan D-Dimer Pada Wanita Dengan Sindroma Ovarium Polikistik

    OpenAIRE

    Lubis, Hilma Putri

    2015-01-01

    BACKGROUND : Polycystic Ovarian Syndrome (PCOS) is a dysfunction of ovarium with polycystic ovarian morphology and hiperandrogenism state. Fibrinogen dan D-dimer are hemostatic factors. Fibrinogen considered as an independent risk factor for cardiovascular disease. D-dimer, final product of cross-linked fibrin degeneration by plasmin in fibrinolytic system, also contributes to cardiovascular and miscarriage risk especially in PCOS patient. OBJECTIVE : To find the difference of fibrinogen a...

  6. Evaluation of D-dimer serum levels among patients with chronic urticaria, psoriasis and urticarial vasculitis*

    OpenAIRE

    Criado, Paulo Ricardo; Antinori, Lidi Che Leon; Maruta, Celina Wakisaka; dos Reis, Vitor Manoel Silva

    2013-01-01

    BACKGROUND It has been demonstrated that neutrophils, eosinophils and monocytes, under appropriated stimulus, may express tissue factor and therefore, activate the extrinsic pathway of coagulation. We performed a transversal and case-control study of patients with chronic urticaria and patients with psoriasis, in our outpatient clinic to evaluate the production of D-dimer. OBJECTIVE To evaluate D-dimer serum levels in patients with chronic urticaria and its possible correlation with disease a...

  7. Capnometry in suspected pulmonary embolism with positive D-dimer in the field

    OpenAIRE

    Rumpf, Tadeja Hernja; Križmarić, Miljenko; Grmec, Štefek

    2009-01-01

    Introduction Pulmonary embolism (PE) is one of the greatest diagnostic challenges in prehospital emergency setting. Most patients with suspected PE have a positive D-dimer and undergo diagnostic testing. Excluding PE with additional non-invasive tests would reduce the need for further imaging tests. We aimed to determine the effectiveness of combination of clinical probability and end-tidal carbon dioxide (PetCO2) for evaluation of suspected PE with abnormal concentrations of D-dimer in preho...

  8. Value of D-Dimers in patients with acute aortic dissection

    Institute of Scientific and Technical Information of China (English)

    Chuncai Xue; Yigang Li

    2007-01-01

    Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P < 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (>0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P <0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P < 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.

  9. Prognostic value of D-dimer in elderly patients with Pulmonary Embolism.

    Science.gov (United States)

    Polo Friz, Hernan; Buzzini, Chiara; Orenti, Annalisa; Punzi, Veronica; Molteni, Mauro; Primitz, Laura; Cavalieri d'Oro, Luca; Arpaia, Guido; Boracchi, Patrizia; Cimminiello, Claudio

    2016-10-01

    In a general population with acute Pulmonary Embolism (PE) elevated D-dimer concentrations associate with increased mortality. The aim of the study was to assess the ability of D-dimer to predict 30 and 90-days mortality in elderly patients with acute PE. Hemodynamically stable patients aged ≥65 years old with confirmed PE were included in this retrospective cohort study. A pulmonary computerized tomography angiography scan, D-dimer concentrations, simplified Pulmonary Embolism Severity Index (sPESI) variables and vital status were available for all patients. The study included 154 confirmed cases of PE (23.5 % of suspected), median age 79.1 years. D-dimer was higher in patients dead than in those alive at 30 (median 14,547 vs. 8340 ng/mL, p = 0.05) and 90 days (13,604 vs. 7973 ng/mL, p = 0.013). When adding D-dimer to sPESI, the discriminant capacity to predict mortality within 30 and 90 days was increased by 0.080 and 0.089, respectively. The contribution of D-dimer to the discriminating ability was NRI = 0.286 (95 % CI -0.198 to 0.770, p value: 0.247) at 30 days and NRI = 0.605 (95 % CI 0.223-0.988, p-value: 0.002) at 90 days.D-dimer concentration was associated with 30 and 90-days mortality and showed a higher discriminant capacity than sPESI alone to predict 90-days mortality. Adding D-dimer concentrations to sPESI score seems to improve its prognostic ability, supporting multivariable risk models as the best approach to estimate prognosis in elderly patients with PE. PMID:27357135

  10. Current MUAC Cut-Offs to Screen for Acute Malnutrition Need to Be Adapted to Gender and Age: The Example of Cambodia.

    Directory of Open Access Journals (Sweden)

    Marion Fiorentino

    Full Text Available Early identification of children 5 yrs. Therefore, this study aimed at defining gender and age-specific cut-offs to improve sensitivity of MUAC as an indicator of acute malnutrition.To establish new age and gender-specific MUAC cut-offs, pooled data was obtained for 14,173 children from 5 surveys in Cambodia (2011-2013. Sensitivity, false positive rates, and areas under receiver-operator characteristic curves (AUC were calculated using wasting for children 80% with the new cut-offs in comparison with the current WHO cut-offs.Gender and age specific MUAC cut-offs drastically increased sensitivity to identify children with WHZ-score <-2 z-scores. International reference of MUAC cut-offs by age group and gender should be established to screen for acute malnutrition at the community level.

  11. Lifecourse social position and D-dimer; findings from the 1958 British birth cohort.

    Directory of Open Access Journals (Sweden)

    Faiza Tabassum

    Full Text Available The aim is to examine the association of lifecourse socioeconomic position (SEP on circulating levels of D-dimer. Data from the 1958 British birth cohort were used, social class was determined at three stages of respondents' life: at birth, at 23 and at 42 years. A cumulative indicator score of SEP (CIS was calculated ranging from 0 (always in the highest social class to 9 (always in the lowest social class. In men and women, associations were observed between CIS and D-dimer (P<0.05. Thus, the respondents in more disadvantaged social classes had elevated levels of D-dimer compared to respondents in less disadvantaged social class. In multivariate analyses, the association of disadvantaged social position with D-dimer was largely explained by fibrinogen, C-reactive protein and von Willebrand Factor in women, and additionally by smoking, alcohol consumption and physical activity in men. Socioeconomic circumstances across the lifecourse at various stages also contribute independently to raised levels of D-dimer in middle age in women only. Risk exposure related to SEP accumulates across life and contributes to raised levels of D-dimer. The association of haemostatic markers and social differences in health may be mediated by inflammatory and other markers.

  12. Qualitative D-Dimer in deep vein thrombosis: A single center prospective study from Kashmir India

    Directory of Open Access Journals (Sweden)

    Davinder Pal Singh

    2012-01-01

    Full Text Available Objective: The aim of our study was to study the significance of qualitative D-dimer in the diagnosis of deep vein thrombosis. Study Design: Prospective analysis. Setting: Tertiary care hospital. Materials and Methods: One hundred and twenty nine patients of suspected deep vein thrombosis were included in the study and further categorized as likely or unlikely to have deep vein thrombosis on Wells scoring system. The patients in both the likely and unlikely categories were then randomly assigned to undergo D-dimer testing (D-dimer group or to undergo ultrasound imaging alone (control group. The patients with pre text clinical probability score as unlikely and with negative D-dimer test were considered not to have DVT. The primary event was recurrent venous thromboembolism in both the groups during three months of follow-up. Results: A total of one hundred and twenty nine patients with suspected DVT were included in the study. Sixty five patients were randomly assigned to D-dimer group and sixty four to the doppler group. The diagnosis of DVT was established in 41 (31.78% patients. Among patients in whom DVT was ruled out by the initial diagnostic evaluation one case of deep vein thrombosis was confirmed in the D-dimer group (1/55, 1.8%; 95% confidence interval, 1.6 to 5.2% and two cases in the Doppler group (2/51, 3.92%; 95% confidence interval, 1.5 to 9.34% during three months of follow-up. The use of D-dimer resulted in lesser number of USG (0.66 tests per person in the D-dimer group as compared to (1.23 tests per person in the Doppler group. Forty patients (31% in the D-dimer group did not require ultrasound imaging. Conclusion: The diagnostic performance of qualitative D-dimer assay combined with a clinical pre text probability score can also rule out DVT safely in low probability scores without significantly compromising safety.

  13. D-dimer assays - A help or hindrance in suspected pulmonary thromboembolism assessment?

    Directory of Open Access Journals (Sweden)

    H K Bayes

    2011-01-01

    Full Text Available Background : Suspected pulmonary thromboembolism (PTE is a common presentation to acute medical units and can cause diagnostic difficulty. National guidelines on PTE management highlight the need for clinical probability assessment and D-dimer assays to ensure appropriate use of diagnostic imaging. D-dimers are used widely in UK hospitals, yet concern exists regarding their misuse. Aims : In this study we aimed to assess the impact of the introduction of D-dimer assays, combined with clinical probability assessment, for evaluation of suspected PTE in our unit. Materials and Methods : This was a prospective audit of all patients presenting with suspected PTE over two 12-week periods, exactly 1 year apart. D-dimers were introduced into our unit between these two periods. We recorded the clinical probability score, potential causes of false-positive D-dimer assay, diagnostic imaging result, patient outcome, admission rates, and length of inpatient stay. Statistical Analysis : Categorical variables were compared using a 2 x 2 chi-square test or Fisher′s exact test. Groups were compared utilizing the two-sample t-test or Mann-Whitney U test. Results : A total of 190 patients were included in the study; 65% were female. PTE was confirmed in 8.4%. Patients in both audit periods were comparable with regard to suitability for D-dimer measurement. Following D-dimer introduction, 40 out of 110 patients in period 2 could be discharged directly from the emergency department. Of those admitted to hospital, the median length of stay was significantly reduced in period 2 (3 days in period 1 vs 1 day in period 2; P=0.0007. Use of diagnostic imaging was significantly reduced following the introduction of D-dimers (90% in period 1 vs 40% in period 2; P<0.0001. The positive diagnostic yield for PTE on CT pulmonary angiogram (CTPA increased significantly from 10% in period 1 to 23% in period 2 (P=0.039. Conclusion : D-dimers must be used judiciously in the

  14. T-cell assays for tuberculosis infection: deriving cut-offs for conversions using reproducibility data.

    Directory of Open Access Journals (Sweden)

    Anandharaman Veerapathran

    Full Text Available BACKGROUND: Although interferon-gamma release assays (IGRA are promising alternatives to the tuberculin skin test, interpretation of repeated testing results is hampered by lack of evidence on optimal cut-offs for conversions and reversions. A logical start is to determine the within-person variability of T-cell responses during serial testing. METHODOLOGY/PRINCIPAL FINDINGS: We performed a pilot study in India, to evaluate the short-term reproducibility of QuantiFERON-TB Gold In Tube assay (QFT among 14 healthcare workers (HCWs who underwent 4 serial QFT tests on day 0, 3, 9 and 12. QFT ELISA was repeated twice on the same sets of specimens. We assessed two types of reproducibility: 1 test-retest reproducibility (between-test variability, and 2 within-person reproducibility over time. Test-retest reproducibility: with dichotomous test results, extremely high concordance was noticed between two tests performed on the same sets of specimens: of the 56 samples, the test and re-test results agreed for all but 2 individuals (kappa = 0.94. Discordance was noted in subjects who had IFN-gamma values around the cut-off point, with both increases and decreases noted. With continuous IFN-gamma results, re-test results tended to produce higher estimates of IFN-gamma than the original test. Within-person reproducibility: when continuous IFN-gamma data were analyzed, the within-person reproducibility was moderate to high. While persons with negative QFT results generally stayed negative, positive results tended to vary over time. Our data showed that increases of more than 16% in the IFN-gamma levels are statistically improbable in the short-term. CONCLUSIONS: Conservatively assuming that long-term variability might be at least twice higher than short-term, we hypothesize that a QFT conversion requires two conditions to be met: 1 change from negative to positive result, and 2 at least 30% increase in the baseline IFN-gamma response. Larger studies are needed

  15. Appropriate body mass index cut-offs to determine thinness, overweight and obesity in South Asian children in The Netherlands

    NARCIS (Netherlands)

    Wilde, J.A. de; Dommelen, P. van; Middelkoop, B.J.C.

    2013-01-01

    Background: Asian populations have an increased risk of developing cardiometabolic disorders at a lower body mass index (BMI) than other ethnic groups. Therefore, lower adult BMI cut-offs to determine overweight and obesity are recommended to assess the associated health risks for Asian (23 and 27.5

  16. Quantum fields and Poisson processes: interaction of a cut-off boson field with a quantum particle

    Energy Technology Data Exchange (ETDEWEB)

    Bertrand, J.; Rideau, G.; Gaveau, B.

    1985-01-01

    The solution of the Schroedinger equation for a boson field interacting with a quantum particle is written as an expectation on a Poisson process counting the variations of the boson-occupation numbers for each momentum. An energy cut-off is needed for the expectation to be meaningful.

  17. Quantum fields and poisson processes: Interaction of a cut-off boson field with a quantum particle

    Science.gov (United States)

    Bertrand, Jacqueline; Gaveau, Bernard; Rideau, Guy

    1985-01-01

    The solution of the Schrödinger equation for a boson field interacting with a quantum particle is written as an expectation on a Poisson process counting the variations of the boson-occupation numbers for each momentum. An energy cut-off is needed for the expectation to be meaningful.

  18. Cut-off levels and diagnostic accuracy of infliximab trough levels and anti-infliximab antibodies in Crohn's disease

    DEFF Research Database (Denmark)

    Steenholdt, Casper; Bendtzen, Klaus; Brynskov, Jørn;

    2011-01-01

    Reasons for infliximab failure in Crohn's disease and ulcerative colitis are debated. Serum levels of infliximab and anti-infliximab antibodies have been associated with loss of response. We aimed at determining cut-off levels for infliximab and anti-infliximab antibody concentrations associated...

  19. Design and construction of a soil bentonite cut-off wall for Suncor's South Tailings Pond

    Energy Technology Data Exchange (ETDEWEB)

    Stephens, B. [Klohn Crippen Berger Ltd., Calgary, AB (Canada); Bowron, M. [Suncor Energy Inc., Fort McMurray, AB (Canada)

    2010-07-01

    Commissioned in July 2006, Suncor's South Tailings Pond (STP) is an external oil sands tailings storage facility with a footprint of 2300 hectares including infrastructure. The Southwest cut-off wall was completed in 2008, forming one of four principal seepage management systems for the STP. The cut-off wall consists of soil bentonite backfill from native materials from the wall excavation. Construction of the wall utilized both a long-stick back-hoe and crane mounted clamshell to excavate the wall under bentonite slurry. This paper discussed the construction of the cut-off wall as well as the the field and laboratory testing programs that determined the soil-bentonite mix. It also described the quality assurance and quality control programs conducted during construction. Last, the paper provided a brief discussion of the design and construction issues specific to seepage cut-off walls in the oil sands region. It was concluded that while construction of a soil-bentonite wall is a simple process, a professional experienced in the construction of deep walls is essential to achieve a quality product. Technical site support is also needed by the construction team in order to confirm geology, material properties and design assumptions. 1 tab., 5 figs.

  20. Cut-off Characterisation of Energy Spectra of Bright Fermi Sources: Current instrument limits and future possibilities

    CERN Document Server

    Romoli, C; Aharonian, F

    2016-01-01

    In this paper some of the brightest GeV sources observed by the Fermi-LAT were analysed, focusing on their spectral cut-off region. The sources chosen for this investigation were the brightest blazar flares of 3C 454.3 and 3C 279 and the Vela pulsar using catalogue data and reanalysis with the latest Fermi-LAT software. For the study the spectral cut-off we first explored the Vela pulsar spectrum, whose statistics in the 3FGL catalog allowed strong constraints to be obtained on the parameters. We subsequently performed a new analysis of the flaring blazar SEDs. For these sources we obtained constraints on the cut-off parameters under the assumption that their underlying spectral distribution is described by a power-law with a stretched exponential cut-off. We then highlighted the significant potential improvements on such constraints by observations with next generation ground based Cherenkov telescopes, represented in our study by the Cherenkov Telescope Array (CTA). Adopting currently available simulations ...

  1. D-dimer assay in Egyptian patients with Gaucher disease: correlation with bone and lung involvement.

    Science.gov (United States)

    Sherif, Eman M; Tantawy, Azza A G; Adly, Amira A M; Kader, Hossam A; Ismail, Eman A R

    2011-04-01

    Gaucher disease is the most frequent lysosomal storage disorder. Bone and lung involvement are two major causes of morbidity in this disease. D-dimer is a reliable indicator of active microvascular thrombosis, even in patients without overt hypercoagulation. This study aimed to assess D-dimer levels in Gaucher disease, correlating this marker to clinical characteristics and radiological parameters to investigate its role as a potential predictor for the occurrence and severity of skeletal and pulmonary manifestations. The study population consisted of 56 Egyptian patients with Gaucher disease, 36 had type 1 Gaucher disease (64.3%) and 20 had type 3 Gaucher disease (35.7%). Thirty healthy individuals were enrolled as a control group. D-dimer levels were significantly higher in all patients with Gaucher disease compared with controls (P < 0.001). Patients with type 3 showed significantly higher D-dimer concentrations compared with type 1 (P < 0.001). Pulmonary involvement was present in a significant proportion among type 3 Gaucher patients (P < 0.05), whereas bone changes were present in a higher percentage in type 1 compared with type 3 Gaucher patients. D-dimers were significantly higher in patients with abnormal MRI findings of the long bones and in those with ground glass appearance on high-resolution computerized tomography of the chest compared with patients with normal radiology (P < 0.001). Splenectomized patients displayed significantly higher D-dimer levels compared with nonsplenectomized patients (P < 0.001). Our results suggest that D-dimer is significantly elevated in Gaucher disease, particularly type 3, and may be considered as a potential marker of risk prediction of bone and lung involvement that could be used to monitor treatment response.

  2. D-dimer testing: advantages and limitations in emergency medicine for managing acute venous thromboembolism.

    Science.gov (United States)

    Siragusa, Sergio

    2006-01-01

    D-dimer values can be rapidly determined and used for the management of acute venous thromboembolism (VTE). However, its role in the setting of emergency still remains unclear and inappropriate testing is a significant clinical problem. This review discusses the currently used assays, clinical indications, and limitations of D-dimer measurement. Studies in English language were identified by searching PubMed from December 1985 to December 2005. Available literature on D-dimer was identified from Medline, along with cross referencing from the reference lists of major articles and reviews on this subject. Among 56 articles collected, 14 papers, 4 overviews and 1 systemic review were selected accordingly to predefined criteria. Data synthesis shows that D-dimer testing has sufficient diagnostic accuracy for ruling out acute VTE if used in combination with standardised clinical judgement. D-dimer seems to be also a useful tool for managing suspected VTE patients in absence of immediate imaging. Attention should be paid to exclude conditions that may affect the accuracy of the test, such as concomitant disease, heparin administration and symptom duration >15 days. Although enzyme-linked immunosorbent assay determination has the highest accuracy, immunoturbidimetric assay seems the most suitable on an emergency basis because of its rapid performance. In conclusion, at present D-dimer testing can be safely used in the management of acute VTE in emergency medicine. However, because of its heterogeneity related to the method used and setting implemented, it is preferable to assess D-dimer accuracy before its implementation in management strategies for VTE. PMID:16941816

  3. ELISA Cut-off Point for the Diagnosis of Human Brucellosis; a Comparison with Serum Agglutination Test

    Directory of Open Access Journals (Sweden)

    Anahita Sanaei Dashti

    2012-03-01

    Full Text Available Background: Brucellosis is a world-wide disease, which has a diverse clinical manifestation, and its diagnosis has to be proven by laboratory data. Serum agglutination test (SAT is the most-widely used test for diagnosing brucellosis. The enzyme linked immunosorbent assay (ELISA can also determine specific antibody classes against brucella. It is a sensitive, simple and rapid test, which could be an acceptable alternative to SAT with fewer limitations, however, like any other new test it should be further evaluated and standardized for various populations. This study was planned to determine an optimal cut-off point, for ELISA which would offer maximum sensitivity and specificity for the test when compared to SAT.Methods: Four hundred and seven patients with fever and other compatible symptoms of brucellosis were enrolled in the study. Serum agglutination test, 2-Mercaptoethanol test, and ELISA were performed on their sera. Results: The cut-off point of 53 IU/ml of ELISA-IgG yielded the maximal sensitivity and specificity comparing to the other levels of ELISA-IgG, and was considered the best cut off-point of ELISA-IgG to diagnose acute brucellosis. At this cut-off, the sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, and negative likelihood ratio were 84.09%, 85.38%, 62.20, 94.90, 5.75, 0.18, respectively.Conclusion: The best cut-off point of ELISA-IgG is 53 IU/ml, which yields the maximal sensitivity and specificity to diagnose acute brucellosis.

  4. Fast Modeling of Large Wave Energy Farms Using Interaction Distance Cut-Off

    Directory of Open Access Journals (Sweden)

    Malin Göteman

    2015-12-01

    Full Text Available In many wave energy concepts, power output in the MW range requires the simultaneous operation of many wave energy converters. In particular, this is true for small point-absorbers, where a wave energy farm may contain several hundred devices. The total performance of the farm is affected by the hydrodynamic interactions between the individual devices, and reliable tools that can model full farms are needed to study power output and find optimal design parameters. This paper presents a novel method to model the hydrodynamic interactions and power output of very large wave energy farms. The method is based on analytical multiple scattering theory and uses time series of irregular wave amplitudes to compute the instantaneous power of each device. An interaction distance cut-off is introduced to improve the computational cost with acceptable accuracy. As an application of the method, wave energy farms with over 100 devices are studied in the MW range using one month of wave data measured at an off-shore site.

  5. Susceptibility profile and epidemiological cut-off values of Cryptococcus neoformans species complex from Argentina.

    Science.gov (United States)

    Córdoba, Susana; Isla, Maria G; Szusz, Wanda; Vivot, Walter; Altamirano, Rodrigo; Davel, Graciela

    2016-06-01

    Epidemiological cut-off values (ECVs) based on minimal inhibitory concentration (MIC) distribution have been recently proposed for some antifungal drug/Cryptococcus neoformans combinations. However, these ECVs vary according to the species studied, being serotypes and the geographical origin of strains, variables to be considered. The aims were to define the wild-type (WT) population of the C. neoformans species complex (C. neoformans) isolated from patients living in Argentina, and to propose ECVs for six antifungal drugs. A total of 707 unique C. neoformans isolates obtained from HIV patients suffering cryptococcal meningitis were studied. The MIC of amphotericin B, flucytosine, fluconazole, itraconazole, voriconazole and posaconazole was determined according to the EDef 7.2 (EUCAST) reference document. The MIC distribution, MIC50 , MIC90 and ECV for each of these drugs were calculated. The highest ECV, which included ≥95% of the WT population modelled, was observed for flucytosine and fluconazole (32 μg ml(-1) each). For amphotericin B, itraconazole, voriconazole and posaconazole, the ECVs were: 0.5, 0.5, 0.5 and 0.06 μg ml(-1) respectively. The ECVs determined in this study may aid in identifying the C. neoformans strains circulating in Argentina with decreased susceptibility to the antifungal drugs tested. PMID:26865081

  6. FACTORS AFFECTING THE HYDRAULIC BARRIER PERFORMANCE OF SOIL-BENTONITE MIXTURE CUT-OFF WALL

    Science.gov (United States)

    Takai, Atsushi; Inui, Toru; Katsumi, Takeshi; Kamon, Masashi; Araki, Susumu

    Containment technique using cut-off walls is a valid method against contaminants in subsurface soil and/or groundwater. This paper states laboratory testing results on hydraulic barrier performance of Soil-Bentonite (SB), which is made by mixing bentonite with in-situ soil. Since the bentonite swelling is sensitive to chemicals, chemical compatibility is important for the hydraulic barrier performance of SB. Hydraulic conductivity tests using flexible-wall permeameter were conducted on SB specimens with various types and concentrations of chemicals in the pore water and/or in the permeant and with various bentonite powder contents. As a result, hydraulic barrier performance of SB was influenced by the chemical concentration in the pore water of original soil and bentonite powder content. In the case that SB specimens have damage parallel to the permeating direction, no significant leakage in the SB occurs by the self-sealing property of SB. In addition, the hydraulic conductivity values of SB have excellent correlation with their plastic indexes and swelling pr essures, thus these properties of SB have some possibility to be indicators for estimation of the hydraulic barrier performance of SB.

  7. Detection of cut-off point for rapid automized naming test in good readers and dyslexics

    Directory of Open Access Journals (Sweden)

    Zahra Soleymani

    2014-01-01

    Full Text Available Background and Aim: Rapid automized naming test is an appropriate tool to diagnose learning disability even before teaching reading. This study aimed to detect the cut-off point of this test for good readers and dyslexics.Methods: The test has 4 parts including: objects, colors, numbers and letters. 5 items are repeated on cards randomly for 10 times. Children were asked to name items rapidly. We studied 18 dyslexic students and 18 age-matched good readers between 7 and 8 years of age at second and third grades of elementary school; they were recruited by non-randomize sampling into 2 groups: children with developmental dyslexia from learning disabilities centers with mean age of 100 months, and normal children with mean age of 107 months from general schools in Tehran. Good readers selected from the same class of dyslexics.Results: The area under the receiver operating characteristic curve was 0.849 for letter naming, 0.892 for color naming, 0.971 for number naming, 0.887 for picture naming, and 0.965 totally. The overall sensitivity and specificity was 1 and was 0.79, respectively. The highest sensitivity and specificity were related to number naming (1 and 0.90, respectively.Conclusion: Findings showed that the rapid automized naming test could diagnose good readers from dyslexics appropriately.

  8. Accuracy of Cameriere's cut-off value for third molar in assessing 18 years of age.

    Science.gov (United States)

    De Luca, S; Biagi, R; Begnoni, G; Farronato, G; Cingolani, M; Merelli, V; Ferrante, L; Cameriere, R

    2014-02-01

    Due to increasingly numerous international migrations, estimating the age of unaccompanied minors is becoming of enormous significance for forensic professionals who are required to deliver expert opinions. The third molar tooth is one of the few anatomical sites available for estimating the age of individuals in late adolescence. This study verifies the accuracy of Cameriere's cut-off value of the third molar index (I3M) in assessing 18 years of age. For this purpose, a sample of orthopantomographs (OPTs) of 397 living subjects aged between 13 and 22 years (192 female and 205 male) was analyzed. Age distribution gradually decreases as I3M increases in both males and females. The results show that the sensitivity of the test was 86.6%, with a 95% confidence interval of (80.8%, 91.1%), and its specificity was 95.7%, with a 95% confidence interval of (92.1%, 98%). The proportion of correctly classified individuals was 91.4%. Estimated post-test probability, p was 95.6%, with a 95% confidence interval of (92%, 98%). Hence, the probability that a subject positive on the test (i.e., I3Mage or older was 95.6%.

  9. Establishing Streptomycin Epidemiological Cut-Off Values for Salmonella and Escherichia coli

    DEFF Research Database (Denmark)

    Migura, Lourdes Garcia; Sunde, Marianne; Karlsmose, Susanne;

    2011-01-01

    This study was conducted to elucidate the accuracy of the current streptomycin epidemiological cut-off value (ECOFF) for Escherichia coli and Salmonella spp. A total of 236 Salmonella enterica and 208 E. coli isolates exhibiting MICs between 4 and 32 mg/L were selected from 12 countries. Isolates.......5% of the strains as belonging to the WT population, since this proportion of strains harbored resistance genes and exhibited MICs ≤32 mg/L. Out of 208 E. coli strains, 80 (38.5%) tested positive for aadA (n = 69), strA (n = 18), and strB (n = 31). Of the E. coli isolates exhibiting MICs of 4 mg/L, 8 mg/L, 16 mg....../L, and 32 mg/L, 3.6%, 17.6%, 53%, and 82.3%, respectively, harbored any of the three genes. Based on the European Committee on Antimicrobial Susceptibility Testing guidelines (ECOFF ≤16 mg/L), 25% of the E. coli strains presenting MIC ≤16 mg/L would have been incorrectly categorized as belonging to the WT...

  10. Azole susceptibility of Malassezia pachydermatis and Malassezia furfur and tentative epidemiological cut-off values.

    Science.gov (United States)

    Cafarchia, Claudia; Iatta, Roberta; Immediato, Davide; Puttilli, Maria Rita; Otranto, Domenico

    2015-09-01

    This study aims to determine the minimal inhibitory concentration (MIC) distribution and the epidemiological cut-off values (ECVs) of Malassezia pachydermatis and Malassezia furfur isolates for fluconazole (FLZ), itraconazole (ITZ), posaconazole (POS), and voriconazole (VOR). A total of 62 M. pachydermatis strains from dogs with dermatitis and 78 M. furfur strains from humans with bloodstream infections (BSI) were tested by a modified broth microdilution Clinical and Laboratory Standards Institute (CLSI) method. ITZ and POS displayed lower MICs than VOR and FLZ, regardless of the Malassezia species. The MIC data for azoles of M. pachydermatis were four two-fold dilutions lower than those of M. furfur. Based on the ECVs, about 94% of Malassezia strains might be categorized within susceptible population for all azoles, except for FLZ, and azole cross-resistance was detected in association with FLZ in M. pachydermatis but not in M. furfur.The study proposes, for the first time, tentative azole ECVs for M. pachydermatis and M. furfur for monitoring the emergence of isolates with decreased susceptibilities and shows that the azole MIC distribution varied according to the Malassezia species tested, thus suggesting the usefulness of determining the susceptibility profile for effective treatment of each species. PMID:26162472

  11. Mechanically robust 39 GHz cut-off frequency graphene field effect transistors on flexible substrates.

    Science.gov (United States)

    Wei, Wei; Pallecchi, Emiliano; Haque, Samiul; Borini, Stefano; Avramovic, Vanessa; Centeno, Alba; Amaia, Zurutuza; Happy, Henri

    2016-08-01

    Graphene has been regarded as a promising candidate channel material for flexible devices operating at radio-frequency (RF). In this work we fabricated and fully characterized double bottom-gate graphene field effect transistors on flexible polymer substrates for high frequency applications. We report a record high as-measured current gain cut-off frequency (ft) of 39 GHz. The corresponding maximum oscillation frequency (fmax) is 13.5 GHz. These state of the art high frequency performances are stable against bending, with a typical variation of around 10%, for a bending radius of up to 12 mm. To demonstrate the reliability of our devices, we performed a fatigue stress test for RF-GFETs which were dynamically bend tested 1000 times at 1 Hz. The devices are mechanically robust, and performances are stable with typical variations of 15%. Finally we investigate thermal dissipation, which is a critical parameter for flexible electronics. We show that at the optimum polarization the normalized power dissipated by the GFETs is about 0.35 mW μm(-2) and that the substrate temperature is around 200 degree centigrade. At a higher power, irreversible degradations of the performances are observed. Our study on state of the art flexible GFETs demonstrates mechanical robustness and stability upon heating, two important elements to assess the potential of GFETs for flexible electronics. PMID:27396243

  12. Activation of coagulation system and d-dimer levels in children with acute leukemia

    Directory of Open Access Journals (Sweden)

    Harun Wijaya

    2014-07-01

    Full Text Available Background D-dimer is a molecule as result of breaking down of excessive fibrin formation from the activation of coagulation system. There is evidence of increased activation of coagulation in patients with acute leukemia which was showed by the increment of d-dimer levels. Objective To evaluate the incidence of activation of coagulation system in children with acute leukemia before receiving chemotherapy. Method This cross-sectional study was performed at Dr. Cipto Mangunkusumo Hospital. All newly-diagnosed children with acute leukemia were included in this study, prior to their receiving any chemotherapy treatment. Blast count, prothrombin time (PTT, activated partial thromboplastin time (APTT, and D-dimer levels were examined after the diagnosis was confirmed by morphology and immunophenotyping studies on bone marrow specimens. Results Out of 22 subjects, 13 subjects had increased D-dimer values. The median D-dimer level of this elevated group was 1,000 (range 500-14,700 ng/mL. In the acute myeloblastic leukemia (AML patients, activation of coagulation was found in 7 out of 8 subjects. The median D-dimer levels was 950 (range 100-14,700 ng/mL. In the acute lymphocytic leukemia (ALL patients, 6 out of 14 subjects had increased activation of coagulation with median D-dimer level of 300 (range 100-3,800 ng/mL. Nine out of 10 subjects with blast cells on peripheral blood smear had a median D-dimer level of 1,000 (range 500-3,800 ng/mL. Both PT and APTT were found normal in all subjects. Conclusion Activation of coagulation system occurs at the time of diagnosis as shown by increased D-dimer levels. The characteristics of activation of coagulation system are different between ALL and AML subjects, as well as between subjects with positive and negative blast counts on peripheral blood smears. Despite the increased activation of coagulation, PT and APTT remain normal. [Paediatr Indones. 2014;54:227-31.].

  13. CT Findings of Disease with Elevated Serum D-Dimer Levels in an Emergency Room Setting

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Ji Youn; Kwon, Woo Cheol; Kim, Young Ju [Dept. of Radiology, Wonju Christian Hospital, Yensei University Wonju College of Medicine, Wonju (Korea, Republic of)

    2012-01-15

    Pulmonary embolism and deep vein thrombosis are the leading causes of elevated serum D-dimer levels in the emergency room. Although D-dimer is a useful screening test because of its high sensitivity and negative predictive value, it has a low specificity. In addition, D-dimer can be elevated in various diseases. Therefore, information on the various diseases with elevated D-dimer levels and their radiologic findings may allow for accurate diagnosis and proper management. Herein, we report the CT findings of various diseases with elevated D-dimer levels in an emergency room setting, including an intravascular contrast filling defect with associated findings in a venous thromboembolism, fracture with soft tissue swelling and hematoma formation in a trauma patient, enlargement with contrast enhancement in the infected organ of a patient, coronary artery stenosis with a perfusion defect of the myocardium in a patient with acute myocardial infarction, high density of acute thrombus in a cerebral vessel with a low density of affected brain parenchyma in an acute cerebral infarction, intimal flap with two separated lumens in a case of aortic dissection, organ involvement of malignancy in a cancer patient, and atrophy of a liver with a dilated portal vein and associated findings.

  14. The Objective Borderline Method (OBM): A Probability-Based Model for Setting up an Objective Pass/Fail Cut-Off Score in Medical Programme Assessments

    Science.gov (United States)

    Shulruf, Boaz; Turner, Rolf; Poole, Phillippa; Wilkinson, Tim

    2013-01-01

    The decision to pass or fail a medical student is a "high stakes" one. The aim of this study is to introduce and demonstrate the feasibility and practicality of a new objective standard-setting method for determining the pass/fail cut-off score from borderline grades. Three methods for setting up pass/fail cut-off scores were compared: the…

  15. D-Dimer Levels before HIV Seroconversion Remain Elevated Even after Viral Suppression and Are Associated with an Increased Risk of Non-AIDS Events.

    Science.gov (United States)

    Freiberg, Matthew S; Bebu, Ionut; Tracy, Russell; So-Armah, Kaku; Okulicz, Jason; Ganesan, Anuradha; Armstrong, Adam; O'Bryan, Thomas; Rimland, David; Justice, Amy C; Agan, Brian K

    2016-01-01

    The mechanism underlying the excess risk of non-AIDS diseases among HIV infected people is unclear. HIV associated inflammation/hypercoagulability likely plays a role. While antiretroviral therapy (ART) may return this process to pre-HIV levels, this has not been directly demonstrated. We analyzed data/specimens on 249 HIV+ participants from the US Military HIV Natural History Study, a prospective, multicenter observational cohort of >5600 active duty military personnel and beneficiaries living with HIV. We used stored blood specimens to measure D-dimer and Interleukin-6 (IL-6) at three time points: pre-HIV seroconversion, ≥6 months post-HIV seroconversion but prior to ART initiation, and ≥6 months post-ART with documented HIV viral suppression on two successive evaluations. We evaluated the changes in biomarker levels between time points, and the association between these biomarker changes and future non-AIDS events. During a median follow-up of 3.7 years, there were 28 incident non-AIDS diseases. At ART initiation, the median CD4 count was 361cells/mm3; median duration of documented HIV infection 392 days; median time on ART was 354 days. Adjusted mean percent increase in D-dimer levels from pre-seroconversion to post-ART was 75.1% (95% confidence interval 24.6-148.0, p = 0.002). This increase in D-dimer was associated with a significant 22% increase risk of future non-AIDS events (p = 0.03). Changes in IL-6 levels across time points were small and not associated with future non-AIDS events. In conclusion, ART initiation and HIV viral suppression does not eliminate HIV associated elevation in D-dimer levels. This residual pathology is associated with an increased risk of future non-AIDS diseases.

  16. D-Dimer Levels before HIV Seroconversion Remain Elevated Even after Viral Suppression and Are Associated with an Increased Risk of Non-AIDS Events.

    Science.gov (United States)

    Freiberg, Matthew S; Bebu, Ionut; Tracy, Russell; So-Armah, Kaku; Okulicz, Jason; Ganesan, Anuradha; Armstrong, Adam; O'Bryan, Thomas; Rimland, David; Justice, Amy C; Agan, Brian K

    2016-01-01

    The mechanism underlying the excess risk of non-AIDS diseases among HIV infected people is unclear. HIV associated inflammation/hypercoagulability likely plays a role. While antiretroviral therapy (ART) may return this process to pre-HIV levels, this has not been directly demonstrated. We analyzed data/specimens on 249 HIV+ participants from the US Military HIV Natural History Study, a prospective, multicenter observational cohort of >5600 active duty military personnel and beneficiaries living with HIV. We used stored blood specimens to measure D-dimer and Interleukin-6 (IL-6) at three time points: pre-HIV seroconversion, ≥6 months post-HIV seroconversion but prior to ART initiation, and ≥6 months post-ART with documented HIV viral suppression on two successive evaluations. We evaluated the changes in biomarker levels between time points, and the association between these biomarker changes and future non-AIDS events. During a median follow-up of 3.7 years, there were 28 incident non-AIDS diseases. At ART initiation, the median CD4 count was 361cells/mm3; median duration of documented HIV infection 392 days; median time on ART was 354 days. Adjusted mean percent increase in D-dimer levels from pre-seroconversion to post-ART was 75.1% (95% confidence interval 24.6-148.0, p = 0.002). This increase in D-dimer was associated with a significant 22% increase risk of future non-AIDS events (p = 0.03). Changes in IL-6 levels across time points were small and not associated with future non-AIDS events. In conclusion, ART initiation and HIV viral suppression does not eliminate HIV associated elevation in D-dimer levels. This residual pathology is associated with an increased risk of future non-AIDS diseases. PMID:27088215

  17. D-Dimer Levels before HIV Seroconversion Remain Elevated Even after Viral Suppression and Are Associated with an Increased Risk of Non-AIDS Events

    Science.gov (United States)

    Freiberg, Matthew S.; Bebu, Ionut; Tracy, Russell; So-Armah, Kaku; Okulicz, Jason; Ganesan, Anuradha; Armstrong, Adam; O’Bryan, Thomas; Rimland, David; Justice, Amy C.; Agan, Brian K.

    2016-01-01

    The mechanism underlying the excess risk of non-AIDS diseases among HIV infected people is unclear. HIV associated inflammation/hypercoagulability likely plays a role. While antiretroviral therapy (ART) may return this process to pre-HIV levels, this has not been directly demonstrated. We analyzed data/specimens on 249 HIV+ participants from the US Military HIV Natural History Study, a prospective, multicenter observational cohort of >5600 active duty military personnel and beneficiaries living with HIV. We used stored blood specimens to measure D-dimer and Interleukin-6 (IL-6) at three time points: pre-HIV seroconversion, ≥6 months post-HIV seroconversion but prior to ART initiation, and ≥6 months post-ART with documented HIV viral suppression on two successive evaluations. We evaluated the changes in biomarker levels between time points, and the association between these biomarker changes and future non-AIDS events. During a median follow-up of 3.7 years, there were 28 incident non-AIDS diseases. At ART initiation, the median CD4 count was 361cells/mm3; median duration of documented HIV infection 392 days; median time on ART was 354 days. Adjusted mean percent increase in D-dimer levels from pre-seroconversion to post-ART was 75.1% (95% confidence interval 24.6–148.0, p = 0.002). This increase in D-dimer was associated with a significant 22% increase risk of future non-AIDS events (p = 0.03). Changes in IL-6 levels across time points were small and not associated with future non-AIDS events. In conclusion, ART initiation and HIV viral suppression does not eliminate HIV associated elevation in D-dimer levels. This residual pathology is associated with an increased risk of future non-AIDS diseases. PMID:27088215

  18. Elevation in D-dimer concentrations is positively correlated with gestation in normal uncomplicated pregnancy

    Directory of Open Access Journals (Sweden)

    Jeremiah ZA

    2012-08-01

    Full Text Available Zaccheaus A Jeremiah,1 Teddy C Adias,2 Margaret Opiah,3 Siyeoforiye P George,4 Osaro Mgbere,5 Ekere J Essien61Department of Medical Laboratory Sciences, Niger Delta University, Wilberforce Island, Nigeria; 2Bayelsa State College of Health Technology, Ogbia-Town, Nigeria; 3Department of Maternal and Child Health, Faculty of Nursing, Niger Delta University, Wilberforce Island, Nigeria; 4Postgraduate Hematology Unit, Rivers State University of Science and Technology, Port Harcourt, Nigeria; 5Houston Department of Health and Human Services, Houston, TX, USA; 6Institute of Community Health, University of Houston, Houston, TX, USABackground: D-dimer levels have been reported to increase progressively during pregnancy, but how this affects Nigerian women is not well known.Objective: This study aims to determine the D-dimer concentration and its relationship to other coagulation parameters among pregnant women in Port Harcourt, Nigeria.Method: In a cross-sectional observational study conducted in Port Harcourt, Nigeria, 120 pregnant women and 60 nonpregnant controls, drawn from a tertiary health institution in the Niger Delta, Nigeria, were assessed, using the standard procedures, for the following parameters: D-dimer concentration, prothrombin time, activated partial thromboplastin time, platelet count, hemoglobin, and packed cell volume.Results: The median D-dimer concentration of 153.1 ng/mL in the pregnant group was found to be significantly elevated when compared with the control value of 118.5 ng/mL (t = 2.348, P = 0.021. Conversely, there was a marked depression in the platelet count among pregnant women (193.5 × 109/L when compared with 229.0 × 109/L in the control group (t = 3.424; P = 0.001. There was no statistically significant difference in the values for the prothrombin time and the activated partial thromboplastin time between pregnant and nonpregnant women. D-dimer values correlated positively and significantly with gestation (r = 0

  19. Mechanically robust 39 GHz cut-off frequency graphene field effect transistors on flexible substrates

    Science.gov (United States)

    Wei, Wei; Pallecchi, Emiliano; Haque, Samiul; Borini, Stefano; Avramovic, Vanessa; Centeno, Alba; Amaia, Zurutuza; Happy, Henri

    2016-07-01

    Graphene has been regarded as a promising candidate channel material for flexible devices operating at radio-frequency (RF). In this work we fabricated and fully characterized double bottom-gate graphene field effect transistors on flexible polymer substrates for high frequency applications. We report a record high as-measured current gain cut-off frequency (ft) of 39 GHz. The corresponding maximum oscillation frequency (fmax) is 13.5 GHz. These state of the art high frequency performances are stable against bending, with a typical variation of around 10%, for a bending radius of up to 12 mm. To demonstrate the reliability of our devices, we performed a fatigue stress test for RF-GFETs which were dynamically bend tested 1000 times at 1 Hz. The devices are mechanically robust, and performances are stable with typical variations of 15%. Finally we investigate thermal dissipation, which is a critical parameter for flexible electronics. We show that at the optimum polarization the normalized power dissipated by the GFETs is about 0.35 mW μm-2 and that the substrate temperature is around 200 degree centigrade. At a higher power, irreversible degradations of the performances are observed. Our study on state of the art flexible GFETs demonstrates mechanical robustness and stability upon heating, two important elements to assess the potential of GFETs for flexible electronics.Graphene has been regarded as a promising candidate channel material for flexible devices operating at radio-frequency (RF). In this work we fabricated and fully characterized double bottom-gate graphene field effect transistors on flexible polymer substrates for high frequency applications. We report a record high as-measured current gain cut-off frequency (ft) of 39 GHz. The corresponding maximum oscillation frequency (fmax) is 13.5 GHz. These state of the art high frequency performances are stable against bending, with a typical variation of around 10%, for a bending radius of up to 12 mm. To

  20. Impact of d-Dimers on the Differential Diagnosis of Acute Chest Pain: Current Aspects Besides the Widely Known

    OpenAIRE

    Hahne, Kathrin; Lebiedz, Pia; Breuckmann, Frank

    2014-01-01

    d-dimers are cleavage products of fibrin that occur during plasmin-mediated fibrinolysis of blood clots. In the emergency department, d-dimer measurement represents a valuable and cost-effective tool in the differential diagnosis of acute chest pain including the main life-threatening entities: acute coronary syndrome, pulmonary embolism, and acute aortic syndrome. Whereas the diagnostic and prognostic values of d-dimer testing in acute coronary syndrome is of less priority, increases of d-di...

  1. Potential interface slip analysis of Peribonka Dam plastic concrete cut-off wall

    Energy Technology Data Exchange (ETDEWEB)

    Morency, J.Y.; Chahde, J.; Bigras, A. [Hydro-Quebec, Montreal, PQ (Canada); Garand, P.; Rattue, A. [SNC-Lavalin Inc., Montreal, PQ (Canada)

    2006-07-01

    The Peribonka hydroelectric development is currently under construction near the confluence of the Manouane River with the Peribonka River in Quebec. It includes an 80 m high dam and two dykes of zoned earth fills with a till core, an underground power house with an installed capacity of 385 MW, a diversion tunnel and a spillway. The Peribonka dam will be built on a highly permeable alluvial foundation. The design includes a 10 m high working platform in the river between the cofferdams and a plastic concrete cut-off wall (COW) down to bedrock. The maximum depth of the COW in a narrow canyon will be 115 m. A bi-dimensional finite element stress and deformation analysis software (SDAS) was used to model the stress-strain behaviour of the foundation soils and the COW under the dam. The SDAS software made it possible to determine the vertical deformations as well as the horizontal stress distribution in the foundation soils. It was shown that due to the oedometric nature of the loading of the soil, no significant shear stress was generated due to the soil deformations in the foundation below the axis of the dam. However, the finite element program did not allow hyperbolic model slip elements. As such, it was not possible to evaluate if negative skin friction occurred at the soilplastic concrete interface. For that reason, a one-dimensional model allowing the simulation of negative or positive friction between the soil and the COW was developed. This model considered the elastic-plastic behaviour of the COW using a hyperbolic model. It showed that nowhere, except in the upper 2 to 3 m of the COW embedment in the core, was negative friction able to mobilize the full value of the internal friction angle of the soil. 4 refs., 1 tab., 9 figs.

  2. Construction and expression of D-dimer and GPIIb/IIIa single-chain bispecific antibody

    OpenAIRE

    DAN, ZHAOKUI; Tan, Zui; Xia, Hongli; WU, GAN

    2013-01-01

    The aim of this study was to construct a plasmid expressing glycoprotein IIb-IIIa (GPIIb/IIIa) and D-dimer single-chain bispecific antibody for the targeted therapy of thrombosis. The phosphorylated gene encoding the anti-GPIIb/IIIa single-chain variable fragment (scFv) and the gene encoding the anti-D-dimer scFv were amplified by PCR and linked in tandem by blunt-end ligation. The recombinant plasmid was transfected into the competent cell line HB2151 and identified by PCR and DNA sequencing...

  3. Interacting logarithmic entropy-corrected holographic dark energy model with different cut-offs in Brans-Dicke cosmology

    CERN Document Server

    Darabi, F

    2015-01-01

    We study the Interacting Logarithmic Entropy-Corrected Holographic Dark Energy model with different cut-offs in Brans-Dicke cosmology and obtain the equation of state and the squared of sound speed for each cut-off. The former is used to describe the accelerating or decelerating behaviour and the later is used to describe the classical stability or instability of the universe. The correspondence between the scalar field models and the logarithmic entropy-corrected holographic dark energy densities allows us to reconstruct the potentials and the dynamics of the quintessence and tachyon scalar field models in Brans-Dicke cosmology. We show that these models can describe the observed accelerated expansion of our universe with a parameter space consistent with the most recent observational data. However, it turns out that there is fine-tuning problem concerning the value of Brans-Dicke parameter $\\omega$ at early universe which casts doubt on the viability of these dark energy models.

  4. Factors in selecting serum samples for use in determining the positive/negative threshold (cut-off) in ELISA

    International Nuclear Information System (INIS)

    The threshold (cut-off) that defines whether a test result is seropositive or seronegative is calculated by testing serum samples from a subpopulation of animals that is assumed to represent the target population in all aspects. For this proposition to be true, it is essential to consider the variables in the target population that must be represented in the subpopulation. Without representation of the variables in the subpopulation, it is likely that the cut-off selected for the test will be errant and will misclassify animals as to their infection status. The purpose of this paper is to identify a few of the principal variables that need to be taken into account when selecting a subpopulation of animals for test validation. (author)

  5. Sinus cut-off sign: A helpful sign in the CT diagnosis of diaphragmatic rupture associated with pleural effusion

    Energy Technology Data Exchange (ETDEWEB)

    Kaya, Seyda Ors [Pamukkale University Medical School, Department of Thoracic Surgery, Denizli (Turkey)]. E-mail: skaya@pamukkale.edu.tr; Karabulut, Nevzat [Pamukkale University Medical School, Department of Radiology, Denizli (Turkey); Yuncu, Gokhan [Pamukkale University Medical School, Department of Thoracic Surgery, Denizli (Turkey); Sevinc, Serpil [Pamukkale University Medical School, Department of Thoracic Surgery, Denizli (Turkey); Kiroglu, Yilmaz [Pamukkale University Medical School, Department of Radiology, Denizli (Turkey)

    2006-08-15

    The objective of our study was to describe the 'sinus cut-off' sign at CT in the diagnosis of diaphragmatic rupture in patients with blunt abdominal trauma complicated with pleural effusion, and evaluate its utility in an experimental model. Between January 2004 and March 2005, we observed an unusual interruption of costophrenic sinus at CT in three patients with blunt abdominal trauma accompanied with pleural effusion. This observation prompted us to evaluate the utility of this sign in an experimental model. Laparotomically, we created 2 cm diapragmatic lacerations at each hemidiaphragm in two rabbits and pushed up the abdominal viscera with omentum through the defect. To simulate hemothorax, we also injected 5-10 mL of diluted contrast material into the pleural space. Using a dual-slice helical CT scanner, limited thoracoabdominal CT examination was performed before and after injection of intrapleural contrast material. The images were analyzed for the presence of CT signs for diaphragmatic injury. The left posterior costophrenic sulcus was interrupted in all of the three patients with left pleural effusion. While it was associated with other findings of diaphragmatic injury, the 'sinus cut-off sign' was the sole finding in one patient. The sinus cut-off sign was observed on the CT scans of 100% of the rabbits with a left and right sided diaphragmatic rupture. The 'sinus cut-off sign' is useful and can increase the CT detection of acute diaphragmatic injury associated with pleural effusion.

  6. Improved nonparametric estimation of the optimal diagnostic cut-off point associated with the Youden index under different sampling schemes.

    Science.gov (United States)

    Yin, Jingjing; Samawi, Hani; Linder, Daniel

    2016-07-01

    A diagnostic cut-off point of a biomarker measurement is needed for classifying a random subject to be either diseased or healthy. However, the cut-off point is usually unknown and needs to be estimated by some optimization criteria. One important criterion is the Youden index, which has been widely adopted in practice. The Youden index, which is defined as the maximum of (sensitivity + specificity -1), directly measures the largest total diagnostic accuracy a biomarker can achieve. Therefore, it is desirable to estimate the optimal cut-off point associated with the Youden index. Sometimes, taking the actual measurements of a biomarker is very difficult and expensive, while ranking them without the actual measurement can be relatively easy. In such cases, ranked set sampling can give more precise estimation than simple random sampling, as ranked set samples are more likely to span the full range of the population. In this study, kernel density estimation is utilized to numerically solve for an estimate of the optimal cut-off point. The asymptotic distributions of the kernel estimators based on two sampling schemes are derived analytically and we prove that the estimators based on ranked set sampling are relatively more efficient than that of simple random sampling and both estimators are asymptotically unbiased. Furthermore, the asymptotic confidence intervals are derived. Intensive simulations are carried out to compare the proposed method using ranked set sampling with simple random sampling, with the proposed method outperforming simple random sampling in all cases. A real data set is analyzed for illustrating the proposed method. PMID:26756282

  7. Cut-Off Value for Pain Sensitivity Questionnaire in Predicting Surgical Success in Patients with Lumbar Disc Herniation

    Science.gov (United States)

    Azimi, Parisa; Benzel, Edward C.

    2016-01-01

    Various factors related to predict surgical success were studied; however, a standard cut-off point for the Pain Sensitivity Questionnaire (PSQ) measure has not yet been established for a favorable surgical outcome for lumbar disc herniation (LDH). This study was to find the optimal cut-off point on the PSQ to distinguish surgical success in patients with LDH. A total of 154 patients with LDH consecutively referred to our clinic were enrolled into this prospective study between February 2011 and January 2014. All participants completed the PSQ. Patients completed the Oswestry Disability Index (ODI) score before surgery, and at 2 years after surgery. Surgical success was defined as a 13-point improvement from the baseline ODI scores. The cut-off value for PSQ was determined by the receiver-operating characteristic curve (ROC). The mean age of patients was 49.3±9.6 years, and there were 80 women. The mean time for follow-up assessment was 31±5 months (range 24–35). Post-surgical success was 79.9% (n = 123) at 2 years follow up. The mean score for the total PSQ, PSQ-minor, and PSQ-moderate were 6.0 (SD = 1.6), 5.4 (SD = 1.9) and 6.5 (SD = 1.7), respectively. Total PSQ score was also significantly correlated with the total scores of the ODI. The optimal total PSQ cut-off point was determined as > 5.2 to predict surgical success in LDH patients, with 80.0% sensitivity and 75.6% specificity (AUC-0.814, 95% CI 0.703–0.926). This study showed that the PSQ could be considered a parameter for predicting surgical success in patients with LDH, and can be useful in clinical practice. PMID:27494617

  8. On a holographic dark energy model with a Nojiri-Odintsov cut-off in general relativity

    OpenAIRE

    Khurshudyan, M.

    2016-01-01

    In this paper we consider the models of the accelerated expanding large scale universe~(according to general relativity) containing a generalized holographic dark energy with a Nojiri - Odintsov cut - off. The second component of the darkness is assumed to be the pressureless cold dark matter according to observed symmetries of the large scale universe. Moreover, we assume specific forms of the interaction between these two components and besides the cosmographic analysis, we discuss appropri...

  9. Dual cut-off dc-tunable microwave low-pass filter on superconducting Nb microstrips with asymmetric nanogrooves

    OpenAIRE

    Dobrovolskiy, Oleksandr V.; Huth, Michael

    2015-01-01

    We present a dual cut-off, dc-tunable low-pass microwave filter on a superconducting Nb microstrip with uniaxial asymmetric nanogrooves. The frequency response of the device was measured in the range $300$\\,KHz to $14$\\,GHz at different temperatures, magnetic fields, and dc current values. The microwave loss is most effectively reduced when the Abrikosov vortex lattice spatially matches the underlying washboard pinning landscape. The forward transmission coefficient $S_{21}(f)$ of the microst...

  10. Determining the waist circumference cut off which best predicts the metabolic syndrome components in urban Africans: the SABPA study

    OpenAIRE

    Malan, Leone; Potgieter, Johannes Cornelis; Steyn, Hendrik Stefanus; J. Prinsloo; De Ridder, Johannes Hendrik

    2011-01-01

    Various studies have shown that the relationship between waist circumference (WC) and abdominal obesity is age, gender as well as ethnicity-dependent. WC criteria for Sub Saharan Africans have not been defined by the International Diabetes Federation (IDF). The aim was to determine which WC cut off best predicted Metabolic Syndrome (MetS) in a group of urban African teachers (80 males and 93 females). We determined sphygmomanometer blood pressure, WC, glucose, high density lipoprotein cholest...

  11. Successful use of combined high cut-off haemodialysis and bortezomib for acute kidney injury associated with myeloma cast nephropathy.

    LENUS (Irish Health Repository)

    Ward, F

    2012-05-01

    We present the case of a 58-year old female with de novo dialysis-dependent acute kidney injury (AKI) secondary to myeloma cast nephropathy. The patient underwent extended high cut-off haemodialysis (HCO-HD), in conjunction with bortezomib-based chemotherapy, and soon became dialysis independent with normal renal function. To our knowledge, this is the first time this treatment strategy has been employed successfully in an Irish centre.

  12. Distributions of the S-matrix poles in Woods-Saxon and cut-off Woods-Saxon potentials

    CERN Document Server

    Salamon, P; Vertse, T

    2015-01-01

    The positions of the $l=0$ $S$-matrix poles are calculated in generalized Woods-Saxon (GWS) potential and in cut-off generalized Woods-Saxon (CGWS) potential. The solutions of the radial equations are calculated numerically for the CGWS potential and analytically for GWS using the formalism of Gy. Bencze \\cite{[Be66]}. We calculate CGWS and GWS cases at small non-zero values of the diffuseness in order to approach the square well potential and to be able to separate effects of the radius parameter and the cut-off radius parameter. In the case of the GWS potential the wave functions are reflected at the nuclear radius therefore the distances of the resonant poles depend on the radius parameter of the potential. In CGWS potential the wave function can be reflected at larger distance where the potential is cut to zero and the derivative of the potential does not exist. The positions of most of the resonant poles do depend strongly on the cut-off radius of the potential, which is an unphysical parameter. Only the...

  13. Interference from heterophilic antibodies in D-dimer assessment. A case report.

    Science.gov (United States)

    Lippi, Giuseppe; Ippolito, Luigi; Tondelli, Maria Teresa; Favaloro, Emmanuel J

    2014-04-01

    We describe the case of a 3-year-old girl, admitted to the pediatric ward for three repeated episodes of severe migraine associated with vertigo, with onset 1 week after complete remission from an episode of chicken pox (i.e., varicella-zoster virus infection). All radiological and laboratory examinations were normal, except for a markedly elevated value of D-dimer (i.e. 8998 ng/ml; local reference range: < 243 ng/ml), measured with a commercial latex-enhanced immunoturbidimetric assay. After physical and Doppler ultrasound examination, possible presence of thrombosis was ruled out, and the patient was discharged. In the following year, however, her plasma D-dimer values always remained frankly elevated, so that an analytical interference was suspected. A plasma sample was treated with a specific heterophilic antibodies blocking reagent and then assayed along with the untreated sample, with these showing a marked discrepancy of D-dimer values, that is 232 versus 2877 ng/ml. These results, highly indicative for the presence of heterophilic antibodies, are discussed in the light of the serious challenges that this type of analytical interference may pose on quality and reliability of D-dimer testing. PMID:24253242

  14. Serum D-dimer concentrations in nephrotic syndrome track with albuminuria, not estimated glomerular filtration rate.

    LENUS (Irish Health Repository)

    Sexton, D J

    2012-01-01

    The nephrotic syndrome is associated with an increased risk of venous and arterial thrombosis. There are little published data on the distribution, interpretation or determinants of serum D-dimer levels in patients with the nephrotic syndrome. We aimed to describe this relationship.

  15. Power-Law Entropy-Corrected Holographic Dark Energy in Ho\\v{r}ava-Lifshitz Cosmology with Granda-Oliveros Cut-off

    OpenAIRE

    Pasqua, Antonio(Department of Physics, University of Trieste, Via Valerio, No. 2, 34127 Trieste, Italy); Chattopadhyay, Surajit; Myrzakulov, Ratbay

    2015-01-01

    In this paper, we study the Power Law Entropy Corrected Holographic Dark Energy (PLECHDE) model in the framework of a non-flat Universe and of Ho\\v{r}ava-Lifshitz cosmology with infrared cut-off given by recently proposed Granda-Oliveros cut-off, which contains one term proportional to the Hubble parameter squared $H^2$ and one term proportional to the first time derivative of the Hubble parameter $\\dot{H}$. Moreover, this cut-off is characterized by two constant parameters, $\\alpha$ and $\\be...

  16. Concentration of D-dimers in healthy cats and sick cats with and without disseminated intravascular coagulation (DIC).

    Science.gov (United States)

    Tholen, Inger; Weingart, Christiane; Kohn, Barbara

    2009-10-01

    The objective of this prospective study was to measure concentrations of D-dimers in 48 cats with various diseases and in 20 healthy cats to evaluate the sensitivity and specificity for D-dimers to diagnose disseminated intravascular coagulation (DIC). The cats were classified as having DIC if an underlying disease and at least three of the following criteria were present: thrombocytopenia, prolonged activated partial thromboplastin time, prothrombin time or thrombin time, schistocytes and/or a reduced antithrombin activity. D-dimer concentrations were measured using a semi-quantitative latex agglutination (LA) test (Accuclot D-Dimer, Sigma Diagnostics). The D-dimer test was positive for 8/12 cats with DIC and for 16/36 sick cats without DIC. D-dimers were negative for all healthy control cats. The comparison of the sick cats with DIC and those without DIC revealed a specificity and sensitivity of the D-dimer test of 56% and 67%; a comparison of the results for healthy cats and cats with DIC revealed a specificity and sensitivity of 100% and 67%, respectively. The D-dimer LA test is only of limited value for the diagnosis of DIC in cats.

  17. Excluding venous thromboembolism using point of care D-dimer tests in outpatients: a diagnostic meta-analysis

    NARCIS (Netherlands)

    G.J. Geersing; K.J.M. Janssen; R. Oudega; L. Bax; A.W. Hoes; J.B. Reitsma; K.G.M. Moons

    2009-01-01

    Objective To review the evidence on the diagnostic accuracy of the currently available point of care D-dimer tests for excluding venous thromboembolism. Design Systematic review of research on the accuracy of point of care D-dimer tests, using bivariate regression to examine sources of variation and

  18. Evaluation of D-dimer and lactate dehydrogenase plasma levels in patients with relapsed acute leukemia

    Science.gov (United States)

    HU, WANGQIANG; WANG, XIAOXIA; YANG, RONGRONG

    2016-01-01

    Despite the outstanding advances made over the past decade regarding our knowledge of acute leukemia (AL), relapsed AL remains to be associated with a dismal prognosis. A better understanding of AL relapse and monitoring of the D-dimer and lactate dehydrogenase (LDH) plasma levels following chemotherapy may aid clinicians in determining whether relapse may occur in the subsequent phases of the disease. The present study evaluated D-dimer and LDH levels in 204 patients with relapsed AL. Data were collected at the initial onset of AL, at complete remission (CR) and in patients with relapsed AL. D-dimer plasma levels were significantly increased in patients with initial AL and in patients with relapsed AL (P=0.005 and P=0.007, respectively) but not in those with CR. LDH levels were significantly increased in AL patients at the initial onset of disease and at relapse compared with patients achieving CR, irrespective of cell type. Plasma prothrombin time, activated partial thromboplastin time and fibrinogen levels were not significantly different across patients (with the exception of acute promyelocytic leukemia patients) at the initial onset, relapsed AL or CR. Routine hematological parameters (white blood cell count, hemoglobin, platelet count) were significantly different at the initial onset of AL (P=0.002, P<0.001 and P=0.001, respectively) and during relapsed AL (P=0.009, P=0.003 and P<0.001, respectively) compared with patients achieving CR, suggesting an association between D-dimer, LDH and relapsed AL. These results also indicate that determination of D-dimer and LDH levels may be useful for predicting the probability of relapse during chemotherapy, but should also be combined with routine hematological parameters. PMID:27347185

  19. The Diagnostic Value of D-dimer, Procalcitonin and CRP in Acute Appendicitis

    Directory of Open Access Journals (Sweden)

    Bulent Kaya, Baris Sana, Cengiz Eris, Koray Karabulut, Orhan Bat, Riza Kutanis

    2012-01-01

    Full Text Available BACKGROUND: The early diagnosis of acute abdomen is of great importance. To date, several inflammatory markers have been used for the diagnosis of acute abdominal conditions, including acute appendicitis. The aim of this study was to evaluate the diagnostic utility of D-dimer, Procalcitonin (PCT and C-reactive protein (CRP measurements in the acute appendicitis.METHODS: This prospective study was conducted between March 1st, 2010 and July 1st, 2011. In this period, seventy-eight patients were operated with the diagnosis of acute appendicitis, and D-dimer, PCT and CRP levels of the patients were measured. The patients were grouped as phlegmonous appendicitis (Group 1, gangrenous appendicitis (Group 2, perforated appendicitis (Group 3 and negative appendectomy (Group 4 according to the surgical findings and histopathological results.RESULTS: Of 78 patients, 54 (69.2 % were male and 24 (30.8 % were female, and the mean age was 25.4 ± 11.1 years (range, 18 to 69 years. 66 (84.6 % patients had increased leukocyte count (white blood cell count. The PCT values were higher than the upper normal limit in 20 (25.6% patients, followed by D-dimer in 22 (28.2 % patients and CRP in 54 (69.2 % patients. The diagnostic value of leukocyte count and CRP in acute appendicitis was higher than that of the other markers, whereas leukocyte count showed very low specificity. CRP values were higher in perforated appendicitis when compared with the phlegmonous appendicitis (p<0.05. However, PCT and D-dimer showed lower diagnostic values (26% and 31%, respectively.CONCLUSION: An increase in CRP levels alone is not sufficient to make the diagnosis of acute appendicitis. However, CRP levels may differentiate between phlegmonous appendicitis and perforated appendicitis. Due to their low sensitivity and diagnostic value, PCT and D-dimer are not better markers than CRP for the diagnosis of acute appendicitis.

  20. D-dimer is useful in the diagnosis of cortical venous sinus thrombosis

    Directory of Open Access Journals (Sweden)

    Misra Usha

    2009-01-01

    Full Text Available Background: Estimations of D-dimer correlate with deep vein thrombosis and pulmonary thromboembolism and may serve as a marker of cortical venous sinus thrombosis (CVST. Aim: To study the usefulness of D-dimer in the diagnosis of CVST. Materials and Methods: A total of 26 patients with CVST were subjected to a detailed medical history and neurological evaluation. A cranial MRI was carried out on a 1.5T scanner using T1, T2, and DWI sequences and two-dimensional time of flight MR venography. D-dimer was estimated using a rapid latex agglutination slide test using monoclonal antibodies. Results: The age of patients ranged between 16 and 70 years old (median 31 years old; 8 were males and were examined after a mean duration of 22 days of symptoms. Cortical venous thrombosis was attributed to puerperium in 4 patients, infection in 5 patients, and pregnancy, dehydration, insect bite, and migraine in 1 patient each. Superior sagittal sinus was involved in 15 patients, transverse sinus in 16 patients, straight sinus in 3 patients, sigmoid sinus in 7 patients, and cavernous and deep system in 1 patient each. A total of 12 patients had more than one sinus involvement. D-dimer was positive in 20 patients and correlated with the duration of symptoms but not with the extent of sinus thrombosis and the outcome. Conclusion: D-dimer is useful in patients suspected of CVST and patients with positive test results should be urgently sent for MR imaging.

  1. Validation of the Assay for D-dimer in Plasma by D-Dimer PLUS%D-Dimer PLUS测定血浆D-二聚体浓度性能评价

    Institute of Scientific and Technical Information of China (English)

    苏薇; 邱玲

    2008-01-01

    目的 验证D-Dimer PLUS测定血浆D-二聚体的各项性能参数.方法 参照美国临床实验室标准化委员会(NC-CLS)的相关文件,对D-Dimer PLUS在Sysmex CA7000型全自动血凝仪上测定血浆D-二聚体的性能进行全面的评价.结果 检测下限83.86μg/L;线性范围0~2 000 μg/L;回收率93%~113%;低值和高值批内不精密度(变异系数CV%)5.31%和2.67%,低值和高值总不精密度4.69%和4.14%;与mini-VIDAS(酶联免疫吸附实验)的测定结果 进行比对,相关系数r=0.915,平均百分偏差634.6%;内源性干扰物结合胆红素、乳糜微粒、溶血血红蛋白对D-二聚体测定结果 产生影响的浓度值分别为299 mg/L,882 FTU和7.8 g/L,游离胆红素和类风湿因子浓度达362 mg/L和540,000 IU/L时,D-二聚体测定结果 没有显著变化;验证参考值范围0~398 μg/L,高于厂家提供的参考值范围0~324μg/L,需重新建立参考值范围.结论 D-Dimer PLUS测定血浆D-二聚体浓度具有符合临床要求的精密度、准确度和灵敏度,可用于临床诊断实验.

  2. Power-law and Logarithmic Entropy Corrected Holographic Dark Energy Models in Brans-Dicke Cosmology with Granda-Oliveros Cut-Off

    OpenAIRE

    Pasqua, Antonio(Department of Physics, University of Trieste, Via Valerio, No. 2, 34127 Trieste, Italy); Chattopadhyay, Surajit; Myrzakulov, Ratbay

    2015-01-01

    In this paper, the cosmological implications of the Power Law Entropy Corrected Holographic Dark Energy (PLECHDE) and the Logarithmic Entropy Corrected Holographic Dark Energy (LECHDE) models in the context of Brans-Dicke (BD) cosmology for both non-interacting and interacting DE and Dark Matter (DM) are studied. As the system infrared cut-off, we choose the recently proposed Granda-Oliveros cut-off, which contains a term proportional to the first time derivative of the Hubble parameter and o...

  3. The assessment of anorexia in patients with cancer: cut-off values for the FAACT–A/CS and the VAS for appetite

    OpenAIRE

    Blauwhoff-Buskermolen, S.; Ruijgrok, C.; Ostelo, R. W.; de Vet, H. C. W.; Verheul, H.M.W.; de van der Schueren, M. A. E.; Langius, J. A. E.

    2015-01-01

    Purpose Anorexia is a frequently observed symptom in patients with cancer and is associated with limited food intake and decreased quality of life. Diagnostic instruments such as the Anorexia/Cachexia Subscale (A/CS) of the Functional Assessment of Anorexia/Cachexia Therapy (FAACT) questionnaire and the visual analog scale (VAS) for appetite have been recommended in the assessment of anorexia, but validated cut-off values are lacking. This study aimed to obtain cut-off values of these instrum...

  4. Optimal Cut-Off Points on the Health Anxiety Inventory, Illness Attitude Scales and Whiteley Index to Identify Severe Health Anxiety

    OpenAIRE

    Erik Hedman; Mats Lekander; Brjánn Ljótsson; Nils Lindefors; Christian Rück; Gerhard Andersson; Erik Andersson

    2015-01-01

    Background Health anxiety can be viewed as a dimensional phenomenon where severe health anxiety in form of DSM-IV hypochondriasis represents a cut-off where the health anxiety becomes clinically significant. Three of the most reliable and used self-report measures of health anxiety are the Health Anxiety Inventory (HAI), the Illness Attitude Scales (IAS) and the Whiteley Index (WI). Identifying the optimal cut-offs for classification of presence of a diagnosis of severe health anxiety on thes...

  5. Interpretation of increments in serial tumour biomarker concentrations depends on the distance of the baseline concentration from the cut-off

    DEFF Research Database (Denmark)

    Petersen, Per Hyltoft; Söletormos, Georg; Frejstrup Pedersen, Merete;

    2011-01-01

    In the management of breast cancer, several algorithms for interpretation of measured concentrations during monitoring have been introduced, without objective evaluation of their performance regarding the distance of the starting concentration from the cut-off concentration.......In the management of breast cancer, several algorithms for interpretation of measured concentrations during monitoring have been introduced, without objective evaluation of their performance regarding the distance of the starting concentration from the cut-off concentration....

  6. Gestational Age-specific Cut-off Values Are Needed for Diagnosis of Subclinical Hypothyroidism in Early Pregnancy.

    Science.gov (United States)

    Kim, Hye Sung; Kim, Byoung Jae; Oh, Sohee; Lee, Da Young; Hwang, Kyu Ri; Jeon, Hye Won; Lee, Seung Mi

    2015-09-01

    During the first trimester of pregnancy, thyroid-stimulating hormone (TSH) >2.5 mIU/L has been suggested as the universal criterion for subclinical hypothyroidism. However, TSH levels change continuously during pregnancy, even in the first trimester. Therefore the use of a fixed cut-off value for TSH may result in a different diagnosis rate of subclinical hypothyroidism according to gestational age. The objective of this study was to obtain the normal reference range of TSH during the first trimester in Korean gravida and to determine the diagnosis rate of subclinical hypothyroidism using the fixed cut-off value (TSH >2.5 mIU/L). The study population consisted of pregnant women who were measured for TSH during the first trimester of pregnancy (n=492) and nonpregnant women (n=984). Median concentration of TSH in pregnant women was lower than in non-pregnant women. There was a continuous decrease of median TSH concentration during the first trimester of pregnancy (median TSH concentration: 1.82 mIU/L for 3+0 to 6+6 weeks; 1.53 mIU/L for 7+0 to 7+6 weeks; and 1.05 mIU/L for 8+0 to 13+6 weeks). Using the fixed cut-off value of TSH >2.5 mIU/L, the diagnosis rate of subclinical hypothyroidism decreased significantly according to the gestational age (GA) at TSH (25% in 3+0 to 6+6 weeks, 13% in 7+0 to 7+6 weeks, and 9% for 8+0 to 13+6 weeks, Phypothyroidism.

  7. Accuracy and cut-off point selection in three-class classification problems using a generalization of the Youden index.

    Science.gov (United States)

    Nakas, Christos T; Alonzo, Todd A; Yiannoutsos, Constantin T

    2010-12-10

    We study properties of the index J(3), defined as the accuracy, or the maximum correct classification, for a given three-class classification problem. Specifically, using J(3) one can assess the discrimination between the three distributions and obtain an optimal pair of cut-off points c(1)sum of the correct classification proportions will be maximized. It also serves as the generalization of the Youden index in three-class problems. Parametric and non-parametric approaches for estimation and testing are considered and methods are applied to data from an MRS study on human immunodeficiency virus (HIV) patients.

  8. Detecting outliers and/or leverage points: a robust two-stage procedure with bootstrap cut-off points

    Directory of Open Access Journals (Sweden)

    Ettore Marubini

    2014-01-01

    Full Text Available This paper presents a robust two-stage procedure for identification of outlying observations in regression analysis. The exploratory stage identifies leverage points and vertical outliers through a robust distance estimator based on Minimum Covariance Determinant (MCD. After deletion of these points, the confirmatory stage carries out an Ordinary Least Squares (OLS analysis on the remaining subset of data and investigates the effect of adding back in the previously deleted observations. Cut-off points pertinent to different diagnostics are generated by bootstrapping and the cases are definitely labelled as good-leverage, bad-leverage, vertical outliers and typical cases. The procedure is applied to four examples.

  9. A neoantigenic determinant in the D-dimer fragment of fibrin

    NARCIS (Netherlands)

    Lugovskoy, E.V.; Kolesnikova, I.N.; Gritsenko, P.G.; Zolotareva, E.N.; Gaffney, P.; Nieuwenhuizen, W.; Komisarenko, S.V

    2002-01-01

    Monoclonal antibody (mAb) III-3b binds D-dimer with Kd = 1.4 × 10-10 M without cross-reaction with fibrin(ogen). The epitope for this mAb is in Bβ134-190, presumably in Bβ155-160. The latter site is buried in the coiled coil structure of fibrin(ogen) but it is exposed as a neoantigenic determinant i

  10. Validation of an immunochromatographic D-dimer test to presumptively identify menstrual fluid in forensic exhibits.

    Science.gov (United States)

    Holtkötter, Hannah; Dierig, Lisa; Schürenkamp, Marianne; Sibbing, Ulla; Pfeiffer, Heidi; Vennemann, Marielle

    2015-01-01

    Identifying the biological source of a crime scene stain can be crucial for police investigations in many scenarios. Blood is one of the most common fluids found, and accurate differentiation between peripheral blood and menstrual fluid could provide valuable information regarding the issue of consent in sexual assault cases. For the detection of menstrual fluid, no easy-to-use presumptive test is available to date. Therefore, this study aimed to validate a simple immunochromatographic test for the indication of menstrual fluid, focusing on a D-dimer assay. The Clearview® rapid D-dimer test provides a diagnostic assay for the detection of fibrin degradation products. We validated the sensitivity and robustness of the assay using fresh and dried menstrual fluid samples, body fluid mixtures, diluted samples, and casework swabs. Cross reactivity was tested for saliva, semen, vaginal fluid, and blood. No false positive results were obtained; it was possible to successfully analyze mixtures, highly diluted samples, and casework swabs. The results of this study indicate that the D-dimer assay reliably detects menstrual fluid in forensic exhibits and is easy to implement into the current workflow of body fluid identification.

  11. d-dimer testing as an adjunct to ultrasonography in patients with clinically suspected deep vein thrombosis: prospective cohort study

    Science.gov (United States)

    Bernardi, Enrico; Prandoni, Paolo; Lensing, Anthonie W A; Agnelli, Giancarlo; Guazzaloca, Giuliana; Scannapieco, Gianluigi; Piovella, Franco; Verlato, Fabio; Tomasi, Cristina; Moia, Marco; Scarano, Luigi; Girolami, Antonio

    1998-01-01

    Objective To investigate the efficacy of using a rapid plasma d-dimer test as an adjunct to compression ultrasound for diagnosing clinically suspected deep vein thrombosis. Design d-dimer concentrations were determined in all patients with a normal ultrasonogram at presentation. Repeat ultrasonography was performed 1 week later only in patients with abnormal d-dimer test results. Main outcome measure Patients with normal ultrasonograms were not treated with anticoagulants and were followed for 3 months for thromboembolic complications. Setting University research and affiliated centres. Subjects 946 patients with clinically suspected deep vein thrombosis. Results Ultrasonograms were abnormal at presentation in 260 (27.5%) patients. Of the remaining 686 patients tested for d-dimer, 88 (12.8%) had abnormal concentrations. During follow up venous thromboembolic complications occurred in one of the 598 patients who were not treated with anticoagulants and who had an initial normal ultrasonogram and d-dimer concentration, whereas thromboembolic complications occurred in two of the 83 untreated patients who had abnormal d-dimer concentrations but a normal repeat ultrasonogram. The cumulative incidence of venous thromboembolic complications during follow up was 0.4% (95% confidence interval 0% to 0.9%). The rapid plasma d-dimer test used as an adjunct to compression ultrasonography resulted in a reduction in the mean number of repeat ultrasound examinations and additional hospital visits from 0.7 to 0.1 per patient. Conclusions Testing for d-dimer as an adjunct to a normal baseline ultrasound examination decreased the number of subsequent ultrasound examinations considerably without any increased risk of venous thromboembolic complications in patients not receiving anticoagulants. The use of ultrasound and testing for d-dimer enabled treatment decisions to be made at the time of presentation in most patients. Key messagesPatients with clinically suspected deep vein

  12. D-Dimer Levels Predict Myocardial Injury in ST-Segment Elevation Myocardial Infarction: A Cardiac Magnetic Resonance Imaging Study

    Science.gov (United States)

    Song, Young Bin; Lima, Joao A. C.; Guallar, Eliseo; Choe, Yeon Hyeon; Hwang, Jin Kyung; Kim, Eun Kyoung; Yang, Jeong Hoon; Hahn, Joo-Yong; Choi, Seung-Hyuk; Lee, Sang-Chol; Lee, Sang Hoon; Gwon, Hyeon-Cheol

    2016-01-01

    Objectives Elevated D-dimer levels on admission predict prognosis in patients undergoing primary percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI), but the association of D-dimer levels with structural markers of myocardial injury in these patients is unknown. Methods We performed cardiac magnetic resonance (CMR) imaging in 208 patients treated with primary PCI for STEMI. CMR was performed a median of 3 days after the index procedure. Of the 208 patients studied, 75 patients had D-dimer levels above the normal range on admission (>0.5 μg/mL; high D-dimer group) while 133 had normal levels (≤0.5 μg/mL; low D-dimer group). The primary outcome was myocardial infarct size assessed by CMR. Secondary outcomes included area at risk (AAR), microvascular obstruction (MVO) area, and myocardial salvage index (MSI). Results In CMR analysis, myocardial infarct size was larger in the high D-dimer group than in the low D-dimer group (22.3% [16.2–30.5] versus 18.8% [10.7–26.7]; p = 0.02). Compared to the low D-dimer group, the high D-dimer group also had a larger AAR (38.1% [31.7–46.9] versus 35.8% [24.2–45.3]; p = 0.04) and a smaller MSI (37.7 [28.2–46.9] versus 47.1 [33.2–57.0]; p = 0.01). In multivariate analysis, high D-dimer levels were significantly associated with larger myocardial infarct (OR 2.59; 95% CI 1.37–4.87; p<0.01) and lower MSI (OR 2.62; 95% CI 1.44–4.78; p<0.01). Conclusions In STEMI patients undergoing primary PCI, high D-dimer levels on admission were associated with a larger myocardial infarct size, a greater extent of AAR, and lower MSI, as assessed by CMR data. Elevated initial D-dimer level may be a marker of advanced myocardial injury in patients treated with primary PCI for STEMI. PMID:27513758

  13. Cut-off scaling of high-harmonic generation driven by a femtosecond visible optical parametric amplifier

    International Nuclear Information System (INIS)

    We studied high-harmonic generation (HHG) in Ar, Ne and He gas jets using a broadly tunable, high-energy optical parametric amplifier (OPA) in the visible wavelength range. We optimized the noncollinear OPA to deliver tunable, femtosecond pulses with 200-500 µJ energy at the 1 kHz repetition rate with excellent spatiotemporal properties, suitable for HHG experiments. By tuning the central wavelength of the OPA while keeping other parameters (energy, duration and beam size) constant, we experimentally studied the scaling law of cut-off energy with the driver wavelength in helium. Our measurements show a λ1.7+0.2 dependence of the HHG cut-off photon energy over the full visible range in agreement with previous experiments of near- and mid-IR wavelengths. By tuning the central wavelength of the driver source, the high-order harmonic spectra in the extreme ultraviolet cover the full range of photon energy between ∼25 and ∼100 eV. Due to the high coherence intrinsic in HHG, as well as the broad and continuous tunability in the extreme UV range, a high energy, high repetition rate version of this source might be an ideal seed for free electron lasers.

  14. STS-114: Engine Cut-Off Sensors Are a No-Go: Teaching Notes for NASA Case Study

    Science.gov (United States)

    Ransom, Khadijah S.; Johnson, Grace K.

    2013-01-01

    This case study format is intended to simulate the experience of facing the same difficult challenges and making the same critical decisions as managers, engineers, and scientists in the Space Shuttle Program. It has been designed for use in the classroom setting to help students develop skills related to decision-making. Students will read about the engine cut-off sensor anomaly which created challenges during the STS-114 mission and have the opportunity to make decisions as lead NASA engineers and Mission Management Team members. Included within this document are three case study presentation options - class discussion, group activity, and open-ended research. Please read the full case prior to in-class presentation to allow ample time for students' analysis and reflection, as well as to prepare additional questions. activities or exercises, material selection, etc. Depending upon the setting of your presentation and the number of participants, please choose at least one presentation format beforehand and plan accordingly. You may expect the following learning objectives by using the proposed formats. Learning Objectives: To enable students to experience the responsibilities of NASA management, engineers, and analysis; to discover possible procedures for investigating system anomalies; to become familiar with the liquid hydrogen low level engine cut-off sensor, including its function, connecting components, and location within the Space Shuttle; and to encourage critical analysis and stimulating discussion of Space Shuttle mission challenges.

  15. Accuracy of cut-off value by measurement of third molar index: Study of a Colombian sample.

    Science.gov (United States)

    De Luca, Stefano; Aguilar, Lina; Rivera, Marcela; Palacio, Luz Andrea Velandia; Riccomi, Giulia; Bestetti, Fiorella; Cameriere, Roberto

    2016-04-01

    The aim of this cross-sectional study was to test the accuracy of cut-off value of 0.08 by measurement of third molar index (I3M) in assessing legal adult age of 18 years in a sample of Colombian children and young adults. Digital orthopantomographs of 288 Colombian children and young adults (163 girls and 125 boys), aged between 13 and 22 years, were analysed. Concordance correlation coefficient (ρc) and κ statistics (Cohen's Kappa coefficient) showed that repeatability and reproducibility are high for both intra- and inter-observer error. κ statistics for intra- and inter-observer agreement in decision on adult or minor was 0.913 and 0.877, respectively. Age distribution gradually decreases as I3M increases in both girls and boys. For girls, the sensitivity test was 95.1% (95% CI 87.1%-95%) and specificity was 93.8% (95% CI 87.1%-98.8%). The proportion of correctly classified individuals was 95.1%. For boys, the sensitivity test was 91.7% (95% CI 85.1%-96.8%) and specificity was 90.6% (95% CI 82.1%-97.8%). The proportion of correctly classified individuals was 89.7%. The cut-off value of 0.08 is highly useful to determine if a subject is 18 years of age or older or not. PMID:26898677

  16. Effects of inductive waves on multi-band below-cut-off transmission in waveguides loaded with dielectric metamaterials

    Directory of Open Access Journals (Sweden)

    Fang Chen

    2014-10-01

    Full Text Available Unusual backward and forward wave propagation in below cut-off waveguides loaded with dielectric metamaterials comprised of linear arrays of dielectric resonators (DRs has been investigated by using theoretical, numerical, and experimental methods. Transmission bands were shown to correspond to three lowest resonances in arrays and were analyzed by using the concepts of magneto- and electro-inductive (MI and EI waves describing the transfer of resonance excitation along the chains of coupled resonators. Equivalent circuit models (ECMs have been constructed to describe MI and EI wave propagation and to obtain the dispersion diagrams. Good agreement between the obtained data and the results of full-wave simulations, theoretical calculations, and experiments provided an opportunity to determine coupling coefficients characterizing interaction between DRs in arrays at various resonances. It was shown that ripples observed in below cut-off transmission bands are transmission resonances caused by Fabry-Perot oscillations of inductive waves at impedance mismatch at the array ends. Fitting the transmission spectra for MI/EI waves in arrays, calculated by using the Transfer Matrix Method to the spectra obtained by using full-wave simulations/measurements, allowed for determining the ECM parameters to fully characterize the DR array properties.

  17. Dynamic Changes, Cut-Off Points, Sensitivity, and Specificity of Laboratory Data to Differentiate Macrophage Activation Syndrome from Active Disease

    Directory of Open Access Journals (Sweden)

    Raheleh Assari

    2015-01-01

    Full Text Available Purpose. To compare the laboratory data and changes in these data between patients with MAS and patients with flare-up of the autoimmune diseases. Methods. In a prospective study, the static laboratory data and dynamic changes in the selected data in 17 consecutive patients with MAS and 53 patients with active disease of SJIA, PJIA, Kawasaki disease, and SLE were compared. The ROC curve analysis was used to evaluate cut-off points, sensitivity, and specificity of the static and dynamic laboratory data to differentiate between MAS and active disease. Results. In the MAS group, the mean CRP3, ALT, AST, total bilirubin, ferritin, LDH, PT, PTT, and INR were significantly higher and the mean WBC2, PMN2, Lymph2, Hgb1, 2, 3, ESR2, serum albumin, and sodium were significantly lower than in control group. Some of the important cut-off points were PLT2 38.5, ALT > 38, WBC 5277 ng/mL. Conclusion. The dynamic changes in some laboratory data, especially PLT, can differentiate between MAS and active disease. The changes in WBC, PMN, and ESR and the levels of the liver enzymes may also be helpful in the early differentiation. Very high levels of ferritin may also help the diagnosis along with other clinical and laboratory signs.

  18. Analysis of the acoustic cut-off frequency and HIPs in six Kepler stars with stochastically excited pulsations

    CERN Document Server

    Jimenez, A; Hernandez, F Perez; Mathur, S

    2015-01-01

    Gravito-acoustic modes in the Sun and other stars propagate in resonant cavities with a frequency below a given limit known as the cut-off frequency. At higher frequencies, waves are no longer trapped in the stellar interior and become traveller waves. In this article we study six pulsating solar-like stars at different evolutionary stages observed by the NASA Kepler mission. These high signal-to-noise targets show a peak structure that extends at very high frequencies and are good candidates for studying the transition region between the modes and the interference peaks or pseudo-modes. Following the same methodology successfully applied on Sun-as-a-star measurements, we uncover the existence of pseudo-modes in these stars with one or two dominant interference patterns depending on the evolutionary stage of the star. We also infer their cut-off frequency as the midpoint between the last eigenmode and the first peak of the interference patterns. By using ray theory we show that, while the period of one of the...

  19. CFT dual of the AdS Dirichlet problem : Fluid/Gravity on cut-off surfaces

    CERN Document Server

    Brattan, Daniel K; Loganayagam, R; Rangamani, Mukund

    2011-01-01

    We study the gravitational Dirichlet problem in AdS spacetimes with a view to understanding the boundary CFT interpretation. We define the problem as bulk Einstein's equations with Dirichlet boundary conditions on fixed timelike cut-off hypersurface. Using the fluid/gravity correspondence, we argue that one can determine non-linear solutions to this problem in the long wavelength regime. On the boundary we find a conformal fluid with Dirichlet constitutive relations, viz., the fluid propagates on a `dynamical' background metric which depends on the local fluid velocities and temperature. This boundary fluid can be re-expressed as an emergent hypersurface fluid which is non-conformal but has the same value of the shear viscosity as the boundary fluid. The hypersurface dynamics arises as a collective effect, wherein effects of the background are transmuted into the fluid degrees of freedom. Furthermore, we demonstrate that this collective fluid is forced to be non-relativistic below a critical cut-off radius in...

  20. Elevated D-dimers in attacks of hereditary angioedema are not associated with increased thrombotic risk

    Science.gov (United States)

    Reshef, A; Zanichelli, A; Longhurst, H; Relan, A; Hack, C E

    2015-01-01

    Background Recommended management of attacks of hereditary angioedema (HAE) due to C1 esterase inhibitor (C1-INH) deficiency (C1-INH-HAE) includes therapy with exogenous C1INH. Thrombotic/thromboembolic events (TEE) have been reported with plasma-derived C1INH, but so far none with recombinant human C1INH (rhC1INH). This phase III, randomized, placebo (saline)-controlled study evaluated the safety of rhC1INH 50 IU/kg for the treatment of acute attacks in 74 patients with C1-INH-HAE. Methods Monitoring for TEE and assessment of risk of deep vein thrombosis (DVT) by the Wells prediction rule were performed, and levels of fibrin degradation products (plasma D-dimers) were assessed before study drug administration (baseline), 2 h, and 7 days posttreatment. Results Plasma D-dimer levels were elevated in 80% of the patients (median [25th–75th percentiles]: 2149 [480–5105] μg/l; normal ≤250 μg/l) and were higher in patients with submucosal (abdominal, oropharyngeal–laryngeal) attacks (3095 [890–10000] μg/l; n = 29) compared with subcutaneous (peripheral, facial) attacks (960 [450–4060] μg/l; n = 35). Median plasma D-dimer levels were comparable across treatment groups at baseline (1874 [475–4568] μg/l rhC1INH; 2259 [586–7533] μg/l saline) and 2 h postinfusion (2389 [760–4974] μg/l rhC1INH; 2550 [310–8410] μg/l saline); median plasma D-dimer levels were decreased by Day 7 in both groups (425 [232–3240] μg/l rhC1INH; 418 [246–2318] μg/l saline). No increased risk of DVT was identified, nor any TEE reported in rhC1INH treated or controls. Conclusion Elevated plasma D-dimer levels were associated with acute C1-INH-HAE attacks, particularly with submucosal involvement. However, rhC1INH therapy was not associated with thrombotic events. PMID:25640891

  1. A clinically based prognostic index for diffuse large B-cell lymphoma with a cut-off at 70 years of age significantly improves prognostic stratification: population-based analysis from the Danish Lymphoma Registry.

    Science.gov (United States)

    Gang, Anne O; Pedersen, Michael; d'Amore, Francesco; Pedersen, Lars M; Jensen, Bo A; Jensen, Paw; Møller, Michael B; Mourits-Andersen, Hans T; Pedersen, Robert S; Klausen, Tobias W; de N Brown, Peter

    2015-01-01

    The introduction of rituximab and generally improved health among elderly patients have increased the survival of patients with diffuse large B-cell lymphoma (DLBCL). The International Prognostic Index (IPI) from 1992 is based on pre-rituximab data from clinical trials including several lymphoma subtypes. We applied IPI factors to a population-based rituximab-treated cohort of 1990 patients diagnosed 2000-2010 and explored new factors and the optimal prognostic age cut-off for DLBCL. Multivariate-analyses (MVA) confirmed the prognostic value of all IPI factors except the presence of > 1 extranodal lesion. The optimal age cut-off was 70 years. In a MVA of albumin, lymphocyte count, sex, immunoglobulin G, bulky disease, hemoglobin and B-symptoms, only albumin was prognostic. We propose: (1) a modified DLBCL prognostic index (DLBCL-PI) including: age (70 years), performance status (PS), lactate dehydrogenase (LDH), stage and albumin level, and (2) a separate age-adjusted DLBCL-PI for patients ≤ 70 years including PS, LDH, albumin level and > 1 extranodal lesion, however excluding stage.

  2. Impact of High-Cut-Off Dialysis on Renal Recovery in Dialysis-Dependent Multiple Myeloma Patients: Results from a Case-Control Study.

    Directory of Open Access Journals (Sweden)

    Hans U Gerth

    Full Text Available High-cut-off hemodialysis (HCO-HD can effectively reduce high concentrations of circulating serum free light chains (sFLC in patients with dialysis-dependent acute kidney injury (AKI due to multiple myeloma (MM. Therefore, the aim of this study was to analyze renal recovery in a retrospective single-center cohort of dialysis-dependent MM patients treated with either conventional HD (conv. HD or HCO-HD.The final cohort consisted of 59 patients treated with HCO-HD (n = 42 or conv. HD (n = 17. A sustained sFLC response was detected in a significantly higher proportion of HCO-HD patients (83.3% compared with conv. HD patients (29.4%; p = 0.007. The median duration of sFLC required to reach values <1000 mg/l was 14.5 days in the HCO-HD group and 36 days in the conv. HD group. The corresponding rates of renal recovery were 64.3% and 29.4%, respectively (chi-squared test, p = 0.014. Multivariate regression and decision tree analysis (recursive partitioning revealed HCO-HD (adjusted odds ratio [OR] 6.1 [95% confidence interval (CI 1.5-24.5], p = 0.011 and low initial uric acid values (adjusted OR 1.3 [95%CI 1.0-1.7], p = 0.045 as independent and paramount variables associated with a favorable renal outcome.In summary, the results from this retrospective case-control study suggest in addition to novel agent-based chemotherapy a benefit of HCO-HD in sFLC removal and renal outcome in dialysis-dependent AKI secondary to MM. This finding was especially pertinent in patients with low initial uric acid values, resulting in a promising renal recovery rate of 71.9%. Further prospective studies are warranted.

  3. Prognostic associations of preoperative plasma levels of fibrinogen and D-dimer after curative resection in patients with colorectal cancer

    Institute of Scientific and Technical Information of China (English)

    王俊锋

    2013-01-01

    Objective To explore the associations of preoperative plasma levels of fibrinogen and D-dimer with clinico-pathologic parameters and overall survival in colorectal cancer patients after curative resection.Methods From

  4. Relationship between disease severity and D-dimer levels measured with two different methods in pulmonary embolism patients

    Directory of Open Access Journals (Sweden)

    Coskun Funda

    2010-06-01

    Full Text Available Abstract Pulmonary embolism (PE is diagnosed with increasing frequency nowadays due to advances in the diagnostic methods and the increased awareness of the disease. There is a tendency to use non invasive diagnostic methods for all diseases. D-dimer is a fibrin degradation product. We aimed to detect the relationship between disease severity and the D-dimer levels measured with two different methods. We compared D-dimer levels in cases of massive vs. non-massive PE. A total of 89 patients who were diagnosed between 2006 and 2008 were included in the study. Group 1 included patients whose D-dimer levels were measured with the immunoturbidimetric polyclonal antibody method (D-dimerPLUS®, while Group 2 patients made use of the immunoturbidimetric monoclonal antibody method (InnovanceD-DIMER®. In each group, the D-dimer levels of those with massive and non-massive PE were compared, using the Mann Whitney U test. The mean age of Group 1 (25 F/26 M was 56.0 ± 17.9 years, and that of Group 2 (22 F/16 M was 52.9 ± 17.9 years. There was no statistical difference in gender and mean age between the two groups (p > 0.05. In Group 1, the mean D-dimer level of massive cases (n = 7 was 1444.9 ± 657.9 μg/L and that of nonmassive PE (n = 34 was 1304.7 ± 350.5 μg/L (p > 0.05. In Group 2, the mean D-dimer level of massive cases (n = 6 was 9.7 ± 2.2 mg/L and that of non-massive PE (n = 32 was 5.9 ± 1.3 mg/L (p

  5. Evaluation of the Diagnostic Accuracy of Serum D-Dimer Levels in Pregnant Women with Adnexal Torsion

    Directory of Open Access Journals (Sweden)

    Hasan Onur Topçu

    2015-01-01

    Full Text Available We aimed to evaluate the diagnostic accuracy of serum D-dimer levels in pregnant women with adnexal torsion (AT. The pregnant women with ovarian cysts who suffered from pelvic pain were divided into two groups; the first group consisted of the cases with surgically proven as AT (n = 17 and the second group consisted of the cases whose pain were resolved in the course of follow-up period without required surgery (n = 34. The clinical characteristics and serum D-dimer levels were compared between the groups. Patients with AT had a higher rate of elevated serum white blood cell (WBC count (57% vs. 16%, p = 0.04 and serum D-dimer levels (77% vs. 21%, p < 0.01 on admission in the study group than in the control group. Elevated D-dimer and cyst diameter larger than 5 cm yielded highest sensitivity (82% for each; whereas the presence of nausea and vomiting and elevated CRP had the highest specificity (85% and 88%, respectively. This is the first study that evaluates the serum D-dimer levels in humans in the diagnosis of AT, and our findings supported the use of D-dimer for the early diagnosis of AT in pregnant women.

  6. D-Dimer and Carcinoembryonic Antigen Levels: Useful Indicators for Predicting the Tumor Stage and Postoperative Survival.

    Science.gov (United States)

    Tekeşin, Kemal; Bayrak, Savaş; Esatoğlu, Varol; Özdemir, Ebru; Özel, Leyla; Melih Kara, Veli

    2016-01-01

    The purpose of this prospective study is to determine the preoperative plasma D-dimer and serum Carcinoembryonic Antigen (CEA) levels of patients scheduled for curative surgical resection for colorectal cancer and to evaluate the significance of these levels on the prognosis and postoperative survival rate. One hundred sixty-five patients with colorectal cancer, who were scheduled to have elective resection between January 2008 and January 2011, were included in the study. A significant increase was observed in the D-dimer levels, particularly in poorly differentiated tumors. The distance covered by the tumor inside the walls of the colon and rectum (T-stage) was significant for both D-dimer and CEA levels. As the T-stage increased, there was also a significant increase in the D-dimer and CEA levels. A high significance and correlation level was detected between the TNM staging and both D-dimer and CEA. A significant relationship was found between the advanced tumor stage and short postoperative survival rate of patients with colorectal cancer. Therefore, the analysis of preoperative D-dimer and CEA levels can be useful in predicting the stage and differentiation of the tumor and the postoperative survival rate. PMID:27651789

  7. Design and construction of a seepage cut off wall using the slurry trench technique in cold temperatures at the Horizon Dam project

    Energy Technology Data Exchange (ETDEWEB)

    Barr, L.A.; Sobkowicz, J.C. [Thurber Engineering Ltd., Calgary, AB (Canada)

    2010-07-01

    This paper described the design and construction of a soil-cement-bentonite seepage cut off water that was constructed in 2007 as part of the Horizon Dam project at Canadian Natural Resources Ltd. Horizon oil sands site. The Horizon Dam is an earth retention structure which diverts the Tar River around the mine and plant site, and creates a man-made lake providing replacement fish habitat. It was necessary to build the cut off wall to control seepage through the native coarse grained alluvial deposits encountered under the dam and to minimize the risk of piping due to large hydraulic gradients created by the lake. This paper discussed the design of the dam and the field investigation using different geotechnical drilling methods, geophysics and in-situ testing to support design of the cut off wall. Specifically, the paper discussed a literature review and laboratory testing program that were carried out to assess the appropriate backfill mix to be used. The construction of the cut off wall took place at the end of winter using the slurry trench technique. As such, some unique constructability issues were encountered because of cold weather, the use of cement in the backfill, and the native soil conditions. It was concluded that although strict quality control/assurance measures were implemented, one defect in the cut off wall occurred, which required mitigation to provide a product that met the design intentions. 5 refs., 1 tab., 15 figs.

  8. Suggested cut-off values for vitamin D as a risk marker for total and cardiac death in patients with suspected acute coronary syndrome

    Directory of Open Access Journals (Sweden)

    Patrycja Anna Naesgaard

    2016-02-01

    Full Text Available Background: Several studies have demonstrated an association between low vitamin D levels and cardiovascular risk. Vitamin D cut off levels are still under debate. Objectives: To assess two cut-off levels, 40 nmol/L and 70 nmol/L, respectively, for vitamin D measured as 25-hydroxyvitamin D [25(OHD] in chest pain patients with suspected acute coronary syndrome.Methods: We investigated 1853 patients from coastal-Norway and inland Northern-Argentina. A similar database was used for pooling of data. 2-year follow-up data including all-cause mortality, cardiac death and sudden cardiac death in the total patient population were analyzed, applying univariate and multivariable analysis. Results: 255 patients with known vitamin D concentrations died. In the multivariable analysis, there was a decrease in total mortality above a cut-off level of 40 nmol/L and a decrease in cardiac death above a cut-off level of 70 nmol/L, [HRs of 0.66 (95% CI, 0.50 – 0.88, p = 0.004 and 0.46 (95% CI, 0.22 – 0.94, p = 0.034, respectively].Conclusion: Vitamin D cut-off levels of 40 nmol/L and 70 nmol/L, were related to total mortality and cardiac death, respectively.

  9. On a holographic dark energy model with a Nojiri-Odintsov cut-off in general relativity

    CERN Document Server

    Khurshudyan, M

    2016-01-01

    In this paper we consider the models of the accelerated expanding large scale universe~(according to general relativity) containing a generalized holographic dark energy with a Nojiri - Odintsov cut - off. The second component of the darkness is assumed to be the pressureless cold dark matter according to observed symmetries of the large scale universe. Moreover, we assume specific forms of the interaction between these two components and besides the cosmographic analysis, we discuss appropriate results from $Om$ and $Om3$ analysis and organize a closer look to the models via the statefinder hierarchy analysis, too. In this way we study mainly impact of the interaction on the dynamics of the background of our universe~(within specific forms of interaction). To complete the cosmographic analysis, the present day values of the statefinder parameters $(r,s)$ and $(\\omega^{\\prime}_{de}, \\omega_{de})$ has been estimated for all cases and the validity of the generalized second law of thermodynamics is demonstrated....

  10. NUMERICAL SIMULATION OF 3-D TURBULENT FLOWS IN A CUT-OFF VALVE AND ANALYSIS OF FLOW CHARACTERISTICS IN PIPE

    Institute of Scientific and Technical Information of China (English)

    He Zhi-guo; Mao Gen-hai; Yuan Xing-ming

    2003-01-01

    The 3-D turbulent flows in a valve pipe were described by the incompressible Reynolds-averaged Navier-Stokes equations with an RNG k-ε turbulence model. With the finite volume method and a body-fitted coordinate system, the discretised equations were solved by the SIMPLEST algorithm. The numerical result of a cut-off valve with curved inlet shows the flow characteristics and the main cause of energy loss when fluid flows through a valve. And then, the boundaries of valve were modified in order to reduce the energy loss. The computational results of modified valve show that the numerical value of turbulent kinetic energy is lower, and that the modified design of the 3-D valve boundaries is much better. The analysis of the result also shows that RNG k-ε turbulence model can successfully be used to predict the 3-D turbulent separated flows and the secondary flow inside valve pipes.

  11. The Development of Appropriate Waist-to-Hip Ratio Cut- off Points: Survey in Large Iranian Adult Population

    Directory of Open Access Journals (Sweden)

    A.S. Jahanlou

    2015-07-01

    Full Text Available Introduction & Objective: Proportion of Waist-to-Hip Ratio (WHR is an indicator of abdominal obesity, which is supported by some studies but rejected by others. The aim of this study was to examine the accuracy of the WHR and obtain suitable cut- off points for detecting obesity among adult Iranians. Materials & Methods: In this cross-sectional-descriptive study the sample consisted of 19366 adults. The data collection took place from 2009 to 2014, using Bioelectrical Impedance Analysis (BIA. The following data were obtained: WHR, Percentile of Body Fat (PBF, To-tal Fat (TF, and Soft Lean Mass (SLM. Sensitivity and specificity, based on World Health Organization’s Gold Standards were calculated for both sexes at three age groups. The data analysis included t-test, chi-square, ROC curve, and linear regression. Results: All study variables were correlated with each other. Age was only correlated with the WHR. Percentages of sensitivity and Negative Predictive Value (NPV were 84.2% and 85.6% in women; 21% and 50.7% in men. Increase in age was associated with increase in sensitivity in men and women, and NPV in men. The suitable cut-off points for men and women were found to be 87.5% and 83.5%, respectively. Conclusion: Waist-to-Hip ration is a suitable indictor of obesity for Iranian women but not men, especially among those who are under 59 years old. (Sci J Hamadan Univ Med Sci 2015; 22 (2: 144-151

  12. Impact of D-Dimer for Prediction of Incident Occult Cancer in Patients with Unprovoked Venous Thromboembolism

    Science.gov (United States)

    Han, Donghee; ó Hartaigh, Bríain; Lee, Ji Hyun; Cho, In-Jeong; Shim, Chi Young; Chang, Hyuk-Jae; Hong, Geu-Ru; Ha, Jong-Won; Chung, Namsik

    2016-01-01

    Background Unprovoked venous thromboembolism (VTE) is related to a higher incidence of occult cancer. D-dimer is clinically used for screening VTE, and has often been shown to be present in patients with malignancy. We explored the predictive value of D-dimer for detecting occult cancer in patients with unprovoked VTE. Methods We retrospectively examined data from 824 patients diagnosed with deep vein thrombosis or pulmonary thromboembolism. Of these, 169 (20.5%) patients diagnosed with unprovoked VTE were selected to participate in this study. D-dimer was categorized into three groups as: 4,000 ng/ml. Cox regression analysis was employed to estimate the odds of occult cancer and metastatic state of cancer according to D-dimer categories. Results During a median 5.3 (interquartile range: 3.4–6.7) years of follow-up, 24 (14%) patients with unprovoked VTE were diagnosed with cancer. Of these patients, 16 (67%) were identified as having been diagnosed with metastatic cancer. Log transformed D-dimer levels were significantly higher in those with occult cancer as compared with patients without diagnosis of occult cancer (3.5±0.5 vs. 3.2±0.5, P-value = 0.009, respectively). D-dimer levels >4,000 ng/ml was independently associated with occult cancer (HR: 4.12, 95% CI: 1.54–11.04, P-value = 0.005) when compared with D-dimer levels 4000 ng/ml were also associated with a higher likelihood of metastatic cancer (HR: 9.55, 95% CI: 2.46–37.17, P-value 4000 ng/ml are independently associated with the likelihood of occult cancer among patients with unprovoked VTE. PMID:27073982

  13. DIAGNOSTIC VALUE OF D-DIMER MEASUREMENT IN PATIENTS SUSPECTED TO HAVE CEREBRAL VENOUS THROMBOSIS

    Directory of Open Access Journals (Sweden)

    M Ghaffarpour

    2008-12-01

    Full Text Available "nAmong the causes of headache, cerebral venous and/or dural sinus thrombosis (CVT is an important challenge because of its variable clinical presentation, having negative brain CT in up to 30% of cases and unavailability of MRI in some situations. On the other hand as D-Dimer (DD test has been reported to be a sensitive test for the exclusion of venous thromboembolism, we sought whether it could be useful in the diagnosis of cerebral venous thrombosis. A prospective study of 104 consecutive patients with headache or unusual ischemic stroke (infarction in brain CT, but not compatible with any brunch of cerebral arteries, suggesting CVT was conducted between 2003 and 2005. D-Dimer test determined for all patients in the emergency ward before MRI or MRV was performed. Titers above 500 ng/ml were regarded as positive test. From a total 104 patients, 21 cases (20.2% were confirmed (by MRI and/or MRV to have CVT, 20/21 (95.7% of whom had positive DD test. In the remainder 83 (without CVT it was only positive in 16.8% (14/83, which was statistically meaningful (P < 0.001. Specificity, sensitivity, negative and positive predictive values of DD test were 83.1, 95.2, 98.6 and 58.8%, respectively, so application of this test would be useful in the diagnosis of CVT and values below 500 ng/ml make acute thrombosis unlikely.

  14. Complementarity of lung scintigraphy and D-dimer test in pulmonary embolism

    International Nuclear Information System (INIS)

    D-dimer assay (DDA), measuring fibrin degradation products, was compared with lung scintigraphy (LS) in a prospective unselected series of 83 consecutive patients referred owing to suspicion of pulmonary embolism (PE). This patient series was also used to compare several methods of performing and interpreting LS images. The final diagnosis was established independently by a separate panel with all available information except for the result of DDA. D-dimer was determined by ELISA (threshold value 500 ng/ml). LS, including perfusion (.Q) and pseudo-ventilation (Technegas) (.V), was classified according to PIOPED, (1) immediately by the physician on duty, and (2) retrospectively by a blinded panel. A positive (19) or negative (61) diagnosis of PE was achieved in 80 patients, the prevalence of PE being 24%. Only one false-negative was noted on DDA (sensitivity=95%) but there were 42 false-positives (specificity=31%), resulting in a positive predictive value of 30% and a negative predictive value of 95%. Emergency and retrospective interpretations of LS were close (kappa=0.4). In a minority of patients, PE may be excluded with reasonable certainty if DDA is normal, resulting in a significant saving in terms of time and money. (orig.). With 3 tabs

  15. Role of D-Dimer, Fibrinogen and DDimer/Fibrinogen Rate in the Diagnosis of Pulmonary Embolism

    Directory of Open Access Journals (Sweden)

    Sureyya Yilmaz1

    2016-04-01

    Full Text Available Objective: The migration of a blood clot from the systemic circulation to pulmonary veins is called pulmonary embolism (PE. Pulmonary embolism is difficult to diagnose. The aim of the present study is to investigate the utility and diagnostic contribution of d-dimer, fibrinogen level, and Ddimer/Fibrinogen (D/F rate which are quick, non-invasive, affordable and easily obtainable laboratory tests in PE. Methods: We have evaluated the diagnostic value of D/F rate in 118 patients who were suspected to have PE. Diagnosis of PE was made by computerized tomographic pulmonary angiography. D-dimer level was above normal in all patients. Initially, Wells clinical scoring was applied on the patients and their d-dimer and fibrinogen levels were measured. Results: Seventy seven patients were detected as PE positive (+ and 41 were detected as PE negative (-. Forty-eight of the cases (40.7% were male; the average age was 49.77±19.46 (15-86 years. Between PE (+ and PE (- patients, d-dimer, fibrinogen, and D/F rate median values and standard derivations were detected to be different and statistically significant. Conclusion: According to this study approach to the patients with suspected from PE, D/F ratio is valuable than d-dimer, and fibrinogen level is significantly lower in patients with PE (+ than patients with PE (-.

  16. Optimal Waist Circumference Cut-off values for Identifying Metabolic Risk Factors in Middle-aged and Elderly Subjects in Shandong Province of China

    Institute of Scientific and Technical Information of China (English)

    HOU Xin Guo; ZHANG Xiu Ping; JIANG Mei; WANG Wei Qing; NING Guang; ZHENG Hui Zhen; MA Ai Xia; SUN Yu; SONG Jun; LIN Peng; LIANG Kai; WANG Chuan; LIU Fu Qiang; LI Wen Juan; XIAO Juan; GONG Lei; WANG Mei Jian; LIU Ji Dong; YAN Fei; YANG Jun Peng; WANG Ling Shu; TIAN Meng; MA Ze Qiang; ZHAO Ru Xing; JIANG Ling; CHEN Li; YANG Wei Fang; WANG Ji Xiang; LI Cheng Qiao; WANG Yu Lian; LIU Shu Min; Hu Xiu Ping

    2014-01-01

    Objective To study the optimal waist circumference (WC) cut-off values for identifying metabolic risk factors in middle-aged and elderly subjects in Shandong Province of China. Methods A total of 2 873 men and 5 559 women were included in this cross-sectional study. Metabolic syndrome (MetS) was diagnosed according to the definition of Chinese Diabetes Society in 2004. The relation between WC and MetS was analyzed by multivariate logistic regression analysis. The optimal WC cut-off values were identified using the area under the ROC curve and the different diagnostic criteria for central obesity were compared. Results The WC was the risk factor for MetS independent of BMI, blood glucose, blood lipid, and blood pressure. The optimal WC cut-off value was 83.8 cm and 91.1 cm for identifying MetS in women and men, respectively. Compared with 80 cm and 85 cm for women and men, 85 cm and 90 cm had a higher Youden index for identifying all metabolic risk factors and MetS in women and men. Conclusion The appropriate WC cut-off value is 85 cm and 90 cm for identifying central obesity and MetS in women and men in Shandong Province of China.

  17. Waist circumference cut-off in relation to body mass index and percentage of body fat in adult women from Merida, Mexico.

    Science.gov (United States)

    Datta Banik, Sudip; Dickinson, Federico

    2015-01-01

    Waist circumference (WC) as an index of central obesity is related to body mass index (BMI) and percent body fat (PBF). Waist circumference data were analyzed to identify a WC cut-off for adult women with respect to BMI-based obesity (≥ 30 kg/m²) and PBF. The sample was 138 women aged 22 to 41 years with Maya ancestry (based on surnames) in Merida, Yucatan, measured during 2011 - 2013. Anthropometric parameters included height, body weight (BW), and BMI. The PBF was estimated by bioelectrical impedance. Estimated cut-offs per centimeter WC (80 - 99 cm) were predicted by BMI for obesity (≥ 30 kg m⁻²; binomial: Yes = 1, No = 0) and PBF (continuous variable) using binary logistic regression analyses. Mean age was 32 years, mean BMI was 29 kg m(-2) and mean WC was 89 cm. The sample exhibited high PBF (44 %), and high rates of overweight (44%) and obesity (40%). The threshold WC (≥ 93 cm) had high sensitivity (80%), specificity (82%), Youden Index value (0.62), and correct classification rate (82%). The area under the receiver operating characteristic curve was 88 %. The WC ≥ 93 cm cut-off had corresponding values for mean BMI (34 kg m⁻²) and PBF (47%). The optimal WC cut-off at 93 cm significantly identified central obesity for BMI ≥ 30 kg m⁻² and PBF for this sample.

  18. Quantum fields and poisson processes II: Interaction of boson-boson and boson-fermion fields with a cut-off

    Science.gov (United States)

    Bertrand, J.; Gaveau, B.; Rideau, G.

    1985-05-01

    Quantum field evolutions are written as expectation values with respect to Poisson processes in two simple models: interaction of two boson fields (with conservation of the number of particles in one field) and interaction of a boson with a fermion field. The introduction of a cut-off ensures that the expectation values are well-defined.

  19. Cosmological properties and reconstruction of scalar field models of the Holographic Dark Energy model with Granda-Oliveros cut-off in Kaluza-Klein cosmology

    Science.gov (United States)

    Pasqua, Antonio; Chattopadhyay, Surajit; Assaf, Khudhair A.; Salako, Ines G.

    2016-06-01

    In this paper, we study the properties of the Holographic Dark Energy (HDE) model in the context of Kaluza-Klein (KK) cosmology with infrared cut-off given by the recently proposed by Granda-Oliveros cut-off, which contains a term proportional to the time derivative of the Hubble parameter and one proportional to the Hubble parameter squared. Moreover, this cut-off is characterized by two free parameters which are the proportional constants of the two terms of the cut-off. We derive the expression of the Equation of State (EoS) parameter ωD and of the deceleration parameter q for both non-interacting and interacting Dark Sectors and in the limiting case of a flat Dark Dominated Universe. Moreover, we study the squared speed of the sound vs2 and the statefinder diagnostic \\{r,s\\} in order to understand the cosmological properties of the model considered. We also develop a correspondence between the model considered and three scalar field models: the tachyon, the k-essence and the quintessence ones.

  20. Criteria to interpret cancer biomarker increments crossing the recommended cut-off compared in a simulation model focusing on false positive signals and tumour detection time

    DEFF Research Database (Denmark)

    Lund, Flemming; Hyltoft Petersen, Per; Pedersen, Merete Frejstrup;

    2014-01-01

    BACKGROUND: Several criteria have been proposed to interpret increments in serological cancer biomarker concentrations starting from low baseline concentrations crossing the cut-off. None of the criteria have been compared for their ability to signal tumour growth when ≤2% false positive results ...

  1. 吉林省新生儿先天性甲状腺功能减低症筛查切值研究%A research on cut off value of thyroid stimulating hormone for newborn congenital hypothyroidism screening in Jilin province

    Institute of Scientific and Technical Information of China (English)

    万立新; 张雯艳; 刘颖; 郝鹏楷; 赵迅; 张桂荣

    2013-01-01

    目的 建立吉林省新生儿先天性甲状腺功能减低症(CH)筛查TSH实验切值.方法 新生儿出生72 h后,并充分哺乳,采集足跟血滴于专用滤纸上,采用时间分辨荧光免疫分析方法,检测滤纸干血片TSH浓度.结果 测定新生儿足跟血TSH共计30 000例,确定本实验室新生儿TSH切值为9.0 mIU/L.结论 TSH切值为9.0 mIU/L是适合吉林省实际情况的.TSH切值的确定为吉林省今后开展大规模的新生儿CH筛查提供了依据.%Objective To determine cut off value of thyroid stimulating hormone (TSH) for screening of congenital hypothyroidism (CH) of newborn in Jilin province.Methods The foot blood samples were obtained at 72 hours after birth and sufficient breast feeding to detect the content of TSH.Results 30 000 neonates were screened,the cut off value of TSH for screening of congenital hypothyroidism of newborn in Jilin was 9.0 mIU/L.Conclusion The TSH cut off value was adjusted to 9.0 mIU/L.The determination of TSH cut off value provided a basis for screening of congenital hypothyroidism among the newborns in Jilin.

  2. Embolic Stroke Diagnosed by Elevated D-Dimer in a Patient With Negative TEE for Cardioembolic Source

    Directory of Open Access Journals (Sweden)

    Irina Y. Sazonova PhD

    2014-12-01

    Full Text Available We report a case of cerebrovascular accident with thromboembolic stroke etiology in a patient who had atrial flutter and negative transesophageal echocardiography (TEE results. The increased D-dimer levels (1877 ng/mL initiated referral for magnetic resonance imaging and magnetic resonance angiography of the brain that showed classic recanalization of an embolic thrombus in the angular branch of the left middle cerebral distribution. The D-dimer level of this patient was normalized after 3 months of anticoagulation therapy. Although TEE is considered the gold standard for evaluation of cardiac source of embolism, exclusion of intracardiac thrombus with TEE alone does not eliminate the risk of thromboembolic events. This case highlights the utility of D-dimer as a potential adjunct in the decision-making process to guide investigation of thromboembolism, determine subsequent therapy, and hence reduce the risk of embolic stroke recurrence.

  3. Large D-Dimer Fluctuation in Normal Pregnancy: A Longitudinal Cohort Study of 4,117 Samples from 714 Healthy Danish Women

    OpenAIRE

    Hedengran, Katrine K.; Malene R Andersen; Steen Stender; Pal B. Szecsi

    2016-01-01

    Introduction. D-dimer levels increase throughout pregnancy, hampering the usefulness of the conventional threshold for dismissing thromboembolism. This study investigates the biological fluctuation of D-dimer in normal pregnancy. Methods. A total of 801 healthy women with expected normal pregnancies were recruited. D-dimer was repeatedly measured during pregnancy, at active labor, and on the first and second postpartum days. Percentiles for each gestational week were calculated. Each individu...

  4. Detection of relevant colonic neoplasms with PET/CT: promising accuracy with minimal CT dose and a standardised PET cut-off

    Energy Technology Data Exchange (ETDEWEB)

    Luboldt, Wolfgang [Multiorgan Screening Foundation, Frankfurt (Germany); University Hospital Frankfurt, Department of Radiology, Frankfurt am Main (Germany); University Hospital Dresden, Clinic and Policlinic of Nuclear Medicine, Dresden (Germany); Volker, Teresa; Zoephel, Klaus; Kotzerke, Joerg [University Hospital Dresden, Clinic and Policlinic of Nuclear Medicine, Dresden (Germany); Wiedemann, Baerbel [University Hospital Dresden, Institute of Medical Informatics and Biometrics, Dresden (Germany); Wehrmann, Ursula [University Hospital Dresden, Clinic and Policlinic of Surgery, Dresden (Germany); Koch, Arne; Abolmaali, Nasreddin [University Hospital Dresden, Oncoray, Dresden (Germany); Toussaint, Todd; Luboldt, Hans-Joachim [Multiorgan Screening Foundation, Frankfurt (Germany); Middendorp, Markus; Gruenwald, Frank [University Hospital Frankfurt, Department of Nuclear Medicine, Frankfurt (Germany); Aust, Daniela [University Hospital Dresden, Department of Pathology, Dresden (Germany); Vogl, Thomas J. [University Hospital Frankfurt, Department of Radiology, Frankfurt am Main (Germany)

    2010-09-15

    To determine the performance of FDG-PET/CT in the detection of relevant colorectal neoplasms (adenomas {>=}10 mm, with high-grade dysplasia, cancer) in relation to CT dose and contrast administration and to find a PET cut-off. 84 patients, who underwent PET/CT and colonoscopy (n=79)/sigmoidoscopy (n=5) for (79 x 6+5 x 2)=484 colonic segments, were included in a retrospective study. The accuracy of low-dose PET/CT in detecting mass-positive segments was evaluated by ROC analysis by two blinded independent reviewers relative to contrast-enhanced PET/CT. On a per-lesion basis characteristic PET values were tested as cut-offs. Low-dose PET/CT and contrast-enhanced PET/CT provide similar accuracies (area under the curve for the average ROC ratings 0.925 vs. 0.929, respectively). PET demonstrated all carcinomas (n=23) and 83% (30/36) of relevant adenomas. In all carcinomas and adenomas with high-grade dysplasia (n=10) the SUV{sub max} was {>=}5. This cut-off resulted in a better per-segment sensitivity and negative predictive value (NPV) than the average PET/CT reviews (sensitivity: 89% vs. 82%; NPV: 99% vs. 98%). All other tested cut-offs were inferior to the SUV{sub max}. FDG-PET/CT provides promising accuracy for colorectal mass detection. Low dose and lack of iodine contrast in the CT component do not impact the accuracy. The PET cut-off SUV{sub max}{>=} 5 improves the accuracy. (orig.)

  5. A new three-component signal model to objectively select power Doppler wall filter cut-off velocity for quantitative microvascular imaging

    Science.gov (United States)

    Elfarnawany, Mai; Lacefield, James C.

    2013-03-01

    The wall-filter selection curve (WFSC) method was developed to automatically select cut-off velocities for high-frequency power Doppler imaging. Selection curves are constructed by plotting color pixel density (CPD) as a function of wall filter cut-off velocity. A new three-component mathematical model is developed to guide the design of an online implementation of the method for in vivo imaging. The model treats Doppler imaging as a signal detection task in which the scanner must distinguish intravascular pixels from perivascular and extravascular pixels and includes a cost function to identify the optimum cut-off velocity that provides accurate vascular quantification and minimizes the effect of color pixel artifacts on visualization of vascular structures. The goodness of fit of the three-component model to flow-phantom data is significantly improved compared to a previous two-component model (F test, p new model indicate that selection curves should be sampled using at least 100 cut-off velocities to ensure robust performance of the automated WFSC method and determine an upper bound on CPD variability that ensures reliable vascular quantification accuracy, defined as CPD within 5% of the reference vascular volume fraction. Results of the simulations also provide evidence that limiting the selection of the cut-off velocity to a binary choice between the middle and right end of the characteristic interval is sufficient to meet the quantification accuracy goal. The model provides an intuitive, empirical description of the relationship between system settings and blood-flow detection performance in power Doppler imaging.

  6. Optimal Waist Circumference Cut-Off Point for Multiple Risk Factor Aggregation: Results from the Maracaibo City Metabolic Syndrome Prevalence Study

    Directory of Open Access Journals (Sweden)

    Valmore Bermúdez

    2014-01-01

    Full Text Available Context and Objective. The purpose of this study was to determine optimal waist circumference (WC cut-off values for the detection of multiple risk factor aggregation in individuals from Maracaibo, Venezuela. Participants and Methods. A total of 1,902 adult individuals of both genders belonging to MMSPS were included. Complete physical, laboratory, and anthropometric examination were done to evaluate Metabolic Syndrome (MS components and insulin resistance. ROC curves were plotted for risk factor aggregation in order to assess WC cut-off point. Logistic regression models were constructed to assess risk factors associated with the WC. Results. There were 52.2% females and 47.8% males, with WC of 90.7±13.7 cm and 98.2±15.9 cm, respectively. ROC curves exhibited a WC cut-off point for women of 90.25 cm (68.4% sensitivity, 65.8% specificity and 95.15 cm (71.1% sensitivity, 67.4% specificity for men. HOMA2-IR and high blood pressure were associated with a WC over these cut-off points, as well as 2.5-fold risk increase for multiple risk factor aggregation (OR 2.56; CI 95%: 2.05–3.20; P<0.01. Conclusions. These population-specific WC cut-offs are readily applicable tools for detection of risk factor aggregation. Insulin resistance is closely associated with this definition of abdominal obesity, which may serve as a surrogate for its assessment.

  7. Accuracy of a cut-off value based on the third molar index: Validation in an Australian population.

    Science.gov (United States)

    Franklin, Daniel; Karkhanis, Shalmira; Flavel, Ambika; Collini, Federica; DeLuca, Stefano; Cameriere, Roberto

    2016-09-01

    According to Recommendation N°196 of the Australian Law Reform Commission (ALRC), the age at which a child reaches adulthood for the purposes of criminal law should be 18 years in all Australian jurisdictions. With specific reference to age at majority, the only tooth with development spanning adolescence (and thus the legally relevant 18 years of age) is the third molar, which limits the number of methods that can be applied from those available in the published literature. The aim of the present study is to test the accuracy of the third molar index (I3M=0.08), based on the correlation between chronological age and normalized measures of the open apices and height of the third mandibular molar, in order to assess the legal adult age of 18 years. Digital orthopantomographs of 143 living Australian subjects (72 boys and 71 girls) are analyzed. The results demonstrate that the sensitivity is 0.90 in boys and 0.90 in girls; associated specificity values are 0.85 and 0.87 respectively. We conclude that the cut-off value of I3M=0.08 is statistically robust and thus valid for forensic application in an Australian population. PMID:27427495

  8. On the newtonian limit and cut--off scales of isothermal dark matter halos with cosmological constant

    CERN Document Server

    Sussman, R A; Sussman, Roberto A.; Hernandez, Xavier

    2003-01-01

    We examine isothermal dark matter halos in hydrostatic equilibrium with a cosmological constant Lambda =Omega_\\Lambda rho_{crit}c^2, where Omega_\\Lambda=0.7, and rho_{crit} is the present value of the critical density with h=0.65. The Newtonian limit of General Relativity yields equilibrium equations that are different from those arising by merely coupling an ``isothermal sphere'' to the Lambda-field within a Newtonian framework. The conditions for the existence and stability of circular geodesic orbits show the existence of (I) an ``isothermal region'' (0r_1) dominated by the Lambda-field, where the Newtonian potential oscillates and circular orbits exist in disconnected patches of the domain of r; (III) a ``transition region'' (r_20.008 M_\\odot {pc}^3, in agreement with rotation curve studies of dwarf galaxies. Since r_2 marks the largest radius of a stable circular orbit, it provides a ``cut off'' radius. For current estimates of rho_c and velocity dispersion of galactic structures, this is around five tim...

  9. Endogenous gamma-hydroxybutyric acid (GHB) concentrations in post-mortem specimens and further recommendation for interpretative cut-offs.

    Science.gov (United States)

    Andresen-Streichert, Hilke; Jensen, P; Kietzerow, J; Schrot, M; Wilke, N; Vettorazzi, E; Mueller, A; Iwersen-Bergmann, S

    2015-01-01

    When interpreting gamma-hydroxybutyric acid (GHB) concentrations in post-mortem specimens, a possible increase in GHB concentrations because of post-mortem generation must be considered. In this study, endogenous GHB concentrations in post-mortem biological fluids were investigated. Additionally, we review post-mortem GHB concentrations already published in the literature. Heart and peripheral blood samples, cerebrospinal fluid, urine, and vitreous humor were collected from 64 autopsies in subjects where the cause of death excluded GHB exposure. Sample analysis was carried out either on the day of autopsy or later after immediate freezing and storage at -20 °C. GHB concentrations in venous blood samples (n = 61) were GHB concentrations in cases where there were signs of beginning putrefaction at the time of autopsy (n = 9) and cases without obvious signs of putrefaction. In one case with advanced putrefaction, the GHB concentration in venous blood was 32.7 mg/L. In conclusion, for post-mortem venous blood, urine, and cerebrospinal fluid, an interpretative cut-off of 30 mg/L for GHB concentrations is suggested in cases where GHB analysis is conducted on the day of sample collection at autopsy or if samples have been stored at -20 °C immediately after collection.

  10. Traveling Wave MRI at 21.1 T: Propagation below Cut-off for Ultrahigh Field Vertical Bore System

    CERN Document Server

    Tonyushkin, Alexey A; Grant, Samuel C; Kiruluta, Andrew JM

    2014-01-01

    At high magnetic field strengths (> 4 T), the propagation wave vector of the excitation field B1 can no longer be ignored as the wavelength becomes commensurate or smaller than the imaging field of view (FOV), particularly for high dielectric media. The emergence of this propagation wave vector renders the excitation field variant in both time and space. In this paper, the propagation of RF excitation waves in a high field vertical NMR system is demonstrated for the first time with an appropriate screened dielectric waveguide excited by a simple loop coil to enable below cutoff propagation for imaging in the far field. Uniquely, aqueous samples provide the high permittivity required to modify the cut-off requirements of this transmission system. Theory and simulations corroborate the observed propagating modes field patterns. The ease of construction and implementation of this setup permits use in a variety of high field systems. At a minimum, this design provides a larger FOV that is limited primarily by the...

  11. On a holographic dark energy model with a Nojiri-Odintsov cut-off in general relativity

    Science.gov (United States)

    Khurshudyan, Martiros

    2016-07-01

    In this paper we consider the models of the accelerated expanding large scale universe (according to general relativity) containing a generalized holographic dark energy with a Nojiri-Odintsov cut-off. The second component of the darkness is assumed to be the pressureless cold dark matter according to observed symmetries of the large scale universe. Moreover, we assume specific forms of the interaction between these two components and besides the cosmographic analysis, we discuss appropriate results from Om and Om3 analysis and organize a closer look to the models via the statefinder hierarchy analysis, too. In this way we study mainly impact of the interaction on the dynamics of the background of our universe (within specific forms of interaction). To complete the cosmographic analysis, the present day values of the statefinder parameters (r,s) and (ω^'_{de}, ω_{de}) has been estimated for all cases and the validity of the generalized second law of thermodynamics is demonstrated. Our study showed that theoretical results from considered phenomenological models are consistent with the available observational data and symmetries.

  12. Accuracy of a cut-off value based on the third molar index: Validation in an Australian population.

    Science.gov (United States)

    Franklin, Daniel; Karkhanis, Shalmira; Flavel, Ambika; Collini, Federica; DeLuca, Stefano; Cameriere, Roberto

    2016-09-01

    According to Recommendation N°196 of the Australian Law Reform Commission (ALRC), the age at which a child reaches adulthood for the purposes of criminal law should be 18 years in all Australian jurisdictions. With specific reference to age at majority, the only tooth with development spanning adolescence (and thus the legally relevant 18 years of age) is the third molar, which limits the number of methods that can be applied from those available in the published literature. The aim of the present study is to test the accuracy of the third molar index (I3M=0.08), based on the correlation between chronological age and normalized measures of the open apices and height of the third mandibular molar, in order to assess the legal adult age of 18 years. Digital orthopantomographs of 143 living Australian subjects (72 boys and 71 girls) are analyzed. The results demonstrate that the sensitivity is 0.90 in boys and 0.90 in girls; associated specificity values are 0.85 and 0.87 respectively. We conclude that the cut-off value of I3M=0.08 is statistically robust and thus valid for forensic application in an Australian population.

  13. Values of the Wells and Revised Geneva Scores Combined with D-dimer in Diagnosing Elderly Pulmonary Embolism Patients

    Directory of Open Access Journals (Sweden)

    Dan-Jie Guo

    2015-01-01

    Full Text Available Background: Pulmonary embolism (PE can be difficult to diagnose in elderly patients because of the coexistent diseases and the combination of drugs that they have taken. We aimed to compare the clinical diagnostic values of the Wells score, the revised Geneva score and each of them combined with D-dimer for suspected PE in elderly patients. Methods: Three hundred and thirty-six patients who were admitted for suspected PE were enrolled retrospectively and divided into two groups based on age (≥65 or <65 years old. The Wells and revised Geneva scores were applied to evaluate the clinical probability of PE, and the positive predictive values of both scores were calculated using computed tomography pulmonary arteriography as a gold standard; overall accuracy was evaluated by the area under the curve (AUC of receiver operator characteristic curve; the negative predictive values of D-dimer, the Wells score combined with D-dimer, and the revised Geneva score combined with D-dimer were calculated. Results: Ninety-six cases (28.6% were definitely diagnosed as PE among 336 cases, among them 56 cases (58.3% were ≥65 years old. The positive predictive values of Wells and revised Geneva scores were 65.8% and 32.4%, respectively (P < 0.05 in the elderly patients; the AUC for the Wells score and the revised Geneva score in elderly was 0.682 (95% confidence interval [CI]: 0.612-0.746 and 0.655 (95% CI: 0.584-0.722, respectively (P = 0.389. The negative predictive values of D-dimer, the Wells score combined with D-dimer, and the revised Geneva score combined with D-dimer were 93.7%, 100%, and 100% in the elderly, respectively. Conclusions: The diagnostic value of the Wells score was higher than the revised Geneva score for the elderly cases with suspected PE. The combination of either the Wells score or the revised Geneva score with a normal D-dimer concentration is a safe strategy to rule out PE.

  14. Values of the Wells and Revised Geneva Scores Combined with D-dimer in Diagnosing Elderly Pulmonary Embolism Patients

    Institute of Scientific and Technical Information of China (English)

    Dan-Jie Guo; Can Zhao; Ya-Dan Zou; Xu-Hang Huang; Jing-Min Hu; Lin Guo

    2015-01-01

    Background:Pulmonary embolism (PE) can be difficult to diagnose in elderly patients because of the coexistent diseases and the combination of drugs that they have taken.We aimed to compare the clinical diagnostic values of the Wells score,the revised Geneva score and each of them combined with D-dimer for suspected PE in elderly patients.Methods:Three hundred and thirty-six patients who were admitted for suspected PE were enrolled retrospectively and divided into two groups based on age (_>65 or <65 years old).The Wells and revised Geneva scores were applied to evaluate the clinical probability of PE,and the positive predictive values of both scores were calculated using computed tomography pulmonary arteriography as a gold standard;overall accuracy was evaluated by the area under the curve (AUC) of receiver operator characteristic curve;the negative predictive values of D-dimer,the Wells score combined with D-dimer,and the revised Geneva score combined with D-dimer were calculated.Results:Ninety-six cases (28.6%) were definitely diagnosed as PE among 336 cases,among them 56 cases (58.3%) were >65 years old.The positive predictive values of Wells and revised Geneva scores were 65.8% and 32.4%,respectively (P < 0.05) in the elderly patients;the AUC for the Wells score and the revised Geneva score in elderly was 0.682 (95% confidence interval [CI]:0.612-0.746) and 0.655 (95% CI:0.584-0.722),respectively (P =0.389).The negative predictive values of D-dimer,the Wells score combined with D-dimer,and the revised Geneva score combined with D-dimer were 93.7%,100%,and 100% in the elderly,respectively.Conclusions:The diagnostic value of the Wells score was higher than the revised Geneva score for the elderly cases with suspected PE.The combination of either the Wells score or the revised Geneva score with a normal D-dimer concentration is a safe strategy to rule out PE.

  15. The value of blood D-dimer test in the diagnosis of walk-in patients with venous thromboembolism

    Directory of Open Access Journals (Sweden)

    Shozo Yasuoka

    2011-03-01

    Full Text Available Shozo Yasuoka, Shunichiro KubotaYasuoka Clinic, Musashino City, Tokyo, JapanAbstract: Venous thromboembolism (VTE and related pulmonary thromboembolism are life-threatening diseases that require efficient diagnosis and clinical management. While the diagnosis and treatment of VTE in hospitalized patients has been extensively studied, less has been reported on walk-in patients with VTE. Here we report on four outpatients with VTE that were efficiently diagnosed using the blood D-dimer test and successfully treated.Keywords: venous thromboembolism, pulmonary thromboembolism, blood D-dimer test

  16. Ratchet rotation of a 3D dimer on a vibrating plate.

    Science.gov (United States)

    Wang, Jiao; Liu, Caishan; Jia, Yan-Bin; Ma, Daolin

    2014-01-01

    This work studies the dynamics of a 3D dimer bouncing upon a horizontal plate undergoing a vertical harmonic vibration. Despite complex interactions within the system due to impacts and friction, numerical simulation shows that, under certain conditions prescribed for the dynamics, the center of mass of the dimer, when projected onto a horizontal plane, will follow a circular orbit. The phenomenon is like a particle under Coulomb friction performing a ratchet motion that rotates around. Investigations further reveal that the dimer dynamics bear some typical characteristics of a nonlinear system, including sensitivity to the initial conditions and bifurcation behaviors related to the physical parameters of the dynamics. Our results indicate that the coefficient of restitution and the plate's vibration intensity play critical roles in exciting the circular orbit, while the dimer's geometry and the vibration frequency mainly influence the trajectory characteristics. These findings may help understand transport mechanisms underlying systems of granular matter with anisotropic particles. PMID:24458553

  17. Cut-Off Levels of Anti-Mullerian Hormone for The Prediction of Ovarian Response, In Vitro Fertilization Outcome and Ovarian Hyperstimulation Syndrome

    Directory of Open Access Journals (Sweden)

    Ali Salmassi

    2015-07-01

    Full Text Available Background: Evaluation of anti-mullerian hormone (AMH cut-off levels in assisted reproductive technology (ART as predictive factor for individualization of stimulation protocols and to avoid ovarian hyperstimulation syndrome (OHSS. Materials and Methods: In a retrospective study, 177 infertile patients were assessed for AMH in serum and follicular fluid (FF on the day of follicular puncture (FP, between 2012 and 2013 in Kiel, Germany. AMH levels and pregnancy rates were compared between low, moderate and high responders and cut-off levels of low and high responders. AMH cut-off levels in pathological cases were evaluated in analysis 1 (OHSS and in analysis 2 [polycystic ovarian syndrome, (PCOS] and compared in analysis 3 to normal endocrinological parameters. Results: AMH levels in FF were higher than in serum (P<0.001. AMH levels in serum and FF increased from low through moderate to high responders (P<0.001. Pregnancy rates were 14.7, 23.3 and 44.9% (P=0.009, respectively. AMH cut-off level for poor responders was 0.61 ng/ml in serum with a pregnancy rate of 13.8 and 37.1% for below and above of this level, respectively. For FF, it was 1.43 ng/ml. AMH levels in analysis 1 and 2 were significantly higher than in analysis 3 (P=0.001. AMH cut-off level for OHSS was 1.5 ng/ml in serum with OHSS rates of 80.8 and 19.2 % for above and below of the level, respectively. For FF, it was 2.7 ng/ml. PCOS patients had an AMH cut-off level of 3.9 ng/ml in serum and 6.8 ng/ml in FF, resulting in a PCOS rate of 100% above this level. Conclusion: AMH levels can help to assess ovarian response potential and guide ovarian stimulation while avoiding OHSS.

  18. Evaluation of an Optimal Cut-Off Point for the Ki-67 Index as a Prognostic Factor in Primary Breast Cancer: A Retrospective Study.

    Directory of Open Access Journals (Sweden)

    Rumiko Tashima

    Full Text Available The Ki-67 index is an important biomarker for indicating the proliferation of cancer cells and is considered to be an effective prognostic factor for breast cancer. However, a standard cut-off point for the Ki-67 index has not yet been established. Therefore, the aim of this retrospective study was to determine an optimal cut-off point in order to establish it as a more accurate prognostic factor. Immunohistochemical analysis of the Ki-67 index was performed on 4329 patients with primary breast cancer from August 1987 to March 2012. Out of this sample, there were 3186 consecutive cases from September 1997 with simultaneous evaluations of ER, PgR and HER2 status. Cox's proportional hazard model was used to perform univariate and multivariate analyses of the factors related to OS. The hazard ratios (HR and the p values were then compared to determine the optimal cut-off point for the Ki-67 index. The median Ki-67 index value was 20.5% (mean value 26.2%. The univariate analysis revealed that there was a statistically significant negative correlation with DFS and OS and the multivariate analysis revealed that the Ki-67 index value was a significant factor for DFS and OS. The top seven cut-off points were then carefully chosen based on the results of the univariate analysis using the lowest p-values and the highest HR as the main selection criteria. The multivariate analysis of the factors for OS showed that the cut-off point of 20% had the highest HR in all of the cases. However, the cutoff point of 20% was only a significant factor for OS in the Luminal/HER2- subtype. There was no correlation between the Ki-67 index value and OS in any of the other subtypes. These data indicate that the optimal cut-off point of 20% is the most effective prognostic factor for Luminal/HER2- breast cancer.

  19. Effect of Body Mass Index on All-cause Mortality and Incidence of Cardiovascular Diseases - Report for Meta-Analysis of Prospective Studies on Optimal Cut-off Points of Body Mass Index in Chinese Adults

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    Objective To verify the optimal cut-off points for overweight and obesity in Chinese adults based on the relationship of baseline body mass index (BMI) to all-cause mortality, and incidence of cardiovascular diseases from pooled data of Chinese cohorts. Methods The prospective study data of existing cohort studies in China were collected, and the age-adjusted all-cause mortality stratified by BMI were estimated. The similar analysis was repeated after excluding deaths within the first three years of follow-up and after excluding smokers. The incidence of age-adjusted coronary heart disease (CHD) and stroke stratified by BMI were also analyzed. Multiple Cox regression coefficients of BMI for the incidence of CHD and stroke after controlling other risk factors were pooled utilizing the methods of weighting by inverse of variance to reveal whether BMI had independent effect and its strength on the incidence of CHD and stroke. Results The data of 4 cohorts including 76 227persons, with 745 346 person-years of follow-up were collected and analyzed. The age-adjusted allcause mortality stratified by BMI showed a U-shaped curve, even after excluding deaths within the first three years of follow-up and excluding smokers. Age-adjusted all-cause mortality increased when BMI was lower than 18.5 and higher than 28. The incidence of CHD and stroke, especially ishemic stroke increased with increasing BMI, this was consistent with parallel increasing of risk factors. Cox regression analysis showed that BMI was an independent risk factor for both CHD and stroke. Each amount of 2 kg/m2 increase in baseline BMI might cause 15.4%, 6.1% and 18.8 % increase in relative risk of CHD, total stroke and ischemic stroke. Reduction of BMI to under 24 might prevent the incidence of CHD by 11% and that of stroke by15 % for men, and 22 % of both diseases for women. Conclusion BMI ≤18.5, 24-27.9 and ≥28 (kg/m2) is the appropriate cut-off points for underweight, overweight and obesity in

  20. Combined Effect of an Atmospheric River and a Cut-off Low in Hiroshima Flooding Event on August 19, 2014

    Science.gov (United States)

    Takayabu, Y. N.; Hirota, N.; Kato, M.; Arakane, S.

    2015-12-01

    An extraordinary precipitation over 100 mmhr-1in Hiroshima on August 19, 2014, caused a flash flood which resulted in 74 fatalities and collapse of 330 houses. In order to examine the meteorological background of this flooding event, we carried out a detailed analysis utilizing rain gauge data, satellite precipitation dataset, and a meso scale and a global scale objective analyses provided from the Japan Meteorological Agency. Then, we performed numerical experiments using a nonhydrostatic compressible equation model called the Cloud-Resolving Storm Simulator (CReSS). As a result, a combined effect of an atmospheric river (AR) and a cut-off low (COL) in this flooding event was elucidated. During the event, a filamentary transport of moisture extending from the Indochina Peninsula to the Japanese Islands was observed along the southern side of the subtropical jet, forming an AR. This AR had a deep structure with an amount of free tropospheric moisture comparable to that of the boundary layer. Concurrently, there was a COL, detached from the Mid-Pacific Trough, moving northwestward toward the Japanese Archipelago. With various sensitivity experiments, we concluded that a mid-tropospheric instability associated with the cold core of the COL and a dynamical ascent induced in its foreside, collaboratively worked with the anomalous moisture in the free troposphere associated with the AR, to extraordinarily enhance the precipitation over Hiroshima region. An orographic effect to concentrate the precipitation in this region was also confirmed. An implication on a difference in effects of AR in this event with a climatologically moist boundary layer, from those in the US west coast with a very dry environment, was also obtained. Acknowledgment: This study is supported by the Environment Research and Technology Development Fund (2-1503) of the Ministry of the Environment, Japan, and by the Ministry of Education, Culture, Sports, Science and Technology, Japan.

  1. Raised D-dimer levels in acute sickle cell crisis and their correlation with chest X-ray abnormalities

    Directory of Open Access Journals (Sweden)

    Hassan, Imad S. A.

    2010-01-01

    Full Text Available Objective: Quantitation of D-dimer level during a sickling crisis and its correlation with other clinical abnormalities. Design: Prospective longitudinal study. Setting: Armed Forces Hospital, Southern Region, Kingdom of Saudi Arabia. Patients: Adult patients (12 years and older admitted acutely with a sickle cell crisis who consent to taking part in the study. Candidates may re-participate if they are readmitted with a further acute painful crisis. Results: 36 patients with homozygous sickle cell disease consented to take part in the study. D-dimer levels were raised in 31 (68.9% of 45 episodes of painful crisis of whom 13 had an abnormal chest X-ray. Of those with a normal chest X-ray only one patient had a raised D-dimer level: sensitivity of 92.3%, specificity 40.6%, positive predictive value 38.7% and negative predictive value of 92.9% for an abnormal chest X-ray. Conclusion: D-dimer levels are frequently raised during an acute painful crisis. A normal level has a high negative predictive value for an abnormal chest X-ray.

  2. Normal D-dimer ved dyb venøs trombose i en overekstremitet hos to patienter med pacemaker

    DEFF Research Database (Denmark)

    Byrne, Christina; Abdulla, Jawdat; Christensen, Jan Kim

    2015-01-01

    Danish guidelines recommend the use of D-dimer to exclude deep venous thrombosis (DVT) in the lower extremities. However, guidelines are lacking for DVT in the upper extremities. We describe two young women with transvenous pacemaker electrodes and symptomatic DVT in related veins. Despite a normal...

  3. Normal D-dimer ved dyb venøs trombose i en overekstremitet hos to patienter med pacemaker

    DEFF Research Database (Denmark)

    Byrne, Christina; Abdulla, Jawdat; Christensen, Jan Kim

    2015-01-01

    Danish guidelines recommend the use of D-dimer to exclude deep venous thrombosis (DVT) in the lower extremities. However, guidelines are lacking for DVT in the upper extremities. We describe two young women with transvenous pacemaker electrodes and symptomatic DVT in related veins. Despite a norm...

  4. Large D-Dimer Fluctuation in Normal Pregnancy: A Longitudinal Cohort Study of 4,117 Samples from 714 Healthy Danish Women

    Science.gov (United States)

    Hedengran, Katrine K.; Andersen, Malene R.; Stender, Steen; Szecsi, Pal B.

    2016-01-01

    Introduction. D-dimer levels increase throughout pregnancy, hampering the usefulness of the conventional threshold for dismissing thromboembolism. This study investigates the biological fluctuation of D-dimer in normal pregnancy. Methods. A total of 801 healthy women with expected normal pregnancies were recruited. D-dimer was repeatedly measured during pregnancy, at active labor, and on the first and second postpartum days. Percentiles for each gestational week were calculated. Each individual D-dimer was normalized by transformation into percentiles for the relevant gestational age or delivery group. The range in percentage points during the pregnancy and the delivery was calculated, and reference intervals were calculated for each pregnancy trimester, during vaginal delivery and scheduled and emergency cesarean section, and for the first and second day postpartum. Results. D-dimer increased during pregnancy; the maximal fluctuation was approximately 20 percentile points in approximately half of the women. In one out of ten women, the D-dimer values fluctuated by more than 50 percentile points. Conclusions. Due to the biological variation in D-dimer within each individual woman during normal pregnancy, repeated D-dimer measurements are of no clinical use in the evaluation of thromboembolic events during pregnancy. PMID:27190521

  5. D-dimer levels in assessing severity and clinical outcome in patients with community-acquired pneumonia. A secondary analysis of a randomised clinical trial

    NARCIS (Netherlands)

    Snijders, Dominic; Schoorl, Margreet; Schoorl, Marianne; Bartels, Piet C.; van der Werf, Tjip S.; Boersma, Wim G.

    2012-01-01

    Background: D-dimer levels are in several studies elevated in patients with CAP. In this study we assess the use of D-dimer levels and its association with severity assessment and clinical outcome in patients hospitalised with community-acquired pneumonia. Methods: In a subset of randomised trial pa

  6. The value of D-dimer in the detection of early deep-vein thrombosis after total knee arthroplasty in Asian patients: a cohort study

    Directory of Open Access Journals (Sweden)

    Huang Chung-Cheng

    2008-05-01

    Full Text Available Abstract Background and purpose The relationship of D-dimer and deep-vein thrombosis (DVT after total knee arthroplasty (TKA remains controversial. The purpose of this study was to assess the value of D-dimer in the detection of early DVT after TKA. Methods The measurements of plasma D-dimer level were obtained preoperatively and at day 7 postoperatively in 78 patients undergoing TKA. Ascending venography was performed in 7 to 10 days after surgery. The plasma D-dimer levels were correlated statistically with the venographic DVT. Results Venographic DVT was identified in 40% of patients. High plasma D-dimer level >2.0 μg/ml was found in 68% of patients with DVT and 45% without DVT (P Conclusion High plasma D-dimer level is a moderately sensitive, but less specific marker in the detection of early of DVT after TKA. Measurement of serum D-dimer alone is not accurate enough to detect DVT after TKA. Venography is recommended in patients with elevated D-dimer and clinically suspected but asymptomatic DVT after TKA.

  7. Plasma level of D-dimer accompanying different types of gynecologic surgery and effects of prophylactic subcutaneous injection of heparin calcium

    Directory of Open Access Journals (Sweden)

    Sakika Yanai

    2015-06-01

    Conclusions: Plasma levels of D-dimer on POD-1 were higher than those on the DPE in each type of gynecologic surgery. The D-dimer level remained high even on POD-6, and not changed by prophylactic subcutaneous injection of heparin calcium. [Int J Reprod Contracept Obstet Gynecol 2015; 4(3.000: 551-554

  8. Changes in D-dimer and inflammatory biomarkers before ischemic events in patients with peripheral artery disease: The BRAVO Study.

    Science.gov (United States)

    McDermott, Mary McGrae; Liu, Kiang; Green, David; Greenland, Philip; Tian, Lu; Kibbe, Melina; Tracy, Russell; Shah, Sanjiv; Wilkins, John T; Huffman, Mark; Zhao, Lihui; Huang, Chiang-Ching; Auerbach, Amanda; Liao, Yihua; Skelly, Christopher L; McCarthy, Walter; Lloyd Jones, Donald

    2016-02-01

    Whether circulating biomarker levels increase shortly before an ischemic heart disease (IHD) event is unknown. We studied whether levels of D-dimer, C-reactive protein (CRP), and serum amyloid A (SAA) are higher within 2 months of an IHD event compared to time periods more than 2 months before the IHD event. We assembled 595 participants with peripheral artery disease (PAD) and followed them for up to 3 years. Blood samples were obtained every 2 months. The primary outcome was IHD events: myocardial infarctions, unstable angina, or IHD death. We used a nested case-control design. Fifty participants (cases) had events and were each matched by age, sex, duration in the study, and number of blood draws to two controls without events. Among cases, the mean D-dimer value of 1.105 obtained within 2 months of the event was higher than values obtained 10 months (0.68 mg/L, pevent. Compared to controls, median D-dimer levels in cases were higher 4 months (p=0.017), 6 months (p=0.005), and 8 months (p=0.028) before the event. Values of CRP and SAA obtained within two months of an IHD event not consistently higher than values obtained during the prior months. In PAD participants with an IHD event, D-dimer was higher within 2 months of the event, compared to most values obtained 10 to 32 months previously. D-dimer was also higher in cases as compared to controls during most visits within 8 months of the IHD event.

  9. Evaluation of Serum Pregnancy Associated Plasma Protein-A & Plasma D-Dimer in Acute Coronary Syndrome

    Science.gov (United States)

    Thomas, Vivian Samuel

    2016-01-01

    Introduction Acute coronary syndrome (ACS), a spectrum comprising unstable angina pectoris, ST Elevated Myocardial Infarction (STEMI) & Non ST Elevated Myocardial Infarction (NSTEMI) is the major cause of presentation in Emergency Department today. Though ECG and cardiac enzymes are used for diagnosis, they mislead the diagnosis sometimes and delay in treatment initiation. This leads us to search certain new parameters which reflect the pathophysiology of ACS. Markers of plaque stability like Pregnancy Associated Plasma Protein-A and D-Dimer, a marker of ongoing thrombosis are found to be better markers in early diagnosis. Aim To evaluate the diagnostic competence of PAPP-A and D-Dimer in acute coronary syndrome over CK-MB and to compare with the inflammatory marker High Sensitive C-Reactive Protein (hs-CRP) which is associated with atherosclerosis. Materials and Methods Fifty patients presenting with acute onset of chest pain to Emergency Department with or without ECG changes served as cases and 50 healthy people served as controls. Serum PAPP-A is measured by Enzyme Linked Immunosorbent Assay (ELISA), D-Dimer and hs-CRP by using Latex Turbidimetry method. Results A statistical significant difference of PAPP-A and D-Dimer was noted between the ACS and controls (p < 0.001) whereas CK-MB shows no much difference (p 0.09). Statistically significant positive correlation is noted between parameters. Conclusion PAPP-A marker of plaque instability and D-Dimer marker of ongoing thrombosis are raised in acute coronary syndrome and thus can be considered as one of the marker in ACS for diagnosis. PMID:26894054

  10. A cautionary note about the cross-national and clinical validity of cut-off points for the Maslach Burnout Inventory.

    Science.gov (United States)

    Schaufeli, W B; Van Dierendonck, D

    1995-06-01

    In the present study, burnout scores of three samples, as measured with the Maslach Burnout Inventory, were compared: (1) the normative American sample from the test-manual (N = 10,067), (2) the normative Dutch sample (N = 3,892), and (3) a Dutch outpatient sample (N = 142). Generally, the highest burnout scores were found for the outpatient sample, followed by the American and Dutch normative samples, respectively. Slightly different patterns were noted for each of the three components. Probably sampling bias, i.e., the healthy worker effect, or cultural value patterns, i.e., femininity versus masculinity, might be responsible for the results. It is concluded that extreme caution is required when cut-off points are used to classify individuals by burnout scores; only nation-specific and clinically derived cut-off points should be employed.

  11. Comparative study of food transfers in the three castes of the honeybee (Apis mellifica ligustica S.) in which four distal sections of both antennae have been cut off

    International Nuclear Information System (INIS)

    The study of food transfers between the three castes of Apis mellifica ligustica S., in which four distal sections have been cut off, has been carried out by means of a radioactive tracer 198Au, which cannot be metabolized. The begging behavior of queens with cut off antennae towards 4-day-old worker Bees and workers of unknown age is not changed. So it is with drones and operated worker Bees which beg food of a worker Bee, that is 4 days old and undamaged. On the other hand the begging behavior of drones and workers of unknown age is reduced towards other worker Bees of unknown age that are undamaged. The two-sided amputation of antennal sections of donor worker Bees of both categories does not change their behavior towards undamaged worker Bees

  12. Prediction of subacute infarct lesion volumes by processing apparent diffusion coefficient maps based on apparent diffusion coefficient cut-off values in patients with acute stroke

    Institute of Scientific and Technical Information of China (English)

    郭翔

    2014-01-01

    Objective To explore the feasibility of prediction of subacute infarct lesion volumes by processing ADC maps based on ADC cut-off values in patients with acute stroke.Methods MRI was performed in 20 patients with clinically diagnosed acute infarct less than 6 h after stroke onset.The MRI included a DWI and conventional MRI.The follow-up MR examinations of all the patients

  13. Interacting power-law and logarithmic entropy-corrected holographic dark energy models with different cut-offs in Brans-Dicke cosmology

    OpenAIRE

    Darabi, F.; Felegary, F.

    2015-01-01

    In the framework of Brans-Dicke cosmology, we have studied the interacting power-law and logarithmic entropy-corrected holographic dark energy models with different cut-offs. The Brans-Dicke parameter is investigated versus the conditions for the acceleration and phantom phases to show that which entropy corrected model can exhibit acceleration with or without the phantom phase at early and present time universes. Moreover, the classical stability or instability of the interacting power-law a...

  14. Cerebrospinal fluid neopterin analysis in neuropediatric patients: establishment of a new cut off-value for the identification of inflammatory-immune mediated processes.

    Directory of Open Access Journals (Sweden)

    Marta Molero-Luis

    Full Text Available OBJECTIVE: A high level of cerebrospinal fluid (CSF neopterin is a marker of central nervous system inflammatory-immune mediated processes. We aimed to assess data from 606 neuropediatric patients, describing the clinical and biochemical features of those neurological disorders presenting CSF neopterin values above a new cut-off value that was defined in our laboratory. METHODS: To establish the new CSF neopterin cut-off value, we studied two groups of patients: Group 1 comprised 68 patients with meningoencephalitis, and Group 2 comprised 52 children with a confirmed peripheral infection and no central nervous system involvement. We studied 606 CSF samples from neuropediatric patients who were classified into 3 groups: genetic diagnosis (A, acquired/unknown etiologic neurologic diseases (B and inflammatory-immune mediated processes (C. RESULTS: The CSF neopterin cut-off value was 61 nmol/L. Out of 606 cases, 56 presented a CSF neopterin level above this value. Group C had significantly higher CSF neopterin, protein and leukocyte values than the other groups. Sixteen of twenty-three patients in this group had a CSF neopterin level above the cut-off, whereas three and seven patients presented increased leukocyte and protein values, respectively. A significant association was found among CSF neopterin, proteins and leukocytes in the 606 patients. White matter disturbances were associated with high CSF neopterin concentrations. CONCLUSIONS: Although children with inflammatory-immune mediated processes presented higher CSF neopterin values, patients with other neurological disorders also showed increased CSF neopterin concentrations. These results stress the importance of CSF neopterin analysis for the identification of inflammatory-immune mediated processes.

  15. Addenbrooke’s Cognitive Examination and Individual Domain Cut-Off Scores for Discriminating between Different Cognitive Subtypes of Parkinson’s Disease

    Directory of Open Access Journals (Sweden)

    Dagmar Berankova

    2015-01-01

    Full Text Available Objective. The main aim of this study was to verify the sensitivity and specificity of Addenbrooke’s Cognitive Examination-Revised (ACE-R in discriminating between Parkinson’s disease (PD with normal cognition (PD-NC and PD with mild cognitive impairment (PD-MCI and between PD-MCI and PD with dementia (PD-D. We also evaluated how ACE-R correlates with neuropsychological cognitive tests in PD. Methods. We examined three age-matched groups of PD patients diagnosed according to the Movement Disorder Society Task Force criteria: PD-NC, PD-MCI, and PD-D. ROC analysis was used to establish specific cut-off scores of ACE-R and its domains. Correlation analyses were performed between ACE-R and its subtests with relevant neuropsychological tests. Results. Statistically significant differences between groups were demonstrated in global ACE-R scores and subscores, except in the language domain. ACE-R cut-off score of 88.5 points discriminated best between PD-MCI and PD-NC (sensitivity 0.68, specificity 0.91; ACE-R of 82.5 points distinguished best between PD-MCI and PD-D (sensitivity 0.70, specificity 0.73. The verbal fluency domain of ACE-R demonstrated the best discrimination between PD-NC and PD-MCI (cut-off score 11.5; sensitivity 0.70, specificity 0.73 while the orientation/attention subscore was best between PD-MCI and PD-D (cut-off score 15.5; sensitivity 0.90, specificity 0.97. ACE-R scores except for ACE-R language correlated with specific cognitive tests of interest.

  16. Serological diagnosis of pneumococcal infection in children with pneumonia using protein antigens: A study of cut-offs with positive and negative controls.

    Science.gov (United States)

    Andrade, Dafne Carvalho; Borges, Igor Carmo; Ivaska, Lauri; Peltola, Ville; Meinke, Andreas; Barral, Aldina; Käyhty, Helena; Ruuskanen, Olli; Nascimento-Carvalho, Cristiana Maria

    2016-06-01

    The etiological diagnosis of infection by Streptococcus pneumoniae in children is difficult, and the use of indirect techniques is frequently warranted. We aimed to study the use of pneumococcal proteins for the serological diagnosis of pneumococcal infection in children with pneumonia. We analyzed paired serum samples from 13 Brazilian children with invasive pneumococcal pneumonia (positive control group) and 23 Finnish children with viral pharyngitis (negative control group), all aged pharyngitis were evaluated for oropharyngeal colonization, and none of them carried S. pneumoniae. We used a multiplex bead-based assay with eight proteins: Ply, CbpA, PspA1 and 2, PcpA, PhtD, StkP and PcsB. The optimal cut-off for increase in antibody level for the diagnosis of pneumococcal infection was determined for each antigen by ROC curve analysis. The positive control group had a significantly higher rate of ≥2-fold rise in antibody levels against all pneumococcal proteins, except Ply, compared to the negative controls. The cut-off of ≥2-fold increase in antibody levels was accurate for pneumococcal infection diagnosis for all investigated antigens. However, there was a substantial increase in the accuracy of the test with a cut-off of ≥1.52-fold rise in antibody levels for PcpA. When using the investigated protein antigens for the diagnosis of pneumococcal infection, the detection of response against at least one antigen was highly sensitive (92.31%) and specific (91.30%). The use of serology with pneumococcal proteins is a promising method for the diagnosis of pneumococcal infection in children with pneumonia. The use of a ≥2-fold increase cut-off is adequate for most pneumococcal proteins. PMID:26928648

  17. Waist circumference cut-off values for the prediction of cardiovascular risk factors clustering in Chinese school-aged children: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Xu Ying

    2010-02-01

    Full Text Available Abstract Background Waist circumference has been identified as a valuable predictor of cardiovascular risk in children. The development of waist circumference percentiles and cut-offs for various ethnic groups are necessary because of differences in body composition. The purpose of this study was to develop waist circumference percentiles for Chinese children and to explore optimal waist circumference cut-off values for predicting cardiovascular risk factors clustering in this population. Methods Height, weight, and waist circumference were measured in 5529 children (2830 boys and 2699 girls aged 6-12 years randomly selected from southern and northern China. Blood pressure, fasting triglycerides, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, and glucose were obtained in a subsample (n = 1845. Smoothed percentile curves were produced using the LMS method. Receiver-operating characteristic analysis was used to derive the optimal age- and gender-specific waist circumference thresholds for predicting the clustering of cardiovascular risk factors. Results Gender-specific waist circumference percentiles were constructed. The waist circumference thresholds were at the 90th and 84th percentiles for Chinese boys and girls respectively, with sensitivity and specificity ranging from 67% to 83%. The odds ratio of a clustering of cardiovascular risk factors among boys and girls with a higher value than cut-off points was 10.349 (95% confidence interval 4.466 to 23.979 and 8.084 (95% confidence interval 3.147 to 20.767 compared with their counterparts. Conclusions Percentile curves for waist circumference of Chinese children are provided. The cut-off point for waist circumference to predict cardiovascular risk factors clustering is at the 90th and 84th percentiles for Chinese boys and girls, respectively.

  18. Optimal Elasticity cut-off value for discriminating Healthy to Pathological Fibrotic patients employing Fuzzy C-Means automatic segmentation in Liver Shear Wave Elastography images

    Science.gov (United States)

    Gatos, Ilias; Tsantis, Stavros; Skouroliakou, Aikaterini; Theotokas, Ioannis; Zoumpoulis, Pavlos S.; Kagadis, George C.

    2015-09-01

    The aim of the present study is to determine an optimal elasticity cut-off value for discriminating Healthy from Pathological fibrotic patients by means of Fuzzy C-Means automatic segmentation and maximum participation cluster mean value employment in Shear Wave Elastography (SWE) images. The clinical dataset comprised 32 subjects (16 Healthy and 16 histological or Fibroscan verified Chronic Liver Disease). An experienced Radiologist performed SWE measurement placing a region of interest (ROI) on each subject's right liver lobe providing a SWE image for each patient. Subsequently Fuzzy C-Means clustering was performed on every SWE image utilizing 5 clusters. Mean Stiffness value and pixels number of each cluster were calculated. The mean stiffness value feature of the cluster with maximum pixels number was then fed as input for ROC analysis. The selected Mean Stiffness value feature an Area Under the Curve (AUC) of 0.8633 with Optimum Cut-off value of 7.5 kPa with sensitivity and specificity values of 0.8438 and 0.875 and balanced accuracy of 0.8594. Examiner's classification measurements exhibited sensitivity, specificity and balanced accuracy value of 0.8125 with 7.1 kPa cutoff value. A new promising automatic algorithm was implemented with more objective criteria of defining optimum elasticity cut-off values for discriminating fibrosis stages for SWE. More subjects are needed in order to define if this algorithm is an objective tool to outperform manual ROI selection.

  19. Prevalence of body mass index and body weight cut-off points for in vitro fertilization treatment at U.S. clinics and current clinic weight loss strategy recommendations.

    Science.gov (United States)

    Turner-McGrievy, Gabrielle M; Grant, Breănna L

    2015-09-01

    The goal of this study was to determine how many clinics providing in vitro fertilization (IVF) in the United States require a body mass index (BMI) or body weight cut-off point to determine treatment eligibility. US clinics listed as members on the Society of Assisted Reproduction website in late 2013 were contacted by phone between January and March 2014. Clinic personnel were asked if a BMI or body weight cut-off points was used to determine IVF treatment eligibility and what strategies they recommended for their patients to achieve a healthy body weight. Of the 379 clinics contacted, 347 responded (92% response rate) and 35% (n = 120) reported using a BMI or body weight cut-off points to determine eligibility for IVF treatment. Mean BMI (± SD) cut-off points was 38.4 ± 5.2 kg/m(2) and mean body weight (± SD) cut-off points was 130.2 ± 14.8 kg. Of the clinics using a set cut-off points, half (46%) provided no weight loss recommendations for patients. A sizable portion of US IVF clinics report a required or preferred BMI or body weight cut-off points for treatment. Despite this, most clinics did not provide a recommended program or approach for weight loss with very few clinics reporting an in-house program.

  20. Determining a Cut-Off Point for Scores of the Breastfeeding Self-Efficacy Scale-Short Form: Secondary Data Analysis of an Intervention Study in Japan.

    Directory of Open Access Journals (Sweden)

    Keiko Nanishi

    Full Text Available Breastfeeding self-efficacy can be measured with the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF. Mothers with low BSES-SF scores stop exclusive breastfeeding prematurely, but specific interventions can prevent that undesirable outcome. Because those interventions can be expensive, often one must decide which mothers will receive them. For that purpose, a cut-off BSES-SF score would be useful, but none is available. Therefore, we aimed to assess the overall accuracy of BSES-SF scores as predictors of not practicing post-discharge exclusive breastfeeding, and to choose an appropriate cut-off score for making that prediction.This is a secondary data analysis of an intervention study. Data from 378 women in two non-Baby-Friendly Hospitals were analyzed. Participants were women in their third trimester who were 16 years of age or older, were able to read and write Japanese, were expected to have a singleton birth, and had completed the BSES-SF before discharge. BSES-SF scores were measured before discharge. Breastfeeding status was assessed 4 weeks and 12 weeks postpartum. Receiver Operating Characteristic (ROC curves were used to assess the predictive ability of the BSES-SF and to inform the choice of a cut-off point.For both of the ROC curves (4 and 12 weeks postpartum the area under the curve was 0.74. To obtain a high sensitivity, a cut-off score of 50 was chosen. With that cut-off score the sensitivity was 79% and the specificity was 52% 4 weeks postpartum, and they were 77% and 52%, respectively, 12 weeks postpartum.In conclusion, the BSES-SF has moderate overall accuracy to distinguish women who will not practice exclusive breastfeeding after discharge from those who will. At non-Baby-Friendly hospitals in Japan, interventions to support exclusive breastfeeding might be considered for new mothers who have BSES-SF scores that are less than or equal to 50.

  1. D-D dimer levels in patients with sickle cell disease during bone pain crises and in the steady state

    Directory of Open Access Journals (Sweden)

    Fakunle EE

    2012-05-01

    Full Text Available Eyitayo Emmanuel Fakunle,1 Kapoona Iwara Ibiang Eteng,2 Wuraola Adebola Shokunbi21Department of Pathology, King Edward VII Memorial Hospital, Bermuda; 2Department of Hematology, University College Hospital, Ibadan, NigeriaObjective: To determine the presence of ongoing thrombosis by measuring the D-D dimer levels in bone pain crises (BPCs and in the steady state of patients with sickle cell disease, comparing these levels with those in individuals with normal hemoglobin (HbAA in southwest Nigeria.Study design, patients, and methods: The study design involved 38 patients with homozygous sickle cell anemia (HbSS and 78 adults with the HbAA phenotype, seen at the Hematology Day Care and Accident and Emergency units of the University College Hospital, Ibadan, Nigeria. The TintElize kit was used to quantitatively determine human D-D dimer levels in the plasma with enzyme immunoassay.Results: The mean D-D dimer level measured of the 78 individuals with HbAA was 73.59 ng/mL. The mean D-D dimer level of the patients with HbSS during BPCs was 4002.40 ng/mL, while the mean level in the same patients in the steady state measured 6 weeks after their BPCs, with no other painful crisis episode before the sample was collected, was 1320.00 ng/mL.Conclusion: This study demonstrated a significant increase in the D-D dimer levels of patients with HbSS in the steady state, when compared with those of individuals with HbAA of the same age and sex distribution. There was also an approximate threefold increase in the D-D dimer levels in the same patients with HbSS during BPCs. This confirms the activation of coagulation and fibrinolytic systems in patients with HbSS in the steady state, which is further escalated during BPCs. A multicenter study on the use of anticoagulants in BPCs in patients with sickle cell disease is required.Keywords: anticoagulant, dimer, sickle cell disease, BPC, Nigeria, chronic hemolytic anemia

  2. Increased tissue factor, MMP-8, and D-dimer expression in diabetic patients with unstable advanced carotid atherosclerosis

    Directory of Open Access Journals (Sweden)

    Jerzy Krupinski

    2007-09-01

    Full Text Available Jerzy Krupinski1,2, Marta M Turu1,2, M Angels Font1, Nesser Ahmed3, Matthew Sullivan3, Ana Luque1,2, Francisco Rubio1, Lina Badimon2, Mark Slevin31Department of Neurology, Stroke Unit, University Hospital of Bellvitge (HUB, Fundacio IDIBELL, Barcelona, Spain; 2Cardiovascular Research Centre, IIBB/CSIC-HSCSP-UAB, Barcelona, Spain; 3School of Biology, Chemistry and Health Science, Manchester Metropolitan University, Manchester, United KingdomAbstract: Advanced atherogenesis is characterized by the presence of markers of enhanced prothrombotic capacity, attenuated fibrinolysis, and by clinical conditions associated with defective coagulation. Diabetes may be associated with enhanced lesion instability and atherosclerotic plaque rupture. Plaques obtained from 206 patients undergoing carotid endarterectomy were divided into diabetic (type 2 and nondiabetic and analyzed by Western blotting and immunohistochemistry to detect tissue factor (TF, metalloproteinases (MMP-2, -8, -9, and fibrin/fibrinogen related antigens, and in situ zymography to detect MMP activity. Plasma samples were quantified for TF procoagulant activity, C-reactive protein, fibrinogen and D-dimer. Diabetic and symptomatic patients with hypoechogenic plaques had increased plasma TF activity and D-dimer, compared with those with hyperechogenic plaques (p = 0.03, p = 0.007, respectively. Diabetic, symptomatic patients had higher plasma D-dimer levels than asymptomatic patients (p = 0.03. There was a significant correlation between intramural TF levels and D-dimer in diabetic patients with symptomatic disease (p = 0.001, r2 = 0.4. In diabetic patients, plasma fibrinogen levels were higher in patients with hypoechogenic plaques (p = 0.007. Diabetic patients with ulcerated plaques had higher plasma D-dimer and MMP-8 levels than those with fibrous plaques (p = 0.02, p = 0.01, respectively. This data suggests that currently available circulating markers may be clinically useful to select

  3. Arterio-venous gradients of IL-6, plasma and serum VEGF and D-dimers in human cancer

    OpenAIRE

    Salgado, R.; Benoy, I; Weytjens, R; Van Bockstaele, D.; Van Marck, E; Huget, Ph; Hoylaerts, M; Vermeulen, P.; Dirix, L Y

    2002-01-01

    The circulating angiogenic factors vascular endothelial growth factor-A, interleukin-6 and the fibrin D-dimer fragment were measured in the mesenteric vein, the uterine vein, as well as in peripheral venous and arterial samples in 21 randomly selected patients with operable colorectal, ovarian and cervical carcinoma. In addition, immunohistochemistry for vascular endothelial growth factor-A and interleukin-6 was performed on colorectal tumours of such patients. Serum and plasma vascular endot...

  4. Normal blood D-dimer concentrations: do they exclude pulmonary embolism?

    Institute of Scientific and Technical Information of China (English)

    Guo Zhiguo; Ma Qingbian; Zheng Yaan; Zhang Yumei; Ge Hongxia

    2014-01-01

    Background Although pulmonary embolism (PE) with normal blood D-dimer (DD) concentrations is considered rare,in practice the incidence may be greater than is generally believed.Overlooking PE is potentially dangerous.The aim of this study was to explore the incidence and clinical features of PE with normal DD concentrations.Methods We retrospectively analyzed the records of 29 patients with PE and normal DD concentrations from the past seven years.We here compare relevant clinical characteristics of these patients with those of patients with PE and abnormal DD concentrations.We evaluated the probabilities of differences by computing pretest probability scores (Wells score and revised Geneva score).Results The frequency of normal DD concentrations in patients with PE was 4%.Previous episode(s) of PE were more common in patients with normal DD concentrations than in those with abnormal DD concentrations (P=0.001).Fever,tachycardia,and tachypnea occurred less frequently in the former group (P<0.05) and time between onset of symptoms and DD testing was longer (P=0.001).The diagnosis of PE was delayed in 22 of the 29 cases.Nineteen and seven cases with normal DD concentrations were classified according to pretest scores as intermediate and low risk,respectively.Conclusions PE with normal DD concentrations is uncommon.Although most diagnoses of PE are ruled out by normal DD values,a small number of cases with PE are missed.A combination of pretest probability score and normal DD concentration increases the probability of making the correct diagnosis,but cannot completely exclude patients with suspected PE.When the clinical manifestations cannot be otherwise explained,clinicians should be alert to the possibility of PE with normal DD concentrations in patients with previous episode(s) of PE or a long interval between onset of symptoms and DD testing.

  5. Determination of Diastolic Dysfunction Cut-Off Value by Tissue Doppler Imaging in Adults 70 Years of Age or Older: A Comparative Analysis of Pulsed-Wave and Color-Coded Tissue Doppler Imaging

    OpenAIRE

    Baek, Hee-Kyung; Park, Tae-Ho; Park, Sun-Yi; Kim, Jung-Hwan; Seo, Jeong-Min; Kim, Woo-Jae; Nam, Young-Hee; Kim, Moo-Hyun; Kim, Young-Dae

    2011-01-01

    Background and Objectives The cut-off value of diastolic dysfunction by tissue Doppler imaging (TDI) is affected by aging and modalities used (pulsed-wave vs. color-coded). The purpose of this study was to investigate the diastolic function of healthy elderly people and to determine the appropriate cut-off value of diastolic dysfunction in elderly individuals. Subjects and Methods Healthy volunteers (n=76) and patients with hypertension (n=51) aged ≥70 years underwent 2-dimensional and Dopple...

  6. Bovine Tuberculosis in Cattle in the Highlands of Cameroon: Seroprevalence Estimates and Rates of Tuberculin Skin Test Reactors at Modified Cut-Offs

    Directory of Open Access Journals (Sweden)

    J. Awah-Ndukum

    2012-01-01

    Full Text Available The aim of this study was to obtain epidemiological estimates of bovine tuberculosis (TB prevalence in cattle in the highlands of Cameroon using two population-based tuberculin skin test (TST surveys in the years 2009 and 2010. However, prior to the TST survey in 2010, blood was collected from already chosen cattle for serological assay. Anti-bovine TB antibodies was detected in 37.17% of tested animals and bovine TB prevalence estimates were 3.59%–7.48%, 8.92%–13.25%, 11.77%–17.26% and 13.14%–18.35% for comparative TST at ≥4 mm, ≥3 mm and ≥2 mm cut-off points and single TST, respectively. The agreement between TST and lateral flow was generally higher in TST positive than in TST negative subjects. The K coefficients were 0.119, 0.234, 0.251 and 0.254 for comparative TST at ≥4 mm, ≥3 mm and ≥2 mm cut-off points and the single TST groups, respectively. Chi square statistics revealed that strong (P48 associations existed between seroprevalence rates and TST reactors. The study suggested that using lateral flow assay and TST at severe interpretations could improve the perception of bovine TB in Cameroon. The importance of defining TST at modified cut-offs and disease status by post-mortem detection and mycobacterial culture of TB lesions in local environments cannot be overemphasised.

  7. Effectiveness of Different Waist Circumference Cut-off Values in Predicting Metabolic Syndrome Prevalence and Risk Factors in Adults in China

    Institute of Scientific and Technical Information of China (English)

    ZHOU Hai Cheng; TIAN Hao Ming; JI Qiu He; ZHU Da Long; CHEN Li; GUO Xiao Hui; ZHAO Zhi Gang; Li Qiang; ZHOU Zhi Guang; GE Jia Pu; SHAN Guang Liang; LAI Ya Xin; SHAN Zhong Yan; JIA Wei Ping; YANG Wen Ying; LU Ju Ming; WENG Jian Ping; JI Li Nong; LIU Jie

    2014-01-01

    Objective To study the effectiveness of waist circumference cut-off values in predicting the prevalence of metabolic syndrome (MetS) and risk factors in adults in China. Methods A cross-sectional survey was condcuted in 14 provinces (autonomous region, municipality) in China. A total of 47 325 adults aged ≥20 years were selected by multistage stratified sampling, and questionnaire survey and physical and clinical examination were conducted among them. MetS was defined according to the International Diabetes Federation (IDF) criteria and modified IDF criteria. Results The age-standardized prevalence of MetS was 24.2%(22.1%in men and 25.8%in women) and 19.5% (22.1% in men and 18.0% in women) according to the IDF criteria and modified IDF criteria respectively. The age-standardized prevalence of pre-MetS was 8.1%(8.6%in men and 7.8%in women) according to the modified IDF criteria. The prevalence of MetS was higher in urban residents than rural residents and in northern China residents than in southern China residents. The prevalence of central obesity was about 30% in both men and women according to the ethnicity-specific cut-off values of waist circumference for central obesity (90 cm for men and 85 cm for women). Multivariate regression analysis revealed no significant difference in risk factors between the two MetS definitions. Conclusion Using both the modified IDF criteria and ethnicity-specific cut-off values of waist circumference can provide more useful information about the prevalence of MetS in China.

  8. Optimal cut-off points on the health anxiety inventory, illness attitude scales and whiteley index to identify severe health anxiety.

    Directory of Open Access Journals (Sweden)

    Erik Hedman

    Full Text Available Health anxiety can be viewed as a dimensional phenomenon where severe health anxiety in form of DSM-IV hypochondriasis represents a cut-off where the health anxiety becomes clinically significant. Three of the most reliable and used self-report measures of health anxiety are the Health Anxiety Inventory (HAI, the Illness Attitude Scales (IAS and the Whiteley Index (WI. Identifying the optimal cut-offs for classification of presence of a diagnosis of severe health anxiety on these measures has several advantages in clinical and research settings. The aim of this study was therefore to investigate the HAI, IAS and WI as proximal diagnostic instruments for severe health anxiety defined as DSM-IV hypochondriasis.We investigated sensitivity, specificity and predictive value on the HAI, IAS and WI using a total of 347 adult participants of whom 158 had a diagnosis of severe health anxiety, 97 had obsessive-compulsive disorder and 92 were healthy non-clinical controls. Diagnostic assessments were conducted using the Anxiety Disorder Interview Schedule.Optimal cut-offs for identifying a diagnosis of severe health anxiety was 67 on the HAI, 47 on the IAS, and 5 on the WI. Sensitivity and specificity were high, ranging from 92.6 to 99.4%. Positive and negative predictive values ranged from 91.6 to 99.4% using unadjusted prevalence rates.The HAI, IAS and WI have very good properties as diagnostic indicators of severe health anxiety and can be used as cost-efficient proximal estimates of the diagnosis.

  9. Cut-off points of the visceral adiposity index (VAI identifying a visceral adipose dysfunction associated with cardiometabolic risk in a Caucasian Sicilian population

    Directory of Open Access Journals (Sweden)

    Amato Marco C

    2011-10-01

    Full Text Available Abstract Background The Visceral Adiposity Index (VAI is a sex-specific mathematical index, based on Waist Circumference (WC, Body Mass Index (BMI, triglycerides (TG and HDL cholesterol (HDL levels, indirectly expressing visceral adipose function and insulin sensitivity. Our aim was to find the optimal cut-off points of VAI identifying a visceral adipose dysfunction (VAD associated with cardiometabolic risk in a Caucasian Sicilian population. Methods Medical check-up data of 1,764 Primary Care patients (PC patients were retrospectively and cross-sectionally examined using a receiver-operating characteristic (ROC curve to determine appropriate stratified-for-age cut-off of VAI, for the identification of PC patients with Metabolic Syndrome (MetS according to the NCEP-ATP III criteria. The PC patients with higher VAI scores were subdivided into three groups according to VAI tertiles (i.e. PC patients with mild VAD, moderate VAD or severe VAD. Finally, VAD classes were compared to classical cardio- and cerebrovascular risk factors as independent predictors of coronary heart disease and/or myocardial infarction, transient ischemic attack and/or ischemic stroke. Results Moderate and severe VADs proved to be independently associated with cardiovascular events [(OR: 5.35; 95% CI: 1.92-14.87; p = 0.001 and (OR: 7.46; 95% CI: 2.64-21.05; p Conclusions Our study suggests that among Caucasian Sicilian subjects there are clear cut-off points of VAI able to identify a VAD strongly associated with cardiometabolic risk.

  10. Effect of the magnetospheric DCF and DR current systems of on cosmic ray geomagnetic cut-off rigidities in Forbush effect event periods in June and August 1972

    International Nuclear Information System (INIS)

    The effect of magnetospheric DCF and DR current systems on regidity of geomagnetic cut-off of cosmic rays (CR) in the periods of Forbush effect in June and August,1972 is considered. It is shown that magnetospheric CR effects conditioned by DCF and DR current fields are opposite in sign and comparable in value during strong disturbances of solar wind velocity. Belts of the most probable current localization in the process of development and evolution of magnetospheric DR current exist in the distances: 4R3(R3-Earth radius) and GR3 in the June event and about 2R3, 4R3 and GR3 in the August event

  11. Vitamin D, d-dimer, Interferon γ, and sCD14 Levels are Independently Associated with Immune Reconstitution Inflammatory Syndrome: A Prospective, International Study☆

    Science.gov (United States)

    Musselwhite, Laura W.; Andrade, Bruno B.; Ellenberg, Susan S.; Tierney, Ann; Belaunzaran-Zamudio, Pablo F.; Rupert, Adam; Lederman, Michael M.; Sanne, Ian; Sierra Madero, Juan G.; Sereti, Irini

    2016-01-01

    To determine the immunological profile most important for IRIS prediction, we evaluated 20 baseline plasma biomarkers in Acquired Immunodeficiency Syndrome (AIDS) patients initiating antiretroviral therapy (ART). Patients were enrolled in a randomized, placebo-controlled ART initiation trial in South Africa and Mexico to test whether maraviroc could prevent IRIS. Participants were classified prospectively as having IRIS within 6 months of ART initiation. Twenty plasma biomarkers were measured at study enrollment for 267 participants. Biomarkers were tested for predicting IRIS with adjustment for covariates chosen through forward stepwise selection. Sixty-two participants developed IRIS and of these 19 were tuberculosis (TB)-IRIS. Baseline levels of vitamin D and higher d-dimer, interferon gamma (IFNγ), and sCD14 were independently associated with risk of IRIS in multivariate analyses. TB-IRIS cases exhibited a distinct biosignature from IRIS related to other pathogens, with increased levels of C-reactive protein (CRP), sCD14, IFNγ, and lower levels of Hb that could be captured by a composite risk score. Elevated markers of Type 1 T helper (Th1) response, monocyte activation, coagulation and low vitamin D were independently associated with IRIS risk. Interventions that decrease immune activation and increase vitamin D levels warrant further study. PMID:26981576

  12. Relationship between Plasma D-Dimer Concentration and Three-Dimensional Ultrasound Placental Volume in Women at Risk for Placental Vascular Diseases: A Monocentric Prospective Study

    Science.gov (United States)

    Fanget, Cécile; Chauleur, Céline; Stadler, Amandine; Presles, Emilie; Varlet, Marie-Noëlle; Gris, Jean-Christophe

    2016-01-01

    Introduction The aim of this study was to correlate placental volumes deduced from three-dimensional ultrasound and virtual organ computer-aided analysis (VOCAL) software with systemic concentrations of D-dimer and soluble endothelial protein C receptor (sEPCR). Methods This was a monocentric experimental prospective study conducted from October 2008 to July 2009. Forty consecutive patients at risk of placental vascular pathology (PVP) recurrence or occurrence were included. Placental volumes were systematically measured three times (11–14, 16–18 and 20–22 weeks of gestation (WG)) by two independent sonographers. D-dimers and sEPCR plasma concentrations were measured using ELISA kits (Enzyme Linked ImmunoSorbent Assay). Results Eleven patients had a PVP. The plasma D-dimer level was positively correlated with placental volume (r = 0.45, p < 0.001). A smaller placental volume and placental quotient was evidenced in women who developed a PVP at the three gestational ages, and the difference was more pronounced during the third exam (20 WG). No obvious correlation could be demonstrated between the development of a PVP and the levels of D-dimer and sEPCR. There was no significant difference in the values of placental volumes measured by the two sonographers. Conclusion The placenta growth could be a major determinant of the elevation of D-dimer during pregnancy. Consideration of placental volume could allow for modulation of the D-dimer concentrations for restoring their clinical interest. PMID:27294274

  13. Power-law and Logarithmic Entropy Corrected Holographic Dark Energy Models in Brans-Dicke Cosmology with Granda-Oliveros Cut-Off

    CERN Document Server

    Pasqua, Antonio; Myrzakulov, Ratbay

    2015-01-01

    In this paper, the cosmological implications of the Power Law Entropy Corrected Holographic Dark Energy (PLECHDE) and the Logarithmic Entropy Corrected Holographic Dark Energy (LECHDE) models in the context of Brans-Dicke (BD) cosmology for both non-interacting and interacting DE and Dark Matter (DM) are studied. As the system infrared cut-off, we choose the recently proposed Granda-Oliveros cut-off, which contains a term proportional to the first time derivative of the Hubble parameter and one term proportional to $H^2$, i.e. the Hubble parameter squared. We obtain the expressions of three quantities, i.e. the Equation of State (EoS) parameter $\\omega_D$, the deceleration parameter $q$ and the evolutionary form of the energy density parameter $\\Omega'_D$ of the PLECHDE and LECHDE models in a non-flat Universe for non-interacting and interacting DE and DM as well. Moreover, we investigate the limiting cases corresponding to: a) absence of entropy corrections; b) Einstein's gravity; and c) concomitantly absenc...

  14. Power-Law Entropy-Corrected Holographic Dark Energy in Ho\\v{r}ava-Lifshitz Cosmology with Granda-Oliveros Cut-off

    CERN Document Server

    Pasqua, Antonio; Myrzakulov, Ratbay

    2015-01-01

    In this work, we decided to study the Power Law Entropy Corrected Holographic Dark Energy (PLECHDE) model in the framework of a spatially non-flat Universe and in the framework of Ho\\v{r}ava-Lifshitz cosmology with infrared (IR) cut-off given by recently proposed Granda-Oliveros cut-off which contains one term proportional to the Hubble parameter squared and one proportional to the time derivative of the Hubble parameter. For the two cases corresponding to non-interacting and interacting DE and Dark Matter (DM), we derive the evolutionary form of the energy density of DE, the Equation of State (EoS) parameter $\\omega_D$, the evolutionary form of the fractional energy density $\\Omega_D'$ and the deceleration parameter $q$. Using the parametrization of the EoS parameter $\\omega_D\\left(z\\right)=\\omega_0+\\omega_1 z$, we obtain the expressions of $\\omega_0$ and $\\omega_1$ for both non-interacting and interacting Dark Sectors. We also study the statefinder parameters $\\left\\{ r,s \\right\\}$, the properties of some c...

  15. 截锥形直杆的动力稳定性研究%Research on the dynamic stability of cut-off-cone bar

    Institute of Scientific and Technical Information of China (English)

    夏鹭平

    2001-01-01

    This paper discusses the effect of dynamic stability of cut-off-cone bar under vertical vibration force. The influence of cut-off-cone bar and equal section bar on the dynamic property of bars is analyzed respectively. A theoretical method of analyzing the dynamic stability of bars is presented. Some suggestions are made about reducing the unfavourable effect in practical engineering. The work here may be useful to the dynamic analysis and design in practical engineering.%研究了截锥形直杆在竖向振动力作用下,杆件参数共振和动力稳定性问题,分析了截锥形直杆和等截面直杆对杆件动力性能的影响,提出了一种分析杆件动力稳定性的理论方法,方法简明易用,便于掌握,并提出了在实际工程中减小共振的一些措施,为结构的动力分析与设计提供参考依据。

  16. Triceps and Subscapular Skinfold Thickness Percentiles and Cut-Offs for Overweight and Obesity in a Population-Based Sample of Schoolchildren and Adolescents in Bogota, Colombia.

    Science.gov (United States)

    Ramírez-Vélez, Robinson; López-Cifuentes, Mario Ferney; Correa-Bautista, Jorge Enrique; González-Ruíz, Katherine; González-Jiménez, Emilio; Córdoba-Rodríguez, Diana Paola; Vivas, Andrés; Triana-Reina, Hector Reynaldo; Schmidt-RioValle, Jacqueline

    2016-01-01

    The assessment of skinfold thickness is an objective measure of adiposity. The aims of this study were to establish Colombian smoothed centile charts and LMS L (Box-Cox transformation), M (median), and S (coefficient of variation) tables for triceps, subscapular, and triceps + subscapular skinfolds; appropriate cut-offs were selected using receiver operating characteristic (ROC) analysis based on a population-based sample of children and adolescents in Bogotá, Colombia. A cross-sectional study was conducted in 9618 children and adolescents (55.7% girls; age range of 9-17.9 years). Triceps and subscapular skinfold measurements were obtained using standardized methods. We calculated the triceps + subscapular skinfold (T + SS) sum. Smoothed percentile curves for triceps and subscapular skinfold thickness were derived using the LMS method. ROC curve analyses were used to evaluate the optimal cut-off point of skinfold thickness for overweight and obesity, based on the International Obesity Task Force definitions. Subscapular and triceps skinfolds and T + SS were significantly higher in girls than in boys (p < 0.001). The ROC analysis showed that subscapular and triceps skinfolds and T + SS have a high discriminatory power in the identification of overweight and obesity in the sample population in this study. Our results provide sex- and age-specific normative reference standards for skinfold thickness values from a population from Bogotá, Colombia. PMID:27669294

  17. Analysis of the acoustic cut-off frequency and high-frequency peaks in six Kepler stars with stochastically excited pulsations

    Science.gov (United States)

    Jiménez, A.; García, R. A.; Pérez Hernández, F.; Mathur, S.

    2015-11-01

    Gravito-acoustic modes in the Sun and other stars propagate in resonant cavities with a frequency below a given limit known as the cut-off frequency. At higher frequencies, waves are no longer trapped in the stellar interior and become traveller waves. In this article, we study six pulsating solar-like stars at different evolutionary stages observed by the NASA Kepler mission. These high signal-to-noise targets show a peak structure that extends at very high frequencies and are good candidates for studying the transition region between the modes and interference peaks or pseudo-modes. Following the same methodology successfully applied on Sun-as-a-star measurements, we uncover the existence of pseudo-modes in these stars with one or two dominant interference patterns depending on the evolutionary stage of the star. We also infer their cut-off frequency as the midpoint between the last eigenmode and the first peak of the interference patterns. Using ray theory we show that, while the period of one of the interference patterns is very close to half the large separation, the period of the other interference pattern depends on the time phase of mixed waves, thus carrying additional information on the stellar structure and evolution. Appendix A is available in electronic form at http://www.aanda.org

  18. Triceps and Subscapular Skinfold Thickness Percentiles and Cut-Offs for Overweight and Obesity in a Population-Based Sample of Schoolchildren and Adolescents in Bogota, Colombia

    Science.gov (United States)

    Ramírez-Vélez, Robinson; López-Cifuentes, Mario Ferney; Correa-Bautista, Jorge Enrique; González-Ruíz, Katherine; González-Jiménez, Emilio; Córdoba-Rodríguez, Diana Paola; Vivas, Andrés; Triana-Reina, Hector Reynaldo; Schmidt-RioValle, Jacqueline

    2016-01-01

    The assessment of skinfold thickness is an objective measure of adiposity. The aims of this study were to establish Colombian smoothed centile charts and LMS L (Box–Cox transformation), M (median), and S (coefficient of variation) tables for triceps, subscapular, and triceps + subscapular skinfolds; appropriate cut-offs were selected using receiver operating characteristic (ROC) analysis based on a population-based sample of children and adolescents in Bogotá, Colombia. A cross-sectional study was conducted in 9618 children and adolescents (55.7% girls; age range of 9–17.9 years). Triceps and subscapular skinfold measurements were obtained using standardized methods. We calculated the triceps + subscapular skinfold (T + SS) sum. Smoothed percentile curves for triceps and subscapular skinfold thickness were derived using the LMS method. ROC curve analyses were used to evaluate the optimal cut-off point of skinfold thickness for overweight and obesity, based on the International Obesity Task Force definitions. Subscapular and triceps skinfolds and T + SS were significantly higher in girls than in boys (p < 0.001). The ROC analysis showed that subscapular and triceps skinfolds and T + SS have a high discriminatory power in the identification of overweight and obesity in the sample population in this study. Our results provide sex- and age-specific normative reference standards for skinfold thickness values from a population from Bogotá, Colombia. PMID:27669294

  19. Prothrombin Time, Activated Partial Thromboplastin Time, Fibrinogen, dan D-dimer Sebagai Prediktor Decompensated Disseminated Intravascular Coagulation Sisseminated pada Sepsis

    Directory of Open Access Journals (Sweden)

    Fenny

    2011-03-01

    Full Text Available Sepsis is a systemic response to infection especially in pneumonia case. Sepsis can cause complications such as disseminated intravascular coagulation (DIC which can be divided into compensated and decompensated DIC. The purpose of this study was to assess whether the value of prothrombin time (PT, activated partial thromboplastin time (aPTT, fibrinogen, and D-dimer levels can be used as predictors of decompensated DIC in sepsis patients. This study was conducted at the Laboratory of Clinical Pathology Rumah Sakit Hasan Sadikin Bandung since September 2008 to June 2010. Subjects were patients with sepsis caused by pneumonia. PT and aPTT values, fibrinogen, and D-dimer levels was recorded from all sepsis patients then patients were observed until diagnosed decompensated or non-decompensated DIC, then the value of PT, aPTT, fibrinogen and D-dimer levels in the group of decompensated DIC and non-decompensated DIC were analysed. This study used cohort design. Subjects were 39 sepsis patients (58% with outcome decompensated DIC and 28 sepsis patients (42% with outcome non-decompensated DIC. From the hemostasis parameter test out, it was found that PT, aPTT, and fibrinogen were the predictor of decompensated DIC in patients with sepsis with relative risk 240.500, 7.157, and 6.421; respectively. Conclusions, prothrombin time, aPTT, fibrinogen are the test to know coagulation activation. Hemostasis parameter to predict decompensated DIC in sepsis patients are the shorten PT, aPTT, and the increased fibrinogen

  20. D-dimer and portal vein status in splenectomized Egyptian β-thalassemia major patients: a prospective single-thalassemia center experience.

    Science.gov (United States)

    Elalfy, Mohsen Saleh; Andrawes, Nevine Gamal; Sadek, Azza Mohamad; Hussein, Omar; Abdou, Abeer

    2012-04-01

    Splenectomy is a recognized cause of portal vein thrombosis. Thirty-six β-thalassemia major (β-TM) patients were followed up for 36 months to evaluate changes in D-dimer levels (as a possible marker for thrombosis development) and portal vein status (by portal duplex ultrasound) at both early and late postlaparoscopic splenectomy periods. They were classified into group I if they were splenectomized in the study period (n = 12), or group II if they were splenectomized during the 5 years preceding the period (n = 24). In group I, D-dimer was measured 5 times: 1 day presplenectomy, the 1st week, 6th week, and 6th month postsplenectomy, and at the study end, whereas in group II, D-dimer was measured twice: at the study entry and end. Portal duplex was done 1 week postsplenectomy (group I) and at study end in both groups. Presplenectomy D-dimer levels in group I were significantly higher compared with the 6th month (P = .042) and study end (P = .03), whereas 1st week (postsplenectomy) D-dimer levels had a high mean of 3497.3 ng/mL, lowered at the 6th week (P = .017), at the 6th month (P = .008), and at study end (P = .005). D-dimer levels in group II showed no difference between study entry and end (P = .104). Portal vein "diameter and flow" were within normal findings in both groups. In this 3-year prospective study, a subclinical hypercoagulable state was detected 1 day prior to splenectomy and in the early postsplenectomy period, as evidenced by high D-dimer levels. Laparoscopic splenectomy was not associated with portal venous thrombosis either clinically or by duplex sonography. PMID:22475301

  1. Application of High-Density Seismic Image in Nondestructive Exploration of Cut-off Cement-Soil Wall in Earth Dam

    Institute of Scientific and Technical Information of China (English)

    CAI Jing; WANG Jianhua; ZHANG Xianmin

    2005-01-01

    In order to quickly explore the quality of cut-off wall in dams, a new method of high-density seismic image was adopted and estimated by model and in-situ wall tests.The vibration exciter was employed and several parameters such as hypocentral distance, length of signal record and sampling space in signal collection were determined, which are 8 m, 0.25 ms and 128 ms respectively. Through time and frequency field signal analyses, it is concluded that, the smaller arrival times of reflected longitudinal and surface waves, and the higher their main frequencies, the higher the strength of the wall, vice versa. Accordingly the construction quality of the wall can be evaluated quickly by high-density seismic image.

  2. Evaluating the Possibility of Defining Cut-Off Points for ΔFA% in Order to Differentiate Four Major Types of Peri-Tumoral White Matter Tract Involvement

    Directory of Open Access Journals (Sweden)

    Deilami

    2015-07-01

    Full Text Available Background Diffusion tensor imaging (DTI and its different scalar values such as fractional anisotropy (FA have recently been used for evaluation of peri-tumoral white matter (WM involvement to help define safer surgical excision margins. Objectives The purpose of this study is to evaluate the possibility of defining diagnostic cut-off points for differentiating four major types of peri-tumoral WM involvement using FA. Patients and Methods DTI was performed in 12 patients with high presumption of having brain tumors, on a 1.5 T MRI scanner. DTI data was processed by MedINRIA software. Two-hundred region of interests (ROI were evaluated: 100 in the lesion zone and the rest in the normal WM in the contralateral hemisphere. FA value related to each ROI was measured, and the percentage of FA decrement (ΔFAs% was calculated. Results Of the 100 ROIs on the lesion side, 74 were related to high-grade lesions, 23 to low-grade ones, and three to “gliosis”. There were 54 “infiltrated”, 22 “displaced”, 15 “disrupted”, and 9 “edematous” tracts. The major type of fiber involvement, both in low-grade and high-grade tumors was “infiltrated, whereas “edematous” fibers comprised the minority. ΔFA% was more than -35 for “displaced” and “edematous” fibers, and less than -35 for the majority of “disrupted” ones, but “infiltrated” fibers had scattered distribution. Mean ΔFA% was the least for “disrupted”, followed by “infiltrated”, “edematous” and “displaced” parts. Conclusion Introducing definite diagnostic cut-points was not possible, due to overlap. Based on the fact that “disruption” is the most aggressive process, a sensitivity analysis was carried out for “disrupted” fibers for several presumptive cut-off points.

  3. The optimum cut-off value to differentiate Echinococcus granulosus sensu stricto from other species of E. granulosus sensu lato using larval rostellar hook morphometry.

    Science.gov (United States)

    Soriano, S V; Pierangeli, N B; Pianciola, L A; Mazzeo, M; Lazzarini, L E; Debiaggi, M F; Bergagna, H F J; Basualdo, J A

    2015-01-01

    Cystic echinococcosis caused by Echinococcus granulosus sensu lato is one of the most important helminth zoonoses in the world; it affects both humans and livestock. The disease is endemic in Argentina and highly endemic in the province of Neuquén. Considerable genetic and phenotypic variation has been demonstrated in E. granulosus, and ten different genotypes (G1-G10) have been identified using molecular tools. Echinococcus granulosus sensu lato may be considered a species complex, comprised of E. granulosus sensu stricto (G1-G3), E. equinus (G4), E. ortleppi (G5) and E. canadensis (G6-G10). In endemic areas, the characterization of cystic echinococcosis molecular epidemiology is important in order to apply adequate control strategies. A cut-off value for larval large hook total length to distinguish E. granulosus sensu stricto isolates from those produced by other species of the complex was defined for the first time. Overall, 1780 larval hooks of 36 isolates obtained from sheep (n= 11, G1), goats (n= 10, G6), cattle (n= 5, G6) and pigs (n= 10, G7) were analysed. Validation against molecular genotyping as gold standard was carried out using the receiver operating characteristic (ROC) curve analysis. The optimum cut-off value was defined as 26.5 μm. The proposed method showed high sensitivity (97.8%) and specificity (91.1%). Since in most endemic regions the molecular epidemiology of echinococcosis includes the coexistence of the widely distributed E. granulosus sensu stricto G1 strain and other species of the complex, this technique could be useful as a quick and economical tool for epidemiological and surveillance field studies, when fertile cysts are present.

  4. EARLY APPLICATION OF HIGH CUT-OFF HAEMODYALISIS FOR DE-NOVO MYELOMA NEPHROPATHY IS ASSOCIATED WITH LONG-TERM DIALYSIS-INDEPENDENCY AND RENAL RECOVERY

    Directory of Open Access Journals (Sweden)

    Alhossain A. Khalafallah

    2013-01-01

    Full Text Available Background Multiple myeloma (MM is a haematological malignancy associated with kidney injury resulting from cast nephropathy, which can be caused by monoclonal free light chains (FLC. It has been demonstrated that reduction of FLC can lead to a higher proportion of patients recovering renal function with a better outcome, especially if extended high cut-off haemodialysis (HCO-HD combined with chemotherapy is used. Patients and Methods In this study, four cases of MM nephropathy were treated with HCO-HD and chemotherapy at a single institution during the period from August 2009 to August 2011. All of the patients presented with acute renal failure and high serum FLC. All patients underwent a bone marrow biopsy to confirm the diagnosis of MM, according to the WHO criteria. Three patients had de-novo MM and one patient had relapsed light chain myeloma disease. All patients underwent HCO-HD concomitantly with specific myeloma therapy once the diagnosis or relapse of MM was established. Results After a median follow up of 26 months, (range, 13-36 our data showed that all patients had a significant decrease in serum FLC through HCO-HD, proving the effectiveness of HCO-HD in managing MM. De-novo MM patients restored their renal function and achieved low-level FLC early on the treatment and become dialysis-independent. One patient with relapsed myeloma remained dialysis dependant. Conclusion Our study suggests that if myeloma nephropathy associated with light-chain disease, HCO-HD should be initiated as early as possible. At the same time a specific MM treatment should be initiated to gain control of the disease and salvage the kidneys in order to achieve dialysis-independency. Further trials to confirm our results are warranted. Key Words: Multiple myeloma, renal failure, High cut-off haemodialysis, chemotherapy, outcome.

  5. Diagnostic Accuracy of Sixty Four Multi-Slice CT Angiography in Assessment of Arterial Cut-Off and Run-Off in Comparison with Surgical Findings

    Directory of Open Access Journals (Sweden)

    M. Noaparast

    2011-06-01

    Full Text Available Background/Objective: The accurate anatomic mapping and determination of the severity of arterial disease, an important health problem of the elderly, is of great significance. We aimed todetermine the diagnostic value of 64-multislice CT angiography (MSCTA in run-off and cut-off sites of arterial disease.Patients and Methods: Throughout the study, MSCTA followed by an operative intervention was carried out on a total of 38 patients with clinical signs and symptoms suggestive of arterialdisease (AD all of whom had the indication for vascular surgery. The mean age of patients was 34±15.86 (range, 23 to 93 years. MSCTA was executed using a 64-slice CT scanner, during the arterial phase of injecting the nonionic, contrast medium with a power injector at the rate of 5 ml/sec into the antecubital vein and exploration and revascularization of peripheral arterial disease was performed intraoperatively.Results: Atherosclerosis and arterial disease, the most common causes of vascular occlusion,were more common in the lower extremities. According to MSCTA findings, the most frequentsite of stenosis was the superficial femoral artery. Spearman’s correlation coefficient showed a high degree of agreement amongst the raters. The sensitivity, specificity, positive predictivevalue (PPV, negative predictive value (NPV and the accuracy of MSCTA compared to surgery were 83.8%, 96%, 96.8%, 81.3% and 89%, respectively. MSCTA findings were compared with surgeryas a standard of reference, which showed concordance in the majority of cases (81.6%. Cut-off sites were correctly identified by MSCTA in 97.3% of the patients and the most common sites of discordance were the run-off sites (18.2%.Conclusion: MSCTA angiography as a novel diagnostic modality may be a suitable alternative and a viable choice for routine clinical diagnosis.

  6. Plasma levels of D-dimer in a 5-year-old girl with systemic juvenile idiopathic arthritis: A case report and literature review

    Science.gov (United States)

    XU, QIANG; LIN, CHANG-SONG

    2016-01-01

    The present study reported high levels of D-dimer associated with multiple joint pain in a 5-year-old patient with systemic juvenile idiopathic arthritis (JIA). While treatment with methotrexate (MTX), hydroxychloroquine and methylprednisolone was found to reduce the D-dimer level and alleviated joint pain, the fever was not effectively controlled. Addition of etanercept to the treatment regimen from week 2 resulted in a clinical remission. Following 4–6 months of therapy, the D-dimer level of the patient returned to the normal range, and symptoms of noticeable joint pain and fever were absent. A literature search showed that the levels of D-dimer may be associated with JIA disease severity, and can serve as a prognostic biomarker for JIA treatment. In conclusion, the present study demonstrated that, while MTX therapy effectively reduced D-dimer levels, addition of etanercept to the treatment regimen was required to achieve a long-lasting remission of clinical symptoms, including fever. PMID:26998032

  7. 基于AMESim的牵引车液压系统压力切断阀的研究%Study on Pressure Cut-off Valve of Tractor Hydraulic System Based on AMESim

    Institute of Scientific and Technical Information of China (English)

    徐步算; 李英明; 任光胜

    2014-01-01

    针对变量泵液压系统在加速等工况产生的高压力峰值使得高压溢流阀频繁开启导致系统功率损失而产生热量,提出采用一种具有压力调节功能的压力切断阀,并对其进行理论分析。以重庆轻轨3号线牵引车液压系统为研究对象,通过AMESim的建模和仿真,仿真结果表明该阀动静态特性较好,能很好调节变量泵排量,避免高压峰值,有效减少因溢流阀动作而产生的能量损失,具有广阔的发展前景。%When the variable pump hydraulic system was in the working condition of acceleration or deceleration,high-pressure peak value would be produced to make the high-pressure relief valve run frequently,which led the system power loss and heat genera-tion,by aiming of this,using a pressure cut-off valve with pressure regulatory function was present,and theoretical analysis of it was made. By taking the hydraulic system of tractor for Chongqing rail transit Line 3 as a research object,modeling and simulation were conducted in AMESim. The simulation results show that the valve has good dynamic and static characteristics,which is used to adjust the variable pump displacement well and avoid the high-pressure peak value,reducing the energy loss caused by the overflow action of high-pressure relief valve effectively. So it has broad prospects for development.

  8. Cut-Off Points for Mild, Moderate, and Severe Pain on the Numeric Rating Scale for Pain in Patients with Chronic Musculoskeletal Pain: Variability and Influence of Sex and Catastrophizing

    Science.gov (United States)

    Boonstra, Anne M.; Stewart, Roy E.; Köke, Albère J. A.; Oosterwijk, René F. A.; Swaan, Jeannette L.; Schreurs, Karlein M. G.; Schiphorst Preuper, Henrica R.

    2016-01-01

    Objectives: The 0–10 Numeric Rating Scale (NRS) is often used in pain management. The aims of our study were to determine the cut-off points for mild, moderate, and severe pain in terms of pain-related interference with functioning in patients with chronic musculoskeletal pain, to measure the variability of the optimal cut-off points, and to determine the influence of patients’ catastrophizing and their sex on these cut-off points. Methods: 2854 patients were included. Pain was assessed by the NRS, functioning by the Pain Disability Index (PDI) and catastrophizing by the Pain Catastrophizing Scale (PCS). Cut-off point schemes were tested using ANOVAs with and without using the PSC scores or sex as co-variates and with the interaction between CP scheme and PCS score and sex, respectively. The variability of the optimal cut-off point schemes was quantified using bootstrapping procedure. Results and conclusion: The study showed that NRS scores ≤ 5 correspond to mild, scores of 6–7 to moderate and scores ≥8 to severe pain in terms of pain-related interference with functioning. Bootstrapping analysis identified this optimal NRS cut-off point scheme in 90% of the bootstrapping samples. The interpretation of the NRS is independent of sex, but seems to depend on catastrophizing. In patients with high catastrophizing tendency, the optimal cut-off point scheme equals that for the total study sample, but in patients with a low catastrophizing tendency, NRS scores ≤ 3 correspond to mild, scores of 4–6 to moderate and scores ≥7 to severe pain in terms of interference with functioning. In these optimal cut-off schemes, NRS scores of 4 and 5 correspond to moderate interference with functioning for patients with low catastrophizing tendency and to mild interference for patients with high catastrophizing tendency. Theoretically one would therefore expect that among the patients with NRS scores 4 and 5 there would be a higher average PDI score for those with low

  9. VIDAS D-dimer in combination with clinical pre-test probability to rule out pulmonary embolism. A systematic review of management outcome studies.

    Science.gov (United States)

    Carrier, Marc; Righini, Marc; Djurabi, Reza Karami; Huisman, Menno V; Perrier, Arnaud; Wells, Philip S; Rodger, Marc; Wuillemin, Walter A; Le Gal, Grégoire

    2009-05-01

    Clinical outcome studies have shown that it is safe to withhold anticoagulant therapy in patients with suspected pulmonary embolism (PE) who have a negative D-dimer result and a low pretest probability (PTP) either using a PTP model or clinical gestalt. It was the objective of the present study to assess the safety of the combination of a negative VIDAS D-dimer result in combination with a non-high PTP using the Wells or Geneva models to exclude PE. A systematic literature search strategy was conducted using MEDLINE, EMBASE, the Cochrane Register of Controlled Trials and all EBM Reviews. Seven studies (6 prospective management studies and 1 randomised controlled trial) reporting failure rates at three months were included in the analysis. Non-high PTP was defined as "unlikely" using the Wells' model, or "low/intermediate" PTP using either the Geneva score, the Revised Geneva Score, or clinical gestalt. Two reviewers independently extracted data onto standardised forms. A total of 5,622 patients with low/intermediate or unlikely PTP were assessed using the VIDAS D-dimer. PE was ruled out by a negative D-dimer test in 2,248 (40%, 95% confidence intervals [CI] 38.7 to 41.3%) of them. The three-month thromboembolic risk in patients left untreated on the basis of a low/intermediate or unlikely PTP and a negative D-dimer test was 3/2,166 (0.14%, 95% CI 0.05 to 0.41%). In conclusion, the combination of a negative VIDAS D-dimer result and a non-high PTP effectively and safely excludes PE in an important proportion of outpatients with suspected PE. PMID:19404542

  10. The relationship between level of plasma D-dimer and survival time in metastatic gastric cancer patients%血浆D-二聚体水平与转移性胃癌患者生存期的关系

    Institute of Scientific and Technical Information of China (English)

    Xiaodong Jiao; Jianxin Qian; Guanzhen Yu; Rui Li; Zhan Wang; Jin Wang; Xiaoqiang Gu; Jiejun Wang

    2011-01-01

    Objective: The principal purpose of this study was to determine the relationship between level of plasma D-dimer and survival time in metastatic gastric cancer patients. Methods: We retrospectively collected the data of plasma D-dimer in metastatic gastric cancer patients admitted in our Department (Department of Oncology, The Affiliated Changzheng Hospital, The Second Military Medical University, Shanghai, China) from October 2006 to October 2008 and analyzed the relationship between level of plasma D-dimer and survival time along with other clinicopathologic parameters. Results: A total of 82 patients were studied in our research, 52 were males and 30 females, and the mean age was 57 years. The 48 cases had a normal plasma D-dimer level (< 300 μg/L) and 34 had a high plasma D-dimer level (≥ 300 μg/L). In the normal and high plasma D-dimer level groups, the mean survival times were 10.9 (95% CI: 9.8-12.2) months and 6.8 (95% CI: 4.4-7.6) months respectively, and the difference was statistically significant. Conclusion: Metastatic gastric cancer patients with high plasma D-dimer level had significantly shorter survival time than those with normal plasma D-dimer level. Level of plasma D-dimer can be referred as a potential predictor in metastatic gastric cancer patients.

  11. The Value of D-Dimer in Diagnosis of Acute Mesenteric Ischemia and Differential Diagnosis from Acute Pancreatitis and Acute Cholecystitis

    OpenAIRE

    Semih Hot; Nüvit Duraker; Ayhan Sarı; Kenan Çetin

    2016-01-01

    Objective: Because of its poor prognosis and high mor­tality rate, early diagnosis of acute mesenteric ischemia (AMI) is a challenge. The value of serum markers in the diagnosis of AMI is limited and the studies related with the D-dimer test carried out in recent years. In this prospec­tive study we investigated the value of the level of plasma D-dimer in the diagnosis of AMI and the differential diag­nosis from acute pancreatitis and acute cholecystitis. Methods: We included 89 patients w...

  12. The prediction role of D-dimer in recurrence of venous thromboembolism 1-year after anticoagulation discontinuing following idiopathic deep vein thrombosis

    Directory of Open Access Journals (Sweden)

    Babak Tamizifar

    2014-01-01

    Full Text Available Background: After discontinuing oral anticoagulant therapy (OAT, the recurrence of venous thromboembolism (VTE is greatest in the 1 st year and gradually diminishes. D-dimer assay was proposed to be effective in selecting patients with idiopathic DVT. The aim of this study was to determine the rate of VTE recurrence after discontinuing OAT according to the results of D-dimer. Materials and Methods: This prospective study was conducted in patients with a first episode of symptomatic proximal deep vein thrombosis (DVT who had received OAT for at least 3 months. Patients were re-evaluated at 1 st , 6 th and 12 th months of their follow-up. At the first (T0 and 30-day (T1 visits, venous blood samples were taken for D-dimer test. At each follow-up visit, we examined patients for clinical symptoms or signs of recurrent VTE, bleeding, postthrombotic manifestations, adherence to treatment, and concomitant analgesic or antiinflammatory therapy. The endpoint outcomes were VTE recurrence and complete of this survey follow-ups. Results: A total of 68 eligible patients was enrolled. Four patients (two patients need to use long-term oral anticoagulation, and two patients lost their first follow-up were excluded. At T0, D-dimer and compression ultrasonongraphy (CUS was normal in 28 patients (44%. Moreover, 36 patients had abnormal D-dimer but normal CUS. A follow-up of 12 months was available in 44 patients. During the follow-up, three recurrent events were recorded. All Recurrent events were ipsilateral DVT. Among these index cases, all had an abnormal D-dimer at either T0 and/or T1. The recurrence rate was higher in males than in females (8.6% vs. 2.2%, P = 0.04 with an abnormal D-dimer at T0 and/or T1 with a multivariate hazard ratio of 2.1 (95% confidence intervals [CI]: 1.2-5.2; P = 0.02. Patients older than 65 years had a higher rate of events than younger and hazard ratio was about 3.8 (95% CI: 2.1-4.2; P = 0.02. Patients with recurrences had higher

  13. Prevalence of swallowing and speech problems in daily life after chemoradiation for head and neck cancer based on cut-off scores of the patient-reported outcome measures SWAL-QOL and SHI

    NARCIS (Netherlands)

    Rinkel, Rico N; Verdonck-de Leeuw, Irma M; Doornaert, Patricia; Buter, Jan; de Bree, Remco; Langendijk, Johannes A; Aaronson, Neil K; Leemans, C René

    2015-01-01

    The objective of this study is to assess swallowing and speech outcome after chemoradiation therapy for head and neck cancer, based on the patient-reported outcome measures Swallowing Quality of Life Questionnaire (SWAL-QOL) and Speech Handicap Index (SHI), both provided with cut-off scores. This is

  14. Direct Extraction of InP/GaAsSb/InP DHBT Equivalent-Circuit Elements From S-Parameters Measured at Cut-Off and Normal Bias Conditions

    DEFF Research Database (Denmark)

    Johansen, Tom Keinicke; Leblanc, Rémy; Poulain, Julien;

    2016-01-01

    A unique direct parameter extraction method for the small-signal equivalent-circuit model of InP/GaAsSb/InP double heterojunction bipolar transistors (DHBTs) is presented. $S$-parameters measured at cut-off bias are used, at first, to extract the distribution factor $X_{0}$ for the base...

  15. Prevalence of swallowing and speech problems in daily life after chemoradiation for head and neck cancer based on cut-off scores of the patient-reported outcome measures SWAL-QOL and SHI

    NARCIS (Netherlands)

    Rinkel, Rico N.; Verdonck-de Leeuw, Irma M.; Doornaert, Patricia; Buter, Jan; de Bree, Remco; Langendijk, Johannes A.; Aaronson, Neil K.; Leemans, C. Rene

    2016-01-01

    The objective of this study is to assess swallowing and speech outcome after chemoradiation therapy for head and neck cancer, based on the patient-reported outcome measures Swallowing Quality of Life Questionnaire (SWAL-QOL) and Speech Handicap Index (SHI), both provided with cut-off scores. This is

  16. Removal of methadone by extended dialysis using a high cut-off dialyzer: implications for the treatment of overdose and for pain management in patients undergoing light chain removal.

    Science.gov (United States)

    Arelin, Viktor; Schmidt, Julius J; Kayser, Nathalie; Kühn-Velten, W Nikolaus; Suhling, Hendrik; Eden, Gabriele; Kielstein, Jan T

    2016-06-01

    The synthetic opioid methadone hydrochloride has a low molecular weight of 346 D, a high volume of distribution (4 - 7 L/kg), and is lipophilic. It is used as an analgesic and for the maintenance treatment of opiate dependence. In drug addicts, methadone is frequently involved in mixed intoxications that can lead to death. Here we present the case of a drug addict in whom a high cut-off dialysis membrane together with extended dialysis was used in the setting of suspected overdose and acute kidney injury. Although the observed dialyzer plasma clearance (31.5 mL/min) and reduction ratio (38%) were higher than previously reported for standard hemodialysis, the total amount of methadone in the spent dialysate after 1 extended dialysis session was quite low. Hence, even extended dialysis with a high cut-off membrane does not seem to offer a clinically relevant benefit in the setting of overdose for enhanced methadone removal. On the other hand, in patients undergoing high cut-off dialysis for the removal of light chains, methadone could still be used as an analgesic without an additional dose after high cut-off hemodialysis. PMID:27116939

  17. The relationship of D-dimer levels with risk for developing deep-vein thrombosis and/or pulmonary thromboembolism after orthopaedic trauma surgery

    International Nuclear Information System (INIS)

    Deep venous thrombosis (DVT) and pulmonary embolism (PE) are common complications in trauma patients. Fibrin-related markers (FRMs), such as fibrin and fibrinogen degradation products (FDPs), D-dimer, and soluble fibrin (SF), are considered to be useful for the diagnosis of thrombosis (DVT). We report on 3-month follow-up of fibrinolytic activity after Orthopaedic Trauma Surgery (OTS). Patients who entered the study were divided into (group 1) patients who did not develop DVT/PE after OTS while patients who developed DVT/PE were included in (group 2). Blood samples were obtained on day of surgery and postoperative days 1, 7 and 30, and assayed for blood counts, C-reactive protein (CRP), and Ddimers. Demographic and clinical data were also collected. Postoperative levels of Ddimers of both groups increased on day 1, and remained elevated on day 30. Postoperative levels of D-dimers on day 1, 7 and 30 were higher in group 2 (p<0.05). There were no differences in perioperative levels of CRP between groups, and they correlated with D-dimers both preoperatively and on day 30. Taken together, these data suggest that orthopaedic trauma surgery induced an activation of coagulation and fibrinolysis. This situation lasts at least as late as 30 days after surgery. The D-dimer levels were significantly higher in patients developing DVT/PE post OTS. (author)

  18. Shifting Up Cutoff Value of D-Dimer in the Evaluation of Pulmonary Embolism: A Viable Option? Possible Risks and Benefits

    Directory of Open Access Journals (Sweden)

    Bennidor Raviv

    2012-01-01

    Full Text Available Objectives. To evaluate the viability of the possibility to use a higher D-dimer value than the one used today in the clinical algorithms evaluating patients suspected to have pulmonary embolism. Methods. A retrospective analysis of 300 serial patients for whom D-dimer values were taken during a 10 month period in the emergency room of a tertiary medical center. Results. Our analysis showed that it may be safe and cost effective to use a D-dimer value of 900 ng/ml rather than the value of 500 ng/ml accepted today, with sensitivity of 94.4%. In younger patients [under 40 years] the sensitivity reached was even higher—100%. Conclusions. Raising cutoff values of D-dimer in screening for pulmonary embolism seems a viable option. There may be a place for “tailoring” cutoff values according individual patient characteristics, such as according age groups. More studies of the subject are warranted.

  19. The predictive values of D-dimer for the early prognosis of the acute myocardial infarction(AMI):a review of 3134 AMI patients

    Institute of Scientific and Technical Information of China (English)

    杨军

    2013-01-01

    Objective To investigate whether D-dimer could be an early warning signal for patients with acute myocardial infarction(AMI),then may be helpful in risk accessment in emergency department. Methods Three thousand one hundred and thirty-four emergency AMI cases admitted to

  20. High levels of D-dimer correlated with disease status and poor prognosis of inoperable metastatic colorectal cancer patients treated with bevacizumab

    Directory of Open Access Journals (Sweden)

    Liming Zhu

    2014-01-01

    Conclusion: High levels of plasma baseline D-dimer correlated with high tumor load, advanced disease status and poor prognosis of inoperable mCRC patients treated with bevacizumab. However, clinical research on a much larger cohort of patients will be required to verify these findings.

  1. Combined use of clinical pre-test probability and D-dimer test in the diagnosis of preoperative deep venous thrombosis in colorectal cancer patients

    DEFF Research Database (Denmark)

    Stender, Mogens; Frøkjaer, Jens Brøndum; Hagedorn Nielsen, Tina Sandie;

    2008-01-01

    The preoperative prevalence of deep venous thrombosis (DVT) in patients with colorectal cancer may be as high as 8%. In order to minimize the risk of pulmonary embolism, it is important to rule out preoperative DVT. A large study has confirmed that a negative D-dimer test in combination with a low...

  2. Logarithmic Entropy-Corrected Holographic Dark Energy in Hořava-Lifshitz cosmology with Granda-Oliveros cut-off

    Science.gov (United States)

    Pasqua, Antonio; Chattopadhyay, Surajit

    2013-12-01

    In this work, we studied the Logarithmic Entropy-Corrected Holographic Dark Energy (LECHDE) model in a spatially non-flat universe and in the framework of Hořava-Lifshitz cosmology. As infrared cutoff of the system we considered the cut-off recently proposed by Granda and Oliveros which contains two terms, one proportional to H 2 and one to . For the two cases containing non-interacting and interacting Dark Energy (DE) and Dark Matter (DM), we obtained the exact differential equation that determines the evolution of the density parameter. Moreover, we derived the expressions of the deceleration parameter q and, using a parametrization of the equation of state (EoS) parameter ω D of our model as ω D ( z)= ω 0+ ω 1 z, we derived both the expressions of ω 0 and ω 1 for both non-interacting and interacting cases. All derivations made in this work are done in small redshift approximation and for low redshift expansion of the equation of state (EoS) parameter.

  3. Evaluation of epidemiological cut-off values indicates that biocide resistant subpopulations are uncommon in natural isolates of clinically-relevant microorganisms.

    Directory of Open Access Journals (Sweden)

    Ian Morrissey

    Full Text Available To date there are no clear criteria to determine whether a microbe is susceptible to biocides or not. As a starting point for distinguishing between wild-type and resistant organisms, we set out to determine the minimal inhibitory concentration (MIC and minimal bactericidal concentration (MBC distributions for four common biocides; triclosan, benzalkonium chloride, chlorhexidine and sodium hypochlorite for 3319 clinical isolates, with a particular focus on Staphylococcus aureus (N = 1635 and Salmonella spp. (N = 901 but also including Escherichia coli (N = 368, Candida albicans (N = 200, Klebsiella pneumoniae (N = 60, Enterobacter spp. (N = 54, Enterococcus faecium (N = 53, and Enterococcus faecalis (N = 56. From these data epidemiological cut-off values (ECOFFs are proposed. As would be expected, MBCs were higher than MICs for all biocides. In most cases both values followed a normal distribution. Bimodal distributions, indicating the existence of biocide resistant subpopulations were observed for Enterobacter chlorhexidine susceptibility (both MICs and MBCs and the susceptibility to triclosan of Enterobacter (MBC, E. coli (MBC and MIC and S. aureus (MBC and MIC. There is a concern on the potential selection of antibiotic resistance by biocides. Our results indicate however that resistance to biocides and, hence any potential association with antibiotic resistance, is uncommon in natural populations of clinically relevant microorganisms.

  4. Near-elliptic core triangular-lattice and square-lattice PCFs: a comparison of birefringence, cut-off and GVD characteristics towards fiber device application

    CERN Document Server

    Maji, Partha Sona

    2014-01-01

    In this work, detailed numerical analysis of the near-elliptic core index-guiding triangular-lattice and square-lattice photonic crystal fiber (PCFs) are reported for birefringence, single mode, cut-off behavior, group velocity dispersion and effective area properties. For the same relative values of d/P, triangular-lattice PCFs show higher birefringence whereas the square-lattice PCFs show a wider range of single-mode operation. Square-lattice PCF was found to be endlessly single-mode for higher air-filling fraction (d/P). Smaller lengths of triangular-lattice PCF are required for dispersion compensation whereas PCFs with square-lattice with nearer relative dispersion slope (RDS) can better compensate the broadband dispersion. Square-lattice PCFs show ZDW red-shifted, making it preferable for mid-IR supercontinuum generation (SCG) with highly non-linear chalcogenide material. Square-lattice PCFs show higher dispersion slope that leads to compression of the broadband, thus accumulating more power in the pulse...

  5. Water cut-off construction for bulkhead of very deep waste treatment plant using premixed cohesive soil. Premix nenseido ni yoru daisuishin haikibutsu shorijo gogan no shisuiko

    Energy Technology Data Exchange (ETDEWEB)

    Iida, I. (Toa Corp., Tokyo (Japan))

    1994-03-25

    Recently waste treatment plants have been developed in the suburban coastal area or off shore, requiring controlled-type revetment or reclamation for the circumferential sea area. This report describes the outline of premix water cutoff construction having been applied to the center-partitioned revetment in the reclaiming construction work in Minami-Honmoku Pier Area, Yokohama. The premix water cut-off method is a construction method where packed sediment is mixed with a small amount of cement and a separation-preventive agent and then is thrown to develop ground. This time, to effectively re-use dredged soil and cohesive soil, these soils were mixed with a caking agent and placed onto the sea floor. The total length of construction was ca. 450m; the maximum water depth was 30m; and the placed amount was 79705m[sup 3]. Four 50m[sup 3]/h-class mud treating machines were mounted on two ships, to which a slurry plant ship and a mud treating plant were joined to make-up a fleet. The forced pump feed method was adopted for placing and construction was completed with a control system perfect in workmanship and quality. 15 figs., 6 tabs.

  6. UV Filtering of Dye-Sensitized Solar Cells: The Effects of Varying the UV Cut-Off upon Cell Performance and Incident Photon-to-Electron Conversion Efficiency

    Directory of Open Access Journals (Sweden)

    Matthew Carnie

    2012-01-01

    Full Text Available With current technology, UV filters are essential to ensure long-term dye-sensitized solar cell (DSC stability. Blocking photons, however, will have an obvious effect on device performance and upon its incident photon-to-current conversion efficiency (IPCE. Filters have been applied to DSC devices with a range of cut-off wavelengths in order to assess how different levels of filtering affect the performance and IPCE of devices made with three different dyes, namely N719, Z907, and N749. It is shown that dyes that extend their IPCE further into the NIR region suffer lesser relative efficiency losses due to UV filtering than dyes with narrower action spectra. Furthermore, the results are encouraging to those working towards the industrialisation of DSC technology. From the results presented it can be estimated that filtering at a level intended to prevent direct band gap excitation of the TiO2 semiconductor should cause a relative drop in cell efficiency of no more than 10% in forward illuminated devices and no more than 2% in reverse illuminated devices.

  7. Comparing the Cervista HPV HR test and Hybrid Capture 2 assay in a Dutch screening population: improved specificity of the Cervista HPV HR test by changing the cut-off.

    Directory of Open Access Journals (Sweden)

    Aniek Boers

    Full Text Available The diagnostic performance of the widely-used Cervista HPV HR test was compared to the Hybrid Capture 2 (HC2 test in a Dutch population-based cervical cancer screening program. In 900 scrapings of women with normal cytomorphology, specificity was 90% (95%CI: 87.84-91.87 for the Cervista HPV HR test and 96% (95%CI: 94.76-97.37 for the HC2 test with 93% agreement between both tests (κ = 0.5, p<0.001. The sensitivity for CIN2+ using 65 scrapings of women with histological-confirmed CIN2+ was 91% (95%CI: 80.97-96.51 for the Cervista HPV HR test and 92% (95%CI: 82.94-97.43 for the HC2 test with 95% agreement between both tests (κ = 0.7, p<0.001. Fifty-seven of 60 HC2 negative/Cervista positive cases tested HPV-negative with PCR-based HPV assays; of these cases 56% were defined as Cervista triple-positive with FOZ values in all 3 mixes higher than the second cut-off of 1.93 (as set by manufacturer. By setting this cut-off at 5.0, specificity improved significantly without affecting sensitivity. External validation of this new cut-off at 5.0 in triple-positive scrapings of women selected from the SHENCCASTII database revealed that 22/24 histological normal cases now tested HPV-negative in the Cervista HPV HR test, while CIN2+ lesions remained HPV-positive. The intra-laboratory reproducibility of the Cervista HPV HR test (n = 510 showed a concordance of 92% and 93% for cut-off 1.93 and 5.0 (κ = 0.83 and κ = 0.84, p<0.001 and inter-laboratory agreement of the Cervista HPV HR test was 90% and 93% for cut-off 1.93 and 5.0 (κ = 0.80 and κ = 0.85, p<0.001. In conclusion, the specificity of the Cervista HPV HR test could be improved significantly by increasing the second cut-off from 1.93 to 5.0, without affecting the sensitivity of the test in a population-based screening setting.

  8. Cut off from supplies - sulfate exhaustion and implications for methane emissions in a brackish rewetted peatland after separation from the coast

    Science.gov (United States)

    Koebsch, Franziska; Liu, Bo; Schmiedinger, Iris; Spitzy, Alejandro; Köhler, Stefan; Koch, Marian; Jurasinski, Gerald; Gehre, Matthias; Sachs, Torsten; Böttcher, Michael

    2016-04-01

    Coastal ecosystems are at the interface between marine and freshwater and exhibit a special geochemistry. We investigate the S and C geochemistry of a coastal, degraded fen peatland. The site has been cut off from the Baltic Sea since 1995 and was rewetted with freshwater from the surrounding catchment in 2010. Despite of locally high pore water sulfate (SO42-) concentrations, the fen turned into a strong source for methane (CH4) with annual budgets up to 0.26±0.06 kg m-2 (Hahn et al. 2015). To reconcile this apparent contradiction we use concentration patterns and stable isotope signatures of water, SO42-, pyrite, dissolved carbon, and CH4 (δ2H, δ13C, δ18O, δ34S) along a transect with increasing distance to the Baltic coastline (300-1500 m). The current peatland geochemistry is characterized by a combination of relict signals reflecting former brackish water intrusion events and indicators of recent human activities such as internal eutrophication and increasing freshwater contribution. The shallow peat layer (depth mostly ≤ 55 cm) exhibited a pronounced vertical gradient with a freshwater-front lying on top of the brackish water layer. S geochemistry was decoupled from present brackish water distribution as marine SO42- was almost completely biotically reduced and converted to pyrite. The remaining pore water SO42- pool was remarkably 34S-enriched in relation to Baltic Sea SO42- (up to +86.4 and +21‰, respectively) and also δ34S-values of pyrite were comparatively high (+4.8‰), thereby demonstrating a distinct reservoir effect under closed-system conditions. However, one of the profiles situated 1150 m from the Baltic Sea coast line exhibited a contrasting S pattern with pronounced excess of isotopically lighter SO42- at depth (up to 32.8 mM and +22.7‰). We hypothesize, that local groundwater seeps might provide electron acceptors such as NO3- for the contemporary oxidation of pyrite. δ13C in DIC exhibited a pronounced vertical shift from -23.9

  9. Anti-mullerian hormone cut-off values for predicting poor ovarian response to exogenous ovarian stimulation in in-vitro fertilization

    Directory of Open Access Journals (Sweden)

    Ruma Satwik

    2012-01-01

    Full Text Available Objectives: (a To establish the cut-off levels for anti-Mullerian hormone (AMH in a population of Indian women that would determine poor response. (b To determine which among the three ie.,: age, follicle stimulating hormone (FSH, or AMH, is the better determinant of ovarian reserve. Study Design: Prospective observational study. Setting: In vitro fertilization (IVF unit of a tertiary hospital. Materials and Methods: The inclusion criterion was all women who presented to the center for in-vitro fertilization/Intracytoplasmic sperm injection (IVF/ICSI. The exclusion criteria were age >45 years, major medical illnesses precluding IVF or pregnancy, FSH more than 20 IU/L, and failure to obtain consent. The interventions including baseline pelvic scan, day 2/3 FSH, luteinizing hormone (LH, estradiol estimations, and AMH measurement on any random day of cycle were done. Subjects underwent IVF according to long agonist or antagonist protocol regimen. Oocyte recovery was correlated with studied variables. The primary outcome measure was the number of oocytes aspirated (OCR. Three categories of ovarian response were defined: poor response, OCR ≤ 3; average response, OCR between 4 and 15; hyperresponse, OCR > 15. Results: Of the 198 patients enrolled, poor, average, and hyperresponse were observed in 23%, 63%, and 14% respectively. Correlation coefficient for AMH with ovarian response was r = 0.591. Area under the curve (AUCs for poor response for AMH, subject′s age, and FSH were 0.768, 0.624, and 0.635, respectively. The discriminatory level of AMH for prediction of absolute poor response was 2 pmoL/l, with 98% specificity and 20% sensitivity. Conclusions: AMH fares better than age and FSH in predicting the overall ovarian response and poor response, though it cannot be the absolute predictor of non-responder status. A level of 2 pmol/l is discriminatory for poor response.

  10. Cut off values of laser fluorescence for different storage methods at different time intervals in comparison to frozen condition: A 1 year in vitro study

    Directory of Open Access Journals (Sweden)

    Rudra Kaul

    2014-01-01

    Full Text Available Aims: The aim of the following study is to evaluate the change in laser fluorescence (LF values for extracted teeth stored in different solutions over 1 year period, to give cut-off values for different storage media at different time intervals to get them at par with the in vivo conditions and to see which medium gives best results with the least change in LF values and while enhancing the validity of DIAGNOdent in research. Materials and Methods: Ninety extracted teeth selected, from a pool of frozen teeth, were divided into nine groups of 10 each. Specimens in Groups 1-8 were stored in 1% chloramine, 10% formalin, 10% buffered formalin, 0.02% thymol, 0.12% chlorhexidine, 3% sodium hypochlorite, a commercially available saliva substitute-Wet Mouth (ICPA Pharmaceuticals and normal saline respectively at 4°C. The last group was stored under frozen condition at −20°C without contact with any storage solution. DIAGNOdent was used to measure the change the LF values at day 30, 45, 60, 160 and 365. Statistical Analysis Used: The mean change in LF values in different storage mediums at different time intervals were compared using two-way ANOVA. Results: At the end of 1 year, significant decrease in fluorescence (P < 0.05 was observed in Groups 1-8. Maximum drop in LF values occurred between day 1 and 30. Group 9 (frozen specimens did not significantly change their fluorescence response. Conclusions: An inevitable change in LF takes place due to various storage media commonly used in dental research at different time intervals. The values obtained from our study can remove the bias caused by the storage media and the values of LF thus obtained can hence be conveniently extrapolated to the in vivo condition.

  11. Exploration of cut-off value of TSH during screening of congenital hypothyroidism in the newborns%新生儿先天性甲状腺功能减退症筛查中TSH切值的探讨

    Institute of Scientific and Technical Information of China (English)

    陈肖肖; 秦玉峰; 曲一平; 毛华庆; 施玉华; 赵正言

    2008-01-01

    新生儿筛查中发现,TSH水平与先天性甲状腺功能减退症(CH)检出率呈直线正相关.当TSH切值点分别为9、10、15和20 mU/L时,CH阳性检测敏感度分别 99.77%、96.80%、81.25%和71.88%.TSH>9 mU/L是较好的切点.%Positive linear correlation was found between TSH level and detection rate of congenital hypothyroidism (CH). When measured with a cut-off point at 9, 10, 15 and 20 mU/L of TSH, the sensitivity of positive detection rate for CH was 99.77%, 96.80%, 81.25% and 71.88%, respectively. TSH > 9 mU/L seems to be a reasonable cut-off value.

  12. Impact analysis of different cut-off plans on river floods%不同裁弯取直方案对河道行洪影响分析

    Institute of Scientific and Technical Information of China (English)

    郭志学; 钟友胜; 吕伟

    2014-01-01

    T wo-dimensional numerical models were used to analyze the impacts of tw o cut-off plans on river floods in the up-stream of Fu River in Chengdu City. T he first cut-off plan assigned the elevation difference of the curve reach to the whole riv-er, and the second cut-off plan assigned t he elevation difference to one step-fall. The results show ed that ( 1) both cut-off plans can decrease the wat er level and increase the velocity in the upstream of orthodontic curved river channel and w eaken the flow dynamics in the old river channel; ( 2) the first cut-off plan has higher w eakening impacts on the flow discharge and hydrody-namic parameters in the old river channel than the second cut- off plan; ( 3) the second cut-off plan can cause high velocity in the local area, w hich is disadvantageous to the river channel erosion and has apparent noise pollution; and ( 4) the first plan is similar to the natural cut-off river progress by assigning the elevation difference to the w hole river channel therefore it is more reasona-ble.%采用二维数学模型,对成都市府河上游段河道裁弯取直工程进行了对比分析,探讨了弯颈落差全河段分摊和设置集中跌落两种不同裁弯取直方案对河道行洪的影响。结果表明,不同裁弯取直方案均会造成畸弯河道上游主槽水位降低和流速的增加,并引起老河湾水流动力的减弱;落差分摊方案对老河湾分流量及水流动力参数的消弱作用更大,上游河道水位降低更为明显;从流速沿程分布规律来看,设置集中跌落的裁弯取直方案将引起局部河段流速过高,对河道冲刷安全不利,且存在明显的噪声污染。但是,落差分摊方案将弯颈落差通过工程措施直接分摊到整治河段范围,更接近自然裁弯取直的河道演变过程,因此该工程方案更为合理。

  13. Diagnostic test accuracy of D-dimer for acute aortic syndrome: systematic review and meta-analysis of 22 studies with 5000 subjects

    Science.gov (United States)

    Watanabe, Hiroki; Horita, Nobuyuki; Shibata, Yuji; Minegishi, Shintaro; Ota, Erika; Kaneko, Takeshi

    2016-01-01

    Diagnostic test accuracy of D-dimer for acute aortic dissection (AAD) has not been evaluated by meta-analysis with the bivariate model methodology. Four databases were electrically searched. We included both case-control and cohort studies that could provide sufficient data concerning both sensitivity and specificity of D-dimer for AAD. Non-English language articles and conference abstract were allowed. Intramural hematoma and penetrating aortic ulcer were regarded as AAD. Based on 22 eligible articles consisting of 1140 AAD subjects and 3860 non-AAD subjects, the diagnostic odds ratio was 28.5 (95% CI 17.6–46.3, I2 = 17.4%) and the area under curve was 0.946 (95% CI 0.903–0.994). Based on 833 AAD subjects and 1994 non-AAD subjects constituting 12 studies that used the cutoff value of 500 ng/ml, the sensitivity was 0.952 (95% CI 0.901–0.978), the specificity was 0.604 (95% CI 0.485–0.712), positive likelihood ratio was 2.4 (95% CI 1.8–3.3), and negative likelihood ratio was 0.079 (95% CI 0.036–0.172). Sensitivity analysis using data of three high-quality studies almost replicated these results. In conclusion, D-dimer has very good overall accuracy. D-dimer 500 ng/ml moderately increases the possibility of AAD. PMID:27230962

  14. Clinical significance of plasma D-dimer and von Willebrand factor levels in patients with ulcer colitis

    Institute of Scientific and Technical Information of China (English)

    Gang Xu; Ke-Li Tian; Guo-Ping Liu; Xue-Jun Zhong; Shao-Ling Tang; Yan-Ping Sun

    2002-01-01

    AIM: To investigate the levels of D-dimer(DD) and vonWillebrand factor(vWF) and the relationship between DDand vWF in ulcerative colitis(UC) patients.METHODS: A total of 29 plasma specimens were obtainedfrom patients with ulcerative colitis (male 13, female 16),aged 21-47 years (33 + 11). Disease activity was assessed byTruelove-Writeria. Patients with a score of above 5 wereregarded as having active colitis. Twenty healthy people(male 12, female 8),aged 19-53 years(31 + 14), ssrved asnormal controls. Blood samples were taken from anantecubital vein puncture. Blood(1.8 mL) was injected intothe tubes containing sodium citrate (0. 13 mmol/L). Theplasma was obtained by centrifugation at 3000 r@ min-1 for 10min, and stored at -80 ℃ until assayed by ELISA.RESULTS: The mean plasma levels of DD and vWF in activeUC patients were significantly higher than those of thecontrols(0.69+0.41 vs0.27+0.11, P<0.01;143+46 vs103 + 35, P < 0.01 ). The mean plasma levels of DD in thepatients with active disease were higher than those withinactive disease(0. 69 + 0. 41 vs 0.48+0.29, P<0.05). Thelevls of v WF were not different between active and inactivepatients. DD levels were positively related to vWF levels( r =0.574, P < 0. 01 ). There was no significant differencebetween levels of DD and vWF and the scope of disease cndsex of the patients.CONCLUSION: vWF is an important feature and a goodmarker of UC; intravascular thrombus and endothelial celldysfunction were found in UC patients; and the combinedtest of DD and vWF is helpful to distinguish the activity ofthe UC patients.

  15. Dual energy CT pulmonary blood volume assessment in acute pulmonary embolism - correlation with D-dimer level, right heart strain and clinical outcome

    Energy Technology Data Exchange (ETDEWEB)

    Bauer, Ralf W.; Frellesen, Claudia; Schell, Boris; Lehnert, Thomas; Jacobi, Volkmar; Vogl, Thomas J.; Kerl, J.M. [Clinic of the Goethe University, Department of Diagnostic and Interventional Radiology, Frankfurt (Germany); Renker, Matthias [Clinic of the Goethe University, Department of Diagnostic and Interventional Radiology, Frankfurt (Germany); Medical University of South Carolina, Heart and Vascular Center, Ashley River Tower, Charleston, SC (United States); Ackermann, Hanns [Clinic of the Goethe University, Department of Biostatistics and Mathematical Modelling, Frankfurt (Germany); Schoepf, U.J. [Medical University of South Carolina, Heart and Vascular Center, Ashley River Tower, Charleston, SC (United States)

    2011-09-15

    To investigate the role of perfusion defect (PD) size on dual energy CT pulmonary blood volume assessment as predictor of right heart strain and patient outcome and its correlation with d-dimer levels in acute pulmonary embolism (PE). 53 patients with acute PE who underwent DECT pulmonary angiography were retrospectively analyzed. Pulmonary PD size caused by PE was measured on DE iodine maps and quantified absolutely (VolPD) and relatively to the total lung volume (RelPD). Signs of right heart strain (RHS) on CT were determined. Information on d-dimer levels and readmission for recurrent onset of PE and death was collected. D-dimer level was mildly (r = 0.43-0.47) correlated with PD size. Patients with RHS had significantly higher VolPD (215 vs. 73 ml) and RelPD (9.9 vs. 2.9%) than patients without RHS (p < 0.003). There were 2 deaths and 1 readmission due of PE in 18 patients with >5% RelPD, while no such events were found for patients with <5% RelPD. Pulmonary blood volume on DECT in acute PE correlates with RHS and appears to be a predictor of patient outcome in this pilot study. (orig.)

  16. Combined use of the National Early Warning Score and D-dimer levels to predict 30-day and 365-day mortality in medical patients

    DEFF Research Database (Denmark)

    Nickel, Christian H; Kellett, John; Cooksley, Tim;

    2016-01-01

    AIM: To investigate the combined use of NEWS and D-dimer levels to predict the 30-day and 365-day mortality rates of a cohort of Danish patients with complete follow-up. METHODS: Post-hoc retrospective observational study of acutely admitted medical patients aged 18 years or older who had D......-dimer measured within 6h after arrival to two medical admission units in Denmark. RESULTS: The final study population consisted of 1201 patients with a median age of 65.0 years (range 18.0-107.0 years), and 44.7% were of male sex. Four patients (0.3%) died within 24h of admission, 69 (5.7%) within 30 days...... and 198 (16.5%) within 365 days. On admission, 576 (48%) patients had a NEWS≥3 - of these 441 had a D-dimer≥0.50mgL(-1): 55 (12.5%) of these patients died within 30 days, compared with 5 (3.7%) of the 135 patients with a D-dimer

  17. Preparation and Analysis of Lyophilization Characterization of Human D-dimer%人D-二聚体的制备及其冻干性质的分析

    Institute of Scientific and Technical Information of China (English)

    武建伟; 才蕾; 王继华; 唐时幸

    2014-01-01

    以人源纤维蛋白原为原材料制备D-二聚体,将其制成冻干品并分析其冻干性质。使用凝血酶、Factor XIIIa酶解纤维蛋白原,获得交联纤维蛋白。经纤溶酶降解交联纤维蛋白,生成纤维蛋白降解产物。超滤除去纤维蛋白降解产物中的小分子物质,可获得较高纯度的D-二聚体。通过筛选和优化冻干方案,将D-二聚体制备成冻干品。经检测可知,D-二聚体冻干品可在37℃稳定保存12 d;复溶后在25℃稳定保存8 d;复溶后在4℃稳定保存30 d;复溶时,常用复溶溶剂对其复溶后的活性检测无明显影响。%D-dimer is formed by sequential action of 3 enzymes from fibrinogen. After producing D-dimer, we did the research on its lyophilization process. To produce cross-linked fibrin, fibrinogen was digested by thrombin and Factor XIIa. Then, fibrin degradation products (FDP)was prepared from cross-linked fibrin being degraded by plasmin. D-dimer was purified from FDP through ultrafiltration and prepared into lyophilized powder. By optimizing the lyophilization program, lyophilized D-dimer was stable for at least 12 days at 37℃, stable for at least 8 days at 25℃ and 30 days at 4℃ after reconstitution, and not different when being dissolved by different solvent.The preparation system established in this research is feasible and efficient. Depend on its stability, lyophilized D-dimer could be provided as biological raw materials for further research.

  18. Optimal cut-off point of BMI on age at menarche among Han nationality girls%汉族女生月经初潮年龄BMI最佳临界值研究

    Institute of Scientific and Technical Information of China (English)

    张敏婕; 朱丁; 徐勇; 沈惠芬; 钱红丹

    2011-01-01

    Objective To analyze body mass index (BMI) and weight by using receiver operating curve(ROC) among girls of Han nationality, and to find the optimal cut-off point of BMI on age at menarche. Methods With the stratified cluster sampling, 10-14 years old Chinese girls were questionnaired. Both retrospective and prospective ways were used to investigate the age at menarche. Questionnaire also included the students' age at menarche, height and weight. Then the ROC was operated to analyze the areas under curve(ADC) and the sensitivity and specificity of optimal cut-off point of BMI and weight were calculated. Results The average age of menarche was 12.26, the AUC of BMI and weight were 0.68 and 0. 73. The optimal cut-off point of weight on different age groups were different, but the optimal cut-off point of BMI on age at menarche tended to be uniform. Conclusion The optimal cut-off point of BMI is applicable in predicting the age of menarche, and more verification should be carried out in the future when applying this optimal cut-off point.%目的 应用受试者工作特征ROC曲线分析BMI、体重曲线下面积,探讨女性月经初潮BMI的最佳临界值.方法 采用分层整群抽样方法,对无锡市10~14岁7 300名汉族女生进行问卷调杳,了解月经初潮年龄及身高、体重.绘制ROC曲线,观察曲线下面积,计算BMI、体重最佳临界值的灵敏度和特异度.结果 女生月经来潮率为40.45% (2 953/7 300),月经初潮平均年龄为12.26岁;不同年龄组已潮组和未潮组女生体重、BMI差异均有统计学意义(P值均<0.05).BMI、体重的ROC曲线下面积分别为0.68和0.73;不同年龄组女生体重有不同的最佳临界值,但不同年龄组BMI最佳临界值趋于一致.结论BMI最佳临界值对预测是否来潮有重要的应用价值,但其效果有待在实际应用中加以进一步验证.

  19. 产后大出血患者治疗中D-二聚体监测%Detection of D-dimer During the Treatment of Postpartum Hemorrhage

    Institute of Scientific and Technical Information of China (English)

    颜小平; 黄波; 黄琳珊

    2015-01-01

    目的:动态监测D-二聚体水平,探讨其在产后大出血患者临床诊疗中的意义。方法:对19例产后大出血患者连续监测产前、产后1h、2h、4h、8h、24h的血浆D-二聚体、PT、APTT、PLT等指标,了解其峰值水平和持续时间,以及峰值下降的变化趋势。以患者产前PT、APTT、PLT、D-二聚体的平均值为对照组,产后大出血后连续监测PT、APTT、PLT、D-二聚体的平均值为观察组,进行结果分析。结果:动态观察组D-二聚体的浓度最先升高,自产后1h开始明显高于对照组(P<0.01),4h达到峰值,随着治疗逐渐下降,但8h、24h仍明显高于对照组(P<0.01),且其变化趋势最敏感;随后PLT下降及APPT、PT升高,其变化趋势、敏感性相对较差。结论:动态监测D-二聚体的水平变化,可以作为产后大出血诊疗时评价疗效及判断预后的较好指标。%Objective: To detect the level of D-dimer dynamically and discuss its significance during the treat-ment of postpartum hemorrhage.Methods: keep detecting D-dimer,PT,APTT,PLT and other indexes of plasma of 19 cases of patients of postpartum hemorrhage in 1h,2h,4h,8h and 24h antepartum and postpartum,learn its peak level , time of duration,and the trend of peak decline. Take the average value of PT,APTT,PLT and D-dimer in ante par-tum as control group,and the average value of PT,APTT,PLT and D-dimer detected continuously in postpartum as the observation group and analyze the results.Results: the concentration of D-dimer of the dynamic observation group goes up firstly,and it becomes obviously higher than that of control group since the first hour postpartum (P<0.01) ,it reaches the peak in 4h and then declines gradually with the going on of the treatment,but it is still greatly higher than control group in 8h and 24h (P<0.01),and it changing trend is most sensitive. And then PLT declines and APPT,PT goes up,the changing trend and sensitivity is

  20. {sup 18}F-FDG PET/CT for detection of malignant peripheral nerve sheath tumours in neurofibromatosis type 1: tumour-to-liver ratio is superior to an SUV{sub max} cut-off

    Energy Technology Data Exchange (ETDEWEB)

    Salamon, Johannes [University Medical Centre Hamburg-Eppendorf, Department of Diagnostic and Interventional Radiology, Hamburg (Germany); University Hospital Hamburg-Eppendorf, Department of Diagnostic and Interventional Radiology, Hamburg (Germany); Veldhoen, Simon [University Medical Centre Hamburg-Eppendorf, Department of Diagnostic and Interventional Radiology, Hamburg (Germany); University Medical Centre Wuerzburg, Department of Diagnostic and Interventional Radiology, Wuerzburg (Germany); Apostolova, Ivayla [Otto-von-Guericke University, Department of Radiology and Nuclear Medicine, Magdeburg (Germany); Bannas, Peter; Yamamura, Jin; Herrmann, Jochen; Adam, Gerhard; Derlin, Thorsten [University Medical Centre Hamburg-Eppendorf, Department of Diagnostic and Interventional Radiology, Hamburg (Germany); Friedrich, Reinhard E. [University Medical Centre Hamburg-Eppendorf, Department of Oral and Maxillofacial Surgery, Hamburg (Germany); Mautner, Victor F. [University Medical Centre Hamburg-Eppendorf, Department of Neurology, Hamburg (Germany)

    2014-02-15

    To evaluate the usefulness of normalising intra-tumour tracer accumulation on {sup 18}F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) to reference tissue uptake for characterisation of peripheral nerve sheath tumours (PNSTs) in neurofibromatosis type 1 (NF1) compared with the established maximum standardised uptake value (SUVmax) cut-off of >3.5. Forty-nine patients underwent FDG PET/CT. Intra-tumour tracer uptake (SUVmax) was normalised to three different reference tissues (tumour-to-liver, tumour-to-muscle and tumour-to-fat ratios). Receiver operating characteristic (ROC) analyses were used out to assess the diagnostic performance. Histopathology and follow-up served as the reference standard. Intra-tumour tracer uptake correlated significantly with liver uptake (r{sub s} = 0.58, P = 0.016). On ROC analysis, the optimum threshold for tumour-to-liver ratio was >2.6 (AUC = 0.9735). Both the SUVmax cut-off value of >3.5 and a tumour-to-liver ratio >2.6 provided a sensitivity of 100 %, but specificity was significantly higher for the latter (90.3 % vs 79.8 %; P = 0.013). In patients with NF1, quantitative {sup 18}F-FDG PET imaging may identify malignant change in neurofibromas with high accuracy. Specificity could be significantly increased by using the tumour-to-liver ratio. The authors recommend further evaluation of a tumour-to-liver ratio cut-off value of >2.6 for diagnostic intervention planning. (orig.)

  1. Which are the cut-off values of 2D-Shear Wave Elastography (2D-SWE) liver stiffness measurements predicting different stages of liver fibrosis, considering Transient Elastography (TE) as the reference method?

    Energy Technology Data Exchange (ETDEWEB)

    Sporea, Ioan, E-mail: isporea@umft.ro; Bota, Simona, E-mail: bota_simona1982@yahoo.com; Gradinaru-Taşcău, Oana, E-mail: bluonmyown@yahoo.com; Şirli, Roxana, E-mail: roxanasirli@gmail.com; Popescu, Alina, E-mail: alinamircea.popescu@gmail.com; Jurchiş, Ana, E-mail: ana.jurchis@yahoo.com

    2014-03-15

    Introduction: To identify liver stiffness (LS) cut-off values assessed by means of 2D-Shear Wave Elastography (2D-SWE) for predicting different stages of liver fibrosis, considering Transient Elastography (TE) as the reference method. Methods: Our prospective study included 383 consecutive subjects, with or without hepatopathies, in which LS was evaluated by means of TE and 2D-SWE. To discriminate between various stages of fibrosis by TE we used the following LS cut-offs (kPa): F1-6, F2-7.2, F3-9.6 and F4-14.5. Results: The rate of reliable LS measurements was similar for TE and 2D-SWE: 73.9% vs. 79.9%, p = 0.06. Older age and higher BMI were associated for both TE and 2D-SWE with the impossibility to obtain reliable LS measurements. Reliable LS measurements by both elastographic methods were obtained in 65.2% of patients. A significant correlation was found between TE and 2D-SWE measurements (r = 0.68). The best LS cut-off values assessed by 2D-SWE for predicting different stages of liver fibrosis were: F ≥ 1: >7.1 kPa (AUROC = 0.825); F ≥ 2: >7.8 kPa (AUROC = 0.859); F ≥ 3: >8 kPa (AUROC = 0.897) and for F = 4: >11.5 kPa (AUROC = 0.914). Conclusions: 2D-SWE is a reliable method for the non-invasive evaluation of liver fibrosis, considering TE as the reference method. The accuracy of 2D-SWE measurements increased with the severity of liver fibrosis.

  2. Waterlow量表对重症患者压疮的预测价值及诊断界值分析%Predictive Value of Waterlow Scale for Pressure Ulcers for Critically Ill Patients and Its Cut-off Value

    Institute of Scientific and Technical Information of China (English)

    李晓艳; 赵小利; 韩娟; 石秦东; 李昊

    2015-01-01

    目的:界定Waterlow量表对重症患者压疮的预测价值及诊断界值。方法回顾性分析765例重症患者的压疮风险评估资料,使用受试者工作特征(ROC)曲线评价Waterlow量表的预测性能和最佳诊断界值。结果由ROC分析结果可知,Waterlow评分曲线下面积为0.694,与0.5相比,具有统计学意义(P<0.01)。 Waterlow量表分界值为20分时,其灵敏度(0.880)、特异度(0.480)具有最好的平衡性。结论 Waterlow量表在预测重症患者压疮中具有较高的灵敏度和特异度,可将分界值提高至20分。%Objective To explore the predictive value of Waterlow scale for pressure ulcers for critically ill patients and its cut-off value. Methods A retrospective analysis of evaluation data of pressure ulcer risk of 765 critically ill inpatients was conducted and predictive value and cut-off value of Waterlow scale was assessed by ROC (Receiver Operating Characteristic). Results ROC indicated that the area under curve was 0.694, which showed statistical significance ( P<0.01). When cut-off value of Waterlow sacle reached 20, the sensitivity (0.880) and specificity (0.480) of the scale reached a good balance. Conclusion Waterlow scale has high sensitivity and specificity in predicting pressure ulcers for critically ill patients and its cut-off value could be raised to 20.

  3. Predictive Values of Body Mass Index and Waist Circumference for Risk Factors of Certain Related Diseases in Chinese Adults - Study on Optimal Cut-off Points of Body Mass Index and Waist Circumference in Chinese Adults

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    For prevention of obesity in Chinese population, it is necessary to define the optimal range of healthy weight and the appropriate cut-off points of BMI and waist circumference for Chinese adults. The Working Group on Obesity in China under the support of International Life Sciences Institute Focal point in China organized a meta-analysis on the relation between BMI, waist circumference and risk factors of related chronic diseases (e. g.,high diabetes, diabetes mellitus, and lipoprotein disorders). Methods 13 population studies in all met the criteria for enrollment, with data of 239 972 adults (20-70 year) surveyed in the 1990s. Data on waist circumference was available for 111411 persons and data on serum lipids and glucose were available for more than 80 000. The study populations located in 21provinces, municipalities and autonomous regions in mainland China as well as in Taiwan. Each enrolled study provided data according to a common protocol and uniform format. The Center for data management in Department of Epidemiology, Fu Wai Hospital was responsible for statistical analysis. Results and conclusion The prevalence of hypertension, diabetes, dyslipidemia and clustering of risk factors all increased with increasing levels of BMI or waist circumference. BMI at 24 with best sensitivity and specificity for identification of the risk factors, was recommended as the cut-off point for overweight, BMI at 28 which may identify the risk factors with specificity around 90 % was recommended as the cut-off point for obesity. Waist circumference beyond 85 cm for men and beyond 80 cm for women were recommended as the cut-off points for central obesity.Analysis of population attributable risk percent illustrated that reducing BMI to normal range (<24) could prevent 45%-50% clustering of risk factors. Treatment of obese persons (BMI ≥ 28)with drugs could prevent 15%-17% clustering of risk factors. The waist circumference controlled under 85 cm for men and under 80 cm for

  4. Optimal Cut-Offs of Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) to Identify Dysglycemia and Type 2 Diabetes Mellitus: A 15-Year Prospective Study in Chinese

    Science.gov (United States)

    Lee, C. H.; Shih, A. Z. L.; Woo, Y. C.; Fong, C. H. Y.; Leung, O. Y.; Janus, E.; Cheung, B. M. Y.; Lam, K. S. L.

    2016-01-01

    Background The optimal reference range of homeostasis model assessment of insulin resistance (HOMA-IR) in normal Chinese population has not been clearly defined. Here we address this issue using the Hong Kong Cardiovascular Risk Factor Prevalence Study (CRISPS), a prospective population-based cohort study with long-term follow-up. Material & Methods In this study, normal glucose tolerance (NGT), impaired fasting glucose (IFG), impaired glucose tolerance (IGT) and type 2 diabetes mellitus (T2DM) were defined according to the 1998 World Health Organization criteria. Dysglycemia referred to IFG, IGT or T2DM. This study comprised two parts. Part one was a cross-sectional study involving 2,649 Hong Kong Chinese subjects, aged 25–74 years, at baseline CRISPS-1 (1995–1996). The optimal HOMA-IR cut-offs for dysglycemia and T2DM were determined by the receiver-operating characteristic (ROC) curve. Part two was a prospective study involving 872 subjects who had persistent NGT at CRISPS-4 (2010–2012) after 15 years of follow-up. Results At baseline, the optimal HOMA-IR cut-offs to identify dysglyceia and T2DM were 1.37 (AUC = 0.735; 95% confidence interval [CI] = 0.713–0.758; Sensitivity [Se] = 65.6%, Specificity [Sp] = 71.3%] and 1.97 (AUC = 0.807; 95% CI = 0.777–0.886; Se = 65.5%, Sp = 82.9%) respectively. These cut-offs, derived from the cross-sectional study at baseline, corresponded closely to the 75th (1.44) and 90th (2.03) percentiles, respectively, of the HOMA-IR reference range derived from the prospective study of subjects with persistent NGT. Conclusions HOMA-IR cut-offs, of 1.4 and 2.0, which discriminated dysglycemia and T2DM respectively from NGT in Southern Chinese, can be usefully employed as references in clinical research involving the assessment of insulin resistance. PMID:27658115

  5. Relevance of Interleukin-6 and D-Dimer for Serious Non-AIDS Morbidity and Death among HIV-Positive Adults on Suppressive Antiretroviral Therapy

    DEFF Research Database (Denmark)

    Grund, Birgit; Baker, Jason V; Deeks, Steven G;

    2016-01-01

    BACKGROUND: Despite effective antiretroviral treatment (ART), HIV-positive individuals are at increased risk of serious non-AIDS conditions (cardiovascular, liver and renal disease, and cancers), perhaps due in part to ongoing inflammation and/or coagulation. To estimate the potential risk...... reduction in serious non-AIDS conditions or death from any cause that might be achieved with treatments that reduce inflammation and/or coagulation, we examined associations of interleukin-6 (IL-6), D-dimer, and high-sensitivity C-reactive protein (hsCRP) levels with serious non-AIDS conditions or death...

  6. Von Willebrand Factor, ADAMTS13 and D-Dimer Are Correlated with Different Levels of Nephropathy in Type 1 Diabetes Mellitus.

    Directory of Open Access Journals (Sweden)

    Caroline Pereira Domingueti

    Full Text Available We have investigated whether von Willebrand factor, ADAMTS13 (a disintegrin and metalloproteinase with thrombospondin type 1 motif, member 13, and D-Dimer were associated with different levels of renal function in patients with type 1 diabetes. Patients were classified according to level of renal function through estimated glomerular filtration rate: ≥90 and <130mL/min/1,73m2, n=52 (control group, ≥60 and <90mL/min/1,73m2, n=29 (mild renal dysfunction group, <60mL/min/1,73m2, n=28 (severe renal dysfunction group; and through urinary albumin excretion: normoalbuminuria, microalbuminuria and macroalbuminuria. Von Willebrand factor, ADAMTS13, and D-Dimer plasma levels were determined by enzyme-linked immunosorbent assay. ADAMTS13 activity was determined by fluorescence resonance energy transfer assay. Von Willebrand factor levels were increased in patients with mild (P=0.001 and severe (P<0.001 renal dysfunction as compared to the control group. ADAMTS13 levels were also increased in mild (P=0.029 and severe (P=0.002 renal dysfunction groups in comparison to the control group, while ADAMTS13 activity was increased only in the severe renal dysfunction group as compared to the control group (P=0.006. No significant differences were observed among the groups regarding von Willebrand factor/ADAMTS13 ratio. ADAMTS13 activity/ADAMTS13 levels ratio was reduced in patients with mild (P=0.013 and severe (P=0.015 renal dysfunction as compared to the control group. D-Dimer levels were increased in patients with mild (P=0.006 and severe (P<0.001 renal dysfunction as compared to the control group; it was also higher in patients with severe renal dysfunction as compared to the mild renal dysfunction group (P=0.019. Similar results were found for albuminuria classification. Increased von Willebrand factor, ADAMTS13, and D-Dimer levels and decreased ADAMTS13 activity/ADAMTS13 levels ratio are associated with renal dysfunction in patients with type 1 diabetes

  7. Age-Adjusted PSA Levels in Prostate Cancer Prediction: Updated Results of the Tyrol Prostate Cancer Early Detection Program.

    Directory of Open Access Journals (Sweden)

    Isabel Heidegger

    Full Text Available To reduce the number of unnecessary biopsies in patients with benign prostatic disease, however, without missing significant PCa the present study re-evaluates the age-dependent PSA cut-offs in the Tyrol Prostate Cancer (PCa early detection program.The study population included 2225 patients who underwent prostate biopsy due to elevated PSA levels at our department. We divided our patient collective into four age groups: ≤49 years (n = 178, 50-59 years (n = 597, 60-69 years (n = 962 and ≥70 years (n = 488. We simulated different scenarios for PSA cut-off values between 1.25 and 6 ng/mL and fPSA% between 15 and 21% for all four age groups and calculated sensitivity, specificity, confidence intervals and predictive values.PCa was detected in 1218 men (54.7%. We found that in combination with free PSA ≤21% the following PSA cut-offs had the best cancer specificity: 1.75 ng/ml for men ≤49 years and 50-59 years, 2.25 ng/ml for men aged 60-69 years and 3.25 ng/ml for men ≥70 years. Using these adjusted PSA cut-off values all significant tumors are recognized in all age groups, yet the number of biopsies is reduced. Overall, one biopsy is avoided in 13 to 14 men (number needed to screen = 13.3, reduction of biopsies = 7.5% when decision regarding biopsy is done according to the "new" cut-off values instead of the "old" ones. For the different age groups the number needed to screen to avoid one biopsy varied between 9.2 (≤49 years and 17.4 (50-59 years.With "new", fine-tuned PSA cut-offs we detect all relevant PCa with a significant reduction of biopsies compared to the "old" cut-off values. Optimization of age-specific PSA cut-offs is one step towards a smarter strategy in the Tyrol PCa Early Detection Program.

  8. 直通截止阀流场与噪声数值分析%Numerical analysis on flow field and noise of straight though cut-off valve

    Institute of Scientific and Technical Information of China (English)

    张生乐; 贾晓丹; 潘国雄; 刘洋

    2016-01-01

    in view of the characteristics of flow field and noise, created by straight though cut-off valve of ship pipeline system, the numerical simulation of the flow field and noise of common CB855A-DN80 straight though cut-off valve were accomplished with fluid dynamics software Fluent. The results showed that flow resistance coefficient decreased gradually with the increase of flow velocity, but the change in value was not big. As the flow velocity increased, the hydrodynamic noise sound pressure level increased gradually.%针对直通截止阀引起的船舶管路系统流场和噪声问题,采用流体力学软件 Fluent对实际使用的CB855A-DN80直通截止阀流场和噪声进行数值仿真计算。研究结果表明,流阻系数随流体流速增大呈逐渐减小的趋势,但数值变化不大。随着流速增大,水动力噪声声压级逐渐增大。

  9. Thickness-Independent Ultrasonic Imaging Applied to Abrasive Cut-Off Wheels: An Advanced Aerospace Materials Characterization Method for the Abrasives Industry. A NASA Lewis Research Center Technology Transfer Case History

    Science.gov (United States)

    Roth, Don J.; Farmer, Donald A.

    1998-01-01

    Abrasive cut-off wheels are at times unintentionally manufactured with nonuniformity that is difficult to identify and sufficiently characterize without time-consuming, destructive examination. One particular nonuniformity is a density variation condition occurring around the wheel circumference or along the radius, or both. This density variation, depending on its severity, can cause wheel warpage and wheel vibration resulting in unacceptable performance and perhaps premature failure of the wheel. Conventional nondestructive evaluation methods such as ultrasonic c-scan imaging and film radiography are inaccurate in their attempts at characterizing the density variation because a superimposing thickness variation exists as well in the wheel. In this article, the single transducer thickness-independent ultrasonic imaging method, developed specifically to allow more accurate characterization of aerospace components, is shown to precisely characterize the extent of the density variation in a cut-off wheel having a superimposing thickness variation. The method thereby has potential as an effective quality control tool in the abrasives industry for the wheel manufacturer.

  10. Study on Spectral Response beyond Cut off of Cs2Te Ultra Violet Photo Cathode%Cs2Te紫外光电阴极带外光谱响应研究

    Institute of Scientific and Technical Information of China (English)

    李晓峰; 姜云龙; 李靖雯; 姬明; 李金沙; 张勤东

    2015-01-01

    With the strong light as the input, the spectral response beyond cut off of the Cs2Te ultraviolet photo cathode is measured. The results show that the spectral response of the Cs2Te cathode beyond cut off is lower, and is several orders of magnitude lower than that within the cutoff. The peak sensitivity of within cutoff can be greater than 40mA/W, but the spectral response beyond cut off can be as low as 10-3mA/W order of magnitude at 550nm wavelength. The divergence of spectral response beyond cut off of Cs2Te ultraviolet photo cathode made with the same process is large. According to the test of three different visible light photo cathode, namely Na2KSb (Cs), K2CsSb and GaAs (Cs-O), it is proved that these three kinds of visible light photo cathode also have certain spectral response. The test data show that the spectral response beyond cut off is related to the size of the work function (positive electron affinity cathode) or the band gap (negative electron affinity cathode). The smaller the work function or the band gap is, the greater the spectral response beyond cut off. The spectral response beyond cut off is a common phenomenon for photo cathode. The reason is that the effect of multiphoton absorption, i.e. multiphoton effect. Because Cs2Te photo cathodes are present spectral response beyond cut off, thus, when solar blind image intensifier adopting Cs2Te photo cathodes is used in the strong sun light or straight to the sun's light, detected signal would be disturbed by the light of the sun, or by the image of the sun like. Thus solar blind image intensifier does not have the sun blind characteristic. In order to make the solar blind ultraviolet image intensifier fully equipped with solar blind characteristic, solar blind filter is needed. Combining solar blind filter with spectral response of Cs2Te cathode beyond cut off, solar blind image intensifier can achieve complete solar blind. So in the practical application of ultra violet detecting, the solar

  11. Clinical Significance of Fibrinogen and D-dimer Detection in Esophageal Cancer%食管癌患者纤维蛋白原与D-二聚体检测的临床意义

    Institute of Scientific and Technical Information of China (English)

    刘瑜; 林晓铭; 池闯; 程德志

    2012-01-01

    目的 检测并研究食管癌患者血浆中纤维蛋白原(FIB)和D-二聚体(D-dimer,DD)的变化及其临床意义.方法 对60例食管癌患者和8例健康人血浆中FIB和D-二聚体进行检测并同临床指标间进行统计学分析.结果 食管癌组血浆中的FIB和D-二聚体水平明显高于正常对照组(P<0.01);同患者的淋巴结转移情况及P-TNM分期有关(P <0.05或P<0.01),而同性别及年龄不相关(P>0.05).结论 食管癌患者的FIB及D-二聚体高于正常,并同淋巴结转移及P-TNM分期相关且与患者的生存期呈明显的负相关.%Objective To explore the clinical significance of fibrinogen and D - dimer detection in esophageal squamous cell cancer. Methods The fibrinogen and D - dimer were detected in 60 esophageal cancer patients and 8 healthy adults, and the data were analyzed with clinical indexes by SPSS. Results Levdel of fibrinogen and D - dimer in esophageal cancer patients were higher than that in healthy group (P 0. 05 ). Conclusion Compared with healthy group, significantly higher serum fibrinogen and D - dimer levels were detected in esophageal cancer patients. There was closely relationship between fibrinogen and D - dimer levels in esophageal cancer patients and lymph node metastases, p - TNM stage,and they were negatively correlated with lifetime.

  12. Interleukin 6 Is a Stronger Predictor of Clinical Events Than High-Sensitivity C-Reactive Protein or D-Dimer During HIV Infection

    DEFF Research Database (Denmark)

    Borges, Álvaro H; O'Connor, Jemma L; Phillips, Andrew N;

    2016-01-01

    BACKGROUND:  Interleukin 6 (IL-6), high-sensitivity C-reactive protein (hsCRP), and D-dimer levels are linked to adverse outcomes in human immunodeficiency virus (HIV) infection, but the strength of their associations with different clinical end points warrants investigation. METHODS:  Participants...... receiving standard of care in 2 HIV trials with measured biomarker levels were followed to ascertain all-cause death, non-AIDS-related death, AIDS, cardiovascular disease (CVD), and non-AIDS-defining malignancies. Hazard ratios (HRs) and 95% confidence intervals (CIs) of each end point for quartiles and log......-dimer (P = .20) as a predictor for different end points. CONCLUSIONS:  IL-6 is a stronger predictor of fatal events than of CVD and non-AIDS-defining malignancies. Adjuvant antiinflammatory and antithrombotic therapies should be tested in HIV-infected individuals....

  13. Clinical Application of D dimer in Venous Thromboembolism%D二聚体测定在静脉血栓栓塞中的临床应用

    Institute of Scientific and Technical Information of China (English)

    李恒; 张凯; 黄津; 王毅

    2011-01-01

    @@ 静脉血栓栓塞(venous thromboembolism ,VTE)是临床常见的血栓性疾病,其中最主要的是深静脉血栓栓塞症(deep venous thrombosis ,DVT)和肺栓塞(pulmonary embolism ,PE),因其发病率和致死率均高而倍受国内外医者之重视.D二聚体(D-dimer,D-D)是经凝血酶及因子作用的交联纤维蛋白经纤溶酶降解后产生的终末产物,是反映体内凝血和纤溶的理想分子标志物之一.

  14. 四川省新生儿 CH筛查切值的探讨%Exploration of cut-off value of TSH during screening of congenital hypothyroidism in the newborns in Sichuan

    Institute of Scientific and Technical Information of China (English)

    周婧瑶; 欧明才; 罗晓菊; 张钰; 胡琦; 陈雪莲; 杨丽娟; 王蕊; 李婷

    2013-01-01

    目的:探讨四川省新生儿疾病筛查中心实验室先天性甲状腺功能减低症( CH)筛查切值,减少漏诊率,降低假阳性率。方法对四川省新生儿疾病筛查中心片区市县2011至2012年活产婴儿出生72小时并充分哺乳6次后取其足跟血,采用时间分辨荧光免疫法检测血中促甲状腺激素( TSH)浓度。结果2011至2012年度共测定525941例标本,其TSH浓度呈偏态分布,其中正常新生儿人数为525554,确诊CH患儿230例,高TSH血症患儿157例。当筛查切值定为8.0mIU/L和定为8.9mIU/L时,灵敏度χ2=10.188,P<0.05;特异度χ2=458.460,P<0.05,制定出四川省新生儿疾病筛查中心实验室时间分辨荧光免疫法筛查CH参考切值为8.0mIU/L。结论四川省新生儿疾病筛查中心制定的CH筛查切值是适宜的、有依据的,为更大规模开展的新生儿CH筛查提供了决策依据。%Objective To explore the positive cut-off value in neonatal screening for congenital hypothyroidism (CH) in the Centre of Neonatal Screening of Sichuan , so as to improve screening efficiency and reduce false positive rate .Methods DELFIA was applied to detect the concentration of thyroid-stimulating hormone ( TSH) in heel blood samples which were collected from the newborns 72 hours after birth and having drunk enough milk for at least 6 times.These neonates were born in 2011-2012 in counties and cities managed by the Centre of Neonatal Screening of Sichuan .Results Totally 525 941 blood samples were screened . The TSH concentration showed a skewed distribution .Among them 525 554 newborns were normal , 230 neonates were diagnosed with CH , and 157 with high TSH hyperlipidemia . When the positive cut-off value was 8.0mIU/L and 8.9mIU/L, the sensitivity χ2 was 10.188 ( P <0.05 ) and the specificity χ2 was 458.460 (P<0.05).The cut-off value of screening was 8.0mIU/L by DELFIA in the Centre of Neonatal Screening of Sichuan

  15. Examining the relationship between autistic traits and college adjustment.

    Science.gov (United States)

    Trevisan, Dominic; Birmingham, Elina

    2016-08-01

    We examined the relationship between characteristics associated with autism spectrum disorder and college adjustment in a sample of neurotypical college students. Using the Broad Autism Phenotype Questionnaire and the Student Adaptation to College Questionnaire, we found that higher levels of autism spectrum disorder characteristics were associated with poorer adjustment to college. One subscale of the Broad Autism Phenotype Questionnaire, pragmatic language difficulties, explained the most variance in adjustment. In addition, students who met the previously established cut-off scores for possessing the broad autism phenotype scored significantly lower on all Student Adaptation to College Questionnaire subscales. Finally, pragmatic language difficulties mediated the relationship between college major and academic adjustment. These findings underscore the need for future research to examine how pragmatic language difficulties may impede college success in students with autism spectrum disorder and in the typical population. PMID:26471426

  16. COPD患者D-二聚体和纤维蛋白原检测的临床价值%The clinical value of D-Dimer and plasma fibrinogen in patients with chronic obstructive pulmonary disease

    Institute of Scientific and Technical Information of China (English)

    周洋; 龚建化; 黄河; 张家洪

    2012-01-01

    目的 探讨COPD患者血浆D-二聚体和纤维蛋白原检测的临床意义.方法 分别检测122例按病情严重程度分期、分度的COPD患者和30例健康对照组血浆D-二聚体和纤维蛋白原含量,分析比较各组间血浆D-二聚体和纤维蛋白原含量的差异.结果 COPD患者血浆D-二聚体和纤维蛋白原含量明显高于健康对照组(P<0.05),且急性加重期明显高于稳定期(P<0.05).在75例急性加重期COPD患者中,轻、中、重、极重度患者其血浆D-二聚体和纤维蛋白原含量间相互比较(P<0.05).结论 COPD患者存在血液高凝状态,且随着病情的加重而加重,对其监测和预防性使用抗凝、溶栓剂是非常必要的.%Objective To investigate the clinical significance of the level of plasma D-dimer and plasma fibrinogen in patients with COPD. Methods According to severity stage, the plasma D-dimer and plasma fibrinogen level were measured in 122 patients with COPD. 30 healthy subjects were included as controls. All the measures of D-dimer and plasma fibrinogen were compared between the groups. Results The levels of D-dimer and fibrinogen in 122 patients were significantly higher than those in the control group (P < 0.05 ) , and the levels of D-dimer and fibrinogen in the acute exacerbation were significantly higher than those in the stable. In 75 patients with acute exacerbation of COPD patients, the levels of plasma D-dimer and fibrinogen in mild, moderate, severe and critical patients were compared, and the group differences were statistically significant (P < 0. 05 ). Conclusion The patients with COPD are in a state of hy-percoagulability, and the levels of plasma D-dimer and fibrinogen are related to the severity of COPD attack. To monitor and preventively use anticoagulant, the use of thrombolytic agent is necessary.

  17. Relativity analysis of serum D-dimer content to stage and onset age of stroke%血浆D-二聚体含量与脑卒中病期、发病年龄的相关性研究

    Institute of Scientific and Technical Information of China (English)

    李东燕

    2002-01-01

    Objective To assess its significance to diagnosis, treating and prognosis of ischemic cerebrovascular disease by measuring plasma D dimer of 100 patients. Method By enzyme linked immunosorbent assay and double antibody sandwich assay, making color matching under 492 nm wavelength and to gain the plasma D dimer content value according to the standard curve.Result Serum D dimer content of acute cerebral infarction patients was significantly increase, which reflect increase of fibrinolysis activity and increase of thrombin production.It is a valuable index to hypercoagulation state and thrombosis. The Older the age, the higher the plasma D dimer content. Conclusion It is suggested that there was apparent change of D dimer in course of ischemic cerebrovascular diseases and in patients beyond 60, which engender hypercoagulation state leading to disease.

  18. Membrane molecular weight cut off impacts immunological safety of a novel bioartificial liver system%膜截流分子量在新型生物人工肝免疫安全性中的作用研究

    Institute of Scientific and Technical Information of China (English)

    张悦; 施晓雷; 韩冰; 顾劲扬; 褚薛慧; 肖江强; 任昊桢; 檀家俊; 丁义涛

    2012-01-01

    Objective To investigate the influence of membrane molecular weight cut off in our bioartificial liver(BAL)system.Methods Beagle dogs were used for a model of acute liver failure through D-galactosamine administration.The acute liver failure Beagles were divided into two groups by the membrane molecular weight cut off.Group A was treated with BAL containing 200 kDa retention rating membrane.Group B was treated with BAL containing 1200 kDa retention rating membrane.Each group underwent two six-hour BAL treatments that were performed on day 1 and day 21.BAL medium were examined and levels of IgG,IgM,and complement hemolytic unit of 50%(CH50)antibodies were measured in all Beagles and.Results BAL treatment was associated with a significant decline in levels of CH50.1200 kDa group experienced a significant increase in levels of IgG and IgM after two BAL treatments.Significant levels of canine proteins were detected in BAL medium from 1200 kDa group.Conclusions Xenogeneic immune response in the BAL system was influenced by membrane molecular weight cut off.%目的 探讨膜截流分子量对新型生物人工肝(bioartificial liver,BAL)支持系统免疫安全性的影响.方法 应用D氨基半乳糖静脉滴注比格犬建立肝功能衰竭模型.急性肝功能衰竭犬根据BAL隔离膜截流分子量的大小分为两组:A组:200 kD组;B组:1200 kD组.两组均接受新型2次BAL治疗,每次6h.观察各组体内IgG、IgM、50%补体溶血单位(CH50)变化及反应器内抗体漏过情况.结果 在第一次BAL治疗后两组的IgG和IgM水平均没有发生明显的变化.在第2次治疗后第7天,1200 kD组的IgG和IgM水平明显升高,200 kD组IgG和IgM水平仍未出现明显上升或下降.在第一次BAL治疗后,两组CH50都出现暂时性的下降,在治疗后1h达到最低值,而后缓步上升,在7d后恢复至治疗前水平.反应器内培养液中IgG、IgM及CH50检测结果显示,1200 kD组在治疗结束后IgG、IgM及CH50

  19. 应用ROC曲线评价癌症患者心理压力量表的临界值研究%Using ROC curve to evaluate cut-off points of Psychological Distress Scale of Cancer Patients

    Institute of Scientific and Technical Information of China (English)

    张丽燕; 陆宇晗

    2016-01-01

    目的:应用ROC曲线测定癌症患者心理压力量表各维度的临界值,为临床应用提供依据。方法调查北京肿瘤医院的癌症患者364例,填写癌症患者心理压力量表和症状自评量表(SCL-90),应用ROC曲线探索此量表各维度的临界值。结果以SCL-90相应维度为参照标准,癌症患者心理压力量表各维度ROC曲线下面积分别为:焦虑(0.815,P<0.01),抑郁(0.790,P<0.01),人际障碍(0.829,P<0.01),怀疑(0.670,P<0.01)。各维度在以下临界值时可获得最佳的敏感性和特异性:焦虑11分,抑郁14分,人际障碍7分,怀疑4分。结论癌症患者心理压力量表对焦虑、抑郁、人际障碍有较好的诊断价值,对怀疑的诊断价值较弱。它具有较好的诊断价值,有助于临床进行癌症患者的心理问题评价。%Objective To determine the cut-off points of Psychological Distress Scale of Cancer Patients by using the ROC curve, in order to provide reference for clinical application of it. Methods A questionnaire containing both the Psychological Distress Scale of Cancer Patients and Symptom Checklist-90 (SCL-90) were filled by 364 cancer patients in Beijing Cancer Hospital. Later the cut-off points of the four latitudes of the Scale were evaluated by ROC curve through comparing the two scales. Results By using the latitudes of the SCL-90 scale as a reference, the areas of all the four latitudes of the Scale were:anxiety (0.815, P<0.01); depression (0.790, P<0.01); interpersonal disability (0.829, P<0.01);suspiciousness (0.670, P<0.01) respectively. The following cut-off points could result in the most ideal sensitivity and specificity: 11 for anxiety; 14 for depression; 7 for interpersonal disability and 4 for suspiciousness. Conclusions The Psychological Distress Scale of Cancer Patients can provide great values to the diagnosis of psychological problems related with anxiety, depression, and interpersonal

  20. D-二聚体水平在系统性红斑狼疮的临床意义%The clinical significance of D-dimer in systemic lupus erythematosus

    Institute of Scientific and Technical Information of China (English)

    李春; 穆荣; 任立敏; 范文强; 任长吉; 栗占国

    2010-01-01

    目的 了解系统性红斑狼疮(SLE)患者D-二聚体水平及其临床意义.方法 选北京大学人民医院住院的261例SLE患者,收集临床及实验室资料,分析D-二聚体水平及其与SLE患者临床特征及实验室检查指标的相关性.结果 (1)除外合并肾功能不全、严重感染、弥漫性血管内凝血(DIC)、肝功能异常、妊娠及外伤等可能影响D-二聚体水平的因素,261例SLE患者中入选205例,其中D-二聚体水平升高者达69.3%(142/205).(2)D-二聚体水平升高与SLE疾病活动指数(SLEDAI)评分呈正相关(r=0.598,P=0.000),并与抗双链DNA抗体阳性、C反应蛋白(GRP)升高、补体C3、补体C4降低等有一定相关性.(3)D-二聚体水平升高者脏器损伤比例增加,狼疮性肾炎(58.5%比38.1%)、神经精神性狼疮的发生率(18.3%比4.8%)明显高于D-二聚体水平正常者.(4)伴有血栓形成的SLE患者均有D-二聚体水平升高,但不合并血栓形成者D-二聚体水平升高或正常.结论 D-二聚体水平升高可见于SLE活动期及有重要脏器损伤者,并不必然提示血栓形成.但是,伴发血栓形成的SLE患者均有D-二聚体升高.%Objective To investigate the clinical significance of D-dimer in systemic lupus erythematosus (SLE). Methods The study group comprised 261 SLE patients who were admitted in ward from 2005 to 2008 in Peking University People's Hospital Collect the clinical data to investigate the clinical significance of D-dimer. Results ( 1 ) The D-dimer levels of 56 patients were increased due to coexist reduced renal function, infections, disseminated intravascular coagulation ( DIC), liver disorders, pregnancy and injury. With the exception of above patients, 142 ( 69. 3 ) patients were increased in total 205 patients. (2)The level of D-dimer was positively correlated with SLE disease activity index( SLEDAI ) score ( r =0. 598,P =0. 000), and was associated with anti-dsDNA antibody, ESR, C-reactive protein(CRP) and complement C3

  1. Pressurized liquid extraction for the determination of cannabinoids and metabolites in hair: Detection of cut-off values by high performance liquid chromatography-high resolution tandem mass spectrometry.

    Science.gov (United States)

    Montesano, Camilla; Simeoni, Maria Chiara; Vannutelli, Gabriele; Gregori, Adolfo; Ripani, Luigi; Sergi, Manuel; Compagnone, Dario; Curini, Roberta

    2015-08-01

    Hair analysis has become a routine procedure in most forensic laboratories since this alternative matrix presents clear advantages over classical matrices; particularly wider time window, non-invasive sampling and good stability of the analytes over time. There are, however, some major challenges for the analysis of cannabinoids in hair, mainly related to the low concentrations of 11-nor-9-carboxy-Δ(9)-tetrahydrocannabinol (THC-COOH), that is the major metabolite. In this study a fast, accurate and sensitive method for the determination of cannabinol, cannabidiol, THC and THC-COOH in hair has been developed. The extraction of analytes from hair (50mg) is based on an automated pressurized liquid extraction (PLE) using water modified with the surfactant sodium dodecyl sulphate as eluent phase. PLE extract is then cleaned up by SPE using polymeric reversed phase cartridges Strata XL before the injection in the HPLC-HRMS/MS system. Chromatographic conditions obtained with a fused-core column allowed a good separation of the analytes in less than 4min. The whole procedure has been validated according to SWGTOX guidelines. The LLOQs obtained for THC-COOH and the other analytes were respectively 0.1 and 2pg/mg. To the best of our knowledge, this is the first LC-MS/MS based method that allows the detection of THC-COOH in hair at values lower than the cut-off. PMID:26118805

  2. Cutting off Mediation. Agamben as Master Thinker

    Directory of Open Access Journals (Sweden)

    Astrid Deuber-Mankowsky

    2015-02-01

    Full Text Available Agamben’s Homo Sacer turns centrally upon “bare life”. However, the following subjects are not thematized: natality, gender, sexuality, the relation of the sexes, the heterosexual character of the symbolic order and political culture, the interest of women in the reproduction of life. The entire question of sexual difference —like that of the difference between victim and perpetrator, between witnesses and those born afterwards— is banned from Agamben’s horizon. Thus a deep unease remains, which this paper is intended to explore. It will first present the methodological and theoretical inspirations, which Homo Sacer owes to the thought of Carl Schmitt. Secondly it will show that Schmitt’s concepts of nomos and the state of exception cannot provide a suitable basis for rewriting Foucault’s concept of biopolitics.

  3. Analysis of D-dimer level of normal pregnancy and pregnancy hypertension syndrome pregnant woman%正常妊娠与妊娠高血压综合征孕妇D-二聚体水平分析

    Institute of Scientific and Technical Information of China (English)

    李明兰

    2014-01-01

    Objective:To analyze the difference of D-dimer level of normal pregnancy and pregnancy hypertension syndrome pregnant woman,and to explore the influence of hypertension on D-two dimer level of pregnant women.Methods:128 pregnant women were selected from March 2010 to October 2013.According to with hypertension or not,they were divided into the pregnancy induced hypertension syndrome group(60 cases) and the normal pregnancy group(68 cases),at the same time,70 healthy women were selected as the control group.We compared the plasma D-dimer level of the three groups.Results:The D-dimer level of pregnancy induced hypertension group and normal pregnancy group were significantly higher than those of the control group(P<0.05,P<0.01).The D-dimer level of pregnancy induced hypertension group were significantly higher than that of normal pregnancy group(P<0.05);between the different degree pregnancy induced hypertension,the plasma D-dimer level had significant difference(P<0.05).Conclusion:The plasma D-dimer content of normal pregnancy is increased,and the blood is become hypercoagulable state.Patients with hypertensive disorders in pregnancy have the pathological changes of the coagulation system,and the plasma D-dimer level is higher than that of normal pregnancy.We suggest that we should examine the plasma D-dimer level of patients with hypertension of pregnancy,and understand the existence of thrombotic diseases,to protect the health of mother and infant.%目的:分析正常妊娠与妊娠高血压综合征孕妇血浆D-二聚体水平差异,探讨高血压对妊娠期妇女D-二聚体水平的影响。方法:2010年3月-2013年10月收治妊娠期孕妇128例,按照是否合并高血压分为妊娠期高血压综合征组(60例)和正常妊娠组(68例),另选择同期健康女性70例作为对照组。对比3组血浆D-二聚体水平。结果:妊娠高血压组、正常妊娠组D-二聚体水平显著高于对照组(P<0.05,P<0.01)。妊娠高血压

  4. Study on the change and relationship between plasma D-dimer and homocysteine levels in patients with acute cerebral vascular accident

    International Nuclear Information System (INIS)

    Objective: To study the clinical significance of the changes and the relationships between plasma D-dimer (D-D) and Homocysteine (Hcy) expression in patients with acute cerebral infarction and acute cerebral hemorrhage. Methods: Plasma D-D (with ELISA) and Hcy (with CLIA) levels were measured in 397 patients with cerebral infarction, 122 patients with cerebral hemorrhage and 30 controls.Results 1) The mean level of the plasma D-D and Hcy in patients with acute cerebral infarction was 5.20±0.92μg/L and 21.23±13.54 μmol/L respectively, which was significant higher than that in controls and patients with acute cerebral hemorrhage. 2) Higher expressing of D-D and Hcy was found in 101 (25.4%) and 140 (35.3%) cases of acute cerebral infarction patients. The data in acute cerebral hemorrhage group was 17 (13.9%) and 27 (22.1%) respectively. There was significant difference between two groups, P<0.01. 3) There was not correlations with the expression level of D-D and Hcy in patients with acute cerebral infarction and patients with acute cerebral hemorrhage. 4) The expressing level of the Plasma D-D in acute cerebral infarction patients was not significant difference in both age and sex. The expressing level of Hcy in male was higher than that in female. There was not significant difference in the expressing level of Hcy in different age. Conclusion: The levels of plasma D-D and Hcy in patients with acute cerebral infarction significantly in creased, but there were not correlations between the levels of the two parameters. (authors)

  5. Comparison of VerifyNow-P2Y12 test and Flow Cytometry for monitoring individual platelet response to clopidogrel. What is the cut-off value for identifying patients who are low responders to clopidogrel therapy?

    Directory of Open Access Journals (Sweden)

    Castelli Alfredo

    2009-05-01

    Full Text Available Abstract Background Dual anti-platelet therapy with aspirin and a thienopyridine (DAT is used to prevent stent thrombosis after percutaneous coronary intervention (PCI. Low response to clopidogrel therapy (LR occurs, but laboratory tests have a controversial role in the identification of this condition. Methods We studied LR in patients with stable angina undergoing elective PCI, all on DAT for at least 7 days, by comparing: 1 Flow cytometry (FC to measure platelet membrane expression of P-selectin (CD62P and PAC-1 binding following double stimulation with ADP and collagen type I either in the presence of prostaglandin (PG E1; 2 VerifyNow-P2Y12 test, in which results are reported as absolute P2Y12-Reaction-Units (PRU or % of inhibition (% inhibition. Results Thirty controls and 52 patients were analyzed. The median percentage of platelets exhibiting CD62P expression and PAC-1 binding by FC evaluation after stimulation in the presence of PG E1 was 25.4% (IQR: 21.4–33.1% and 3.5% (1.7–9.4%, respectively. Only 6 patients receiving DAT (11.5% had both values above the 1st quartile of controls, and were defined as LR. Evaluation of the same patients with the VerifyNow-P2Y12 test revealed that the area under the receiver-operating-characteristic (ROC curve was 0.94 (95% CI: 0.84–0.98, p 213 PRU gave the maximum accuracy for the detection of patients defined as having LR by FC. Conclusion In conclusion our findings show that a cut-off value of ≤ 15% inhibition or > 213 PRU in the VerifyNow-P2Y12 test may provide the best accuracy for the identification of patients with LR.

  6. Feed Cam Mechanism Design of Cut-off Saws Based on ANSYS%基于ANSYS的林间锯段机进料凸轮机构设计

    Institute of Scientific and Technical Information of China (English)

    战丽; 宫乙帅; 王毅亮

    2012-01-01

    A feeding mechanism is one of the main components of forest self-propelled small-scale cut-off saws, and its rational design determines the efficiency of the entire cutting process. The exact cutting speed is determined through the comparative analysis of theoretical calculation and actual processing empirical value, based on which feed speed is calculated. In order to ensure steady processing, a feed cam is designed and finite element analysis of it is made using ANSYS software to verify the stiffness and strength of the feed mechanism. The mechanism is rationally optimized in order to provide a theoretical basis for the design of the feed mechanism of sawing operation.%进料机构是林间自走式小型锯段机的主要部件之一,其设计的合理与否影响整个锯切加工过程。通过理论计算值与实际加工经验值的对比分析确定切削速度,进而计算出进料速度。为保证加工平稳设计了进料凸轮机构,并利用ANSYS软件对其进行有限元分析,验证凸轮机构的刚度与强度。对该结构进行合理优化,为锯切进料机构的设计提供理论依据。

  7. ADJUSTMENT FACTORS AND ADJUSTMENT STRUCTURE

    Institute of Scientific and Technical Information of China (English)

    Tao Benzao

    2003-01-01

    In this paper, adjustment factors J and R put forward by professor Zhou Jiangwen are introduced and the nature of the adjustment factors and their role in evaluating adjustment structure is discussed and proved.

  8. Body mass index cut-offs for overweight and obesity in Chinese children and adolescents aged 2-18 years%中国2~18岁儿童青少年超重和肥胖筛查体重指数界值点的研究

    Institute of Scientific and Technical Information of China (English)

    李辉; 宗心南; 季成叶; 米杰

    2010-01-01

    Objective To study the body cut-offs of mass index (BMI) for the purpose of screening overweight and obesity for Chinese children and adolescents aged 2-18 years. Methods Based on the BMI growth reference values for Chinese children aged 0-18, using the common methods to establish the BMI cut-offs for screening overweight and obesity. These methods were having the same empirical percentile or Z scores and the BMI value at 18 years consistent with adults.Three sets of BMI cut-offs, including (BMI24, BMI28) , (P85, P95) and (Z1, Z2) , were initially identified. Differences were compared on different cut-off points and prevalence rates of overweight and obesity with different BMI reference, different values and "prevalence" of overweight and obesity based on "2004 Beijing Child and Adolescent Metabolic Syndrome Study ". Cut-offs standards which recommended by the Chinese Working Group on Obesity for Children (WGOC) and by the International Obesity Task Force (IOTF) were also used. Finally the appropriate cut-offs were defined. Results Three sets of BMI cut-offs for screening overweight and obesity for Chinese children and adolescents aged 2-18 years were obtained according to the above mentioned methods for selection. The prevalence rates of overweight and obesity defined by those cut-offs appeared not to be significantly different. Compared with the WGOC, the BMI cut-off points for screening overweight and obesity for both boys and girls from our study were very close to the WGOC', but cut-off points for screening overweight for girls aged 8.5-15.5 y was 0.3-1.0 kg/m2 lower than the WGOC'. Going through the database on screening of "2004 Beijing Children's Metabolic Syndrome Survey ", the prevalence of overweight for girls was about 3.4% higher than using the cut-offs of WGOC. Conclusion Results from this study suggested that the BMI cut-offs passed through the cut-off point of BMI24 and BMI28 at 18 years was appropriate for screening overweight and obesity in

  9. D-二聚体定量检测在毛细支气管炎中的应用%Application of quantitative detection of D-dimer in bronchiolitis

    Institute of Scientific and Technical Information of China (English)

    陈学高

    2015-01-01

    Objective To investigate the clinical significance of D-dimer changes in children with bronchiol-itis. Methods 61 children with bronchiolitis were selected and divided into the normal group and the severe group based on their situation, and 11 healthy children were taken as the control group. The levels of D-dimer were detec-ted. Results The level of D-dimer was significantly higher in the study group than in the control group, and it was higher in the severe group than in the normal group (P<0. 01). After the treatment, the level of D-dimer decreased significantly in the severe group (P<0. 01). Conclusion The level of plasma D-dimer can be used to judge the se-verity of bronchiolitis.%目的:探讨毛细支气管炎患儿D-二聚体( D-D)水平变化及临床意义。方法随机选取61例毛细支气管炎住院患儿,根据病情程度分为普通组与重症组,同时选取11例同龄健康婴儿作为正常对照组。检测其血浆D-二聚体水平。结果毛细支气管炎患儿组血浆D-二聚体水平显著高于对照组,重症毛细支气管炎患儿血浆D-二聚体水平显著高于普通患儿组,差异具有统计学意义(P<0.01)。而且重症毛细支气管炎患儿治疗前后血浆D-二聚体水平差异显著,具有统计学意义( P<0.01)。结论血浆D-二聚体水平检测可用于毛细支气管炎病情严重程度的判定。

  10. Evaluation of D-dimer serum levels among patients with chronic urticaria, psoriasis and urticarial vasculitis Avaliação dos níveis séricos de D-dímeros entre doentes com urticária crônica, psoríase e urticária vasculite

    OpenAIRE

    Paulo Ricardo Criado; Lidi Che Leon Antinori; Celina Wakisaka Maruta; Vitor Manoel Silva dos Reis

    2013-01-01

    BACKGROUND: It has been demonstrated that neutrophils, eosinophils and monocytes, under appropriated stimulus, may express tissue factor and therefore, activate the extrinsic pathway of coagulation. We performed a transversal and case-control study of patients with chronic urticaria and patients with psoriasis, in our outpatient clinic to evaluate the production of D-dimer. OBJECTIVE: To evaluate D-dimer serum levels in patients with chronic urticaria and its possible correlation with dis...

  11. Convexity Adjustments

    DEFF Research Database (Denmark)

    M. Gaspar, Raquel; Murgoci, Agatha

    2010-01-01

    A convexity adjustment (or convexity correction) in fixed income markets arises when one uses prices of standard (plain vanilla) products plus an adjustment to price nonstandard products. We explain the basic and appealing idea behind the use of convexity adjustments and focus on the situations...

  12. Pontos de corte para a aptidão cardiorrespiratória e a triagem de fatores de risco para doenças cardiovasculares na infância Cardiorespiratory fitness cut offs points and cardiovascular risk factors screening at infancy

    Directory of Open Access Journals (Sweden)

    Gabriel Gustavo Bergmann

    2010-10-01

    Full Text Available O principal objetivo deste estudo foi analisar a validade e propor novos pontos de corte para aptidão cardiorrespiratória de escolares de sete a 12 anos de idade. A amostra foi constituída por 1.413 escolares. A aptidão cardiorrespiratória foi medida através do teste de corrida/caminhada de nove minutos. O colesterol total e as pressões arterial sistólica e diastólica foram medidas e através delas foram criadas referências de fatores de risco para doenças cardiovasculares. Através da curva receiver operating characteristic entre a aptidão cardiorrespiratória e as referências de fatores de risco para doenças cardiovasculares foram identificados os valores dos pontos de corte. Adicionalmente foi utilizada a análise bivariada seguida do cálculo de razão de chances (odds ratio-OR para identificar quanto os indivíduos que não atenderam os pontos de corte propostos tinham a mais de chance de apresentar fatores de risco para doenças cardiovasculares. Os resultados indicaram que, dentre as propostas analisadas, a que foi sugerida neste estudo apresentou melhores ajustamentos entre sensibilidade e especificidade. Os resultados da análise bivariada mostraram que indivíduos que não atenderam os pontos de corte propostos têm maiores chances de apresentarem fatores de risco para doenças cardiovasculares.The main objective of the study was to analyze and propose news cardiorespiratory fitness cut offs points for 7 to 12-year old school students. The sample was composed of 1,413 students. Cardiorespiratory fitness was measured by the 9-minutes walking/running test. Total cholesterol and systolic and diastolic blood pressure were measured and with their results cardiovascular risk factors reference were designed. The Receiver Operating Characteristic curve between cardiorespiratory fitness and cardiovascular risk factors reference identified the cut offs point values. The bivariate analysis and odds ratio (OR calculation was used to

  13. Integration Technology of Combining Binary-layer Foundation Excavation Dewatering with Suspended Cut-off Wall and Recharge%二元地基基坑降水结合悬挂式防渗墙及回灌一体化技术

    Institute of Scientific and Technical Information of China (English)

    王恒; 李守德; 王由国; 柯倩雯; 张灿虹

    2015-01-01

    In this paper,a generalized model of the typical cross-section is used to study the consequence of excavation dewatering with suspended cut-off wall and recharge well which have some effects on water head and ground subsidence which is outside of excavation. The comparisons of the condition of excavation direct precipitation , the condition of cut-off wall excavation precipitation and the condition of cut-off wall and recharge well excavation dewatering are analyzed. The result shows that suspended cut-off wall and recharge well can significantly enhance the water head and effectively reduce the settlement in the outside of the excavation,reduce the unit sedimentation of soft soil,have little effect on the unit sedimentation of silt and sand layers. Meanwhile,the comparisons of the tilt ratio of three conditions indicate the distance away from cut-off wall and recharge well closer ,the smaller the differential settlement.%通过构造基坑降水三维概化模型,利用有限元软件FLAC3D分析悬挂式防渗墙和回灌对基坑坑外的水头和地面沉降影响,主要将基坑直接降水工况、设置防渗墙的基坑降水工况和设置防渗墙及回灌井的基坑降水工况进行对比分析。分析结果表明防渗墙和回灌井,可明显提升坑外水头,有效降低了坑外沉降,减小软土层的单位沉降值,对粉砂层和细砂层的单位沉降值影响很小。同时,对比三种工况下的倾斜比,说明了距离防渗墙与回灌井越近,不均匀沉降越小。

  14. 老年脓毒症患者血浆D-二聚体和降钙素原水平变化∗%The Changes of Plasma Levels of D-dimer and Procalcitonin in Elderly Patients with Sepsis

    Institute of Scientific and Technical Information of China (English)

    杨勇文; 李从荣#

    2015-01-01

    目的::回顾性分析 D-二聚体和降钙素原水平在老年脓毒症患者中的变化。方法:将172例老年脓毒症患者按预后分为生存组(n=115)和死亡组(n=57);采用免疫比浊法和电化学发光法分别检测两组患者入院时血浆 D-二聚体和降钙素原水平,比较血浆 D-二聚体、降钙素原水平和急性生理与慢性健康状况评分(APACHEⅡ评分)的组间差异及其相关性。结果:生存组血浆 D-二聚体和降钙素原水平和 APACHEⅡ评分均低于死亡组(P<0.01);老年脓毒症患者血浆 D-二聚体和降钙素原水平与 APACHEⅡ评分存在明显正相关性(r 分别为0.352、0.234,P <0.05)。结论:不同预后的老年脓毒症患者血浆 D-二聚体和降钙素原水平存在差异,监测这两个生物学指标对老年脓毒症患者的预后具有一定的参考价值。%Objective:To analysis the changes of D-dimer,procalcitonin levels in elderly patients with sepsis. Method:1 72 cases of elderly patients with sepsis were divided into survival group (n=1 1 5)and death group (n=57).When patients admitted to hospital,immune turbidimetric method and electrochemical luminescence method were used respectively to detect the plasma D-dimer and procalcitonin levels.The plasma D-dimer,procalcitonin lev-els and acute physiology and chronic health evaluation (APACHE Ⅱ score)differences between groups and their correlation were analyzed.Results:Survival group of plasma D-dimer and procalcitonin levels and APACHE Ⅱscores were lower than the death group with statistical significance (P <0.01 ).Plasma D-dimer and procalcitonin levels and APACHE Ⅱ scores were significantly positive correlations (r = 0.352,0.234,P < 0.05 ).Conclusion:There were differences in plasma of D-dimer and procalcitonin levels of in the elderly sepsis patients with different prognosis.The two biological indicators had certain reference value for the prognosis of elderly patients with sepsis.

  15. 从scFv噬菌体库分离特异性的人源化抗D-dimer抗体%Isolation of specific humanized anti-D-dimer scFv fragments from scFv phage libraries

    Institute of Scientific and Technical Information of China (English)

    夏红利; 谭最; 陈德杰; 乔建国; 邱仁峰

    2011-01-01

    目的 从scFv(单链Fv)噬菌体抗体库分离出对D-dimer有特异性的人源化单克隆scFv.方法 对Tomlinson scFv噬菌体文库进行3轮淘洗,富集特异性的抗D-dimer抗体并进行ELISA 验证.通过酶联免疫检测和双脱氧终止法基因测序,获取特异性的人源化单克隆抗体.结果 3轮淘洗选择出38个抗D-dimer噬菌体抗体,酶联免疫和基因测序分析后,20个不同的全长单克隆抗D-dimer scFv噬菌体抗体被筛选出来,3轮选择后阳性克隆获取率为100%;分泌性抗体ELISA结果显示单克隆anti-D-dimer噬菌体顺利表达了抗体蛋白;5个A450值较高的单克隆中,3个显示了对D-dimer的高特异性和亲和力.结论 抗体噬菌体展示技术是分离获取人源化特异性anti-D-dimer抗体的高效快速方法.%Objective To isolate specific humanized anti-D-dimer scFv(single chain Fv) antibody from scFv phage libraries. Methods Isolate anti-D-dimer positive clones from Tomlinson I + J phage libraries by three rounds of panuing, then sequence monoclonal genes by bideoxy-mediated chain termination and express soluble scFv antibody; Pick out anti-D-dimer antibodies with high specificity and affinity by ELISA.Results After three rounds of selection from human scFv phage libraries Tomlinson I and J, 38 monclonal specific anti-D-dimer scFv fragments were selected. By polyclonal and monoclonal phage ELISA and gene sequencing, 20 different full-length monoclonal scFv phages were identified, the result of soluble scFv ELISA showed that 20 full-length monoclonal scFv were expressed smoothly. According to the result of soluble scFv ELISA, in 5 scFv antibodies with high value of A450 selected, 3 scFv antibody fragments showed high specific and affinity. Conclusion Antibody phage display was an effective, rapid method to isolate anti-D-dimer antibodies with high specificity and affinity.

  16. 动态监测D-二聚体在产后抢救中的应用价值%The. Applied Value of Dynamic Monitoring the Level of D-dimer in the Patients with Postpartum Hemorrhage

    Institute of Scientific and Technical Information of China (English)

    何卫恒; 周丽英; 吴昂

    2009-01-01

    Objective To dynamic monitor the level of D--dimer after transfusion treatment of postpartum hemorrhage and the possibility of thrombosis. Methods To retrospective analyze and compare of the level of D-dimer of 10 cases with postpartum hemorrhage, while the one in 20 eases of normal confinement in our hospital of year 2008. Results The level of D-dimer in the ease of postpartum hemorrhage was significantly higher than the one in the ease of normal confinement, and this difference indicated important significance(P<0.01).Dynamic monitoring 10 eases of emergency treatment of patients with plasma D-dimer levels with the effective condition improved after treatment and gradually decreased. Conclusion D-dimer is the main mark of secondary fibrinolysis, and the results reflect the function of D-dimer in vascular endothelial injury and blood coagulation, anti-coagulation and fibrinolytie. Furthermore, it has important significance in the understanding of the body's blood coagulation status and the prediction of mierothrombus formation, bleeding tendency, or the occurrence and development of disseminated intravaseular coagulation(DIC), development%目的 通过动态检测产后大出血输血治疗中的D-二聚体水平,以评估疗效及新鲜血栓形成的可能性.方法 回顾性分析2008年本院10例产后大出血抢救中的D-二聚体水平和凝血四项结果,同时检测20例正常分娩产妇的D-二聚体水平作对照分析,并采用t检验进行统计分析.结果 产后大出血抢救中的血浆D-二聚体水平显著高于正常对照组,差异有显著性(P<0.01).动态监测10例抢救患者的血浆D-二聚体水平随有效治疗病情好转后而逐渐降低.结论 D-二聚体是继发性纤溶标志,其检测结果能反映患者的血管内皮损伤及凝血、抗凝血和纤溶功能,对了解机体的血液凝固状态,预测是否有微血栓的形成和出血倾向,预测弥散性血管内凝血(DIC)发生、发展及患者的预后具有重要的临床价值.

  17. D-二聚体检测在2型糖尿病并发症诊断中的应用%D-dimer in the detection of complications of diabetes diagnosis

    Institute of Scientific and Technical Information of China (English)

    彭易清

    2009-01-01

    目的 研究血浆D-二聚体在2型糖尿病相关并发症诊断的价值.方法 将74例糖尿病患者分为无并发症组(45例)、并发症组(29例),同时设健康对照组(46例),采用ELISA法分别测定各组血浆D-二聚体水平并进行比较.结果 糖尿病并发症组D-二聚体水平明显高于健康对照组(P0.05).结论 检测糖尿病D-二聚体是糖尿病并发血管病变的诊断指标之一.严格控制血糖、监测D-二聚体对防治糖尿病并发症有一定意义.%Objective To study the clinical significance of blood plasma D-dimer in diabetes mel-litus patients. Methods Divides into 74 example diabetes group without the complication group (45 examples), the complication group (29examples), and carries on the comparison with the control group 46 examples, uses the ELISA method to determine each group of blood plasma D-direct level separate-ly. Results Diabetes complication group D-dimer level is higher than the control group obviously(P0.05). Conclusion The examination diabetes D-direct is one of diabetes con-current blood vessel pathological change's diagnosis targets. The strict control blood sugar, monitors the D-dimer to prevent and control diabetes complication to have certain significance.

  18. Association of CRP and D-Dimer with secondary pulmonary hypertension in patients with AECOPD%CRP及D-Dimer在慢性阻塞性肺疾病急性加重期继发肺动脉高压中的相关性

    Institute of Scientific and Technical Information of China (English)

    金丛; 黄相增

    2014-01-01

    Objective To explore the clinical significance of C-reaction protein ( CRP ) and D-Dimer levels in patients with acute exacerbation of chronic obstructive pulmonary disease ( AECOPD ) complicated by pulmonary hypertension (PH) and their association with HP. Methods Arterial blood gas and levels of CRP and D-Dimer were detected in 150 patients with AECOPD. Results Levels of CRP, D-Dimer, and PaCO2 were higher but PO2 level was lower in patients with moderate to severe PH than those with mild PH and the control subjects. Levels of CRP and D-Dimer were higher in patients with mild PH than the control subjects. Levels of CRP, D-Dimer, and PCO2 levels had a linear relationship with PASP, while PO2 was negatively correlated with PASP. Levels of CRP and D-Dimer were positively related with PCO2, while were negatively correlated with PO2. Conclusions Levels of CRP and D-Dimer can be used as an indicator for estimating the severity of pulmonary hypertension in patients with AECOPD.%目的:探讨C反应蛋白(CRP)及D-二聚体(D-Dimer)在慢性阻塞性肺疾病急性加重期(AECOPD)合并肺动脉高压( PH )患者中的临床意义及相关性。方法:150例AECOPD患者进行CRP、D-Dimer及动脉血气检测。结果:AECOPD合并中重度PH组患者CRP、D-Dimer、PaCO2水平高于轻度PH组及对照组,(P<0.05),而PaO2水平低于轻度PH组及对照组(P<0.05)。AECOPD合并轻度PH组患者CRP、D-Dimer水平高于对照组(P<0.05)。 CRP、D-Dimer、PaCO2与肺动脉收缩压(PASP)呈正相关;PaO2与PASP呈负相关;CRP、D-Dimer 与 PaCO2呈正相关;CRP、D-Dimer 与 PaO2呈负相关。结论:CRP 及 D-Dimer 水平可作为AECOPD患者判断PH严重程度的指标。

  19. Pulmoner emboli tanısında D-dimer düzeyleri ile ventilasyon/perfüzyon sintigrafisindeki bulgular arasındaki ilişki

    OpenAIRE

    Hasbek, Zekiye; Erselcan, Taner; Gül, Serdar Savaş

    2014-01-01

    Aim. Pulmonary embolism (PE) is a cardiovascular disease that the diagnosis is needed urgent recognition or exclusion, since the PE has high risk of death and anticoagulant treatment starting with suspicion of PE has high risk of bleeding. Ventilation/perfusion(V/P) scintigraphy is one of the widely used tests in suspect of PE. D-dimer is a product of fibrin degradation. However, it is not specific for acute thrombosis. The purpose of this study was to investigate the relation between number ...

  20. Comparison of PCT, CRP, D-Dimer, Lactate, TNF-α, IL-1β, IL-6 and lL-10 in Development of Systemic Inflammatory Response Syndrome and Sepsis on Patients with Isolated Head Trauma and Polytrauma

    OpenAIRE

    Emine Dağlı; Ali Aydın Altunkan; Handan Birbiçer; Gülhan Orekeci Temel

    2012-01-01

    Objective: In this study, it was aimed to compare the relationship between Glasgow Coma Scale (GKS), ISS values, PCT, CRP, D-Dimer, laktat, TNF-α, IL-1β, IL-6, IL-10 in patients with polytrauma and isolated head trauma in conjunction with SIRS and sepsis. Material and Method: Total of 68 patients (32 polytrauma, 36 isolated head trauma) aged between 18-65 years were enrolled in the study. For 7 days of follow up, the biochemical parameters were analysed on the days 0, 1, 3, 5, 7 and the IS...

  1. Sensitivität des D-Dimers zum Ausschluß venöser thromboembolischer Erkrankungen im klinischen Alltag

    Directory of Open Access Journals (Sweden)

    Lohr G

    2007-01-01

    (falsch negative Rate 1,3 %. Die Sensitivität betrug hier 98,7 %. In unserer Arbeit zeigen sich im Vergleich D-Dimere alleine und Kombination D-Dimertest/KW mit verschiedenen Scoresystemen zwar nicht signifikante Unterschiede in den falsch negativen Ergebnissen, bei allerdings geringer Fallzahl. Die falsch negative Rate von 3,8 % bei alleiniger D-Dimertestung ist bei diesen potentiell tödlichen Erkrankungen hoch. Die Sensitivität und die Sicherheit der Ausschlußdiagnostik kann durch den Einsatz von Scoresystemen in Kombination mit D-Dimertests, die nicht invasiv sind, erhöht werden, und somit eine einfache, leicht durchzuführende und optimale Ergänzung darstellen.

  2. 脊柱关节炎患者D-二聚体和纤维蛋白原检测临床意义初探%Detection and clinical significance of blood of D-Dimer and fibrinogen in spondyloarthritis

    Institute of Scientific and Technical Information of China (English)

    王育凯

    2013-01-01

    Objective To detect the clinical significance of D-Dimer and fibrinogen in the blood of spondyloarthritis (SpA) patients.Methods D-Dimer and fibrinogen of blood were detected among 50 patients with SpA,rheumatoid arthritis (RA),and systemic lupus erythematosus (SLE).further to investigate the relationship of other factors,such as patient global score (PGS),doctor global score (DGS),erythrocyte sedimentation rate (ESR),C-reactvie protein (CRP),platelet (PLT),serum ferritin (SF),and Human Leucocyte Antigen-B27 (HLA-B27).Results The titer of D-Dimer in SpA was significantly lower than that of the RA and SLE group [(535 ±748),(3477 ±4808) and (1285 ±2131) μg/L respectively,P <0.05].The level of fibrinogen in three groups was no significant difference.PGS and DGS was higher in SpA patients with positive D-Dimer and fibrinogen than those with control group (P < 0.05).The values of ESR,CRP and SF in SpA patients with positive D-Dimer and fibrinogen were significantly higher than those in patients with control group.There was positive correlation between D-Dimer and fibrinogen and ESR (r =0.37 and 0.55 respectively,P < 0.01),CRP (r =0.54 and 0.54 respectively,P < 0.01),and DGS (r =0.13 and 0.19 respectively,P<0.01).D-Dimer had positive correlation with PGS (r=0.15,P<0.01).Conclusion The level of D-Dimer and fibrinogen in the blood of SpA patients in increased,and is positively correlated with disease activities.The results indicated that the activation of coagulation-fibrinolytic system may play a role in the pathogenesis of SpA.%目的 探讨检测D-二聚体和纤维蛋白原(Fib)在脊柱关节炎(SpA)患者中的临床意义.方法 比较50例SpA、50例类风湿关节炎(RA)和50例SLE患者血中D-二聚体和Fib水平.并研究其与患者总体评分(PGS)、医生总体评分(DGS)、ESR、CRP、血小板、铁蛋白、HLA-B27等指标的关系.结果 SpA组、RA组、SLE组的血D-二聚体水平分别为(535±748)、(3 477±4 808)和(1 285±2 131

  3. Comparison of PCT, CRP, D-Dimer, Lactate, TNF-α, IL-1β, IL-6 and lL-10 in Development of Systemic Inflammatory Response Syndrome and Sepsis on Patients with Isolated Head Trauma and Polytrauma

    Directory of Open Access Journals (Sweden)

    Emine Dağlı

    2012-12-01

    Full Text Available Objective: In this study, it was aimed to compare the relationship between Glasgow Coma Scale (GKS, ISS values, PCT, CRP, D-Dimer, laktat, TNF-α, IL-1β, IL-6, IL-10 in patients with polytrauma and isolated head trauma in conjunction with SIRS and sepsis. Material and Method: Total of 68 patients (32 polytrauma, 36 isolated head trauma aged between 18-65 years were enrolled in the study. For 7 days of follow up, the biochemical parameters were analysed on the days 0, 1, 3, 5, 7 and the ISS, GCS score and growth rates of SIRS and sepsis were recorded. Results: It was demonstrated that for patients with isolated head trauma, SIRS (80.6%, sepsis (38.9% and mortality values (71.4% were higher and there is a statistically important linear and inverse relationship between ISS and GCS values (p<0.05. During sepsis and SIRS phases, CRP elevated in both groups, whereas PCT only in the polytrauma group. D-Dimer values were investigated high in both groups, but atypically decreased on day 3 in isolated head trauma group. Lactate, TNF-α and, IL-1β were within reference values, IL-6 and IL-10 values were elevated in both groups but were higher in the polytrauma group. Conclusion: Although multiple variations were detected in serum markers of pro-inflamatory and acute phase proteins, we thought that these are inadequate in predicting mortality and complications such as SIRS and sepsis.

  4. Effects of neurofeedback on the level of D-dimer in patients with cerebral infarction%脑电生物反馈对脑梗死患者D-二聚体的影响

    Institute of Scientific and Technical Information of China (English)

    刘文杰; 胡义奎

    2013-01-01

    目的 探讨超脑电生物反馈对脑梗死患者的纤溶系统指标D-二聚体(D-dimer)的影响. 方法 共选取发病72 h内入院的急性脑梗死患者126例,运用随机数字表法分为脑电生物反馈治疗组(治疗组)62例及常规治疗组(对照组)64例,2组患者均接受神经内科常规药物治疗,治疗组在常规治疗基础上给予脑电生物反馈治疗.所有患者在入院时及治疗2周后进行血浆D-二-聚体的检测及美国国立卫生院卒中量表(NIHSS)评分.结果 经2周治疗后,治疗组有效率(88.7%)明显优于常规治疗组(68.7%,P<0.05);2组患者入院时D-二聚体水平高于阴性对照组(P<0.05),2周后2组D-二聚体水平较入院时降低(P<0.05),且治疗组变化幅度较对照组显著(P<0.05). 结论 脑电生物反馈治疗能下调D-二聚体,对脑梗死患者的神经功能有显著改善作用.%Objective To investigate the effects of neurofeedback on the level of D-dimer in the patients with acute cerebral infarction. Methods All 126 patients with cerebral infarction within the first 72 h from stroke onset were randomly divided into the control group(64 cases) and therapy group(62 cases). All patients received routine treatment, and the patients in therapy group were given additional neurofeedback. In both groups, the plasma level of D-dimer was measured by double antibodies sandwich enzyme linked immunosorbent assay (ELISA) at the time of admission and 2 weeks later. According to National Institute of Health Stroke Scale (NIHSS) ,the effect was evaluated at the time of admission and 2 weeks later. Results The score of NIHSS and the level of D-dimer were significantly decreased after therapy in both groups. The efficacy in therapy group was more significant than that in control group (88. 7% vs 68. 7% ,P < 0. 05). Conclusions Neurofeedbak is effective in treating the acute cerebral infarction by decreasing the level of D-dimer.

  5. Dynamic analysis of plasma NT-ProBNP and D-dimer levels in acute pulmonary embolism%急性肺栓塞血浆NT-ProBNP与D-二聚体水平的动态分析

    Institute of Scientific and Technical Information of China (English)

    白重阳; 吕晓丽; 苏征; 辛欢; 陈颖; 李斌; 张惠中

    2014-01-01

    目的:通过检测急性肺栓塞(APE)患者溶栓前后血浆氨基末端脑钠肽前体(NT-ProBNP)、D-二聚体水平,探讨其变化特点及意义。方法60例疑似APE患者,其中经CT确诊并符合溶栓条件的APE患者40例设为实验组,经CT排除APE患者20例为对照组。测定两组治疗前及实验组溶栓治疗2周后血浆 NT-ProBNP 与D-二聚体水平并进行比较。结果 NT-proBNP检测对早期APE患者的诊断灵敏度为92.3%,特异度为65%;D-二聚体检测对早期APE患者的诊断的灵敏度为100%,特异度为70%;实验组溶栓前血浆NT-ProBNP与D-二聚体水平显著高于对照组,差异有统计学意义(P<0.01)。结论血浆NT-ProBNP与D-二聚体对APE具有重要的临床意义,可为APE患者早期诊断及疗效观察提供依据。%Objective To detect plasma amino-terminal pro-brain natriuretic peptide (NT-ProBNP) ,D-Dimer levels in the pa-tients with acute pulmonary embolism (APE) in order to investigate their change characteristics and significance .Methods Among 60 patients with suspected APE ,40 cases diagnosed by CT and meeting the thrombolytic condition were set as the experimental group and other 20 cases of excluded APE by CT as the control group .Plasma NT-ProBNP and D-dimer before treatment in the two groups and after 2-week thrombolytic therapy in the experimental thrombolysis were detected and compared .Results The diagnos-tic sensitivity of NT-ProBNP for early APE was 92 .3% and the specificity was 65% ,while the diagnostic sensitivity of D-dimer for early APE was 100% and the specificity was 70% ;the plasma NT-ProBNP and D-dimer levels before thrombolysis in the experi-mental group were significantly higher than those in the control group with statistical differences (P<0 .01) .Conclusion Plasma NT-ProBNP and D-dimer has important clinical significance for APE and can provide the basis for the early diagnosis and the cura-tive effect observation of

  6. A Method of Multi-channel Data Acquisition with Adjustable Sampling Rate

    Directory of Open Access Journals (Sweden)

    Su Shujing

    2013-09-01

    Full Text Available Sampling rate of current signal acquisition systems are singular. Aiming at this shortcoming, a method of multi-channel data acquisition(DAQ with adjustable sampling rate is presented. The method realizes the cut-off frequency of anti-aliasing filter controlled by program with the help of switched-capacitor; by independently pulsing sampling signal of different ADCs, 16-channel sampling rate are adjustable within the range 50ksps, 25ksps, 10ksps, 5ksps, 1ksps. Theoretical analysis and experimental verification pointing at the proposed method are implemented: theoretical analysis shows that parameters of the filter meet the design requirements; experimental results show that cut-off frequency of the anti-aliasing filter matches variable sampling rate very well; choosing appropriate sampling rate according to the characteristics of the measured signal not only can well restore the measured signal, but also prevents system resources from waste. This method can meet needs of testing various signals with different frequency at the same time.  

  7. The Brazilian hazard-based cut-off criteria for pesticide registration: a critical appraisal / Critérios de exclusão baseados em perigo adotados no Brasil para registro de pesticidas: Uma avalição crítica

    Directory of Open Access Journals (Sweden)

    Francisco José Roma Paumgartten

    2013-02-01

    Full Text Available Brazil, the world’s top consumer of agricultural pesticides, adopts a unique hazard-based cut-off approach to pesticide registration. Cut-off criteria for mutagenicity, carcinogenicity, teratogenicity, hormonal disturbances and damage to reproductive organs were introduced by the Pesticide Law enacted in 1989. As far as health is concerned, law enforcement is additionally regulated by rules issued by the federal health authority (National Agency for Health Surveillance – ANVISA. Contrasting to the European Union’s hazard-based cut-off criteria for pesticides, Brazilian rules do not make an exception for “negligible” exposures. Moreover, Brazilian regulations have shortcomings (e.g. no reference to relevance of Mode of Action to humans that make cut-off criteria difficult to be put into effect. The deficiencies of regulations and difficulties to consistently apply the hazard-based cut-off criteria are appraised in this article. Adoption of a risk assessment approach or cut-off criteria based on classification into the Globally Harmonized System’s hazard categories 1A and 1B is suggested. Resumo O Brasil, líder mundial do consumo de agro-químicos, adota uma singular abordagem para registro de agrotóxicos que é baseada em critérios de exclusão quanto à periculosidade. Critérios de exclusão para mutagenicidade, carcinogenicidade, teratogenicidade, distúrbios hormonais e dano a órgãos reprodutivos foram introduzidos pela Lei de Agrotóxicos promulgada em 1989. Em relação à saúde, a aplicação da lei é também regulada por portarias publicadas pela autoridade sanitária federal (Agência Nacional de Vigilância Sanitária – ANVISA. Em contraste com os critérios de exclusão baseados na periculosidade que a União Européia usa para agrotóxicos, a regulamentação brasileira não faz exceção para exposições insignificantes. Além disso, a regulamentação brasileira apresenta deficiências (e.g., não faz men

  8. Adjustment disorder

    Science.gov (United States)

    American Psychiatric Association. Diagnostic and statistical manual of mental disorders . 5th ed. Arlington, VA: American Psychiatric Publishing. 2013. Powell AD. Grief, bereavement, and adjustment disorders. In: Stern TA, Fava ...

  9. Cut-off value of waist circumference for identifying metabolic syndrome in middle-aged and elder residents in Changfeng community of Shanghai%上海市长风社区中老年人群代谢综合征腰围切点的研究

    Institute of Scientific and Technical Information of China (English)

    江孙芳; 高鑫; 任利民; 陈旭异; 赵耐青

    2008-01-01

    Objective To explore an optimal cut-off value of waist circumference(WC)for identifying metabolic syndrome(MS)in middle-aged and elder residents in an urban community.Methods Database of 1558 residents aged 40-79 years at high-risk in screening for diabetes from Changfeng community,Putuo District,Shanghai during 2005 to 2007 was used to analyze sensitivity and specificity of varied cut-off values of WC for identifying two or more components of MS in men and women,respectively.Receiver operating characteristics(ROC)curve was used to explore the optimal value.Results Optimal cut-off value of WC was 85.0 cm for men and 80.0 cm for women,respectively,for identifying two or more components of MS bv ROC curve,with sensitivity of 72.3%and 74.9%,and specificity of 50.2%and 62.2%,respectively.Based on that optimal cut-off value of WC and definition of International Diabetes Federation(IOF),prevalence of MS was 38.8%in this population,40.7%in men and 37.8%in women,respectively.Conclusion The optimal cut-off value of WC was 85.0 cm in men and 80.0 cm in women,respectively,for identifying MS in the middle-aged and eldedy in an urban community of Shanghai.%目的 探讨社区中老年人代谢综合征(MS)中腰围的适宜切点.方法 利用2005至2007年对上海市长风社区糖尿病高危人群筛查所调查的1558例40~79岁社区居民资料,分析男性和女性不同腰围水平检出腰围以外的2个及2个以上MS组分的敏感度和特异度,采用受试者工作特征(ROC)曲线寻找适宜腰围切点.结果 根据ROC曲线,检出多个NS组分的适宜腰围切点,男性为85.0 cm,女性为80.0 cm,敏感度分别为72.3%和74.9%,特异度分别为50.2%和62.2%.以该切点为基础,参照国际糖尿病联盟的MS诊断工作定义,该人群MS的检出率为38.8%,其中男性40.7%、女性37.8%.结论 上海市社区中老年人群MS适宜腰围切点为男性≥85.0 cm、女性≥80.0 cm.

  10. Influence of ACE I/D Polymorphism on Circulating Levels of Plasminogen Activator Inhibitor 1, D-Dimer, Ultrasensitive C-Reactive Protein and Transforming Growth Factor β1 in Patients Undergoing Hemodialysis.

    Directory of Open Access Journals (Sweden)

    Sara Santos de Carvalho

    Full Text Available There is substantial evidence that chronic renal and cardiovascular diseases are associated with coagulation disorders, endothelial dysfunction, inflammation and fibrosis. Angiotensin-Converting Enzyme Insertion/Deletion polymorphism (ACE I/D polymorphism has also be linked to cardiovascular diseases. Therefore, this study aimed to compare plasma levels of ultrassensible C-reactive protein (usCRP, PAI-1, D-dimer and TGF-β1 in patients undergoing HD with different ACE I/D polymorphisms.The study was performed in 138 patients at ESRD under hemodialysis therapy for more than six months. The patients were divided into three groups according to the genotype. Genomic DNA was extracted from blood cells (leukocytes. ACE I/D polymorphism was investigated by single polymerase chain reaction (PCR. Plasma levels of D-dimer, PAI-1 and TGF-β1 were measured by enzyme-linked immunosorbent assay (ELISA, and the determination of plasma levels of usCRP was performed by immunonephelometry. Data were analyzed by the software SigmaStat 2.03.Clinical characteristics were similar in patients with these three ACE I/D polymorphisms, except for interdialytic weight gain. I allele could be associated with higher interdialytic weight gain (P = 0.017. Patients genotyped as DD and as ID had significantly higher levels of PAI-1 than those with II genotype. Other laboratory parameters did not significantly differ among the three subgroups (P = 0.033. Despite not reaching statistical significance, plasma levels of usCRP were higher in patients carrying the D allele.ACE I/D polymorphisms could be associated with changes in the regulation of sodium, fibrinolytic system, and possibly, inflammation. Our data showed that high levels of PAI-1 are detected when D allele is present, whereas greater interdialytic gain is associated with the presence of I allele. However, further studies with different experimental designs are necessary to elucidate the mechanisms involved in these

  11. Salary adjustments

    CERN Document Server

    HR Department

    2008-01-01

    In accordance with decisions taken by the Finance Committee and Council in December 2007, salaries are adjusted with effect from 1 January 2008. Scale of basic salaries and scale of stipends paid to fellows (Annex R A 5 and R A 6 respectively): increased by 0.71% with effect from 1 January 2008. As a result of the stability of the Geneva consumer price index, the following elements do not increase: a)\tFamily Allowance, Child Allowance and Infant Allowance (Annex R A 3); b)\tReimbursement of education fees: maximum amounts of reimbursement (Annex R A 4.01) for the academic year 2007/2008. Related adjustments will be applied, wherever applicable, to Paid Associates and Students. As in the past, the actual percentage increase of each salary position may vary, due to the application of a constant step value and rounding effects. Human Resources Department Tel. 73566

  12. Salary adjustments

    CERN Document Server

    HR Department

    2008-01-01

    In accordance with decisions taken by the Finance Committee and Council in December 2007, salaries are adjusted with effect from 1 January 2008. Scale of basic salaries and scale of stipends paid to fellows (Annex R A 5 and R A 6 respectively): increased by 0.71% with effect from 1 January 2008. As a result of the stability of the Geneva consumer price index, following elements do not increase: a) Family Allowance, Child Allowance and Infant Allowance (Annex R A 3). b) Reimbursement of education fees: maximum amounts of reimbursement (Annex R A 4.01) for the academic year 2007/2008. Related adjustments will be implemented, wherever applicable, to Paid Associates and Students. As in the past, the actual percentage increase of each salary position may vary, due to the application of a constant step value and the rounding effects. Human Resources Department Tel. 73566

  13. Influence of different body mass index cut-off values in assessing the nutritional status of adolescents in a household survey Influência de distintos valores críticos do índice de massa corporal na avaliação do estado nutricional de adolescentes em inquérito domiciliar

    Directory of Open Access Journals (Sweden)

    Fabio da Silva Gomes

    2009-08-01

    Full Text Available The purpose of this study was to evaluate the anthropometric nutritional status of the adolescent population of Niterói, Rio de Janeiro State, Brazil, and the influence of changes in the adopted body mass index (BMI cut-offs in the nutritional status assessment of the adolescent population. A population-based survey conducted in 2003 obtained data from a probabilistic sample of 1,734 households and 523 adolescents. The multiple proportions test and prevalence ratios were used to analyze differences between estimates obtained from different BMI cut-offs. Changes in cut-off values from the old to the new recommendation of the World Health Organization (WHO resulted in a significant increase in overweight prevalence among total, male and female adolescent population (25%, 27% and 23%, respectively (p Este artigo tem por objetivo avaliar o estado nutricional antropométrico da população adolescente residente em Niterói, Rio de Janeiro, Brasil, bem como a influência das mudanças nos valores críticos de índice de massa corporal (IMC na avaliação do estado nutricional dessa população. Uma pesquisa amostral probabilística de base populacional conduzida em 2003 obteve dados de 1.734 domicílios e 523 adolescentes. Testes para múltiplas proporções e razões de prevalência foram utilizados para analisar as diferenças entre estimativas obtidas segundo distintos valores críticos de IMC. Mudanças nos pontos de corte da antiga para a atual recomendação da Organização Mundial da Saúde (OMS resultaram em aumentos significativos nas prevalências de sobrepeso entre o total de adolescentes, meninos e meninas (25%, 27% e 23%, respectivamente (p < 0,05. A proposta da International Obesity Task Force resultou em uma redução significativa de 29% e 39% na prevalência de baixo-IMC-para-idade entre o total de adolescentes e meninos, respectivamente, quando comparada à recomendação atual da OMS (p < 0,05. Foi evidenciado que uma simples

  14. Prognostic value of Ki67 and p53 in patients with estrogen receptor-positive and human epidermal growth factor receptor 2-negative breast cancer: Validation of the cut-off value of the Ki67 labeling index as a predictive factor

    Science.gov (United States)

    OHARA, MASAHIRO; MATSUURA, KAZUO; AKIMOTO, ETSUSHI; NOMA, MIDORI; DOI, MIHOKO; NISHIZAKA, TAKASHI; KAGAWA, NAOKI; ITAMOTO, TOSHIYUKI

    2016-01-01

    The aim of this study was to evaluate the significance of the Ki67 labeling index and p53 status as prognostic and predictive indicators of operable estrogen receptor (ER)-positive and human epidermal growth factor receptor 2 (HER2)-negative breast cancer. Among 697 consecutive patients with primary breast cancer who underwent curative surgery between 2002 and 2013, 308 patients with ER-positive and HER2-negative breast cancer were assessed. The results of the multivariate Cox analysis demonstrated that a high Ki67 labeling index was significantly associated with a short recurrence-free interval (RFI) (p=0.004) and was marginally associated with a worse overall survival (p=0.074). A positive p53 status was not associated with worse outcomes. To validate the cut-off values of the Ki67 labeling index for identifying patients who may benefit from additional chemotherapy, prognostic factors were investigated in breast cancer patients treated postoperatively with endocrine therapy alone. Analysis of receiver operating characteristic curves demonstrated that a Ki67 labeling index cut-off of 20.0% was optimal for predicting recurrence among patients who did not receive adjuvant chemotherapy. The 5-year RFIs for patients with Ki67 <20 and ≥20% were 97.2 and 86.6%, respectively (p=0.0244). A high Ki67 labeling index (≥20%) was significantly associated with large tumors (p<0.01), lymph node metastasis (p=0.0236) and positive p53 status (p<0.001). The univariate analysis demonstrated that Ki67 labeling index ≥20%, lymph node metastasis and progesterone receptor negativity were significant worse prognostic factors for RFI (p=0.0333, 0.0116 and 0.0573, respectively). The Ki67 labeling index was found to be a useful prognostic factor in patients with ER-positive and HER2-negative breast cancer and the cut-off values of the Ki67 labeling index for making a decision regarding adjuvant treatment were validated. PMID:27073684

  15. Research Progress on the Relationship of Coronary Heart Disease and D-dimer,Lipoprotein(a),Fibrinogen%D-二聚体、脂蛋白(a)、纤维蛋白原和冠心病关系研究进展

    Institute of Scientific and Technical Information of China (English)

    龚小鹏

    2012-01-01

    冠心病(CHD)与D-二聚体、脂蛋白(a)、纤维蛋白原(FG)有着密切的关联,CHD患者中D-二聚体、脂蛋白(a)、FG较高,但它们之间相互作用的机制仍不明确.近年来的研究显示,D-二聚体、脂蛋白(a)和FG可能参与CHD的发病过程,因此通过测定D-二聚体、脂蛋白(a)和FG在不同危险程度的CHD患者中的含量,评估它们对于CHD的发生、发展具有重要意义.%Coronary heart disease( CHD)is closely associated with D-dimer,lipoprotein( a)and fibrino-gen( FG),CHD patients have higher levels of D-dimer,lipoprotein( a),fibrinogen while the mechanism of the interaction between them remains unclear. In recent years, studies have shown that D-dimer,lipoprotein ( a )and fibrinogen may be involved in the pathogenesis of coronary heart disease, so by measuring D-dimer, lipoprotein( a )and fibrinogen level in patients with coronary heart disease is of great significance for assessing the genesis and development of CHD.

  16. 死胎患者产前母体D-二聚体水平变化的相关性研究%Correlation Study of Antepartum D-dimer Levels in Stillbirth Patients

    Institute of Scientific and Technical Information of China (English)

    王欲; 杜鹃

    2011-01-01

    目的 探讨死胎患者分娩前母体D-二聚体水平的变化.方法比较27例死胎患者和293例健康孕妇产前凝血与纤溶检验学指标的差异,分析死胎患者产前D-二聚体浓度与年龄、孕次、产次、孕周、血小板计数、凝血功能、肝脏功能等临床指标的相关性.结果死胎患者的产前母体D-二聚体水平[409(102~18 021)μg/L]高于健康孕妇[216(1O~850)μg/L](P=0.000),而凝血酶原时间、凝血酶原时间活动度、凝血酶原标准化比值、活化部分凝血酶原时间、纤维蛋白原含量、凝血酶凝结时间与健康孕妇比较无统计学差异(P>0.05).死胎患者D-二聚体水平与年龄、孕次、产次、孕周、血小板计数、凝血功能(凝血酶原时间、凝血酶原时间活动度、凝血酶原标准化比值、活化部分凝血酶原时间、纤维蛋白原、凝血酶凝结时间)、肝脏功能(白蛋白、球蛋白、谷丙转氨酶、谷草转氨酶、碱性磷酸酶、胆碱酯酶、总胆红素)等18项指标均不相关(r分别为0.114、0.239、0.174、-0.182、-0.268、-0.160、0.267、0.006、-0.131、-0.204、-0.023、-0.277、-0.069、0.165、0.249、-0.041、-0.103、-0.016,P均>0.05).结论死胎患者分娩前D-二聚体水平升高,母体血液不但呈高凝状态,继发性纤维蛋白溶解也增强.%Abstract Objective To investigate the antepartum variation of D-dimer in stillbirth patients. Methods We compared the indicators of coagulation and fibrinolysis between stillbirth pregnant women (n = 27) and normal pregnant women (n = 293), and analysed the correlation between antepartum D-dimer concentration and maternal age, gravidity, parity, gestational weeks,platelet count,coagulation function,liver function in stillbirth patients. Results D-dimer concentration in stillbirth pregnant women were higher than that in normal pregnant women (P = 0.000), and there was no statistical difference in prothrombin time, prothrombin time activity

  17. Clinical study on lysophospholipids acid, D_dimers detection in the prediction of progress and application effect of cerebral apoplexy%溶血磷脂酸、D-二聚体检测预测进展性脑卒中的临床应用研究

    Institute of Scientific and Technical Information of China (English)

    胡红晓

    2014-01-01

    Objective:To study the lysophospholipids acid , D_dimers detection in the prediction of progress and application effect of cerebral apoplexy .Methods:Our hospital in April 2012 to April 2013 were 35 patients with progressive stroke ( research group ) , physical examination, 35 cases (control group) as the research object, research on two groups of objects of D -dimer, lysophosphatide acid level testing and comparison .Results:The group D -dimer level of patients >75 mu g/L, positive;Control the research object of D -dimer level <75 mu g/L, negative;Group patients were lysophospholipids , D -dimer acid average levels were significantly higher than that of control group, P <0.05).Conclusion:D -dimer, lysophosphatide acid was an important molecular markers of early thrombosis in vivo, by detecting D -dimer, lysophosphatide acid levels , could provide effective basis for clinical prediction progress sex stroke .%目的:探讨溶血磷脂酸、D-二聚体检测在预测进展性脑卒中的应用效果。方法:选取我院在2012年4月~2013年4月收治的进展性脑卒中患者35例(研究组)、健康体检者35例(对照组)作为研究对象,对2组研究对象的D-二聚体、溶血磷脂酸水平进行检测、比较。结果:研究组患者的D-二聚体水平均>75μg/L,呈阳性;对照组研究对象的D-二聚体水平均<75μg/L,呈阴性;研究组患者的溶血磷脂酸、D-二聚体平均水平均显著高于对照组,P<0.05。结论:D-二聚体、溶血磷脂酸是体内早期血栓形成的重要分子标志物,通过检测D-二聚体、溶血磷脂酸水平,可为临床预测进展性脑卒中提供有效依据。

  18. Determination and Application of the cut-off values of RBC Indexes in Screening for Silent α-Thalassemias Carriers%静止型α-地中海贫血红细胞指标临界值的确定及其应用

    Institute of Scientific and Technical Information of China (English)

    汪伟山; 周玉球; 张永良; 肖奇志

    2011-01-01

    Objective To investigate the cut-off values of RBC indexes in screening silent alpha-thalassemias carriers and to evaluate clinical application of the cut-off values. Methods RBC indexes of 77 cases with silent α-thalassaemia and 151 healthy adults (as normal control group)were retrospected,β-thalassaemias and iron deficiency were excluded in the above mentioned individuals.The receiver operating characteristic(ROC)curve was used for identifying the useful RBC index and determining the cut-off values in the screening for silent α-thalassaemias. Results (1)The area under ROC curve of MCV、MCH、MCHC were 0. 857、0. 858 and 0. 740, respectively. Those indexes were of value to screen for silent α-thalassaemias carriers; (2)The cut-off values of MCV、 MC H、MCHC were 82.0 fl and 28.0pg as well as 341.5 g/L; (3)The sensitivity and specificity of the parallel test of either MCV or MCH were 93. 5 % and 72.8 %, respectively. Five silent α-thalassemia carriers failed to detect by the parallel test, resulting in a rate of 6.49%(5/77) for failure of detection, the risk of failure of detection was decreased 12 times when compared with recommended standard by TIF. They were much better than other tests. Conclusion The parallel test of either MCV≤82.0 fl or MCH≤28.0 pg can screen silent α-thalassaemia carriers effectively. The results provide the scientific basis of clinical value for clinics performing genetic counseling in the high prevalent area of thalassaemia,especially in the areas where thalassaemias can not be genotyped.%目的 探讨并评估红细胞相关指标及其临界值用于筛查静止型α-地中海贫血(α-地贫)的临床价值.方法 以77例单纯性静止型α-地贫患者和151例健康成人为研究对象,采用受试者工作特征曲线(ROC曲线)确定静止型α-地贫筛查指标及其临界值.结果 MCV、MCH、MCHC的 ROC曲线下面积分别为0.857,0.858,0.740,均有筛查价值,其最佳临界值分别为82.0 fl、28

  19. Rendimento da pupunheira em função da densidade de plantio, diâmetro de corte e manejo dos perfilhos no Vale do São Francisco Effect of density, cut-off diameter classes and shoot number on production and yield of irrigated plant peach palm at San Francisco River Valley

    Directory of Open Access Journals (Sweden)

    José Egidio Flori

    2004-02-01

    Full Text Available Com o objetivo de avaliar o rendimento de palmito de pupunheira irrigada em função da densidade de plantio, diâmetro de corte do estipe e o manejo dos perfilhos, instalou-se um experimento na Estação Experimental de Bebedouro da Embrapa Semi-Árido, Petrolina, PE. O delineamento utilizado foi de blocos ao acaso em parcelas subdivididas, sendo as parcelas constituídas por dois espaçamentos (2,0 x 1,0 m - E1 e 2,0 x 2,0 m - E2 e as subparcelas em arranjo fatorial 2 x 2, compreendendo dois manejos de perfilhos e duas classes de diâmetros de corte. As colheitas foram feitas a partir de 16 meses até os 69 meses após o plantio e realizadas com intervalos consecutivos de mais ou menos três meses. Pelos resultados, evidenciaram-se efeitos significativos para espaçamento, manejo de perfilhos e classe de diâmetro de corte. Não foram constatadas interações entre os tratamentos. Houve efeito significativo de espaçamento sobre o rendimento, diâmetro de corte, comprimento e peso médio do palmito. O rendimento e o peso do palmito da pupunheira foram de 545 e 434 kg ha-1 ano-1 e 147 g e 180 g nos espaçamentos E1 e E2, respectivamente. O diâmetro de corte afetou a altura da planta e peso médio do palmito. O manejo de perfilho afetou o rendimento e o peso médio do palmito, com 532 e 446 kg ha-1 e 177 e 149 g de palmito, respectivamente, no manejo de quatro e todos os perfilhos por planta. Pelos resultados, infere-se, como orientação técnica para os produtores de áreas irrigadas do Submédio São Francisco, o cultivo da pupunha no espaçamento de 2 m x 1 m, o manejo de quatro perfilhos por planta e o corte da planta com diâmetro variando de 10 a 12 cm, a 30 cm do nível do solo.The objective of this experiment was to evaluate the effect of planting density, cut-off diameter classes and shoot number on heart of palm production on irrigated peach palm. The experimental layout was a randomized split-plot design with a factorial arrangement

  20. The cut-off value of waist-to-height ratio in detecting central obesity in Chinese adult population%中国成人中心性肥胖腰围身高比值的适宜切点的研究

    Institute of Scientific and Technical Information of China (English)

    赵连成; 李莹; 彭亚光; 张林峰; 郭敏; 武阳丰

    2012-01-01

    目的 探讨我国中年人群腰围身高比值(WHtR)诊断中心性肥胖的适宜切点.方法 选用国家“八五”和“九五”攻关课题的两次横断面调查,共30 630名35~59岁人群资料,比较不同WHtR切点对高血压、空腹血糖异常、血清总胆固醇升高(高TC)、血清高密度脂蛋白胆固醇降低(低HDL-C)以及危险因素聚集(危险因素个数≥2)的检出效果,并分析各危险因素及其聚集的人群归因危险度.结果 预测4种危险因素的WHtR最佳切点范围在0.48~0.52,预测危险因素聚集的WHtR最佳切点在男性、女性及男女合并人群中分别为0.49、0.50及0.49.人群WHtR控制在0.50以下,叮防止人群中约2/5的高血压,1/5空腹血糖异常和高TC,1/3的低HDL-C,以及约一半的危险因素聚集.结论 WHtR为0.50可作为我国中年人群中心性肥胖评价的适宜切点.以“腰围不超过身高一半”作为体重控制理念,促进心血管病的预防.%Objective To explore the optimal cut-off value of waist-to-height ratio (WHtR) in detecting the central obesity in Chinese adult population. Methods A total of 30630 participants aged 35-59 from different areas in mainland China were surveyed for cardiovascular diseases risk factors in two independent cross-sectional studies that carried out in 1992-1994 and 1998, respectively. The sensitivity, specificity, positive and negative predictive value and Youden's index for hypertension, abnormal glucose, high serum total cholesterol (high TO, low serum high density lipoprotein cholesterol (low HDL-C) and clustering of risk factors ( number≥ 2 ) were calculated to evaluate the efficacy of detecting central obesity. The population attributable risk proportion was also used to analyze the public health signification of the optimal cut-off value. Results The optimal cut-off values of WHtR for 4 risk factors (hypertension, abnormal glucose, high TC, low HDL-C) ranged from 0.48 - 0.52. Moreover, the optimal values

  1. D-Dimer plasma levels in patients with coronary artery disease Níveis plasmáticos de Dímero D em pacientes com doença arterial coronariana

    Directory of Open Access Journals (Sweden)

    Luciana M. Lima

    2006-12-01

    Full Text Available We have previously reported that prothrombin fragment 1+2 levels were not associated to the presence or severity of coronary artery disease (CAD and do not provide further information on subjects with CAD diagnosed by angiography. Thus, in the present study another marker of hypercoagulability was evaluated in the same subjects. This study aimed at determining D-Dimer plasma levels in a group of subjects undergoing coronary angiography to establish a likely relation between this parameter and the severity of CAD. D-Dimer plasma levels were determined in 17 subjects with no coronary atheromatosis (controls, 12 subjects with mild/moderate atheromatosis and 28 subjects with severe atheromatosis. No significant differences were observed among the three groups. Data analysis enables an inference on a tendency towards an increase in fibrinolytic activity in patients with atheromatosis, reflected by the increase in D-Dimer concentrations in the severe atheromatosis group in subjects with CAD diagnosed by coronary angiography.Em estudo prévio, os níveis plasmáticos do fragmento 1+2 da protrombina não foram associados com a presença ou com a gravidade da doença arterial coronariana (DAC, não trazendo benefício adicional pelo menos em indivíduos com diagnóstico de DAC estabelecido por angiografia. Desta forma, neste estudo outro marcador de hipercoagulabilidade foi avaliado nos mesmos pacientes. O presente estudo teve como objetivo determinar os níveis plasmáticos do dímero D de um grupo de indivíduos submetidos à angiografia coronariana, buscando estabelecer a possível correlação entre este parâmetro e a gravidade da DAC. Os níveis plasmáticos do dímero D foram determinados em amostras de sangue de 17 indivíduos com ausência de ateromatose nas coronárias (controles, 12 indivíduos apresentando ateromatose leve/moderada e 28 indivíduos apresentando ateromatose grave. Não foram encontradas diferenças estatisticamente

  2. Effect of Tongmai Jiangzhi Oral Liquid (通脉降脂口服液) on Serum P-selectin,von Willebrand Factors and D-Dimer in Patients with Atherosclerosis

    Institute of Scientific and Technical Information of China (English)

    沈晓君; 史云菊; 王玲

    2004-01-01

    Objective: To explore the role of cytokines on the pathogenesis of atherosclerosis, and the lectins (Ps), von Willebrand (vWF), and D-dimer (D-D) in atherosclerosis (AS) patients. Methods: Sixtythree AS patients were randomly divided into the treated group ( n = 33, treated with TMJZ, 10 ml each time, three times a day) and the control group (n = 30, treated with Lovastatin, 10 mg, once daily). The levels of serum lipids (enzymatic methods), Ps, vWF, and D-D were measured before and after 8 weeks of treatment. Results: Serum total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), apo-protein B-100 (apoB-100) were significantly decreased (P<0.05 or P< 0.01) and high-density lipoprotein cholesterol (HDL-C) was significantly raised (P<0.05) after TM JZ treatment. Serum Ps,vWF, and D-D also declined (P<0.05) after treatment. There was no significant difference between the treated and the control groups in these parameters except serum HDL-C level. Conclusion: TMJZ has good therapeutic effect in regulating serum lipids, improving endothelial cell function, inhibiting activation of platelets, and preventing the disturbance of blood coagulation/fibrinolysis function in patients with AS.

  3. 慢性支气管炎合并肺炎患者血浆中D-二聚体检测的临床意义%Clinical significance of plasma D-dimer detection in chronic bronchitis complicated with pneumonia patients

    Institute of Scientific and Technical Information of China (English)

    刘海波

    2015-01-01

    目的:探讨慢性支气管炎合并肺炎患者血浆中D-二聚体检测的临床意义。方法慢性支气管炎急性发作合并肺炎患者64例和肺栓塞患者30例,对其D-二聚体进行快速定量测定。结果慢性支气管炎急性发作合并肺炎患者和肺栓塞患者D-二聚体差异无统计学意义(P>0.05)。结论检测D-二聚体为判断慢性支气管炎是否合并肺部感染有一定的意义,且有助于判断炎症的轻重及病情变化。%Objective To investigate clinical significance of plasma D-dimer detection in chronic bronchitis complicated with pneumonia patients.Methods There were 64 cases of chronic bronchitis acute attack complicated with pneumonia and 30 cases of pulmonary embolism. Rapid quantitative determination was made for D-dimer in all patients.Results The difference of D-dimer had no statistical significance between chronic bronchitis acute attack complicated with pneumonia patients and pulmonary embolism patients (P>0.05). Conclusion Detection of D-dimer provides certain value for judging whether chronic bronchitis is complicated with pulmonary infection. This method is also helpful to judging status of inflammation and disease.

  4. Determinación del valor umbral de tamizaje de la glicemia en ayunas, para identificar la intolerancia a los carbohidratos, en mujeres con síndrome de ovarios poliquísticos Determination of fasting plasma glucose cut-off valuefor the identification of abnormal carbohydrate tolerance in women with polycystic ovarian syndrome

    Directory of Open Access Journals (Sweden)

    Yai-Linn Chang

    2012-12-01

    Full Text Available Objetivo: determinar el valor predictivo de la glucosa en ayunas, para identificar intolerancia a los carbohidratos en pacientes con síndrome de ovario poliquístico. Materiales y métodos: a 100 mujeres con diagnóstico de síndrome de ovario poliquístico, se les realizó una prueba de tolerancia a 75 g de glucosa. Resultados: la sensibilidad para una cifra umbral de 101 mg/dl, fue de un 41,7%, IC 95%: 23% - 63%, y la especificidad de un 92,1%, IC95 %:83% - 97%. Con un valor predictivo positivo del 62,5%, y negativo del 83,3%.El valor de corte óptimo fue de 93mg /dl, con una sensibilidad del 75%, IC 95%: 53%-89%, y una especificidad del 73,7%, IC 95%: 62%-83%. La cifra de corte umbral óptima de la glicemia en ayunas para el tamizaje de intolerancia en mujeres con SOPQ, fue de 93 mg/dl. Conclusiones: las recomendaciones actuales para diagnosticar intolerancia a los carbohidratos, en mujeres con síndrome de ovario poliquístico, no son apropiadas.Objective: To determine the predictive value of fasting glucose to identify abnormal carbohydrate tolerance in patients with polycystic ovary syndrome. Materials and methods: 100 women diagnosed with polycystic ovary syndrome underwent a tolerance test toa 75 gdose of glucose. Results: Sensitivity for a threshold value of 101 mg/dl was 41.7% (95% C.I.: 23% - 63% and specificity 92.1% (95% C.I.: 83% - 97%; with a positive predictive value of 62.5% and a negative predictive value of 83.3%. The optimum cut-off value was 93 mg/dL, with a sensitivity of 75% (95% C.I.: 53% - 89% and a specificity of 73.7% (95% C.I.: 62% - 83%. The optimum fasting plasma glucose cut-off value for intolerance in women with PCOS was 93md/dL. Conclusions: The current recommendations for diagnosing abnormal carbohydrate tolerance in women with polycystic ovary syndrome are not appropriate.

  5. Approaches for predicting long-term sickness absence. Re: Schouten et al. "Screening manual and office workers for risk of long-term sickness absence: cut-off points for the Work Ability Index".

    Science.gov (United States)

    van Amelsvoort, Ludovic Gpm; Jansen, Nicole W H; Kant, I Jmert

    2015-05-01

    an overestimation of the predictive value. A methodological approach of related issues is provided in the works of Glymour et al (5) and Hamilton et al (6). This phenomenon is even more clearly illustrated by the predictive properties of the workability index, as described by Alavinia et al (7, page 328), which reported that "when adjusted for individual characteristics, lifestyle factors, and work characteristics, two dimensions of the WAI were significant predictors for both moderate and long durations of sickness absence: (i) the presence of sickness absence in the past 12 months prior to the medical examination and (ii) experienced limitations due to health problems." So, when applied to the study by Schouten et al (1), this means that most of the predictive value would be related to the factors "sickness absence in the past 12 months". In addition, we object to the use of the term "screening" in the Schouten et al study as it includes workers with the intended outcome (long-term sickness absence). One can identify three separate aims to study the longitudinal association between risk factors and subsequent long-term sickness absence: (i) to establish causal risk factors for long-term sickness absence, often to find clues for primary preventive strategies (beyond the scope here); (ii) to identify high-risk workers who are still at work and might benefit from an intervention before sickness absence occurs (secondary prevention); and (iii) to identify workers on sick leave who might suffer a below-average return-to-work rate or have a high risk for the recurrence of (long-term) sickness absence and might benefit from intensification or optimization of the return-to-work process (tertiary prevention). In this light, one needs to separate screening instruments from predictive instruments and reserve the term "screening" for the situation as defined by Wilson and Junger (8, page 7): "The object of screening for disease is to discover those among the apparently well

  6. Imaging of deep venous thrombosis in patients using a radiolabelled anti-D-dimer Fab' fragment ({sup 99m}Tc-DI-DD3B6/22-80B3): results of a phase I trial

    Energy Technology Data Exchange (ETDEWEB)

    Macfarlane, David [University of Queensland, School of Medicine, Brisbane (Australia); Socrates, Angelides; Larcos, George [University of Sydney, Department of Medicine, Sydney (Australia)]|[Westmead Hospital, Department of Nuclear Medicine and Ultrasound, Westmead (Australia)]|[Westmead Hospital, Centre for Biomedical Imaging and Research, Westmead (Australia); Eisenberg, Paul [Amgen Inc, Thousand Oaks, CA (United States); Roach, Paul [University of Sydney, Department of Medicine, Sydney (Australia)]|[Royal North Shore Hospital, Nuclear Medicine, St. Leonards (Australia); Gerometta, Michael [Agen Biomedical Pty Ltd, Brisbane (Australia); Smart, Richard; Tsui, Wendy [St. George Hospital, Nuclear Medicine Department, Sydney (Australia)]|[University of New South Wales, Department of Medicine, Sydney (Australia); Scott, Andrew M. [Austin Hospital, Centre for PET, Melbourne (Australia)]|[Ludwig Institute, Melbourne (Australia)

    2009-02-15

    {sup 99m}Tc-DI-DD3B6/22-80B3 (ThromboView registered, hereafter abbreviated to {sup 99m}Tc-DI-80B3 Fab') is a radiolabelled humanised monoclonal Fab' fragment with affinity and specificity for D-dimer domains of cross-linked fibrin. Detection of thromboembolic events has been demonstrated in canine models. The study objectives were evaluation of safety and characterisation of biodistribution, immunogenicity and pharmacokinetic profile of increasing doses of {sup 99m}Tc-DI-80B3 Fab' in subjects with acute lower-limb DVT. Twenty-six patients with acute lower limb DVT were enrolled. Of these, 21 received a single intravenous dose of 0.5 mg (n = 6), 1.0 mg (n = 9) or 2 mg (n = 6) {sup 99m}Tc-DI-80B3 Fab'. Blood and urine samples and gamma camera images were collected to 24 h after administration for pharmacokinetic and dosimetry analysis. Vital signs, electrocardiography, hematological and biochemical data and human anti-human antibody (HAHA) levels were monitored for up to 30 days following administration. Patients were assigned to either planar or single photon emission computed tomographic (SPECT) imaging of the thorax at 4 h following injection. Thirty-five adverse events were reported in 15 of the 21 subjects. Those deemed possibly related to administration of {sup 99m}Tc-DI-80B3 Fab' included mild hypertension, mild elevation of LD (lactate dehydrogenase) and moderate elevation of ALT (alanine transaminase). HAHA assays remained negative. Pharmacokinetics and organ dosimetry were comparable to prior normal volunteer data. Localisation of Thromboview registered to sites of known thrombus was evident as early as 30 min post-injection. In subjects with acute DVT, {sup 99m}Tc-DI-80B3 Fab' was well tolerated with favourable characteristics for the detection of acute venous thrombosis. (orig.)

  7. The Value of D-dimer and Fibrinogen in the Diagnosis of Coronary Artery Disease%血浆D-二聚体和纤维蛋白原检测在冠心病临床诊断中的价值

    Institute of Scientific and Technical Information of China (English)

    陈高科

    2014-01-01

    Objective:To study the significance of detection of plasma D-dimer and fibrinogen in the diagnosis of coronary artery disease.Method:The level of plasma D-dimer and fibrinogen of 108 patients with different types of coronary artery diseases and 62 health people from May 2011 to Dec 2012 were detected. The results of plasma D-dimer and fibrinogen were analyzed.Result:The levels of plasma D-dimer and fibrinogen of acute myocardial infarction(AMI) patients were higher than those of healthy people,unstable angina pectoris(UAP) and stable angina pectoris(SAP) patients(P0.05).Conclusion:The detection of plasma D-dimer and fibrinogen contribute to the diagnosis and typing of coronary heart disease.%目的:研究血浆D-二聚体和纤维蛋白原检测在冠心病临床诊断中的意义。方法:对2011年5月-2012年12月在笔者所在医院就诊的108例不同类型的冠心病患者及62例正常体检者的血浆D-二聚体及纤维蛋白原水平进行检测,分析D-二聚体及纤维蛋白原检测结果在冠心病临床诊断中的意义。结果:急性心肌梗死患者的D-二聚体及纤维蛋白原水平高于正常体检者、不稳定型心绞痛患者和稳定型心绞痛组患者,差异均有统计学意义(P0.05)。结论:临床血浆D-二聚体及纤维蛋白原水平的检测有助于冠心病分型诊断。

  8. 血浆D-二聚体及纤维蛋白原在非小细胞肺癌患者围术期监测中的应用价值%Value of plasma D-dimer,fibrinogen levels monitoring in non-small cell lung cancer patients in perioperative period

    Institute of Scientific and Technical Information of China (English)

    江吕泉; 高坤祥; 郑建; 陈建; 吴昊; 陈林松

    2013-01-01

    Objective Bleeding or thrombotic diseases are easily to be found in non - small cell lung cancer ( NSCLC ) patients, because the equilibrium of their coagulation system might be disturbed due to tumor burden or surgical injury. In the study, we studied the value of plasma D - dimer and fibrinogen levels monitoring in patients with non - small cell lung cancer before and after surgery. Methods The plasma D - dimer and fibrinogen levels were measured in 254 patients with non - small cell lung cancer and 52 patients with benign lung tumor, and then we followed up to record the D - dimer and fibrinogen levels change in postoperative patients. Results The plasma levels of D - dimer and fibrinogen in non - small cell lung cancer patients were found to be significantly higher than those in patients with benign lung tumor ( P < 0. 01). Significant differences in D - dimer and fibrinogen levels were found among different stages of non - small cell lung cancer ( P < 0. 01 ) , which suggested that coagulation and fibrinolysis dysfunction in patients with non - small cell lung cancer aggravated along with the progression of disease. The D - dimer and fibrinogen levels kept at a high level or rose suddenly after a transient decrease in 15 patients who had thrombotic diseases after operation. Conclusions Monitoring the plasma D - dimer and fibrinogen levels in patients with non - small cell lung cancer before and after operation helps find out those who have high risk of thrombotic diseases and preventing thrombtic disease after operation. It also helps us to strive for early prevention, early diagnosis,early treatment,nd to improve the prognosis of the patients.%目的 探讨血浆D-二聚体及纤维蛋白原(fibrinogen,FIB)在非小细胞肺癌患者手术前、后监测中的应用价值.方法 测定254例非小细胞肺癌患者和52例肺部良性肿瘤患者血浆D-二聚体及FIB水平,对其术后D-二聚体及FIB变化进行随访监测.结果 非小细胞肺癌组

  9. Correlative Analysis of the Relationships and Differences on D-dimer, Fibrinogen and Antithrombin Ⅲ Between Varied Clinical Periods of Cerebral Infarction%D-D、Fb和AT-Ⅲ在脑梗死不同时期的变化及相关性分析

    Institute of Scientific and Technical Information of China (English)

    徐威香; 武蓉珍; 胡晓蕾

    2012-01-01

    目的:探讨血浆D-二聚体(D-D)、纤维蛋白原(Fb)和抗凝血酶Ⅲ(AT-Ⅲ)在脑梗死(CI)不同时期的变化及其临床意义.方法:根据临床特征,对260例CI患者进行分组,其中CI急性期组80例、进展期组41例、非进展期组65例、康复期组74例;90例体检健康者为正常对照组.采用SYSMEX CA7000血凝仪分别检测其血浆D-D、Fb和AT-Ⅲ水平.结果:CI急性期、进展期、非进展期患者D-D、Fb含量均明显高于正常对照组(P<0.01),AT-Ⅲ低于正常对照组(P<0.01);脑梗死组中,D-D与AT-Ⅲ呈负相关(P<0.01),D-D与Fb呈正相关(P<0.01),AT-Ⅲ与Fb无相关性.结论:CI患者D-D、Fb、AT-Ⅲ变化显著,D-D升高伴随AT-Ⅲ含量降低,提示D-D、Fb、AT-Ⅲ共同参与了梗死发生发展的病理生理过程,可作为CI临床危险分级和病情监测的指标.%Objective To investigate the differences and its clinical significance of D-dimer, fibrinogen and antithrombin Ⅲ between varied clinical periods of cerebral infarction( CI). Methods 328 CI patients were rolled into the study, and they were divided into four groups due to their different clinical periods as follows: group acute period (80) , group progressing(41) , group non-pro-gressing(65) , group convalescence(74). And, 90 healthy volunteers were rolled into the normal control group. Their plasma D-dimer, fibrinogen and antithrombin HI were detected on SYSMEX CA7000 automatic coagulation analyzer. Results D-dimer and fibrinogen of CI patients in the acute, progressing and non-progressing periods were significantly higher (P <0.01) than those of healthy volunteers, while antithrombin Ⅲ of them was significantly lower (P<0.01) than that of healthy volunteers. In CI patients, D-dimer correlated negatively with antithrombin Ⅲ, while positively with fibrinogen. No significant relationship was observed between antithrombin Ⅲ and fibrinogen. ConclUSin D-dimer, fibrinogen and antithrombin Ⅲ of CI patients varied significantly

  10. On the Cut-off Point for Combinatorial Group Testing

    DEFF Research Database (Denmark)

    Fischer, Paul; Klasner, N.; Wegener, I.

    1999-01-01

    The following problem is known as group testing problem for n objects. Each object can be essential (defective) or non-essential (intact). The problem is to determine the set of essential objects by asking queries adaptively. A query can be identified with a set Q of objects and the query Q is an...

  11. Man Cuts Off Penis in Fit of Religious Fervor

    Institute of Scientific and Technical Information of China (English)

    朱土英

    2002-01-01

    一位菲律宾的男子自残,用利刃割下了自己的阳物。主要原因是其妻离他而去。到首都马尼拉去做保姆(housemaid)了。他想象自己的阳物正像眼镜蛇一样逼近其他女性(his penis as a"cobra"(眼镜蛇)drawing him towardwomen),而《马太福音》曾云:If your hand or your foot causes you to sin,cut it offand throw it away.于是,此君对自己下了“毒手”。可幸的是,手术成功,割下的阳物又被接上。只是短了20%……

  12. A cut-off tubular geometry of loop space

    CERN Document Server

    Mukhopadhyay, Partha

    2014-01-01

    Motivated by the computation of loop space quantum mechanics as indicated in [7], here we seek a better understanding of the tubular geometry of loop space ${\\cal L}{\\cal M}$ corresponding to a Riemannian manifold ${\\cal M}$ around the submanifold of vanishing loops. Our approach is to first compute the tubular metric of $({\\cal M}^{2N+1})_{C}$ around the diagonal submanifold, where $({\\cal M}^N)_{C}$ is the Cartesian product of $N$ copies of ${\\cal M}$ with a cyclic ordering. This gives an infinite sequence of tubular metrics such that the one relevant to ${\\cal L}{\\cal M}$ can be obtained by taking the limit $N\\to \\infty$. Such metrics are computed by adopting an indirect method where the general tubular expansion theorem of [12] is crucially used. We discuss how the complete reparametrization isometry of loop space arises in the large-$N$ limit and verify that the corresponding Killing equation is satisfied to all orders in tubular expansion. These tubular metrics can alternatively be interpreted as some n...

  13. [ANTHROPOMETRIC PARAMETERS' CUT-OFF POINTS FOR DIAGNOSIS OF SARCOPENIA].

    Science.gov (United States)

    Canda Moreno, Alicia S

    2015-08-01

    Introducción: la sarcopenia es un síndrome caracterizado por baja masa muscular junto con pérdida de fuerza y/o disminución del rendimiento físico. Debido al envejecimiento de nuestra población, se ha producido un aumento de su prevalencia relacionada con la edad, a la que se suman otros factores causados por ciertas enfermedades o la malnutrición. Objetivo: ofrecer una herramienta para el diagnóstico de sarcopenia que determine de forma accesible la pérdida de masa muscular. Material y métodos: se realizó un protocolo antropométrico estandarizado en 883 varones y 506 mujeres, sanos y activos, de edad entre 20 y 39 años. Se calcularon los siguientes índices de desarrollo muscular: perímetros (brazo, antebrazo, muslo y pierna), perímetros corregidos (brazo, muslo y pierna), áreas musculares transversales (CSA de brazo, muslo y pierna) y masa muscular total (kg), en porcentaje (%) y relativa a la talla (kg/m2) mediante la ecuación de Lee. Se fijó como punto de corte el percentil 2,5 (rango inferior del 95% del intervalo de confianza) para las variables estudiadas. Resultados: se encontraron diferencias significativas (p < 0,0001) entre varones y mujeres en todos los indicadores. Los valores del punto de corte de diagnóstico de baja masa muscular fue en varones de 9,1 kg/m2, y en mujeres de 7,3 kg/m2. Y para las CSA (cm2) varón vs. mujer: brazo, 37,7 vs. 24,2; muslo, 154,3 vs. 115,8; y pierna, 78,8 vs. 60,2. Conclusiones: existe dimorfismo sexual que exige criterios diagnósticos diferenciados. La técnica antropométrica puede servir como screening de sarcopenia en el estudio de grandes poblaciones.

  14. The UV cut-off and trans-Planckian physics

    International Nuclear Information System (INIS)

    Full text: Physics at ultra high energies, far above those presently probed, is unknown. It is expected that modifications of the field equations become relevant at some point. Besides, it would be positive if field modes could get less relevant as bigger energies are at play. Many possible approaches to this subject, based either on some kind of refashioning of the laws of Physics, like String Theory and remaking of gravity, or on pure phenomenological grounds, are being now discussed. There does not seem to be a consensus in the literature concerning the possible outcome of these changes, nor in the near future. Moreover, one must find some observable effect of this new Physics. As such energies are not reached by experiments at hand, one needs to seek for results relevant at low energies. We address the possibility of introducing an Ultraviolet attenuation of the occupation of high modes by verifying its effects on inflationary perturbations and Hawking radiation. We consider the changes to be the outcome of an unknown modification of the physics at very high energies (Trans-Planckian Physics). The spectrum of inflationary perturbations is shown to be in agreement with observations, and the consequences for the Hawking radiation are being analyzed. (author)

  15. Jealous Wife Cuts Off Husband’s Testicle

    Institute of Scientific and Technical Information of China (English)

    杨芳

    2001-01-01

    本文提供了一个有用的表达:extra-marital affair(婚外恋),本文提供了一个惊人的案例:香港一女子把不忠诚的丈夫的一个睾丸割掉了,本文还提供了一个不争的事实:婚外恋苦人害己!】

  16. Tentative Colistin Epidemiological Cut-Off Value for Salmonella spp

    DEFF Research Database (Denmark)

    Agersø, Yvonne; Torpdahl, Mia; Zachariasen, Camilla;

    2012-01-01

    The objective of this research was to determine minimal inhibitory concentration (MIC) population distributions for colistin for Salmonella on subtype level. Furthermore, we wanted to determine if differences in MIC for colistin could be explained by mutations in pmrA or pmrB encoding proteins...... involved in processes that influence the binding of colistin to the cell membrane. During 2008–2011, 6,583 Salmonella enterica subsp. enterica isolates of human origin and 1931 isolates of animal/meat origin were collected. The isolates were serotyped, and susceptibility was tested towards colistin (range...... 1–16 mg/L). Moreover, 37 isolates were tested for mutations in pmrA and pmrB by polymerase chain reaction (PCR) and DNA sequencing. MIC distribution for colistin at serotype level showed that Salmonella Dublin (n=198) followed by Salmonella Enteritidis (n=1247) were less susceptible than “other...

  17. Cosmic Rays from the Ankle to the Cut-Off

    CERN Document Server

    Kampert, Karl-Heinz

    2014-01-01

    Recent advances in measuring and interpreting cosmic rays from the spectral ankle to the highest energies are briefly reviewed. The prime question at the highest energies is about the origin of the flux suppression observed at E ~ 4x10^{19} eV. Is this the long awaited GZK-effect or the exhaustion of sources? The key to answering this question will be provided by the largely unknown mass composition at the highest energies. The high level of isotropy observed even at the highest energies challenges models of a proton dominated composition if extragalactic magnetic fields are on the order of a few nG or less. We shall discuss the experimental and theoretical progress in the field and the prospects for the next decade.

  18. AGASA energy spectrum and the GZK cut-off

    Energy Technology Data Exchange (ETDEWEB)

    Capdevielle, J.N.; Cohen, F. [APC Astroparticules et Cosmologie, Univ. de Paris 7, 10 rue Alice Domont et Leonie Duquet, 75205 Paris (France); Szabelska, B.; Szabelski, J. [The Andrzej Soltan Institute for Nuclear Studies, Cosmic Ray Laboratory 90-950 Lodz 1, POBox 447 (Poland)

    2009-12-15

    We discuss primary CR energy estimations for very large surface EAS experiments. We show that the procedure of energy determination via the relation to particle densities at 600 m from the shower axis, rho{sub 600}, requires a specific treatment for inclined cascades when the maximum of EAS development is close to the array. As follows from simulations and cascade theory, using an exponential function for rho{sub 600} conversion from inclined to vertical showers is no longer valid and leads to an overestimate of the primary energy. We present a procedure to reconstruct the primary spectrum that can reduce the discrepancy between the results of fluorescence experiments and surface arrays.

  19. Adjustments and Depression

    Medline Plus

    Full Text Available ... to my SCI? How do I deal with depression and adjustment to my SCI? ☷ ▾ Page contents The ... the moment you are injured. Understanding adjustment and depression Adjustment to paralysis is a process of changing ...

  20. Avaliação do desempenho diagnóstico e do valor de corte para o índice de respiração rápida e superficial na predição do insucesso da extubação Evaluation of the diagnostic performance and cut-off value for the rapid shallow breathing index in predicting extubation failure

    Directory of Open Access Journals (Sweden)

    Aline Roberta Danaga

    2009-06-01

    Full Text Available OBJETIVO: Avaliar o desempenho diagnóstico do índice de respiração rápida e superficial (IRRS na predição do insucesso da extubação de pacientes adultos em terapia intensiva e verificar a adequação do valor de corte clássico para esse índice. MÉTODOS: Estudo prospectivo realizado na unidade de terapia intensiva de adultos do Hospital das Clínicas da Faculdade de Medicina de Botucatu, através da avaliação do IRRS em 73 pacientes consecutivos considerados clinicamente prontos para extubação. RESULTADOS: O IRRS com valor de corte clássico (105 ciclos/min/L apresentou sensibilidade de 20% e especificidade de 95% (soma = 115%. A análise da curva receiver operator characteristic (ROC demonstrou melhor valor de corte (76,5 ciclos/min/L, o qual forneceu sensibilidade de 66% e especificidade de 74% (soma = 140%, e a área sob a curva ROC para o IRRS foi de 0,78. CONCLUSÕES: O valor de corte clássico do IRRS se mostrou inadequado nesta casuística, prevendo apenas 20% dos pacientes com falha na extubação. A obtenção do novo valor de corte permitiu um acréscimo substancial de sensibilidade, com aceitável redução da especificidade. O valor da área sob a curva ROC indicou satisfatório poder discriminativo do índice, justificando a validação de sua aplicação.OBJECTIVE: To evaluate the diagnostic performance of the rapid shallow breathing index (RSBI in predicting extubation failure among adult patients in the intensive care unit and to determine the appropriateness of the classical RSBI cut-off value. METHODS: This was a prospective study conducted in the adult intensive care unit of the Botucatu School of Medicine Hospital das Clínicas. The RSBI was evaluated in 73 consecutive patients considered clinically ready for extubation. RESULTS: The classical RSBI cut-off value (105 breaths/min/L presented a sensitivity of 20% and a specificity of 95% (sum = 115%. Analysis of the receiver operator characteristic (ROC curve

  1. 联检NSE、CYFRA21-1、D-二聚体、Fib在肺癌患者中的临床意义%Clinical significance of the combined determination of NSE, CYFRA21-1, D-Dimer, Fibrinogen for the patients with lung cancer

    Institute of Scientific and Technical Information of China (English)

    谢颖; 贾张军; 张云生

    2014-01-01

    Objective To discuss the clinical significance of the combined determination of NSE,CYFRA21-1, D-Dimer, Fibrinogen for lung cancer patients. Methods The levels of serum NSE and CYFRA21-1 were detected by electrochemical analysis in 256 lung cancer patients, 200 patients with benign lung diseases and 200 health subjects. The levels of plasma D-Dimer and Fibrinogen were detected by immunoturbidimetric assays. The relationship of NSE, CYFRA21-1, D-Dimer and Fibrinogen levels with the clinical stages of lung cancer was analyzed by statistics. Results The levels of NSE, CYFRA21-1, D-Dimer and Fibrinogen in patients with lung cancer were significantly higher than those in patients with benign lung diseases and healthy controls(PCYFRA21-1 > D-Dimer > Fibrinogen.CYFRA21-1 showed the highest sensitivity(69.0%) in squamous cellcarcinoma, and NSE showed the highest sensitivity(68.4%%) in smal celllung cancer. The combined determination of NSE, CYFRA21-1, D-Dimer, Fibrinogen might significantly improve the sensitivity for the diagnosis of lung cancer. The combined determination of NSE,CYFRA21-1, D-Dimer, Fibrinogen showed the highest sensitivity(89.8%).NSE,CYFRA21-1, D-Dimer, Fibrinogen were positively related to the clinical stages of lung cancer. With the increasing of clinical stages, the levels of NSE,CYFRA21-1, D-Dimer, Fibrinogen in Ⅲ/Ⅳ stage were significantly higher than those in Ⅰ/Ⅱ stage(correlation coefficie nt(r)=0.315,0.425,0.669,0.523,). Conclusions The combined determination of NSE, CYFRA21-1, D-Dimer, Fibrinogen has an important clinical significance in the clinical diagnosis, differentiation, monitor and clinical stage of lung cancer.%联合检测神经元特异烯醇化酶(NSE)、细胞角蛋白19片段(CYFRA21-1)、D-二聚体(D-D)、Fib(纤维蛋白原),探讨其在肺癌患者中的临床意义。方法肺癌组(256例)、肺良性疾病组(200例)和正常对照组(200例)的血清NSE、CYFRA21-1水平采用电化学发光分析法检测,血

  2. A cut-off low in southern South America: dynamic and thermodynamic processes Um caso de vórtice ciclonico desprendido em altos níveis no sul da América do Sul: processos dinâmicos e termodinâmicos

    Directory of Open Access Journals (Sweden)

    Alejandro Anibal Godoy

    2011-12-01

    Full Text Available The dynamic and thermodynamic processes involved in the life cycle of a cutoff low occurred in March 2007 are studied. These processes are analyzed using the vorticity and thermodynamic equations and a set of analyses generated with the BRAMS model. The main processes that explain the segregation of the subtropical part of the trough are the horizontal advection of cyclonic vorticity at high levels and warm horizontal advection at middle levels, both over the Pacific Ocean extending south to the Patagonia region, building the ridge located upstream of the trough. Increased intensity of the upper level low pressure system is mainly explained by intensification of the ridges down and upstream. The divergence effect is opposed to the horizontal advection of vorticity which explains the stagnation of the cut-off low windward of the Andes. The decay stage is dominated by warm vertical advection. Assuming the conservation of potential vorticity the analysis of parcel trajectories , allowed detecting the entrance of stratospheric air to middle levels of the lower troposphere around the cut-off low.Neste trabalho foram estudados os processos dinâmicos e termodinâmicos que envolvem o ciclo de vida de um caso de vórtice ciclônico desprendido em altos níveis, que ocorreu em março de 2007. Tais processos são analisados através dos termos das equações de vorticidade e termodinâmica usando um conjunto de análises geradas com o modelo BRAMS. Os principais processos que explicam o desprendimento da parte subtropical de um cavado são a advecção horizontal da vorticidade anticiclonica em níveis altos e a advecção horizontal de ar quente em níveis médios, ambas sobre o sul do Oceano Pacífico e estendendo-se em direção a região Patagônica, aprofundando a crista localizada corrente acima do cavado. A continuidade do aprofundamento desta crista, juntamente com a crista localizada corrente abaixo do cavado são as responsáveis da intensifica

  3. 节段截桥局限漂浮技术治疗胸椎黄韧带骨化症%Segmental cut-off bridge and local floating technology for the treatment of ossification of ligamentum flavum in throracic spine

    Institute of Scientific and Technical Information of China (English)

    梁卫东; 张健; 盛伟斌

    2013-01-01

    Objective To explore the efficacy and safety of segmental cut-off bridge and local floating technology for the treatment of ossification of ligamentum flavum (OLF) in throracic spine.Methods Retrospective study was performed in 98 patients with thoracic OLF who under went operation.There was 56 males and 42 females with an average age of 45.8 (35-73) years.The average duration of onset was 17 (3-51) months.The main clinical symptoms were numbness and paraesthesia (n=90),lower limb weakness and walking trouble (n =46),positive pyramidal tract signs (n =33) and sphincter function obstacle (n =9).OLF was screened and diagnosed by radiology,magnetic resonance imaging (MRI),computed tomography (CT) or CT myelography (CTM).A total of 142 OLF nidus were spotted.The lesions involved single segment (n =32),double segments (n =56),three segments (n =6) and ≥ four segments (n =4).And the locations were at upper throracic segment (T1-4) (n =34),middle throracic segment (T5-8) (n =23) and lower throracic segment (T9-12) (n =42).The OLF nidus were removed by local floating technology off windowing at cephalic and caudal ends and a cut-off bridge at both sides of involved segments.Pre-and post-operative Japanese Orthopedic Association (JOA) scores and Epstein grades were recorded to evaluate the outcomes.Results The mean loss volume of blood was 320 ml and operative duration 155 min.All cases recovered independent activities.The mean follow-up period was 28 (13-48) months.The mean preoperative JOA score was 4.3 (1-8) points and the mean postoperative JOA score 9.7 (5-11) points.The recovery rate was 78.8%.According to Epstein grade,the excellent and good rate was 86.7%.Conclusion As a common cause of thoracic spinal cord compression,OLF should be operated as early as possible.Based upon clinical and imaging findings,the application of segmental cut-off bridge and local floating technology is both safe and efficacious in the treatment of OLF in throracic spine.%目的 探

  4. Clinical significance in squamous cell lung cancer patients with serum CYFRA21-1 and SCC by ROC curve and cut-off theory%肺鳞癌患者血清CYFRA21-1和SCC检测及ROC曲线和截断点的理论分析

    Institute of Scientific and Technical Information of China (English)

    刘磊; 刘彬; 朱莉莉; 张薇

    2012-01-01

    目的:探讨血清细胞角蛋白19片段(CYFRA21-1)抗原和鳞癌抗原(SCC)对肺鳞癌的临床意义.方法:将研究对象分组,试验组为102例肺鳞癌患者,对照组为53例良性肺病患者.分别采用电化学发光法和酶联免疫法检测血清CYFRA21-1及SCC,测定值用t检验,率比较用x2检验.接受者工作特征(ROC)曲线及截断点选择理论评估CYFRA21-1及SCC的临床价值.结果:肺鳞癌组与良性肺病组CYFRA21-1和SCC水平差异有统计学意义;CYFRA21-1以3.3 ng/mL、SCC以1.5 ng/mL为诊断临界点,CYFRA21-1诊断肺鳞癌敏感性为57.84%,特异性为92.45%,准确性为69.68%,ROC曲线下面积为0.788;SCC诊断肺鳞癌敏感性为33.33%,特异性为92.45%,准确性为53.55%,ROC曲线下面积为0.691;CYFRA21-1诊断肺鳞癌最佳截断点为2.485或2.365 ng/mL,对应敏感性和特异性分别为65.7%、92.5%和67.6%、90.6%;SCC诊断肺鳞癌最佳截断点为0.55 ng/mL,对应敏感性和特异性分别为72.5%和62.3%.随肺鳞癌分期增高,CYFRA21-1和SCC浓度增高差异有统计学意义,CYFRA21-1敏感性增高差异有统计学意义,SCC敏感性无明显变化.结论:CYFRA21-1对肺鳞癌的诊断具有较高的临床价值,而SCC对肺鳞癌的诊断价值较低.%OBJECTIVE: To make further efforts and investigate the clinical significance of cytokeratin fragment 19 (CYFRA21-l)and squamous cell carcinoma antigen(SCC) of serum tumor markers (TM) in the diagnosis of squamous cell lung cancer patients. METHODS: The subjects were divided into two groups: the squamous cell lung cancer group (102 patients) and the benign lung disease group(53 patients). The electric chemisty irradiance was used to examine blood serum CYFRA21-1 and SCC was examined by ELISA. The results were examined by z-test, and the rate comparison were examined by Chi-square test. Receiver operator characteristic curve and cut-off choice theory were used to value the results. RESULTS: Significant

  5. Clinical diagnostic value of serum ferritin united with plasma D-Dimer test in patients with cerebral infarction%血清铁蛋白联合D-二聚体检测对脑梗死患者的诊断价值

    Institute of Scientific and Technical Information of China (English)

    陈勇坚

    2011-01-01

    Objective: To investigate the clinical significance of serum ferritin and plasma D-dimer in diagnosing cerebral infarction. Methods: To select 215 cases of cerebral infarction patients in our hospital from 2008 to 2010 as treatment group, 215 cases of normal people as control group, and to compare serum ferritin and D-dimer in two groups. Then compare serum ferritin and D-dimer results of live cerebral infarction patients before and after urokinase thrombolysis therapy.Results: 6 cases died during the therapy among the 215 patients, 1 patients died of cerebral hernia, 3 cases died of lung infection, 2 cases died of cerebral infarction with myocardial infarction. The differences of D-dimer between the two groups had statistical significance (t=7.325, P<0.01). There were significant differences between the normal and patients in serum ferritin as well (t=7.923, P<0.01). And D-dimer of live cerebral infarction patients increase obviously after thrombolysis therapy (t=8.301, P<0.01), the serum ferritin decreased obviously (t=9.627, P<0.01). Conclusion: The test results of serum ferritin and D-dimer are sensitive to diagnose cerebral infarction, and closely related with the recovery and prognosis.%目的:研究脑梗死患者血清内D-二聚体和铁蛋白含量对脑梗死诊断的意义.方法:选择我院2008~2010年脑梗死患者215例为治疗组,正常门诊体检者215例为对照组,行血清内D-二聚体和铁蛋白检测比较,尿激酶溶栓后再次检测存活的209例脑梗死患者溶栓前后体内D-二聚体和铁蛋白含量.结果:治疗组中,有6例在研究过程中死亡,1例死于脑疝,3例死于肺部感染,2例死于脑梗死合并下壁心肌梗死.正常人与脑梗死患者D-二聚体含量比较差异具有高度统计学意义(t=7.325,P<0.01);正常人与脑梗死患者血清含铁蛋白比较,差异有高度统计学意义(t=7.923,P<0.01).尿激酶溶栓后,治疗组所有存活病例的血清D-二聚

  6. Levels of plasma D-dimer, activated coagulation factor Ⅶ and Ⅻ in patients with chronic urticaria%慢性荨麻疹患者血浆D二聚体、活化凝血因子Ⅶ及活化凝血因子Ⅻ水平的研究

    Institute of Scientific and Technical Information of China (English)

    王朵勤; 唐慧; 沈燕芸; 徐金华

    2015-01-01

    目的 探讨血浆D二聚体、活化凝血因子Ⅶ(FⅦa)及活化凝血因子Ⅻ(FⅫa)在慢性荨麻疹(CU)患者中的表达及其与CU发病的关系.方法 对50例CU患者及50例健康对照用干式免疫散射色谱法检测血浆D二聚体水平,用酶联免疫吸附法检测FⅦa及FⅫa的水平,并结合患者病情严重程度情况进行分析.对43例CU患者自体血浆皮肤试验(APST)及41例CU患者作自体血清皮肤试验(ASST)结果与其血浆D二聚体水平进行比较.结果 CU患者血浆中D二聚体及FⅦa的水平均明显高于健康对照组(P<0.05),前者升高水平与病情严重程度呈正相关(P<0.05);CU患者FⅫa水平与健康对照组比较,差异无统计学意义(P>0.05).APST(+)患者的D二聚体水平明显高于APST(-)患者(P<0.05),而ASST(+)患者D二聚体水平与ASST(-)患者比较,差异无统计学意义(P>0.05).结论 凝血机制与CU相关,外源性凝血途径起着作用,针对凝血机制的研究对于CU的病情评估和临床治疗具有一定的意义.%Objective To measure the levels of plasma D-dimer,activated coagulation factor Ⅶ (FⅦa) and activated clotting factor Ⅻ (FⅫa) in patients with chronic urticaria (CU),and to investigate their relationship with the occurrence of CU.Methods Venous blood samples were collected from 50 patients with CU and 50 healthy human controls.Dry-column immune scattering chromatography was performed to detect the plasma level of D-dimer,and enzyme-linked immunosorbent assay (ELISA) to measure the levels of FⅦa and FⅫa.In addition,autologous plasma skin test (APST) was conducted in 43 patients with CU,and autologous serum skin test (ASST) in 41 patients with CU.A correlation analysis was carried out between the above three parameters and disease severity as well as between the results of APST and ASST and plasma level of D-dimer.Results The levels of plasma D-dimer and F Ⅶa were significantly higher in patients with CU than in healthy

  7. Clinical significance on changes of platelet aggregation test, von Willebrand factor,antithrombin and D-dimer assayin acute cerebral infarction patients%急性脑梗死患者血小板聚集功能、血管性血友病因子、抗凝血酶及 D-二聚体测定的临床意义

    Institute of Scientific and Technical Information of China (English)

    叶青跃; 程鹏飞; 周有利; 饶汉武; 黄承芳; 周立

    2015-01-01

    目的:探讨急性脑梗死患者血小板聚集功能( PAgT)、血管性血友病因子( vWF)、抗凝血酶( AT)和D-二聚体( D-dimer)水平变化及临床意义。方法选用相应的方法和仪器测定112例脑梗死及80例健康对照者血(浆) PAgT、vWF、AT和D-dimer水平变化,同时对部分患者进行治疗前、后的对比分析。结果脑梗死患者血中PAgT、vWF、D-dimer等指标均明显高于健康对照组,AT活性较对照组显著降低,差异有统计学意义(P<0.05或P<0.01)。选取经治疗效果明显好转的78例脑梗死患者,出院前取空腹静脉血测定PAgT、vWF、AT、D-dimer等指标,并与治疗前对照,结果治疗后PAgT、vWF、D-dimer降低,AT活性升高,差异有统计学意义(P<0.05或P<0.01)。结论脑梗死患者体内存在明显的凝血及纤溶功能异常,与血管内皮损伤、血小板聚集功能增强、凝血及纤溶功能亢进、抗凝功能降低等多因素有关。 PAgT、vWF、AT、D-dimer可以作为脑梗死患者诊断、治疗监测和预后判断的参考指标。%Objective To evaluate the clinical signification of coagulation ,anti-coagulation and fibrinolysis indexes i.e.platelet aggrega-tion test(PAgT),von Willebrand factor(vWF),antithrombin(AT),D-dimer in acute cerebral infarction patients.Methods vWF was as-sayed using ELISA method,AT was determined by chromogenic substances assay,and Latex enhanced immune turbidimetry for D-dimer. vWF,AT and D-dimer all the parameters were finished by SysmexCA-7000 automated blood coagulation analyzer.PAgT was measured sim-ultaneously using a whole-blood Lumi-Aggregometer by CHRMNO-LOG platelet aggregation apparatus.Results PAgT, vWF, D-dimer were significantly higher in acute cerebral infarction patients group,compared with those in the control group(P<0.05 or P<0.01). while AT was significantly lower(P<0.05).After effective treatment,PAgT,vWF,AT,D-dimer Indicators are all

  8. Plasma D-dimer levels in breast cancer patients correlate with axillary lymph node status%血浆D-二聚体水平与乳腺癌腋窝淋巴结转移的相关性研究

    Institute of Scientific and Technical Information of China (English)

    柴源; 王娟娟; 刘斌

    2015-01-01

    Objective:The purpose of this study is to explore the relationship between plasma D-dimer level and axillary lymph node metastasis of breast cancer, and to provide the basis for predicting axillary lymph node metastasis. Methods:73 cases of breast cancer (breast cancer group), 36 cases of benign breast disease (benign breast disease group) and 50 cases of healthy women (normal control) were collected. Plasma D-dimer levels of the three groups were detected. Histopathologic variables (tumor size, pathological type, lymph node metastasis, number of lymph node metastasis, etc.) were classified and analyzed systematically. Results:Plasma D-dimer levels in breast cancer patients are higher than those in benign breast disease group and normal control group, and the differences are statistically signiifcant (P0.05). Plasma D-dimer levels in the positive axillary lymph node metastasis group are higher than the negative axillary lymph node metastasis group, and the differences are statistically signiifcant (P0.05);腋窝淋巴结转移阳性患者D–二聚体水平高于腋窝淋巴结转移阴性患者,差异有统计学意义(P<0.01);肿瘤大小、病理类型、血浆D–二聚体水平与腋窝淋巴结转移个数显著相关(P<0.01);原发肿瘤的病理类型、血浆D–二聚体水平是腋窝淋巴结转移的危险因素(OR =7.464、6.470);血浆D–二聚体水平诊断乳腺癌腋窝淋巴结转移时的ROC曲线下面积(area under concentration-time,AUC)为0.689,以0.455μg/mL为最佳诊断分界点,灵敏度为52.3%,特异度为86.2%。结论:血浆D–二聚体水平与乳腺癌腋窝淋巴结转移状态及转移个数有关,其对判断乳腺癌腋窝淋巴结转移状态有一定临床价值。

  9. 降钙素原与D-二聚体在评估急诊脓毒症患者病情及预后的研究%Clinical significance of procalcitonin and D-dimer in evaluation of condition and prognosis of sepsis patients in emergency department

    Institute of Scientific and Technical Information of China (English)

    张娙; 董静莲; 王书亮

    2015-01-01

    OBJECTIVE To define the value of procalcitonin and D-dimer in the evaluation of illness condition of the sepsis patients in emergency department and in the predication of prognosis so as to provide guidance for clinical treatment of the sepsis patients.METHODS By means of prospective case-control survey,the concentrations of procalcitonin and D-dimer were determined within 24 hours after the patients were confirmed as the sepsis,the A-PACHEⅡ scoring was performed,the relationship between the D-dimer combined with procalcitonin and the se-verity of sepsis was observed,the patients were divided into the survival group and the death group on the basis of observation endpoint,which was set by the clinical death or survival;the ROC cure was employed to analyze the ability of D-dimer combined with procalcitonin in prediction of the prognosis of the sepsis patients.RESULTS The severer the illness condition of the sepsis patients,the higher the contents of procalcitonin and D-dimer were (P<0.05);the concentration of the procalcitonin and D-dimer of the death group was significantly higher than that of the survival group (P<0.05).With the death set as the final cutoff point,the areas under the ROC curve in predi-cating the mortality of the sepsis patients by procalcitonin and D-dimer were 0.779 and 0.730,respectively.The sensitivity and specificity of procalcitonin in predication of adverse prognosis were respectively 78.6% and 72.7%when the concentration was 7.1 ng/ml;the sensitivity and specificity of D-dimer in predication of adverse progno-sis of the sepsis patients were respectively 78.6% and 65.5% when the concentration was 2.75 mg/L. CONCLUSION Procalcitonin and D-dimer can not only effectively assess the illness condition of the sepsis patients but also predict the prognosis of the patients.%目的:明确降钙素原及D-二聚体在评估急诊脓毒症患者病情以及预测患者预后的能力,以期掌握脓毒症患者病情并指导临床工作。方

  10. Avaliação do dímero D (D-Di na doença hipertensiva específica da gravidez (DHEG D-dimer plasma levels assessment in preeclampsia

    Directory of Open Access Journals (Sweden)

    Luci Maria Sant'Ana Dusse

    2003-09-01

    Full Text Available A doença hipertensiva específica da gravidez (DHEG, na sua forma pura, caracteriza-se pelo aparecimento, em grávida normotensa, após a vigésima semana de gestação, da tríade sintomática: hipertensão, proteinúria e edema. A DHEG está associada a vasoconstrição generalizada, anormalidades da coagulação e deposição de fibrina na microcirculação da placenta. A fibrina compromete a perfusão adequada da placenta, contribuindo para a prematuridade, o baixo peso fetal e a mortalidade neonatal. Os dímeros D (D-Di constituem os menores fragmentos dos produtos de degradação da fibrina (pdf e são produzidos após a lise, pela plasmina, da ligação cruzada da fibrina. Níveis plasmáticos aumentados de D-Di indicam tanto uma exacerbação da formação de fibrina como um aumento da ação da plasmina. O presente trabalho teve por objetivo avaliar e comparar os níveis plasmáticos de D-Di, obtido por Elisa (Stago em gestantes-controle (n = 26, gestantes com DHEG nas formas leve e moderada (n = 23 e gestantes com DHEG na forma grave (n = 20, visando a investigar a possível utilização desse marcador laboratorial para diagnóstico e/ou prognóstico da doença. As médias e os desvios padrões obtidos para os três grupos avaliados foram 1.146,6 ± 311,2; 1.060,3 ± 259,2 e 1.497,8 ± 435,3ng/ml, respectivamente. A análise estatística das médias dos resultados obtidos revelou um aumento significativo de D-Di plasmático no grupo com DHEG grave, comparando-se aos grupos com DHEG leve/moderada (p Preeclampsia is associated to a generalized vasoconstriction, clot abnormalities and fibrin deposition within placenta microcirculation. The presence of fibrin hampers the placenta perfusion contributing to prematurity, fetal low weight and neonates' mortality. D-Dimers (D-Di are the products of degradation of cross-linked fibrin by plasmin. Increased plasma levels of D-Di may indicate either an exacerbated fibrin formation or an increase

  11. 先天性心脏病患儿术前充血性心力衰竭年龄分层后血浆氨基末端B型脑利钠肽前体诊断界值的研究%Cut-off values of amino-terminal pro-B-type natriuretic peptide for the diagnosis of chronic heart failure in children of age stratification with congenital heart disease prior to heart surgery

    Institute of Scientific and Technical Information of China (English)

    林春旺; 曾祥林; 孟秀会; 江少虎; 欧阳辉

    2013-01-01

    目的 通过检测先天性心脏病(congenital heart disease,CHD)患儿在行心脏手术前血浆中的氨基末端B型脑利钠肽前体(amino-terminal pro-B-type natriuretic peptide,NT-proBNP)血浆浓度,绘制ROC曲线分析其敏感度、特异度及约登指数,探讨0~5岁经年龄分层前后充血性心力衰竭(congestiveheart failure,CHF)患儿血浆NT-proBNP诊断界值.方法 测定2011年1月至2013年1月收治的100例CHD术前患儿(试验组)及100例正常儿童(对照组)血浆NT-proBNP,合并CHF的CHD患儿(CHF组)经年龄分层又分为0~1岁组、~3岁组和~5岁组,探讨各自的NT-proBNP诊断CHF的界值.结果 100例CHD患儿中,34例符合改良Ross心力衰竭诊断标准,试验组在年龄分层前按照ROC曲线选取的NT-proBNP诊断CHF界值为502 ng/L,经年龄分层后0~1岁组、~3岁组、~5岁组的NT-proBNP诊断CHF界值分别为552 ng/L、449ng/L、349 ng/L.结论 该研究结果显示,合并CHF的CHD术前患儿经年龄分层后0~1岁组、~3岁组、~5岁组的NT-proBNP诊断CHF界值分别为552 ng/L、449ng/L、349 ng/L.%Objective To detect the plasma amino-terminal pro-B-type natriuretic peptide (NT-ProBNP) of children with congenital heart disease(CHD) prior to heart surgery,to analysize its sensitivity,specificity and Youden index by receiver operating characteristic(ROC) curve,to explore the cut-off values of plasma NTProBNP for the diagnosis of congestive heart failure(CHF) in children under 5 years old before and after age stratification.Method The plasma NT-proBNP was detected for 100 children with CHD prior to heart surgery (experimental group) and 100 normal children(control group) between January 2011 to January 2013.Age stratification(0 ~ 1 year group,~3 years group and ~ 5 year group) was conducted in children with CHF younger than 5 years old to explore the cut-off values of plasma NT-ProBNP for the diagnosis of CHF.Results The NT-proBNP of 34 patients with CHF(n =100) was in

  12. Annual Adjustment Factors

    Data.gov (United States)

    Department of Housing and Urban Development — The Department of Housing and Urban Development establishes the rent adjustment factors - called Annual Adjustment Factors (AAFs) - on the basis of Consumer Price...

  13. Adjustments and Depression

    Medline Plus

    Full Text Available ... depression and adjustment to my SCI? How do I deal with depression and adjustment to my SCI? ☷ ▾ ... following an SCI? What are the secondary conditions? I have no health insurance, what are my options? ...

  14. Adjustments and Depression

    Medline Plus

    Full Text Available ... course an adjustment period as you navigate your new normal. The most important point to remember is ... to rebuild one's identity and to find a new balance in relationships. The stages of adjustment can ...

  15. Prognostic values of heart-type fatty acid-binding protein and D-dimer level in plasma in acute pulmonary embolism patients%心肌型脂肪酸结合蛋白联合血浆D-二聚体对肺栓塞预后评估的临床意义

    Institute of Scientific and Technical Information of China (English)

    陶琳; 杨毅

    2015-01-01

    ObjectiveTo evaluate the clinical value of heart-type fatty acid-binding protein (H-FABP) and D-dimer in assessing the prognosis of acute pulmonary embolism (APE). MethodsTotaly 120 APE patients were hospitalized from January 2011 to December 2014 and enroled in this study. The plasma H-FABP and D-dimer level were measured by enzyme-linked immunosorbent assay. The APE patients were divided three groups including low-risk, middle-risk and high-risk group by European heart association new guidelines. According to the clinical prognosis, the APE patients were divided into survival and death group. The H-FABP and D-dimer level in different groups and the relationship with the prognosis were assessed.ResultsWith the increased severity in patients, the H-FABP and D-dimer level were significantly elevated (P<0.05); the H-FABP and D-dimer level were significantly higher in death group as compared with survival group (P<0.05). The H-FABP and D-dimer level were positively correlated (r=0.693,P=0.000). ROC curves analysis results showed that the area under curve of H-FABP was 0.845 (95%CI: 0.752-0.918), and optimal operating point (OOP) was 8.65 µg/L, which had 81.24% sensitivity and 84.14% specificity; ACU of D-dimer was 0.832 (95%CI: 0.728-0.899), and OOP was 1.25 mg/L, which had 83.72% sensitivity and 82.65% specificity.Conclusion The H-FABP and D-dimer can effectively assess severity and prognosis of APE patients, meanwhile, it provide an objective basis for the clinical individual treatment and reducing the mortality rate of APE patients.%目的:探讨心肌型脂肪酸结合蛋白(H-FABP )联合血浆 D-二聚体在评价急性肺栓塞(APE)患者预后中的临床价值。方法选取本院2011年1月至2014年12月确诊的APE患者120例为研究对象,采用酶联免疫吸附法分别测定外周血H-FABP及D-二聚体浓度。根据病情严重程度将APE患者分为低危组、中危组及高危组;根据临床转归,分为存活组和死亡组

  16. Correlation of plasma D-dimer, T lymphocyte subsets, CRP level with Apgar score of neonates in pregnant women with pregnancy-induced hypertension during perinatal period%妊高征孕妇围生期血浆D-二聚体、T细胞亚群及CRP水平与胎儿Apgar评分的相关性

    Institute of Scientific and Technical Information of China (English)

    钟晓红

    2014-01-01

    Objective It is to explore the correlation of plasma D -dimer ( D-D) , T lymphocyte subsets , CRP level with Apgar score of neonates in pregnant women with pregnancy-induced hypertension ( PIH) during perinatal period .Methods 120 pregnant women with PIH were selected as observation group , and 60 healthy pregnant women were selected as control group . Plasma D-D, CD4 +and CD8 +T cell lymphocyte subsets and CRP level of the two groups were detected before and 3d after delivery , and Apgar scores of neonates were recorded after delivery .By applying Pearson correlation analysis , the correlation of plasma D-dimer, T lymphocyte subsets proportion , CRP level and Apgar score of neonates was analyzed .Besides, the correlation of D-dimer, CD4+/CD8 +, CRP index, and Apgar score of neonates was analyzed by multiple logistic regression analysis.Results There was no statistical difference in plasma D -D, CD4+/CD8 +and CRP before and 3d after delivery in control group (P>0.05), while observation group’s plasma D-D and CRP decreased (P<0.05), and CD4 +/CD8 +in-creased (P<0.05).By comparison, D-dimer, CRP, and CD4 +/CD8 +before and 3d after delivery in observation group were all higher than those in control group (P<0.05).By Pearson correlation, it showed that D -dimer, CD4 +/CD8+, CRP and Apgar score of neonates were both negative correlation with each other (P<0.05).By multiple logistic regression a-nalysis, D-dimer and CD4 +/CD8 +are independent forecast factors for Apgar score of neonates (OR=0.673, P=0.032;OR=0.543, P=0.026).Conclusion Plasma D-dimer, T lymphocyte subsets and CRP in pregnant women with PIH during perinatal period have clinical value for assessment of Apgar score of neonates .%目的:探讨妊娠高血压综合征孕妇围生期血浆D-二聚体( D-dimer )、T细胞亚群、C反应蛋白( CRP)与胎儿Apgar评分的相关性。方法选取妊高征孕妇120例设为观察组;另选取同期孕检的健康孕妇60例设为对照组。检测2

  17. 依达拉奉对急性脑梗死患者超敏C-反应蛋白及D-二聚体的影响%Effects of Edaravone on the levels of hs-CRP and D-dimer in Patients with Acute Cerebral infarction

    Institute of Scientific and Technical Information of China (English)

    杜金明; 闫宗廷

    2010-01-01

    目的 探讨依达拉奉对急性脑梗死患者血清超敏C-反应蛋白(hs-CRP)、D-二聚体的影响及临床疗效.方法 86例急性脑梗死患者随机分为两组,即常规治疗组和治疗组,治疗组在常规治疗基础上给予依达拉奉30 mg每天2次静脉点滴,连用14 d.治疗前后测定血清hs-CRP、D-二聚体的变化并用中国卒中量表(Chinese stroke scale,CSS)及巴氏指数(Barthel index,BI)评定.结果 两组患者hs-CRP和D-二聚体均下降,治疗组明显低于常规治疗组(P<0.05).治疗后两组CSS及BI评分指数较治疗前均明显增加,治疗组评分高于常规治疗组(P<0.05).结论 依达拉奉可降低急性脑梗死患者hs-CRP、D-二聚体的水平,有益于患者神经功能的恢复.%Objective To investigate the effects of edaravone on the levels of high sensitivity C-reactive protein(hs-CRP) and D-dimer in patients with acute ischemic cerebral infarction. Methods A total of 86 patients with acute ischemic cerebral infarction were randomly divided and assigned into therapy group and control group. The control group was given a routine treatment of acute ischemic stroke. The therapy group was treated with edaravone in addition to the routine treatment. hs-CRP and D-dimer were measured before and after treatment. Barthel index(BI) and Chinese stroke Scale(CSS) of two groups were assessed before treatment and after treatment. Results The levels of hs-CRP and D-dimer were deceased after treatment. After the start of edaravone ,the levels of hs-CRP and D-dimer of therapy group were significantly lower than those of control group(P <0.05). The scores of CSS and BI of two groups improved after treatment,and scores of CSS and BI of the therapy group were better than those of the control group(P< 0.05). Conclusion Edaravone could decrease the levels of hs-CRP and D-dimer and is beneficial to improve neurofunctional recovery.

  18. 儿童单纯性肥胖危险因素分析及与血浆D-二聚体的相关性%Analysis of risk factors of childhood simple obesity and its relationship with plasma D-dimer

    Institute of Scientific and Technical Information of China (English)

    张晓杰; 刘静; 孙利伟; 田玉玲

    2012-01-01

    目的 探讨儿童单纯性肥胖的危险因素以及血浆D-二聚体与肥胖的相关性.方法 采用问卷调查和体格测量的方法调查2006年1月 - 2010年12月就诊的单纯性肥胖儿童530例,其中102例测定血浆D-二聚体.同时选取120例性别、年龄、地区分布相匹配的健康儿童作对照,其中89例测定血浆D-二聚体.结果 肥胖儿童出生体质量、其父母平均体质指数(BMI)均较对照组明显增高,差异有统计学意义(P均< 0.01);肥胖儿童较正常对照儿童每日运动时间少,睡眠时间和看电视时间多,差异均有统计学意义(P均< 0.01);儿童肥胖与饮食有关;肥胖儿童有心血管病家族史的比例明显高于对照组,血浆D-二聚体含量(0.85 ± 0.31)mg/L亦较对照组(0.30 ± 0.11)mg/L明显增高,差异均有统计学意义(P < 0.001).结论 儿童肥胖是遗传因素和环境因素共同作用的结果,血浆D-二聚体与儿童单纯性肥胖具有相关性.%Objective To investigate the risk factors of children simple obesity and the association of plasma D-dimer and children simple obesity. Methods The height and body weight of 530 outpatients with simple obesity were measured and questionnaire survey was processed from January 2006 to December 2010. The plasma D-dimer was tested in 102 children of them. Meanwhile, 120 healthy children were selected as control with matched gender, age and region. The plasma D-dimer was also measured. Results The birth weight and the mean parents BMI of obese children were significantly higher than those of control group (P < 0.01). Compared with the control group, obese children daily exercised less time but spent more time on sleeping and watching TV (all P < 0.01). Children obesity was diet related, and the percentage of family history of cardiovascular disease and the levels of D-dimer in obese children were significantly higher than those in control group (P < 0.001). Conclusions Obesity in children is

  19. Predictive value of D-dimer quantitative determination on postpartum hemorrhage with hypertensive disorder in pregnancy%D-二聚体定量检测对妊娠期高血压疾病患者产后出血的预测价值

    Institute of Scientific and Technical Information of China (English)

    陈佩芬; 李林娜; 陈小燕; 翁美卿; 陈伟忠; 黄桂花

    2014-01-01

    Objective To investigate the predictive value of D-dimer quantitative determination on postpartum hemorrhage with hypertensive disorders in pregnancy patients .Methods One hundred and fifty cases with hypertensive disorders in pregnancy admitted to Chaozhou Hospital from January 2013 to December 2013 were retrospectively analyzed .D-dimer data of all the 150 patients were collected at the 24 hours before delivery .The patients were divided into postpartum hemorrhage group and control group .The correlation between the D-dimer measurement and a loss of blood in the postpartum period was analyzed by one-way ANOVA, and the accuracy of D-dimer predictive variables of postpartum hemorrhage was analyzed by ROC curves .Results Twenty-eight cases had postpartum hemorrhage , and the incidence rate was 18.67% ( 28/150 ) . The average value of D-dimer was ( 9.56 ±11.97 ) mg/L in the postpartum hemorrhage group, while the average value of D-dimer was (1.96 ±1.06) mg/L in the control group, with a significant difference (F=48.61, P<0.01).The area under the ROC curve was 0.848 (95% CI:0.766-0.930), standard error was 0.042.The optimal threshold was 2.26 mg/L, whose specificity, sensitivity and Youden index were 66.4%, 92.9% and 0.593,respectively.Conclusion Quantitative determination of D-dimer has a significant role in predicting postpartum hemorrhage on hypertensive disorders in pregnancy patients , the optimal threshold is 2.26 mg/L.%目的:探讨D-二聚体定量检测对妊娠期高血压疾病患者产后出血的预测价值。方法潮州市潮州医院妇产科2013年1月至2013年12月收治150例妊娠期高血压疾病患者,对其分娩前24 h内D-二聚体进行定量测定,并准确计量其分娩24 h内出血量,依出血量将其分为产后出血组及对照组。单因素方差分析其分娩前24 h内D-二聚体测量值与分娩后24 h内出血量的相关性,以ROC曲线分析其对妊娠期高血压疾病患者产后出血的预测截

  20. Establishment of D-dimer reference intervals for pregnant women of 34 gestational weeks and its predictive value on postpartumhemorrhage%上海地区孕晚期血浆D-二聚体参考范围的建立及其预测产后出血的意义

    Institute of Scientific and Technical Information of China (English)

    蔡眉; 沈虹; 唐振华

    2015-01-01

    Objective: To establish reference intervals for D-dimer during the third trimester of pregnancy in Shang-hai women, and to analyze the factors influencing the D-dimer level for evaluating its clinical significance in postpartum hemorrhage. Methods: 6398 cases of healthy pregnant women (healthy group) of 34 weeks gestation aged 19 to 49 years from maternity department in our hospital were enrolled, they had received routine medical examination from January 2013 to July 2014. Immune turbidimetric method was used to detect the plasma D-dimer level in pregnant woman at 34 weeks gestation. Changes in D-dimer level were analyzed in 2 834 cases with obstetric risk factors (uterus anomaly, abnormal placenta, anemia, amniotic fluid anomalies, history of high blood pressure, diabetes, adverse pregnancy) (observed group) and in 347 cases of postpartum hemorrhage. Forty healthy non-pregnant women when not menstruating were enrolled as control group. Results:The median level of plasma D-dimer was 1.25 mg/L (95%CI:1.22-1.28) in 6 398 healthy pregnant women,and was 1.89 mg/L (95%CI:1.82-1.96) in 2 834 cases with obstetric risk factors. There was significant difference between the two groups (P0.05). D-dimer level was 0.30 mg/L(95%CI:0.22-0.38)in control group. Plasma D-dimer level had predictive value for postpartum hemorrhage in pregnant women with obstetric risk factors (OR=2.01, 95%CI:1.57-2.56), while had no predic-tive value for postpartum hemorrhage in healthy pregnant women. Conclusions: The 95% reference range for D-dimer in-tervals in healthy pregnant women at 34 weeks gestation is <3.05 mg/L, which is much higher than that in healthy non-pregnant women when not menstruating. D-dimer has predictive value for postpartum hemorrhage in pregnant women with obstetric risk factors.%目的:建立上海地区健康孕妇孕晚期(34孕周)血浆D-二聚体参考范围,对影响D-二聚体的相关因素进行统计分析,评价其在预测孕妇产后出血中的

  1. Heparin and normal saline solutions for measurement of central venous pressure in elderly patients with elevated D-dimer levels%肝素生理盐水用于D-二聚体升高老年患者中心静脉测压研究

    Institute of Scientific and Technical Information of China (English)

    赵陈英; 陈华; 李威

    2012-01-01

    Objective To solve the problem of catheter blockage developed after measurement of central venous pressure (CVI) in elderly patients with elevated D-dimer levels. Methods Seventy-four elderly patients with elevated D-dimer levels were divided into a control group (n = 34) and an observation group (n = 40) receiving either normal saline or 125 U/mL of heparin and normal saline solutions for CVI measurement. Results Compared with the control group, the observation group achieved less blockage of catheters, higher planned extubation, and longer indwelling time of catheters (P0. 05). Conclusion Measurement of central venous pressure in elderly patients with elevated D-dimer levels by using 125 U/mL of heparin and normal saline solutions, can reduce blockage of catheters.%目的 解决D-二聚体升高老年患者行中心静脉测压后易出现深静脉导管堵塞的问题.方法 将74例D-二聚体升高老年患者分为对照组34例、观察组40例,对照组采用生理盐水行中心静脉测压,观察组采用125 U/mL肝素生理盐水行中心静脉测压.结果 观察组堵管发生率低于对照组,计划拔管的比例高于对照组,置管时间长于对照组(均P<0.01).观察组未发生出血征象,APTT值测压前后比较,差异无统计学意义(P>0.05).结论采用125 U/mL肝素生理盐水对D-二聚体升高老年患者进行中心静脉测压,可降低测压后深静脉导管堵塞发生率,有利于静脉途径的治疗与护理.

  2. Repatriation Adjustment: Literature Review

    Directory of Open Access Journals (Sweden)

    Gamze Arman

    2009-12-01

    Full Text Available Expatriation is a widely studied area of research in work and organizational psychology. After expatriates accomplish their missions in host countries, they return to their countries and this process is called repatriation. Adjustment constitutes a crucial part in repatriation research. In the present literature review, research about repatriation adjustment was reviewed with the aim of defining the whole picture in this phenomenon. Present research was classified on the basis of a theoretical model of repatriation adjustment. Basic frame consisted of antecedents, adjustment, outcomes as main variables and personal characteristics/coping strategies and organizational strategies as moderating variables.

  3. 腋窝皱襞小切口大汗腺剪除术根治腋臭334例疗效观察及围手术期护理%The Clinical Effect Observation and Perioperative Care of A Treatment Method, Cutting off Apocrine Sweat Gland Precisely with Minimally Invasive in Axillary Folds, for Bromhidrosis

    Institute of Scientific and Technical Information of China (English)

    张璃; 林孝华; 宣喧; 李智铭

    2011-01-01

    目的 观察腋窝皱襞小切口大汗腺剪除术根治腋臭的疗效,探讨其围手术期预防并发症的措施.方法 入选患者均沿腋毛区外1.0cm处标记手术区域,在腋窝中央皮肤皱褶处切口,长约1.5 ~2.0cm,沿皮下组织浅层分离术区皮肤组织,翻转皮瓣,剪除皮肤上脂肪组织、大汗腺及毛囊,修剪成仅含皮肤全层和真皮下血管网的超薄皮瓣,再缝合切口.结果 334例患者,共治疗668侧,均有效,痊愈412侧,显效256侧,无效0侧.围手术期出现皮下血肿21侧、局部皮肤坏死6侧、切口延迟愈合11侧、局部湿疹样皮炎12侧、水疱和血疱56侧,积极对症处理后,预后良好.结论 腋窝皱襞小切口大汗腺剪除术根治腋臭,疗效肯定,手术切口瘢痕不明显.围手术期应积极预防和处理各种并发症的发生.%Objective To discuss the clinical effect and perioperative care of a treatment method to cure the bromhidro-sis completely. Methods Mark the surgical area 1cm away around the armpit hair, draw the operative incision along the center of the area, which is around 1.5 ~2.0cm; Peel and turn off the skin, directly cut off the fat, apocrine sweat gland and hair follicle attached to the skin, and left full-thickness skin and subcutaneous vascular net only, then sew up the incision. Results Total 334 suffers, 668 sides were all cured properly. Of which 412 sides were healed completely. 256 sides gained remarkable curative effect. There were some complications incurred,such as subcutaneous hematoma(21 sides) ,local skin necrosis(6 sides) , delayed wound healing (11 sides ), local eczematous dermatitis ( 12 sides ), blister and blood blister ( 56 sides). In the end, they had also been appropriately cured. Conclusion This surgery is a useful treatment method for bromhidrosis, and the Scar is not obvious. However, it is also necessary to prevent and appropriately cure in case of any complications.

  4. Un caso de baja segregada en niveles altos en el sur de Sudamérica: descripción del ciclo de vida y su relación con la precipitación A case of high level cut-off cyclonic vortex over southern South America: description of the life cycle and its relation to precipitation

    Directory of Open Access Journals (Sweden)

    Alejandro Anibal Godoy

    2011-09-01

    Full Text Available En este trabajo se analiza el ciclo de vida de una baja segregada que afectó el sur de Sudamérica entre el 26 de Marzo y el 2 de Abril del 2007 y se explora la relación existente entre las diferentes etapas de este sistema y la precipitación ocurrida sobre la franja central de Argentina. Además se evalúa si otros procesos coadyuvaron para la ocurrencia de la misma. Las características más relevantes de este sistema son su larga duración y el lento desplazamiento, ya que entre el inicio y el fin de su vida se desplaza sólo 780 km, manteniéndose estacionario, durante las etapas de segregación y madurez, por más de 56 hs frente a la costa central chilena. Esta última característica favorece la formación de un sistema de baja presión sobre el noroeste de Argentina y la persistencia de una corriente en chorro en capas bajas del norte que se extiende desde el centro de Bolivia hasta norte argentino. La masa de aire con características tropicales conducida por esta configuración y la convergencia en niveles bajos favorecieron el desarrollo convectivo. La precipitación acumulada durante estas etapas, en algunas regiones del sur del litoral argentino, superó los 300 mm, produciendo extensas inundaciones en la región. Durante la etapa de decaimiento (96 hs de duración, el sistema se debilita a medida que se desplaza hacia el este y las precipitaciones afectaron las provincias del centro-oeste de Argentina donde la lluvia en 48 horas duplicó el promedio mensual de marzo.This paper describes the life cycle of a high level cut-off cyclonic vortex that affected southern South America between 26 March and 2 April 2007, and explores the relationship between the evolution stages of the system and the rainfall over central Argentina. The possibility of other processes contributing to rainfall is also analyzed. The most relevant characteristics of this system were its length and slow displacement: from its development to decay it moved only

  5. Determinação de escore e nota de corte do módulo de asma do International Study of Asthma and Allergies in Childhood para discriminação de adultos asmáticos em estudos epidemiológicos Determining the score and cut-off point that would identify asthmatic adults in epidemiological studies using the asthma module of the International Study of Asthma and Allergies in Childhood questionnaire

    Directory of Open Access Journals (Sweden)

    Elayne de Fátima Maçãira

    2005-12-01

    Full Text Available OBJETIVO: Validar o questionário padronizado escrito do International Study of Asthma and Allergies in Childhood, módulo sobre asma, para pesquisa de prevalência de asma, estabelecendo seu escore e a nota de corte para discriminação de adultos asmáticos. MÉTODOS: Entrevistamos pacientes ambulatoriais adultos, 40 asmáticos e 38 controles, pareados por sexo e idade, utilizando o módulo de asma do International Study of Asthma and Allergies in Childhood, composto por oito aspectos dicotômicos de asma. Determinamos o escore e a nota de corte para discriminação de asmáticos, definindo sua sensibilidade, especificidade e índice de Youden. Validamos o método em contraposição ao diagnóstico clínico e funcional. A reprodutibilidade das questões individuais foi testada por meio de reentrevistas de metade dos pacientes após algumas semanas. RESULTADOS: O escore variou de 0 a 14 pontos. Um escore = 5 pontos permitiu discriminar pacientes asmáticos (sensibilidade = 93%, especificidade = 100% e índice de Youden = 0,93. A maioria das questões apresentou boa reprodutibilidade, observada em reentrevista após 48,2 ± 11,1 dias (Kappa e Kappa ponderado variando de 0,43 a 1,00 para as questões individuais. CONCLUSÃO: A validação de uma nota de corte permite uma interpretação alternativa às informações fornecidas pelo módulo de asma do International Study of Asthma and Allergies in Childhood, levando em conta o conjunto das informações e não somente as respostas individuais de cada questão em estudos de prevalência de asma em adultos.OBJECTIVE: To validate, for use in asthma prevalence studies, the asthma module of the standardized written questionnaire developed for use in the International Study of Asthma and Allergies in Childhood, establishing the score and cut-off point that would identify asthmatic adults. METHODS: We interviewed 78 adult outpatients (40 adult asthmatics and 38 age-matched and gender-matched controls

  6. 乙型肝炎后肝硬化患者凝血功能和血浆D-二聚体水平与Child-Pugh肝功能分级的关系分析%Changes in the Levels of D-dimer and CoagulationFactor in Patients with Liver Cirrhosis

    Institute of Scientific and Technical Information of China (English)

    胡晓; 程超; 冯立民

    2013-01-01

    目的 了解不同临床分级的乙型肝炎后肝硬化患者凝血功能和血浆D-二聚体的变化及临床意义.方法 选取浙江大学医学院附属第一医院传染病科2012年1月~7月住院的乙型肝炎后肝硬化患者90例,所有患者按Child-Pugh肝功能分级标准相应分为Child A,Child B和Child C三级.健康对照组为同期在该院体检的87例健康成人,检测乙型肝炎后肝硬化患者组和健康体检者组的D-二聚体,PT,APTT,Fbg和TT并比较分析,同时观察这些指标与Child-Pugh肝功能分级和腹腔积液的关系.结果 90例乙型肝炎后肝硬化患者血浆D-二聚体,PT,APTT和TT显著高于健康对照组,Fbg则显著低于健康对照组,差异有统计学意义(P0.05).结论 血浆D-二聚体及常规凝血功能的检测对了解肝硬化患者有无纤溶亢进和高凝状态有着重要的意义,有利于临床指导治疗和判断预后.腹腔积液可能是肝硬化患者D-二聚体增高的重要因素.%Objective To explore the clinical significance of detecting D-dimer,prothrombin time (PT) ,actived partial throm-boplatin time(APTT) , fibrinogen(Fbg) and thrombin time(TT) in the patients with liver cirrhosis.Methods 90 cases of liver cirrhosis patients and 87 healthy persons were detected in plasma coagulation factor and the observation of these coagulation index and liver function Child-Pugh classification of the relationship.Results The plasma levels of D-dimer, PT, APTT and TT were higher and the concentration of Fbg was lower in patients with liver cirrhosis than healthy persons (P <0.01).There were significant difference among three groups of Child-Pugh classification.The plasma levels of D-dimer, prothrombin time (PT),actived partial thromboplatm time (APTT) and thrombin time(TT) had significant difference between the groups of seroperitoneum and without seroperitoneum (P<0.01).Conclusion The detection of D-dimer, PT, APTT, Fbg and TT can reflect the severity of liver cirhosis

  7. D-二聚体和凝血4项检测在孕妇产前检查中的临床价值分析%The clinical value analysis of D-Dimer and cruor detection in antenatal examination for pregnantwomen

    Institute of Scientific and Technical Information of China (English)

    邹庆红

    2013-01-01

    目的 探讨D二聚体和凝血4项检测在孕妇产前检查中的临床价值,提高妊娠高血压综合征孕妇分娩的安全性.方法 2011年8月~2012年5月,收集正常晚期妊娠妇女50例(晚孕正常组)、晚期妊娠合并妊娠高血压综合征妇女50例(晚孕妊高征组)和门诊体检非妊娠健康妇女50例(对照组),检测D-二聚体、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、凝血酶时间(TT)和纤维蛋白原(FIB).结果 晚孕妊高征组血清D-二聚体水平最高,对照组最低,差异有统计学意义(p<0.05).晚孕妊高征组PT和APTT水平最低,FIB水平最高,对照组PT和APTT水平最高,FIB水平最低,3组之间差异有统计学意义(P<0.05);3组间TT水平比较,差异无统计学意义(P>0.05).结论 正常妊娠妇女及妊娠高血压综合征妇女血液均处于高凝状态,产前检测D二聚体和凝血4项水平,有助于防止孕妇在分娩过程中发生血栓性疾病或弥漫性血管内凝血,减少产科意外的发生,可以作为产前筛查的主要指标.%Objective To investigate D-Dimer and cruor detection in antenatal examination for pregnant women, and improve the safety of pregnancy-induced hypertension pregnant woman. Methods From August 2011 to May 2012,researchers collected 50 cases of normal late pregnancy women (late pregnancy normal group) , 50 cases of iate pregnancy with pregnancy-induced hypertension women (late pregnancy with pregnancy-induced hypertension group) and 50 cases of non pregnancy healthy women (control group) , detected d-dimer, prothrombin time (PT) , activated part thromboplastin time (APTT) , thrombin time (TT) and fibrinogen ( FIB). Results The D-Dimer level of late pregnancy with pregnancy-induced hypertension group is the highest, and which of the control group is minimum, the differences indicated statistical significance (P 0. 05). Conclusion Normal pregnancy women and pregnancy-induced hypertension women are at a high cruor

  8. Benchmarking judgmentally adjusted forecasts

    NARCIS (Netherlands)

    Ph.H.B.F. Franses (Philip Hans); L.P. de Bruijn (Bert)

    2015-01-01

    markdownabstractMany publicly available macroeconomic forecasts are judgmentally-adjusted model-based forecasts. In practice usually only a single final forecast is available, and not the underlying econometric model, nor are the size and reason for adjustment known. Hence, the relative weights give

  9. ADJUSTABLE CHIP HOLDER

    DEFF Research Database (Denmark)

    2009-01-01

    An adjustable microchip holder for holding a microchip is provided having a plurality of displaceable interconnection pads for connecting the connection holes of a microchip with one or more external devices or equipment. The adjustable microchip holder can fit different sizes of microchips...

  10. The Value of Clinical Examination of C-reactive Protein and D-dimer in Patients with Acute Leukemia and Infection%C反应蛋白和D-二聚体对急性白血病伴感染患者的临床检查价值

    Institute of Scientific and Technical Information of China (English)

    林少芳; 罗志敏

    2014-01-01

    目的:探讨C反应蛋白和D-二聚体对急性白血病伴感染患者的临床检查价值。方法选取该院血液科2011年1月—2013年12月诊断为急性白血病的住院病人,诊断为有感染的患者定义为感染组40例;诊断为弥漫性血管内凝血的患者为弥漫性血管内凝血组40例;同时有感染与弥漫性血管内凝血的患者归为感染+弥漫性血管内凝血组40例。测取各组C反应蛋白和D-二聚体数值。结果感染组、弥漫性血管内凝血组及感染+弥漫性血管内凝血组C反应蛋白和D-二聚体分别为[(42.8依10.5)mg/L、(0.8依0.3)μg/L;(16.5依5.8)mg/L、(1.5依0.6)μg/L;(88.7依21.7)mg/L、(6.8依1.7)μg/L],C反应蛋白和D-二聚体以联合组最高,弥漫性血管内凝血组最低,三组的差异有统计学意义(P<0.05);以C反应蛋白[(<10 mg/L)、(10≤,<100 mg/L)、(≥100 mg/L)]进行分层,CRP≥100 mg/L的人群中,发生DIC比例及血中D-二聚体值最高,而C反应蛋白<10 mg/L的人群中,发生DIC比例及血中D-二聚体值最低,差异有统计学意义(P<0.05)。结论该研究认为急性白血病病人普遍存在感染和异常凝血,可以C反应蛋白和D-二聚体作为检测指标,判断患者是否有发生弥漫性血管内凝血与感染的风险。%Objective To evaluate the value of clinical examination of C-reactive protein and D-dimer in acute leukemia patients with infection. Methods The inpatients diagnosed with acute leukemia in the Department of Hematology of our hospital were se-lected. Those acute leukemia patients complicated by infection were set as the infection group(40 cases), those complicated by dis-seminated intravascular coagulation(DIC) were set as the disseminated intravascular coagulation group(40 cases), and those compli-cated by infection and DIC were set as the infection and disseminated intravascular coagulation group(40 cases). And the values of C-reactive protein and D-dimer

  11. Change of pregnancy-associated protein A,urinary transferrin, D-dimer in patients with hypertension in pregnancy%妊娠相关蛋白 A、尿转铁蛋白、D-二聚体在妊娠期高血压病患者中的变化

    Institute of Scientific and Technical Information of China (English)

    张丽岩; 刘艳庚; 颜媛

    2015-01-01

    Objective To observe the significance of pregnancy-associated protein A (PAPP-A ), urinary transferrin,D-dimer in patients with hypertension in pregnancy and their correlation.Methods The study enrolled 120 patients with pregnancy-induced hypertension syndrome as pregnancy-induced hypertension group,at the same period, 30 healthy pregnant women with a full-term pregnancy were selected as the normal pregnancy group and 20 non-pregnant healthy women were as the healthy control group.The levels of PAPP-A,urinary transferrin and D-dimer were observed in pregnancy-induced hypertension group,normal pregnancy group and healthy control group,their levels and disease severity were detected in pregnancy-induced hypertension group and their relationship was explored. Results The levels of PAPP-A,urinary transferrin and D-dimer in pregnancy-induced hypertension group were significantly higher than those of normal pregnancy group and healthy control group (P < 0.01 ),and the levels in normal pregnancy group were also higher compared with those of healthy control group (P <0.01),as the severity of pregnancy-induced hypertension increased,the levels of PAPP-A,urinary transferrin and D-dimer increased (P <0.01).There were positive correlation between PAPP-A and urinary transferrin (r =0.593,P <0.01)or D-dimer (r=0.692,P <0.01),while there were positive correlation between D-dimer and urinary transferrin (r =0.622,P <0.01).Conclusion There are of great significances between the severity of pregnancy-induced hypertension and levels of PAPP-A,urinary transferrin,D-dimmer,and the items can be provided for the early diagnosis and treatment of pregnancy-induced hypertension.%目的:观察妊娠相关蛋白 A(PAPP-A)、尿转铁蛋白、D-二聚体在妊娠期高血压疾病患者检测中的意义及其相关性分析。方法选择在我院就诊的妊娠期高血压疾病患者120例,为妊娠期高血压疾病组,选择同期足月妊娠的健康孕妇30例,为正常妊娠组,选

  12. Adjustment of macroeconomic imbalances

    Directory of Open Access Journals (Sweden)

    Georgeta Barbulescu

    2013-03-01

    Full Text Available The global financial and economic crisis was the factor that triggered the adjustment of macroeconomic imbalances accumulated in Romania. The current account deficit and budget deficit were two major structural imbalances that have created a high vulnerability for the economy and explained the extent of economic contraction in Romania during the economic crisis. This article identifies the main causes that lead to the need for fiscal adjustment both in the EU and in Romania, as well as main effects of adjustments in respect of their experience in recent years. The article deals with this topic, because the current topical debate in the field of fiscal adjustments implemented both in the EU and our country, and their need for economic activity aimed at economic recovery.

  13. Adjustments and Depression

    Medline Plus

    Full Text Available ... thoughts and feelings and is something that takes time. The goal of adjusting is to rebuild one's ... updates about our impact > Get the Reeve newsletter International support > Pages in other languages Made with ♡ in ...

  14. Adjustments and Depression

    Medline Plus

    Full Text Available ... identity and to find a new balance in relationships. The stages of adjustment can include grieving, taking ... treatment options. Related pages What is a complete vs incomplete injury? What emergency procedures occur following an ...

  15. Adjustments and Depression

    Medline Plus

    Full Text Available ... rebuild one's identity and to find a new balance in relationships. The stages of adjustment can include ... a peer mentor Advocate for change Fundraise with Team Reeve Champions Committee Volunteering About Us Our story ...

  16. Family Adjustment to Aphasia

    Science.gov (United States)

    ... Public / Speech, Language and Swallowing / Disorders and Diseases Family Adjustment to Aphasia Richard S. was a senior manager ... It also presents a great challenge to the family. There may be tension among family members and ...

  17. Diagnostic Value of D-Dimer’s Serum Level in Iranian Patients with Cerebral Venous Thrombosis

    Science.gov (United States)

    Hashami, Leila; Rakhshan, Vahid; Karimian, Hoda; Moghaddasi, Mehdi

    2016-01-01

    Cerebral venous thrombosis (CVT) is a long-term debilitating vascular brain disease with high morbidity and mortality. It may be associated with rise in D-dimer level. The aim of this study was to examine this potential association and identify the critical D-dimer cut-off level corresponding to increase the risk of CVT. This case-control study was conducted on two groups of patients with and without CVT attending the Rasool Akram Hospital (Iran) during 2014 and 2015. D-dimer levels were measured by the rapid sensitive D-dimer assay. Data were analyzed by Spearman’s correlation coefficient test, independent-samples t-test, backward-selection multiple linear regression and multiple binary logistic regression analyses. Sensitivity-specificity tests were used to detect D-dimer cut-off for CVT. Differences between the D-dimer levels of the case and control groups were significant (P<0.001). It showed that each level of increase in the number of symptoms could increase the risk of thrombosis occurrence for about 3.5 times. All symptom types except for headache were associated with D-dimer level, while headache has negative association with D-dimer level. D-dimer cut-off point for CVT diagnosis was estimated at 350 ng/mg. We concluded that D-dimer serum level significantly rises in CVT patients. A rounded cut-off point of 350 ng/mg can be used as a diagnostic criterion for CVT prediction. PMID:27441064

  18. Diagnostic value of D-dimer’s serum level in Iranian patients with cerebral venous thrombosis

    Directory of Open Access Journals (Sweden)

    Leila Hashami

    2016-06-01

    Full Text Available Cerebral venous thrombosis (CVT is a longterm debilitating vascular brain disease with high morbidity and mortality. It may be associated with rise in D-dimer level. The aim of this study was to examine this potential association and identify the critical D-dimer cut-off level corresponding to increase the risk of CVT. This case-control study was conducted on two groups of patients with and without CVT attending the Rasool Akram Hospital (Iran during 2014 and 2015. D-dimer levels were measured by the rapid sensitive D-dimer assay. Data were analyzed by Spearman’s correlation coefficient test, independent-samples t-test, backward-selection multiple linear regression and multiple binary logistic regression analyses. Sensitivity-specificity tests were used to detect D-dimer cut-off for CVT. Differences between the D-dimer levels of the case and control groups were significant (P<0.001. It showed that each level of increase in the number of symptoms could increase the risk of thrombosis occurrence for about 3.5 times. All symptom types except for headache were associated with D-dimer level, while headache has negative association with D-dimer level. D-dimer cut-off point for CVT diagnosis was estimated at 350 ng/mg. We concluded that D-dimer serum level significantly rises in CVT patients. A rounded cut-off point of 350 ng/mg can be used as a diagnostic criterion for CVT prediction.

  19. Occupational Adjustment of Immigrants

    OpenAIRE

    Zorlu, Aslan

    2011-01-01

    This paper examines the speed of the occupational adjustment of immigrants using Labour Force Surveys 2004 and 2005 from Statistics Netherlands. The analysis provides new evidence that immigrants start with jobs at the lower levels of skill distribution. Their occupational achievement improves significantly with the duration of residence. The extent of this initial disadvantage and the rate of adjustment vary across immigrant groups according to the transferability of skills associated with t...

  20. KVA: Capital Valuation Adjustment

    OpenAIRE

    Andrew Green; Chris Kenyon

    2014-01-01

    Credit (CVA), Debit (DVA) and Funding Valuation Adjustments (FVA) are now familiar valuation adjustments made to the value of a portfolio of derivatives to account for credit risks and funding costs. However, recent changes in the regulatory regime and the increases in regulatory capital requirements has led many banks to include the cost of capital in derivative pricing. This paper formalises the addition of cost of capital by extending the Burgard-Kjaer (2013) semi-replication approach to C...

  1. Weighted triangulation adjustment

    Science.gov (United States)

    Anderson, Walter L.

    1969-01-01

    The variation of coordinates method is employed to perform a weighted least squares adjustment of horizontal survey networks. Geodetic coordinates are required for each fixed and adjustable station. A preliminary inverse geodetic position computation is made for each observed line. Weights associated with each observed equation for direction, azimuth, and distance are applied in the formation of the normal equations in-the least squares adjustment. The number of normal equations that may be solved is twice the number of new stations and less than 150. When the normal equations are solved, shifts are produced at adjustable stations. Previously computed correction factors are applied to the shifts and a most probable geodetic position is found for each adjustable station. Pinal azimuths and distances are computed. These may be written onto magnetic tape for subsequent computation of state plane or grid coordinates. Input consists of punch cards containing project identification, program options, and position and observation information. Results listed include preliminary and final positions, residuals, observation equations, solution of the normal equations showing magnitudes of shifts, and a plot of each adjusted and fixed station. During processing, data sets containing irrecoverable errors are rejected and the type of error is listed. The computer resumes processing of additional data sets.. Other conditions cause warning-errors to be issued, and processing continues with the current data set.

  2. 辨认和控制能力精神医学评定量表划界标准与实证效度%Cut-off point and empirical validity of psychiatric assessment scale of cognitive and volition capacity in crime

    Institute of Scientific and Technical Information of China (English)

    李毅; 高北陵; 胡峰; 李学武; 王轶; 吴冬凌

    2014-01-01

    目的 检验辨认和控制能力精神医学评定量表(Psychiatric Assessment Scale of Cognitive and Volition Capacity in crime,PASCVC)的实证效度,并制定全国常模.方法 于2009年8月至2011年12月间在全国七大行政区的十五家司法鉴定机构共收集评定辨认和控制能力的司法精神鉴定案例1 000例,由量表评定者用PASCVC、精神病人限定刑事责任能力评定量表(Diminished Criminal Responsibility Rating Scale,DCRRS)和暴力作案行为人刑事责任能力评定量表(Criminal Responsibility Rating Scale of Violence,CRRSV)进行评分,所有案例均由鉴定人做出辨认和控制能力完全丧失、大部分丧失、部分丧失、小部分丧失、稍有受损和正常的六个等级判断.结果 ①依据频数分布表的结果得出:辨认和控制能力完全丧失的划界分为≤56、大部分丧失为57~ 66、部分丧失为67~76、小部分丧失为77~ 87、稍有受损为88~ 100、正常为≥101.②六级划界分评定的等级划分结果与专家鉴定意见的相关为0.939 (P=0.001).③PASCVC与DCRRS和CRRSV的一致性Kappa值分别为0.838和0.835 (P<0.001).④PASCVC量表评定和专家评定两种方法分别建立判别函数,回代判别量表与专家判断的正确率分别为86.9%和85.1%;两种分级结果的一致性Kappa值为0.857 (P<0.001).结论 该量表具有较好的实证效度,可作为辨认和控制能力司法鉴定的客观评定工具.%Objective To test the cut-off point and empirical validity of psychiatric assessment scale of cognitive and volition capacity for suspects in crime (PASCVC).Methods One thousand of forensic psychiatry cases from fifteen bodies of the seven administrative regions in China were collected for forensic assessment by the three scales of PASCVC,DCRRS and CRRSV in August 2009 to December 201 l.in all cases by the appraiser to make six grade judgment of the cognitive and volition capacity including completely lost

  3. 新生儿先天性肾上腺皮质增生症筛查中17羟孕酮切值的建立%Study on establishment of 17-OHP cut-off point in screening of congenital adrenal hyperplasia

    Institute of Scientific and Technical Information of China (English)

    万志丹; 黄湘; 张翠梅; 林翠兰; 姚英姿; 梁睿; 李冬秀; 吴学威

    2012-01-01

    Objective To make a retrospective analysis on the hospital congenital adrenal hyperplasia (CAH) screening data from January 2010 to September 2010,a preliminary study of different gender,gestational age and birth weight of newborns 17-hydroxyprogesterone (17-OHP) distribution,and clinical diagnosis of cases,and set a reasonable screening cut value.Methods We used DELFIA method to detect neonatal peripheral blood 17-OHP concentrations,and used the percentile method to determine the cut value.Results Newborn screening of (17-OHP levels were detected skewed distribution.There were significant differences between different gender,weight and gestational age.According to robust regression statistics gestational age has the best correlation with 17-OHP.So just set cut values grouped premature neonates and normal gestational age newborn.Premature neonates ( < 37W) 17-OHP 99% percentile value 66.1 nmol/L.Normal gestational age (≥ 37W) newborn 17-OHP 99% percentile values was 26.6 nmol/L.Followed by tracking statistics from January 2010 to August 2011,17 cases of CAH diagnosed among the 88,061 cases of live births screened newborn,classic type 2 cases,the incidence rate of 1/44030; simple of man in 1 case,the incidence rate of 1/88061; atypical in 14 cases,the incidence rate of 1/6290.Conclusion Zhongshan areas of CAH incidence was significantly lower than the national level.Using a uniform 17-OHP cut value 30 nmol/L for newborn CAH has a certain influence to screening results,it is recommended screening cut-off point of premature neonates should be 60 nmol/L,in order to reduce the false positive rate and recall rate.%目的 回顾性分析2010年1月-2010年9月,我院新生儿先天性肾上腺皮质增生症(CAH)的筛查数据,初步探讨不同性别、出生孕周及体重的新生儿17-羟孕酮(17-OHP)分布情况,并结合临床确诊病例,设定合理的筛查切值.方法 采用时间分辨荧光免疫分析方法检测新生儿末稍血17-OHP浓度,采

  4. 疑似糖尿病患者中HbA1c诊断糖尿病应用价值及其切点研究%Validity and Cut-off Point of HbA1c for Early Detection of Suspected Patients with Diabetes Mellitus

    Institute of Scientific and Technical Information of China (English)

    梁国威; 何美琳; 徐旭; 邵冬华

    2012-01-01

    % ). Analysis by Receiver operator characteristic curve for diabetes diagnosis, showed that the area under the curve (AUC) was 0.881 of HbAl c (95% CI: 0.861 -0.900), which was equivalent to that of fasting blood glucose (FPG) (AUC: 0.899, 95% CI; 0.880-0.9160, P=0.205). The sensitivity of using HbAlc ≥ 6. 2% (79.2% ) as the diabetes diagnosis criterion was significantly higher than using FPG≥7.0 mmol/L (65.8% ) or HbAlc≥6.5% (67.4% ). Conclusion HbAlc measurement is suitable for diabetes diagnosis when FPG or OGTT is not available. An HbAl c threshold of 6. 2% is an optimal cut - off point for diabetes diagnosis.

  5. Use of a Sampling Area-Adjusted Adenosine Triphosphate Bioluminescence Assay Based on Digital Image Quantification to Assess the Cleanliness of Hospital Surfaces

    Science.gov (United States)

    Ho, Yu-Huai; Wang, Lih-Shinn; Jiang, Hui-Li; Chang, Chih-Hui; Hsieh, Chia-Jung; Chang, Dan-Chi; Tu, Hsin-Yu; Chiu, Tan-Yun; Chao, Huei-Jen; Tseng, Chun-Chieh

    2016-01-01

    Contaminated surfaces play an important role in the transmission of pathogens. We sought to establish a criterion that could indicate “cleanliness” using a sampling area–adjusted adenosine triphosphate (ATP) assay. In the first phase of the study, target surfaces were selected for swab sampling before and after daily cleaning; then, an aerobic colony count (ACC) plate assay of bacteria and antibiotic-resistant bacteria was conducted. ATP swabs were also tested, and the ATP readings were reported as relative light units (RLUs). The results of the ACC and ATP assays were adjusted according to the sampling area. During the second phase of the study, a new cleaning process employing sodium dichloroisocyanurate (NaDCC) was implemented for comparison. Using the criterion of 2.5 colony-forming units (CFU)/cm2, 45% of the sampled sites were successfully cleaned during phase one of the study. During phase two, the pass rates of the surface samples (64%) were significantly improved, except under stringent (5 RLU/cm2) and lax (500 RLU) ATP criteria. Using receiver-operating characteristic curve analysis, the best cut-off point for an area-adjusted ATP level was 7.34 RLU/cm2, which corresponded to culture-assay levels of <2.5 CFU/cm2. An area adjustment of the ATP assay improved the degree of correlation with the ACC-assay results from weak to moderate. PMID:27294944

  6. Use of a Sampling Area-Adjusted Adenosine Triphosphate Bioluminescence Assay Based on Digital Image Quantification to Assess the Cleanliness of Hospital Surfaces.

    Science.gov (United States)

    Ho, Yu-Huai; Wang, Lih-Shinn; Jiang, Hui-Li; Chang, Chih-Hui; Hsieh, Chia-Jung; Chang, Dan-Chi; Tu, Hsin-Yu; Chiu, Tan-Yun; Chao, Huei-Jen; Tseng, Chun-Chieh

    2016-01-01

    Contaminated surfaces play an important role in the transmission of pathogens. We sought to establish a criterion that could indicate "cleanliness" using a sampling area-adjusted adenosine triphosphate (ATP) assay. In the first phase of the study, target surfaces were selected for swab sampling before and after daily cleaning; then, an aerobic colony count (ACC) plate assay of bacteria and antibiotic-resistant bacteria was conducted. ATP swabs were also tested, and the ATP readings were reported as relative light units (RLUs). The results of the ACC and ATP assays were adjusted according to the sampling area. During the second phase of the study, a new cleaning process employing sodium dichloroisocyanurate (NaDCC) was implemented for comparison. Using the criterion of 2.5 colony-forming units (CFU)/cm², 45% of the sampled sites were successfully cleaned during phase one of the study. During phase two, the pass rates of the surface samples (64%) were significantly improved, except under stringent (5 RLU/cm²) and lax (500 RLU) ATP criteria. Using receiver-operating characteristic curve analysis, the best cut-off point for an area-adjusted ATP level was 7.34 RLU/cm², which corresponded to culture-assay levels of <2.5 CFU/cm². An area adjustment of the ATP assay improved the degree of correlation with the ACC-assay results from weak to moderate. PMID:27294944

  7. D-二聚体对老年重症社区获得性肺炎30天死亡率的预测价值%Predictivevalue of D-dimer in 30-day mortality of elderly patients with severe community-acquired pneumonia

    Institute of Scientific and Technical Information of China (English)

    龙威; 黄高忠; 李利娟; 苏文涛; 赵立东

    2014-01-01

    目的:探讨D-二聚体水平对住院老年重症社区获得性肺炎(CAP)患者30d死亡率的预测价值。方法152例符合诊断标准的老年重症CAP患者纳入研究,入院后即进行D-二聚体、C-反应蛋白(CRP)检测及肺炎严重度指数(PSI)评分,记录患者30d死亡率。采用受试者工作特征曲线(ROC)分析D-二聚体对30d死亡率的预测价值,计算曲线下面积(AUC)。结果 PSI评分Ⅳ级患者的D-二聚体水平为(961.55±186.49)µg/L,Ⅴ级为(1122.53±197.98)µg/L,两者差异有明显统计学意义(t=5.159,P<0.001);死亡患者的D-二聚体水平(1112.59±215.25)µg/L明显高于存活患者的D-二聚体水平(920.46±126.89)µg/L(t=6.239,P<0.001)。Pearson相关性分析显示,D-二聚体和PSI有明显相关性(r=0.47,P<0.0001);ROC分析表明D-二聚体的AUC为:0.79(95%CI:0.72~0.85),和PSI的AUC相比差异无统计学意义(0.85,95%CI:0.78~0.91,P=0.095)。结论 D-二聚体水平对住院老年重症CAP患者30d死亡率有较好预测价值。%ObjectiveToinvestigate the value ofplasmaD-dimerlevelin predicting 30-day mortalityfortheelderly patients with severe community-acquired pneumonia (CAP).Methods A total of 152 elderly inpatients(over 60 years old)withidentifiedsevere CAPadmitted in our department from August 2009 to August 2011were enrolled in this study.Immediately after admission,theirblood samples were obtained forplasma levels ofD-dimer and C-reactive protein(CRP),and pneumonia severity index (PSI) was calculated. Clinical and laboratory variables and 30-day mortality were recorded.Receiver operating characteristic(ROC) curve was used to assess the value of D-dimerfor predicting 30-day mortality, and thearea under curve(AUC)was calculated.ResultsTheD-dimer levelswere (961.55±186.49)µg/Lin the patients with PSIscore inclassⅣ, and(1122.53±197.98)µg/L for those with score inclass

  8. 高压氧联合神经节苷脂对脑出血患者凝血酶、血清髓鞘碱性蛋白、D-二聚体的影响%Effect of hyperbaric oxygen combined with ganglion glycosides on thrombin, serum myelin basic protein and D-dimer in patients with intracerebral hemorrhage

    Institute of Scientific and Technical Information of China (English)

    陈伟; 王茂德; 王宁; 鲍刚; 王拓

    2016-01-01

    Objective To observe the effect of hyperbaric oxygen combined with ganglion glycosides on thrombin, se-rum myelin basic protein and D-dimer in patients with intracerebral hemorrhage.Methods Selected from June 2014 to June 2015, 100 cases of cerebral hemorrhage patients in Xi'an Jiaotong University First Affiliated Hospital neurosurgery department as the research object, according to the order of admission, they were randomly divided into control group and observation group, each group of 50 cases, on the basis of conventional therapy patients in control group were treated with ganglioside treatment, the observation group given hyperbaric oxygen combined with ganglioside treatment.Before and after treatment, thrombin, serum myelin basic protein, D-dimer, hematoma volume, neurological function defect score ( NIHSS) , daily life a-bility score ( ADL) were observed, and the clinical effect was evaluated.Results Before treatment, 2 groups of thrombin, serum myelin basic protein ( MBP) , D-dimer, volume of hematoma, NIHSS and ADL score differences had no statistical sig-nificance ( P >0.05), after treatment, two groups of thrombin, serum myelin basic protein (MBP), D-dimer, hematoma volume and NIHSS score compared with those before treatment were significantly decreased ( P <0.05), ADL score before treatment were significantly higher ( P <0.05) , and the observation group was more obvious than that of the control group, the above indicators improved ( P <0.05).The control group cured rate, significant progress rate, improvement rate were 24.00%, 36.00%, 24.00%, the observation group were 30.00%and 40.00%, 24.00%observed group, the total efficien-cy is remarkably higher than that of the control group (94.00%vs.84.00%,χ2 =3.55, P <0.05).Conclusion Hyperbaric oxygen combined with ganglion glycosides can reduce the level of thrombin, serum myelin basic protein and D-dimer levels in patients with cerebral hemorrhage,and improve the therapeutic effect.%目的:观察高压

  9. Predicting deep venous thrombosis using Wells scoring system combined with D-dimer and fibrin degradation product%复合骨折后下肢深静脉血栓形成Wells评分与D-二聚体及纤维蛋白降解产物的预测

    Institute of Scientific and Technical Information of China (English)

    沈明荃; 谢增如

    2014-01-01

    背景:文献报道各种对深静脉血栓形成的诊断方法,但是结合危险度预测评分系统及多种实验室指标对深静脉血栓形成的预测诊断率的提高尚不明确。  目的:使用Wel s评分系统并结合D-二聚体及纤维蛋白降解产物提高诊断创伤后下肢深静脉血栓敏感性。方法:下肢骨折及脊柱骨折患者82例,排除患病前合并深静脉血栓形成高危因素的患者及曾患有深静脉血栓形成的患者。入院后检测患者D-二聚体、纤维蛋白酶原降解产物、纤维蛋白酶原、凝血酶原时间、部分活化凝血酶原时间、血小板计数、C-反应蛋白及血沉相关指标,并做彩色多普勒下肢超声检测。根据下肢深静脉栓塞评分表(Wel s评分表)评分分为低危、中危及高危患者。  结果与结论:彩色多普勒下肢超声检测深静脉血栓形成组30例;非深静脉血栓形成组52例,两组患者 D-二聚体及纤维蛋白降解产物的峰值差异有显著性意义(P OBJECTIVE:To improve the diagnosis sensitivity of traumatic deep venous thrombosis of lower extremity using Wel s scoring system combined D-dimer and fibrin degradation product. METHODA total of 82 patients with low limb fractures and spine fracture were included in this study, those patients with high risk factors of deep venous thrombosis or with the history of deep venous thrombosis were excluded. After admission, the fol owing indicators of deep venous thrombosis were determined, including D-dimer, fibrin degradation product, fibrinogenase, prothrombin time, activated partial thrombokinase time, blood platelets count, C-reaction protein, and erythrocyte sedimentation rate. In addition, Doppler ultrasound detection of double lower limbs deep vein was performed, and the results were recorded. According to scoring system of deep venous thrombosis of lower extremity (Wel s scoring system), the patients were assigned into low-risk, middle

  10. Sustainable urban regime adjustments

    DEFF Research Database (Denmark)

    Quitzau, Maj-Britt; Jensen, Jens Stissing; Elle, Morten;

    2013-01-01

    The endogenous agency that urban governments increasingly portray by making conscious and planned efforts to adjust the regimes they operate within is currently not well captured in transition studies. There is a need to acknowledge the ambiguity of regime enactment at the urban scale. This directs......, inspired by Actor-Network Theory to demonstrate that regime incumbent actors can induce gradual regime adjustments at the urban scale. This is done through a case study of an urban development project, where the Municipality of Egedal in Denmark has successfully promoted energy efficient buildings through...

  11. The validity of Wells'Criteria and Geneva Scoring System (revised) combined with D-dimer in predicting pulmonary embolism%Wells 量表和修正的 Geneva 评分联合 D-二聚体对肺栓塞的预测价值

    Institute of Scientific and Technical Information of China (English)

    凌燕君; 邹晓

    2015-01-01

    目的:评价Wells量表和修正的Geneva评分系统联合D-二聚体诊断肺栓塞的意义。方法应用受试者工作特征曲线,通过Wells量表和修正的Geneva评分系统联合D-二聚体检验方法,得出修正的Geneva和Wells评分,联合D-二聚体阳性来比较两种方法的差别。结果通过Wells评分的ROC曲线得出以≥4.25作为预测值,其灵敏度30.2%,特异度92.6%;通过Geneva评分的ROC曲线得细化以≥6.5作为预测值,其灵敏度64.7%,特异度85.2%。在Wells评分中以最佳分界值4.25分为界,Geneva评分中以最佳分界值6.5分为界,联合D-二聚体检测准确率有明显差别。结论根据Geneva评分≥6.5分或Wells评分≥4.25分者联合D-二聚体阳性时,高度怀疑肺栓塞。%Objective To evaluate the validity of Wells’ Criteria and Geneva Scoring System combined with D-dimer as two different methods for predicting pulmonary embolism.Method The Wells score and the Geneva score were first obtained by the Wells’ Criteria and the Geneva Scoring System ( revised) combined with D – dimer respectively.The validity of the two methods was then evaluated and compared for their difference in accuracy sensitivity, and specificity.Findings The Wells score evaluated by the ROC curve was≥4.25 as the predictive value.Its sensitivity was 30.2%and its specificity of 92.6%.The Geneva score evaluated by the ROC curve was refined to≥6.5 as the predictive value.Its sensitivity was 64. 7%and its specificity of 85.2%.Of the Wells scores the best cutoff value was 4.25 while of the Geneva optimal the optimal cutoff score was 6.5.Combined with D-dimer, significant difference could be found between the two methods. Conclusion The sensitivity and specificity of the revised Geneva score were better than those of the Wells rule.When the revised Geneva scores arrive at a value≥6.5 or the Wells scores arrive a value≥4.25, and the D-dimer is positive

  12. The significance of detection of D-dimer, fibrinogen and antithrombin-Ⅲin the patients with typy-2 diabet-ic nephropathy%D-二聚体、纤维蛋白原及抗凝血酶Ⅲ联合检测对早期2型糖尿病肾病的诊断价值

    Institute of Scientific and Technical Information of China (English)

    杨玲

    2015-01-01

    目的:探究D-二聚体、纤维蛋白原( FIB)及抗凝血酶Ⅲ( AT-Ⅲ)联合检测2型糖尿病早期肾损伤的临床诊断价值。方法选取某院2型糖尿病患者206例,根据24 h尿白蛋白排泄率( UAE)分为无蛋白尿组116例( UAE<30 mg/24 h)与微量白蛋白尿组90例(30 mg/24 h≤UAE<300 mg/24 h),并选取同期健康体检者103例作为健康对照组,比较血浆D-二聚体、FIB、AT-Ⅲ3项指标的变化。结果微量白蛋白尿组D-二聚体、FIB含量明显高于无蛋白尿组和健康对照组,差异均有统计学意义(P<0畅05),而三组AT-Ⅲ的活性比较差异无统计学意义(P>0畅05)。3项指标联合检测的微量蛋白尿组患者为93畅3%,比单项检测的阳性率高,差异有统计学意义(P<0畅05)。 D-二聚体、FIB、AT-Ⅲ与尿白蛋白排泄率呈正相关,相关系数(r)依次为0畅812、0畅672、0畅621(P<0畅05)。结论 D-二聚体、FIB检测对于2型糖尿病肾病的早期判断以及疾病的早期预防和病情监测有重要意义。%Objective To explore the D-dimer, fibrinogen (FIB), antithrombin Ⅲ (AT-Ⅲ) joint detection of early renal damage in type 2 diabetes to assess the diagnostic value of clinical application.Methods According to the 24 h urine albumin excre-tion rate ( UAE) , 206 patients selected from type 2 diabetes patients were divided into 116 cases without albuminuria group ( UAE0.05).Three indicators of joint detection of trace albuminuria group of patients was 93.3%, positive rate than single detection are high, the difference was statistically significant (P<0.05).D-dimer, FIB, the AT-Ⅲand UAE are positively related to the level of the correlation coefficient r of 0.812, 0.672, and 0.621 (P<0.05).Conclusion The detection of D-dimer, FIB in type 2 diabetic nephropathy early judgement and early prevention of disease and illness monitoring is im-portant.

  13. 重症肺炎患者FDP、D-二聚体和炎症指标的变化及临床意义%Change and the clinical significance of fibrinogen degradation products,D-dimer and inflammatory indicators in the patients with severe pneumonia

    Institute of Scientific and Technical Information of China (English)

    徐巧巧; 邢丽华

    2015-01-01

    Objective To observe the change of fibrinolytic system function,D-dimer and inflammatory index in the patients with severe pneumonia,and to investigate the clinical significance.Methods Forty patients with severe pnemonia from June 2013 to June 2014 in the RICU in the first affiliated hospital of Zhengzhou university and forty cases of health check-up in the same period in the physical examination center were selected.The fibrinogen degradation (FDP),D-dimer (D-D),procalcitonin (PCT),C-reactive protien(CRP),erythrocyte sedimentation rate (ESR) in the serum were tested.Results Campared with the control group,the FDP and D-D significanty increased and the value of PCT,CRP,ESR elevated in the group with severe pneumonia(P <0.05).Conclusions The FDP and the D-D can reflect the function of blood coagulation system.The mechanism of coagulation and fibrinolytic function becomes disorder for the patients with severe pneumonia,which is related to the inflamamation.So observation for the changes of the above indexes might be helpful for the conditon assessment and the treatment.%目的 探讨重症肺炎患者纤溶系统功能和炎症指标的变化及临床意义.方法 选取2013年6月至2014年6月期间入住郑州大学第一附属医院RICU的40例重症肺炎患者与本院体检中心同期40例健康体检者作为研究对象,分别测定其血清中的纤维蛋白原降解产物(FDP)、D-二聚体(D-D)、降钙素原(PCT)、C-反应蛋白(CRP)、血沉(ESR).结果 重症肺炎组FDP及D-D明显升高,PCT、CRP、ESR水平升高,与正常对照组比较差异有统计学意义(P<0.05).结论 重症肺炎患者存在凝血纤溶系统功能的紊乱与炎症反应有关,FDP和D-D反应凝血纤溶系统的功能,注意FDP、D-D及炎症指标的变化在重症肺炎病情评估及指导治疗中具有一定价值.

  14. 妊娠高血压患者与D-二聚体、维生素B12、血清同型半胱氨酸的关系%The relationship between pregnancy-induced hypertension and D-dimer, vitamin B12 and serum homocysteine

    Institute of Scientific and Technical Information of China (English)

    俞小飞; 徐燕; 张梦

    2015-01-01

    目的:探讨不同孕期孕妇D-二聚体(D-D)、维生素B12、血清同型半胱氨酸(HCY)与妊娠高血压疾病(PIH)之间的关系。方法:选取在我院进行产检的孕妇287例为研究对象,其中PIH孕妇86例,正常妊娠孕妇201例,根据孕期对不同孕妇血清D-D、维生素B12、HCY水平进行检测。结果:PIH组与正常妊娠组比较,孕中期及孕晚期血清HCY水平与D-D水平明显升高(P<0.05),且在孕中期及孕晚期,PIH组及正常妊娠组孕妇血清HCY水平与D-D水平呈正相关,而与维生素B12均无相关性。结论:在孕中晚期进行HCY水平及D-D水平检测可作为预测PIH的一个重要的危险因素。%Objective:To evaluate the Relationship between the serum levels of homocysteine, D-dimer, vitamin B12 and pregnancy-induced hypertension in different pregnancies. Methods:287 pregnant women who registered for prenatal examination of pregnant in the hospital were selected as research subjects. And there were 86 cases of PIH and 201 cases of normal pregnancy among them. The serum levels of homocysteine, D-dimer, vitamin B12 were detected according to different pregnancy.Results:Compared with normal pregnancy group, the serum HCY and D-D level of PIH group significantly increased in medium and late pregnancy periods (P0.05). Conclusions:n middle and late pregnancy periods, to detect the levels of HCY and D-D be an improtant risk factor of PIH.

  15. 急性冠脉综合征中超敏C反应蛋白联合D-二聚体检测的研究进展%THE DEVELOPMENT OF COMBINED TESTING OF HYPER-SENSITIVE C REACTIVE PROTEIN AND D-DIMER IN ACUTE CORONARY SYMDROME

    Institute of Scientific and Technical Information of China (English)

    杜丽萍; 扈瑞平; 王学磊; 曾显坤

    2015-01-01

    ACS的临床表现可为,胸闷、胸痛伴气短、出汗,心衰,心律失常以及猝死。并伴有冠脉血管痉挛,管腔明显狭窄,甚至完全被堵塞,从而出现心肌缺血缺氧,严重时心肌坏死[1]。近年来研究发现:其进展过程中伴随的生化标记物超敏C反应蛋白、D-二聚体的改变可帮助临床医师及早识别病人的临床症状并为心电图改变不典型病人提供积极个体化的治疗方案,同时对评估其病情及预后、起到极大的作用。现将对急性冠脉综合征中( ACS)超敏C反应蛋白联合D-二聚体检测的研究进展进行综述。%Acute coronary symdrome( ACS) is caused by cononary atherosclerosis rupture, platelet adhesion, platelet aggregation, platelet release, through which the coagulation system is activated leading to the blood clot. ACS is usually accompanied by vasospasm,stenosis of arte-rioles,even worse,myocardial ischemia from completely blocking and myocardial necrosis. The research tells us that through biochemical marker-hyper sensitive C reactive protein and D-dimer ( increase ) , phisician can recognize some symdromes in early time,help ACS patients with atypical ECG changes and give them individual treatment;in addition,the two marker also play an important role in evaluating severity and prognosis. This review will present development in application of hyper-sensitive C reative protein and D-dimer in ACS.

  16. Auto Adjusting Astronomical Telescope

    Directory of Open Access Journals (Sweden)

    Rohit R. Ghalsasi

    2014-04-01

    Full Text Available Astronomical telescope is powerful and basic tool for star or celestial observation. Here we proposed integrated system using Raspberry Pi for auto adjusting astronomical telescope. This integrated circuit helps to control stellar monitoring, stellar targeting, and tracking functions of telescope. Astro compass gives the direction of the celestial objects.

  17. Quantification of microangiopathic lesions in brain parenchyma and age-adjusted mean scores for the diagnostic separation of normal from pathological values in senile dementia

    International Nuclear Information System (INIS)

    Purpose: to quantify microangiopathic lesions in the cerebral white matter and to develop age-corrected cut-off values for separating normal from dementia-related pathological lesions. Materials and methods: in a memory clinic, 338 patients were investigated neuropsychiatrically by a psychological test battery and by MRI. Using a FLAIR sequence and a newly developed rating scale, white matter lesions (WMLs) were quantified with respect to localization, number and intensity, and these ratings were condensed into a score. The WML scores were correlated with the mini-mental state examination (MMSE) and clinical dementia rating (CDR) score in dementia patients. A non-linear smoothing procedure was used to calculate age-related mean values and confidence intervals, separate for cognitively intact subjects and dementia patients. Results: the WML scores correlated highly significantly with age in cognitively intact subjects and with psychometric scores in dementia patients. Age-adjusted WML scores of cognitively intact subjects were significantly different from those of dementia patients with respect to the whole brain as well as to the frontal lobe. Mean value and confidence intervals adjusted for age significantly separated dementia patients from cognitively intact subjects over an age range of 54 through 84 years. Conclusion: a rating scale for the quantification of WML was validated and age-adjusted mean values with their confidence intervals for a diagnostically relevant age range were developed. This allows an easy to handle, fast and reliable diagnosis of the vascular component in senile dementia. (orig.)

  18. Evaluation of D-dimer serum levels among patients with chronic urticaria, psoriasis and urticarial vasculitis Avaliação dos níveis séricos de D-dímeros entre doentes com urticária crônica, psoríase e urticária vasculite

    Directory of Open Access Journals (Sweden)

    Paulo Ricardo Criado

    2013-06-01

    Full Text Available BACKGROUND: It has been demonstrated that neutrophils, eosinophils and monocytes, under appropriated stimulus, may express tissue factor and therefore, activate the extrinsic pathway of coagulation. We performed a transversal and case-control study of patients with chronic urticaria and patients with psoriasis, in our outpatient clinic to evaluate the production of D-dimer. OBJECTIVE: To evaluate D-dimer serum levels in patients with chronic urticaria and its possible correlation with disease activity. PATIENTS AND METHODS: The study was conducted from October 2010 until March 2011. We selected 37 consecutive patients from our Allergy Unit and Psoriasis Unit, and divided them into three groups for statistical analysis: (i 12 patients with active chronic urticaria (CU; (ii 10 patients with chronic urticaria under remission and (iii 15 patients with psoriasis (a disease with skin inflammatory infiltrate constituted by neutrophils, lymphocytes and monocytes. Another five patients with urticarial vasculitis were allocated in our study, but not included in statistical analysis. The serum levels of D-dimer were measured by Enzyme Linked Fluorescent Assay (ELFA, and the result units were given in ng/ml FEU. RESULTS: Patients with active chronic urticaria had the highest serum levels of D-dimer (p FUNDAMENTOS: Tem sido demonstrado que os neutrófilos, eosinófilos e monócitos, sob estímulo apropriado, podem expressar fator tecidual e, portanto, ativar a via extrínseca da coagulação. Realizamos um estudo transversal e caso-controle de pacientes com urticária crônica e pacientes com psoríase em nosso ambulatório para avaliar a produção de dímero-D. OBJETIVO: Avaliar níveis de dímero-D em pacientes com urticária crônica e sua possível correlação com a atividade da doença. PACIENTES E MÉTODOS: O estudo foi conduzido de outubro de 2010 até março de 2011. Nós selecionamos 37 pacientes consecutivos da Unidade de Alergia e Unidade de

  19. Credit Valuation Adjustment

    OpenAIRE

    Hoffman, Frederick

    2011-01-01

    Credit risk has become a topical issue since the 2007 Credit Crisis, particularly for its impact on the valuation of OTC derivatives. This becomes critical when the credit risk of entities involved in a contract either as underlying or counterparty become highly correlated as is the case during macroeconomic shocks. It impacts the valuation of such contracts through an additional term, the credit valuation adjustment (CVA). This can become large with such correlation. This thesis outlines the...

  20. Fiscal adjustment in Brazil

    Directory of Open Access Journals (Sweden)

    Fabiana Rocha

    2003-03-01

    Full Text Available Two questions are addressed in this paper. The first one is the determination of periods of fiscal consolidation and fiscal stimulus. The second one is the importance of the composition of fiscal adjustments for their success, defined as a declining debt to GDP ratio. We, characterize 1994 and 1999 as points of fiscal consolidation. The 1994 consolidation can not be considered successful since after that period the debt to GDP ratio has grown continuously. The adjustment can be characterized as a type 2 adjustment (Alesina and Perotti (1997 in the sense that cuts were made mainly in public investment, while government wages and transfers remained almost unchanged. This type of adjustment usually has a low likelihood of being a success.Duas questões são tratadas neste artigo. A primeira é a determinação dos períodos de consolidação fiscal e estímulo fiscal. A segunda questão é a importância da composição dos ajustamentos fiscais para o seu sucesso, definido como um declínio na razo dívida/PIB. Nós, caracterizamos 1994 e 1999 como pontos de consolidação fiscal. A consolidação de 1994 não pode ser considerada um sucesso pois nos anos seguintes a razão dívida/PIB cresceu continuamente. O ajustamento pode ser considerado como um ajustamento do tipo 2 (Alesina and Perotti, 1997 no sentido de que foram feitos cortes principalmente no investimento público, enquanto os salários e transferências permaneceram praticamente inalterados. Este tipo de ajustamento geralmente tem uma baixa probabilidade de sucesso.

  1. Adjustment Criterion and Algorithm in Adjustment Model with Uncertain

    Directory of Open Access Journals (Sweden)

    SONG Yingchun

    2015-02-01

    Full Text Available Uncertainty often exists in the process of obtaining measurement data, which affects the reliability of parameter estimation. This paper establishes a new adjustment model in which uncertainty is incorporated into the function model as a parameter. A new adjustment criterion and its iterative algorithm are given based on uncertainty propagation law in the residual error, in which the maximum possible uncertainty is minimized. This paper also analyzes, with examples, the different adjustment criteria and features of optimal solutions about the least-squares adjustment, the uncertainty adjustment and total least-squares adjustment. Existing error theory is extended with new observational data processing method about uncertainty.

  2. Jordan Adjusted Human Development

    OpenAIRE

    Ababsa, Myriam

    2014-01-01

    Jordan Human Development Index (HDI) and Adjusted Human Development Index (IHDI) In 1990, the United Nations Development Programme designed a Human Development Index composed of life expectancy at birth, level of education and gross domestic product (GDP) per capita. In 2011, the UNDP ranked Jordan 95th out of 187 countries with a human development index of 0.698, up from 0.591 in 1990, making it the leading medium-range country for human development (fig. VIII.1). In 2010, the inequality adj...

  3. An improved and extended GPS-derived 3D velocity field of the glacial isostatic adjustment (GIA) in Fennoscandia

    Science.gov (United States)

    Lidberg, Martin; Johansson, Jan M.; Scherneck, Hans-Georg; Davis, James L.

    2007-03-01

    We present a new GPS-derived 3D velocity field for the Fennoscandia glacial isostatic adjustment (GIA) area. This new solution is based upon ˜3,000 days of continuous GPS observations obtained from the permanent networks in Fennoscandia. The period encompasses a prolongated phase of stable observation conditions after the northern autumn of 1996. Several significant improvements have led to smaller uncertainties and lower systematic errors in the new solutions compared to our previous results. The GPS satellite elevation cut-off angle was lowered to 10°, we fixed ambiguities to integers where possible, and only a few hardware changes occurred over the entire network. The GAMIT/GLOBK software package was used for the GPS analysis and reference frame realization. Our new results confirmed earlier findings of maximum discrepancies between GIA models and observations in northern Finland. The reason may be related to overestimated ice-sheet thickness and glaciation period in the north. In general, the new solutions are more coherent in the velocity field, as some of the perturbations are now avoided. We compared GPS-derived GIA rates with sea-level rates from tide-gauge observations, repeated precise leveling, and with GIA model computations, which showed consistency.

  4. Adolescent Mothers' Adjustment to Parenting.

    Science.gov (United States)

    Samuels, Valerie Jarvis; And Others

    1994-01-01

    Examined adolescent mothers' adjustment to parenting, self-esteem, social support, and perceptions of baby. Subjects (n=52) responded to questionnaires at two time periods approximately six months apart. Mothers with higher self-esteem at Time 1 had better adjustment at Time 2. Adjustment was predicted by Time 2 variables; contact with baby's…

  5. Technical Document for Price Adjustment

    OpenAIRE

    Zheng Tian; Mulugeta Kahsai; Randall Jackson

    2014-01-01

    This document presents the basis for the price adjustment mechanisms in a time series IO model. The essentials of the price adjustment and price change propagation algorithms are presented, along with a matrix permutation algorithm that facilitates the implementation of the price adjustment mechanism. The Matlab function is provided.

  6. 脑梗死患者 hs-CRP FIB D-二聚体及血脂相关指标检测结果的分析%Analysis of plasma hs-CRP,FIB,D-dimer and lipids related indicators in patients with cerebral infarction

    Institute of Scientific and Technical Information of China (English)

    郑红云; 李艳; 李松

    2014-01-01

    目的:探讨血脂相关指标、超敏C反应蛋白(hs-CRP)、纤维蛋白原(FIB)和D-二聚体水平与脑梗死发病的相关性。方法选取脑梗死患者259例(脑梗死组),同期健康体检者210例作为对照组。采用酶比色法测定血脂相关指标[总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、载脂蛋白(Apo)A1、ApoB、ApoE]水平;采用荧光免疫干式定量法测定hs-CRP ;用凝固法检测FIB ;采用免疫比浊法测定D-二聚体水平。结果与对照组相比,脑梗死患病组TG、LDL-C、ApoA1、ApoE、hs-CRP、D-二聚体及FIB水平均显著升高(P<0.01),而 HDL-C水平则显著降低(P<0.01),TC与A poB水平差异无统计学意义( P>0.05)。结论炎症、血脂、凝血与纤溶系统可相互影响,并与脑梗死的发生和发展关系密切,联合检测有助于辅助诊断脑梗死。%Objective To study the lipids related indicators ,high-sensitivity C-reactive protein(hs-CRP) ,FIB and D-dimer levels in cerebral infarction patients .Methods 259 cerebral infraction patients(cerebral infraction group) and 210 healthy individuals(con-trol group) were enrolled in the study .Plasma lipids related indicators such as TC ,TG ,HDL-C ,LDL-C ,ApoA1 ,ApoB ,ApoE levels were measured by enzymatic colorimetric assay .Quantitative fluorescence immunoassay was used to determine serum level of hs-CRP .FIB levels were determined by using coagulation method ,and D-dimer levels by using immune turbidimetric method .Results Compared with the control group ,the TG ,LDL-C ,ApoA1 ,ApoE and hs-CRP levels were significantly higher in the cerebral infarc-tion group(P0 .05) .Conclusion Lipids ,inflammation ,coagulation and fibrinolysis are closely relat-ed in the development of cerebral infarction ,and combined detection helps diagnose cerebral infarction .

  7. Metric adjusted skew information

    DEFF Research Database (Denmark)

    Hansen, Frank

    2008-01-01

    We extend the concept of Wigner-Yanase-Dyson skew information to something we call "metric adjusted skew information" (of a state with respect to a conserved observable). This "skew information" is intended to be a non-negative quantity bounded by the variance (of an observable in a state......) that vanishes for observables commuting with the state. We show that the skew information is a convex function on the manifold of states. It also satisfies other requirements, proposed by Wigner and Yanase, for an effective measure-of-information content of a state relative to a conserved observable. We...... establish a connection between the geometrical formulation of quantum statistics as proposed by Chentsov and Morozova and measures of quantum information as introduced by Wigner and Yanase and extended in this article. We show that the set of normalized Morozova-Chentsov functions describing the possible...

  8. Adjusting to the Emergent

    DEFF Research Database (Denmark)

    Revsbæk, Line

    In her doctoral thesis Line Revsbaek explores newcomer innovation related to organizational entry processes in a changing organization. She introduces process philosophy and complexity theory to research on organizational socialization and newcomer innovation. The study challenges assumptions...... in standardized induction programs where newcomers are cast in roles as insecure novices needing to be “taught the ropes” of the organizational culture. Linked with this, it is suggested that the prevailing dichotomy of ‘newcomer assimilation’ versus ‘organizational accommodation’ is replaced with a notion...... of ‘adjusting to the emergent’. Newcomer innovation is portrayed as carrying a variety of possible significations, such as unintentional innovation effects of newcomer’s proactive self-socializing behavior; an inspirational basis for designing innovation-generating employee induction; ‘resonant instances...

  9. Expression of ICAM-1, P-selectin, D-dimer in placental tissue and matemal plasm of preeclampsia patients%ICAM-1、P-selectin、D-dimer在子痫前期胎盘和血浆表达研究

    Institute of Scientific and Technical Information of China (English)

    岳永飞; 许多

    2014-01-01

    目的 探讨细胞间黏附分子(ICAM-1)、p-选择素(P-selectin)、D二聚体(D-dimer)在子痫前期发生发展中的作用.方法 随机选取子痫前期患者39例为研究组,37例正常妊娠孕妇为对照组,采用免疫组织化学技术检测两组胎盘组织中ICAM-l、P-selectin的表达情况;采用酶联免疫吸附法(ELISA)检测两组血浆ICAM-1、P-selectin和D-dimer的表达水平.结果 子痫前期组胎盘ICAM-1、P-selectin的表达明显高于对照组(P<0.05);两组血浆均有ICAM-1、P-selectin和D-dimer的表达,子痫前期组的血浆ICAM-1、P-selectin和D-dimer表达明显高于对照组(P<0.05).结论 子痫前期患者ICAM-1、P-selectin和D-dimer表达升高可能与子痫前期的发生发展有关,监测这些指标对病情判断及指导治疗具有重要意义.

  10. 全髋关节置换术后血浆D-二聚体及纤维蛋白降解产物浓度变化特点的临床意义%Total hip arthroplasty plasma D- dimer and fibrin degradation product concentration changes of clinical significance

    Institute of Scientific and Technical Information of China (English)

    周胜虎; 甄平; 郑宁刚; 高明暄; 田琦; 常彦峰; 李旭升

    2013-01-01

    Objective To investigate the total hip arthroplasty D-dimer (DD) and fibrin degradation products (FDPS) concentration and its effect on the dynamic changes of the early diagnosis of deep venous thrombosis (DVT) value. Methods From July 2011 to May 2012 126 cases of hip replacement patients, their data were retrospectively analyzed, including 56 males and 70 females; aged 38 to 92 years, mean 75.6 years old. According to 7 days after lower extremity B-test results, patients were divided into thrombus group of 32 patients, 94 cases of non-thrombotic group . By immune nephelometry were measured on admission, postoperative 1d, 4d, 7d plasma D-dimer and fibrin degradation products (FDPS) concentration, the relevant test results OK statistical analysis, combined with B-test results, analysis comparison of plasma DD, FDPS two detection index and joint detection sensitivity of the results. Results 126 cases of arthroplasty patients with DD and FDPS values increased in varying degrees postoperatively . Different time points after DD and FDPS plasma concentrations were higher than those without DVT patients, the difference was statistically significant (P<0.05). FDPS after 4, 7 days significantly increased (P<0.01). Compared with baseline in both groups at each time point after DD were significantly increased, peaking at 1 day after surgery : no thrombus group (2469.9±508.3) μg/L, thrombosis group (3472.2 ± 690.7)μg/L (P<0.01);FDPS increased significantly after 4, 7 days and 7 days values increased significantly compared with the value of 4 days:Non-thrombosis group (3673.4±480.7)μg/L, thrombosis group.Conclusion Patients with total hip arthroplasty plasma D-dimer and fibrin degradation product concentration for dynamic monitoring of early diagnosis of DVT has important value.%目的:探讨全髋关节置换术后血浆D-二聚体(DD)及纤维蛋白降解产物(FDPs)浓度的动态变化特点及其对早期诊断下肢深静脉血栓

  11. Delay Adjusted Incidence Infographic

    Science.gov (United States)

    This Infographic shows the National Cancer Institute SEER Incidence Trends. The graphs show the Average Annual Percent Change (AAPC) 2002-2011. For Men, Thyroid: 5.3*,Liver & IBD: 3.6*, Melanoma: 2.3*, Kidney: 2.0*, Myeloma: 1.9*, Pancreas: 1.2*, Leukemia: 0.9*, Oral Cavity: 0.5, Non-Hodgkin Lymphoma: 0.3*, Esophagus: -0.1, Brain & ONS: -0.2*, Bladder: -0.6*, All Sites: -1.1*, Stomach: -1.7*, Larynx: -1.9*, Prostate: -2.1*, Lung & Bronchus: -2.4*, and Colon & Rectum: -3/0*. For Women, Thyroid: 5.8*, Liver & IBD: 2.9*, Myeloma: 1.8*, Kidney: 1.6*, Melanoma: 1.5, Corpus & Uterus: 1.3*, Pancreas: 1.1*, Leukemia: 0.6*, Brain & ONS: 0, Non-Hodgkin Lymphoma: -0.1, All Sites: -0.1, Breast: -0.3, Stomach: -0.7*, Oral Cavity: -0.7*, Bladder: -0.9*, Ovary: -0.9*, Lung & Bronchus: -1.0*, Cervix: -2.4*, and Colon & Rectum: -2.7*. * AAPC is significantly different from zero (p<.05). Rates were adjusted for reporting delay in the registry. www.cancer.gov Source: Special section of the Annual Report to the Nation on the Status of Cancer, 1975-2011.

  12. Metric-adjusted skew information

    DEFF Research Database (Denmark)

    Liang, Cai; Hansen, Frank

    2010-01-01

    We give a truly elementary proof of the convexity of metric-adjusted skew information following an idea of Effros. We extend earlier results of weak forms of superadditivity to general metric-adjusted skew information. Recently, Luo and Zhang introduced the notion of semi-quantum states...... on a bipartite system and proved superadditivity of the Wigner-Yanase-Dyson skew informations for such states. We extend this result to the general metric-adjusted skew information. We finally show that a recently introduced extension to parameter values 1 information is a special case...... of (unbounded) metric-adjusted skew information....

  13. Adjustment computations spatial data analysis

    CERN Document Server

    Ghilani, Charles D

    2011-01-01

    the complete guide to adjusting for measurement error-expanded and updated no measurement is ever exact. Adjustment Computations updates a classic, definitive text on surveying with the latest methodologies and tools for analyzing and adjusting errors with a focus on least squares adjustments, the most rigorous methodology available and the one on which accuracy standards for surveys are based. This extensively updated Fifth Edition shares new information on advances in modern software and GNSS-acquired data. Expanded sections offer a greater amount of computable problems and their worked solu

  14. Variance Adjusted Actor Critic Algorithms

    OpenAIRE

    Tamar, Aviv; Mannor, Shie

    2013-01-01

    We present an actor-critic framework for MDPs where the objective is the variance-adjusted expected return. Our critic uses linear function approximation, and we extend the concept of compatible features to the variance-adjusted setting. We present an episodic actor-critic algorithm and show that it converges almost surely to a locally optimal point of the objective function.

  15. Mood Adjustment via Mass Communication.

    Science.gov (United States)

    Knobloch, Silvia

    2003-01-01

    Proposes and experimentally tests mood adjustment approach, complementing mood management theory. Discusses how results regarding self-exposure across time show that patterns of popular music listening among a group of undergraduate students differ with initial mood and anticipation, lending support to mood adjustment hypotheses. Describes how…

  16. Spousal Adjustment to Myocardial Infarction.

    Science.gov (United States)

    Ziglar, Elisa J.

    This paper reviews the literature on the stresses and coping strategies of spouses of patients with myocardial infarction (MI). It attempts to identify specific problem areas of adjustment for the spouse and to explore the effects of spousal adjustment on patient recovery. Chapter one provides an overview of the importance in examining the…

  17. A complete generalized adjustment criterion

    NARCIS (Netherlands)

    Perković, Emilija; Textor, Johannes; Kalisch, Markus; Maathuis, Marloes H.

    2015-01-01

    Covariate adjustment is a widely used approach to estimate total causal effects from observational data. Several graphical criteria have been developed in recent years to identify valid covariates for adjustment from graphical causal models. These criteria can handle multiple causes, latent confound

  18. Adjusting CA19-9 values to predict malignancy in obstructive jaundice: Influence of bilirubin and C-reactive protein

    Institute of Scientific and Technical Information of China (English)

    Gaetano La Greca; Maria Sofia; Rosario Lombardo; Saverio Latteri; Agostino Ricotta; Stefano Puleo; Domenico Russello

    2012-01-01

    AIM:To find a possible relationship between inflammation and CA19-9 tumor marker by analyzing data from patients with benign jaundice (BJ) and malignant jaundice (MJ).METHODS:All patients admitted for obstructive jaundice,in the period 2005-2009,were prospectively enrolled in the study,obtaining a total of 102 patients.On admission,all patients underwent complete standard blood test examinations including C-reactive protein (CRP),bilirubin,CA19-9.Patients were considered eligible for the study when they presented obstructive jaundice confirmed by instrumental examinations and increased serum bilirubin levels (total bilirubin > 2.0 mg/dL).The standard cut-off level for CA19-9 was 32 U/mL,whereas for CRP this was 1.5 mg/L.The CA19-9 level was adjusted by dividing it by the value of serum bilirubin or by the CRP value.The patients were divided into 2 groups,MJ and BJ,and after the adjustment a comparison between the 2 groups of patients was performed.Sensitivity,specificity and positive predictive values were calculated before and after the adjustment.RESULTS:Of the 102 patients,51 were affected by BJ and 51 by MJ.Pathologic CA19-9 levels were found in 71.7% of the patients.In the group of 51 BJ patients there were 29 (56.9%) males and 22 (43.1%) females with a median age of 66 years (range 24-96 years),whereas in the MJ group there were 24 (47%) males and 27 (53%) females,with a mean age of 70 years (range 30-92 years).Pathologic CA19-9 serum level was found in 82.3% of MJ.CRP levels were pathologic in 66.6% of the patients with BJ and in 49% with MJ.Bilirubin and CA19-9 average levels were significantly higher in MJ compared with BJ (P =0.000 and P =0.02),while the CRP level was significantly higher in BJ (P =0.000).Considering a CA19-9 cut-off level of 32 U/mL,82.3% in the MJ group and 54.9% in the BJ group were positive for CA19-9 (P =0.002).A CA19-9 cut-off of 100 U/mL increases the difference between the two groups:35.3% in BJ and 68.6

  19. Bayes linear covariance matrix adjustment

    CERN Document Server

    Wilkinson, Darren J

    1995-01-01

    In this thesis, a Bayes linear methodology for the adjustment of covariance matrices is presented and discussed. A geometric framework for quantifying uncertainties about covariance matrices is set up, and an inner-product for spaces of random matrices is motivated and constructed. The inner-product on this space captures aspects of our beliefs about the relationship between covariance matrices of interest to us, providing a structure rich enough for us to adjust beliefs about unknown matrices in the light of data such as sample covariance matrices, exploiting second-order exchangeability and related specifications to obtain representations allowing analysis. Adjustment is associated with orthogonal projection, and illustrated with examples of adjustments for some common problems. The problem of adjusting the covariance matrices underlying exchangeable random vectors is tackled and discussed. Learning about the covariance matrices associated with multivariate time series dynamic linear models is shown to be a...

  20. Parental Divorce and Children's Adjustment.

    Science.gov (United States)

    Lansford, Jennifer E

    2009-03-01

    This article reviews the research literature on links between parental divorce and children's short-term and long-term adjustment. First, I consider evidence regarding how divorce relates to children's externalizing behaviors, internalizing problems, academic achievement, and social relationships. Second, I examine timing of the divorce, demographic characteristics, children's adjustment prior to the divorce, and stigmatization as moderators of the links between divorce and children's adjustment. Third, I examine income, interparental conflict, parenting, and parents well-being as mediators of relations between divorce and children's adjustment. Fourth, I note the caveats and limitations of the research literature. Finally, I consider notable policies related to grounds for divorce, child support, and child custody in light of how they might affect children s adjustment to their parents divorce.

  1. Yuan Exchange Rate 'Properly Adjusted'

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

      The currency exchange rate was "properly adjusted" this year and takes into account effects on the country's neighbors and the world, Premier Wen Jiabao said at a regional meeting in Malaysia.……

  2. Adjustment to Spinal Cord Injury

    Science.gov (United States)

    ... may need to work to help with family finances. All of the changes that they face can ... 2000). Goal instability and adjustment to physical disability. Journal of Counseling Psychology, 47(2). 251-265. This ...

  3. Adjustable Induction-Heating Coil

    Science.gov (United States)

    Ellis, Rod; Bartolotta, Paul

    1990-01-01

    Improved design for induction-heating work coil facilitates optimization of heating in different metal specimens. Three segments adjusted independently to obtain desired distribution of temperature. Reduces time needed to achieve required temperature profiles.

  4. Adjustable Chain Trees for Proteins

    DEFF Research Database (Denmark)

    Winter, Pawel; Fonseca, Rasmus

    2012-01-01

    A chain tree is a data structure for changing protein conformations. It enables very fast detection of clashes and free energy potential calculations. A modified version of chain trees that adjust themselves to the changing conformations of folding proteins is introduced. This results in much...... tighter bounding volume hierarchies and therefore fewer intersection checks. Computational results indicate that the efficiency of the adjustable chain trees is significantly improved compared to the traditional chain trees....

  5. Adjustment techniques for experimental data

    International Nuclear Information System (INIS)

    To carry through numerically the different adjustment of experimental data planned by National Institute of Nuclear Research investigators. It is presented the different adjustment techniques of experimental data which are fundamentally for: linear least squares, non linear with restrictions. Methodology: Lineal least squares - Orthogonal decomposition via Householder reflections. No lineal - Method of general lowering and quasi Newton; Levenberg-Marquardt modified - More version. No lineal with restrictions - Quadratic sequential programming method (In process). (Author)

  6. The clinical application of cystatin C, retinol binding protein and D-dimer in preeclampsia diagnosis%子痫前期患者胱抑素C、视黄醇结合蛋白、D-二聚体检测的临床应用研究

    Institute of Scientific and Technical Information of China (English)

    王艳春; 雒雪

    2016-01-01

    目的:探讨胱抑素C(cystatin C, CysC)、视黄醇结合蛋白(retinol binding protein, RBP)、D-二聚体(D-dimer, D-D)在子痫前期患者诊断中的临床应用价值。方法选取我院220例晚期妊娠住院的子痫前期患者为研究对象,分为轻度子痫前期组120例,重度子痫前期组100例,选择同期正常孕妇100例为对照组,检测所有受试者CysC、RBP及D-D的水平,对检测结果进行统计学分析。结果轻度子痫前期组、重度子痫前期组及对照组间CysC、RBP及D-D差异均有统计学意义(P均<0.05);轻度子痫前期组、重度子痫前期组CysC、RBP及D-D检测结果均高于对照组,且差异均具有统计学意义(P均<0.05);轻度子痫前期组CysC、RBP及D-D的检测结果均高于对照组,且差异均有统计学意义(P均<0.05)。结论 CysC、RBP及D-D在子痫前期病情严重程度评估方面有重要的临床参考意义。%Objective To study the clinical application value of cystatin C (CysC), retinol binding protein(RBP) and D-dimer(D-D) in preeclampsia diagnosis. Methods 220 cases patients with preeclamp-sia in our hospital from May 2015 to February 2016 were collected , and were divided into mild preeclampsia group(120 cases), severe preeclampsia group(100 cases). 100 cases normal pregnant women at the same pe-riod were collected as control group. The CysC, RBP and D-D levels of all the subjects were all detected, and the results were analyzed statistically. Results There were statistical significance in the differences of serum CysC, RBP and D-D levels among mild preeclampsia group, severe preeclampsia group and control group (Pall<0.05). The CysC, RBP and D-D levels in mild preeclampsia group and severe preeclampsia group were all higher than that of control group, and the differences all had statistical significance(Pall<0.05). The CysC, RBP and D-D levels in severe preeclampsia group were all

  7. Influence of Chinese traditional medicine Tongmaijiangzhi on blood lipids and D-dimer of the hypercholesterolemia in quails%通脉降脂口服液对高胆固醇血症鹌鹑血脂及D-二聚体水平的影响

    Institute of Scientific and Technical Information of China (English)

    韩桂英; 王婉真; 兴华

    2005-01-01

    BACKGROUND: The incidence and development of atherosclerotic plaque is caused by the disorder of blood coagulation or / and fibrinolysis.The level of blood lipid and D-dimer can reflect the activities of both blood coagulation in vivo and fibrinolysis.OBJECTIVE: To investigate the role of blood lipid , D-dimer level of atherosclerosis in quail model , and the interventional effect of Tongmaijiangzhi , as compared with that of lovatatin.DESIGN: Randomly controlled trial.SETTING: Department of Basic Medicine, Medical College of Zhengzhou Railway Vocational Technology CollegeMATERIALS: This experiment was conducted in the Experimental Center of Medical College of Zhengzhou Railway Vocational Technology College in January 2001. Total 125 quails with body mass varying from 100 to 120 g were selected. The animals were randomly divided into five groups with 25 per group: normal control group, hyperlipidemia group, lovastatin group, hyperlipidemia group with the treatment of low dosage of Tongmaijiangzhi, and hyperlipidemia group with the treatment of high dosage of Tongmaijiangzhi. Blood lipid-depressing medicine Tongmaijiangzhi was extracted from the medicinal herb including chuanxiong rhizome, Chinese angelica root, red sage root notoginseng, oriental water-plantain rhizome,rhubarb, and cassia seed.METHODS: High-fat diet was given the animals in the hyperlipidemia group, lovatatin group, low dosage Tongmaijiangzhi group and treatment high dosage of Tongmaijiangzhi group to establish animals models of quails with hypercholesterolemia, and then the animals in the normal control group and hyperlipidemia group were stomach-perfused with 1.5 mL of distilled water; the animals in the lovatatin group was stomach-perfused with 1.5 mL of lovatatin solution (0.53 g/mL) ; the animals in the low dosage of Tongmaijiangzhi group and high dosage of Tongmaijiangzhi group were stomach-perfused with 1.5 mL of low dosage of Tongmaijiangzhi (1.27 g/mL) and high dosage of Tongmaijiangzhi (2

  8. 7 CFR 251.7 - Formula adjustments.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 4 2010-01-01 2010-01-01 false Formula adjustments. 251.7 Section 251.7 Agriculture... GENERAL REGULATIONS AND POLICIES-FOOD DISTRIBUTION THE EMERGENCY FOOD ASSISTANCE PROGRAM § 251.7 Formula adjustments. Formula adjustments. (a) Commodity adjustments. The Department will make annual adjustments...

  9. Appoximation of individual cascades with energies above the GZK cut-off

    Science.gov (United States)

    Kirillov, A.; Kirillov, I.

    Approximation of individual cascades of gigantic energies is the essential part of prime particle energy determination methods. Fluctuation of cascades and their distribution shapes were investigated on the base of sufficient number of MK simulated showers, as dependent on prime energy, zenit angle and registration method. Individual cascades were approximated with high accuracy using some special parameters. It enables to create convenient formulae for approximation of individual cascades. Quality of this approximation and applicability of the traditional approximation of mean cascades for estimation of individual giganticcascades are discussed.

  10. Correlation of Real Time PCR Cycle Threshold Cut-Off with Bordetella pertussis Clinical Severity.

    Directory of Open Access Journals (Sweden)

    Shelly Bolotin

    Full Text Available Bordetella pertussis testing performed using real-time polymerase chain reaction (RT-PCR is interpreted based on a cycle threshold (Ct value. At Public Health Ontario Laboratories (PHOL, a Ct value <36 is reported as positive, and Ct values ≥36 and <40 are reported as indeterminate. PHOL reported indeterminate results to physicians and public health units until May 2012, after which these results were only reported to physicians. We investigated the association between Ct value and disease symptom and severity to examine the significance of indeterminate results clinically, epidemiologically and for public health reporting. B. pertussis positive and indeterminate RT-PCR results were linked to pertussis cases reported in the provincial Integrated Public Health Information System (iPHIS, using deterministic linkage. Patients with positive RT-PCR results had a lower median age of 10.8 years compared to 12.0 years for patients with indeterminate results (p = 0.24. Hospitalized patients had significantly lower Ct values than non-hospitalized patients (median Ct values of 20.7 vs. 31.6, p<0.001. The proportion of patients reporting the most indicative symptoms of pertussis did not differ between patients with positive vs. indeterminate RT-PCR results. Taking the most indicative symptoms of pertussis as the gold-standard, the positive predictive value of the RT-PCR test was 68.1%. RT-PCR test results should be interpreted in the context of the clinical symptoms, age, vaccination status, prevalence, and other factors. Further information on interpretation of indeterminate RT-PCR results may be needed, and the utility of reporting to public health practitioners should be re-evaluated.

  11. Serum Cholesterol Level Nomograms for Iranian Population; Suggestion for National Cut-Offs

    OpenAIRE

    Mostafa Hosseini; Shervin Taslimi; Mahmoud Yousefifard; Fereshteh Asgari; Koorosh Etemad; Hamid Heidarian Miri; Ali Rafei; Jalil Koohpayehzadeh; Iman Navid; Mohammad Mehdi Gouya

    2013-01-01

    Background: High cholesterol levels are associated with increased risk of coronary heart disease and stroke. Understanding the distribution of serum cholesterol levels in each country is valuable index for use in public health planning. This study aimed to construct nomograms of total cholesterol (TC) levels and establish the cut-points specific to Iranian population. Methods: Data on serum TC levels of 19,630 non-institutionalized individuals aged 25–64 years from third national survey on no...

  12. Refining Game Addiction Questionnairs: Evidence for a natural cut-off point?

    DEFF Research Database (Denmark)

    Nielsen, Rune Kristian

    2013-01-01

    This paper presents data from a pilot study, which was designed to illuminate critical flaws in the currently used instruments used to measure the prevalence of ‘computer game addiction’. The study found that the prevalence rate could be set anywhere between 23% and 0,6% depending on how the data...

  13. From Newton's law to the linear Boltzmann equation without cut-off

    OpenAIRE

    Ayi, Nathalie

    2016-01-01

    We provide a rigorous derivation of the linear Boltzmann equation without cutoff starting from a system of particles interacting via a potential with infinite range as the number of particles N goes to infinity under the Boltzmann-Grad scaling. The main difficulty in our context is that, due to the infinite range of the potential, a non-integrable singularity appears in the angular collision kernel, making no longer valid the single-use of Lanford's strategy. Our proof relies then on a combin...

  14. Overcoming the Cut-Off Charge Transfer Bandgaps at the PbS Quantum Dot Interface

    KAUST Repository

    El-Ballouli, Ala'a O.

    2015-11-17

    Light harvesting from large size of semiconductor PbS quantum dots (QDs) with a bandgap of less than 1 eV is one of the greatest challenges precluding the development of PbS QD-based solar cells because the interfacial charge transfer (CT) from such QDs to the most commonly used electron acceptor materials is very inefficient, if it occurs at all. Thus, an alternative electron-accepting unit with a new driving force for CT is urgently needed to harvest the light from large-sized PbS QDs. Here, a cationic porphyrin is utilized as a new electron acceptor unit with unique features that bring the donor–acceptor components into close molecular proximity, allowing ultrafast and efficient electron transfer for QDs of all sizes, as inferred from the drastic photoluminescence quenching and the ultrafast formation of the porphyrin anionic species. The time-resolved results clearly demonstrate the possibility of modulating the electron transfer process between PbS QDs and porphyrin moieties not only by the size quantization effect but also by the interfacial electrostatic interaction between the positively charged porphyrin and the negatively charged QDs. This approach provides a new pathway for engineering QD-based solar cells that make the best use of the diverse photons making up the Sun\\'s broad irradiance spectrum.

  15. Metabolic syndrome: no internationally defined standard cut-off value for waist circumference

    Institute of Scientific and Technical Information of China (English)

    Olabode Oladeinde

    2007-01-01

    @@ The metabolic syndrome (MS) is a cluster of interrelated risk factors of metabolic origin - metabolic risk factors that appear to directly promote the development of atherosclerotic cardiovascular disease and increase the risk of development of type 2 diabetes.

  16. Prevalence of Thinness among Santal Preschool Children Using New Body Mass Index Cut-Off Points

    Directory of Open Access Journals (Sweden)

    Subal Das

    2011-01-01

    Full Text Available A community-based cross-sectional study was undertaken to determine the prevalence of undernutrition using body mass index (BMI among 2–6-year Santal preschool children of Purulia District, West Bengal, India. A total of 251 (116 boys and 135 girls children from 12 villages were measured. Commonly used indicators, that is, weight, height, and BMI, were used to evaluate the nutritional status. More boys (59.5% than girls (53.3%, based on BMI, were undernourished. Significant age differences in weight (=44.29∗∗∗;=3, height (=58.48∗∗∗;=3, and BMI (=3.52∗∗∗;=3 among boys were observed. Similarly, significant differences between ages in mean weight (=56.27∗∗∗;=3, height (=64.76∗∗∗;=3, and BMI (=2.62∗∗∗;=3 were observed among the girls. The present study revealed that the nutritional status of the preschool children of Santal tribal community of these villages was poor with very high rate of thinness in boys and girls (59.5% and 53.3%, resp..

  17. Arctic Cut-Off High Drives the Poleward Shift of a New Greenland Melting Record

    Science.gov (United States)

    Tedesco, M.; Mote, T.; Fettweis, X.; Hanna, E.; Jeyaratnam, J.; Booth, J. F.; Datta, R.; Briggs, K.

    2016-01-01

    Large-scale atmospheric circulation controls the mass and energy balance of the Greenland ice sheet through its impact on radiative budget, runoff and accumulation. Here, using reanalysis data and the outputs of a regional climate model, we show that the persistence of an exceptional atmospheric ridge, centered over the Arctic Ocean, was responsible for a poleward shift of runoff, albedo and surface temperature records over the Greenland during the summer of 2015. New records of monthly mean zonal winds at 500 hPa and of the maximum latitude of ridge peaks of the 5,700+/-50 m isohypse over the Arctic were associated with the formation and persistency of a cutoff high. The unprecedented (1948-2015) and sustained atmospheric conditions promoted enhanced runoff, increased the surface temperatures and decreased the albedo in northern Greenland, while inhibiting melting in the south, where new melting records were set over the past decade. Subject terms: Earth sciences Atmospheric science Climate science

  18. Cut-off values of waist circumference to predict metabolic syndrome in obese adolescents.

    Science.gov (United States)

    Masquio, Deborah Cristina Landi; Ganen, Aline de Piano; Campos, Raquel Munhoz da Silveira; Sanches, Priscila de Lima; Corgosinho, Flávia Campos; Caranti, Danielle; Tock, Lian; de Mello, Marco Túlio; Tufik, Sergio; Dâmaso, Ana R

    2015-04-01

    Introducción: El síndrome metabólico es una constelación de alteraciones metabólicas relacionadas con la obesidad abdominal, la inflamación y la resistencia a la insulina, lo que aumenta las enfermedades cardiovasculares y la mortalidad. Los objetivos del presente estudio fueron determinar la prevalencia de comorbilidades y parámetros alterados en adolescentes obesos con y sin SM, y determinar los puntos de corte de la circunferencia de cintura para predecir SM. Métodos: 195 adolescentes obesos y se los dividió según síndrome metabólico diagnóstico basado en criterios de la IDF. Los análisis de sangre se midieron de glucosa, lípidos, enzimas hepáticas, la adiponectina y leptina. Resistencia a la insulina se evaluó mediante HOMA-IR, QUICKI y HOMA-AD. Se obtuvieron ecografía visceral, subcutánea y grasa hepática. La composición corporal se calcula por el sistema BOD POD. Resultados: Se observó una prevalencia del 25% de síndrome metabólico Mets (n = 50). El grupo grupo con síndrome metabólico presentó mayor masa corporal, índice de masa corporal, grasa corporal (kg), sin grasa masa significativa (kg), circunferencia de la cintura, la grasa visceral, la glucosa, la insulina, resistencia a la insulina, colesterol total, LDL-c, VLDL-c, triglicéridos, enzimas hepáticas, enfermedad no alcohólica del hígado graso (EHNA) y la presión arterial. Se observaron QUICKI significativamente menor y la adiponectina en el grupo con síndrome metabólico. El grupo con síndrome metabólico presentaron significativa proporción de leptina / adiponectina mayor en comparación con los que no tienen síndrome metabólico. Puntos de corte de 111,5 cm para los niños y 104,6 cm para las niñas de la circunferencia de cintura se sugirieron para predecir el síndrome metabólico. Además, la circunferencia de la cintura fue positivamente correlacionada con la grasa visceral y el número de parámetros del síndrome metabólico. Conclusión: El grupo con síndrome metabólico presentan alteraciones metabólicas significativas superiores e inflamación en comparación con el grupo sin síndrome metabólico. La circunferencia de cintura se considera un predictor medida antropométrica del síndrome metabólico en adolescentes obesos, siendo útil en la práctica clínica.

  19. Arctic cut-off high drives the poleward shift of a new Greenland melting record.

    Science.gov (United States)

    Tedesco, M; Mote, T; Fettweis, X; Hanna, E; Jeyaratnam, J; Booth, J F; Datta, R; Briggs, K

    2016-01-01

    Large-scale atmospheric circulation controls the mass and energy balance of the Greenland ice sheet through its impact on radiative budget, runoff and accumulation. Here, using reanalysis data and the outputs of a regional climate model, we show that the persistence of an exceptional atmospheric ridge, centred over the Arctic Ocean, was responsible for a poleward shift of runoff, albedo and surface temperature records over the Greenland during the summer of 2015. New records of monthly mean zonal winds at 500 hPa and of the maximum latitude of ridge peaks of the 5,700±50 m isohypse over the Arctic were associated with the formation and persistency of a cutoff high. The unprecedented (1948-2015) and sustained atmospheric conditions promoted enhanced runoff, increased the surface temperatures and decreased the albedo in northern Greenland, while inhibiting melting in the south, where new melting records were set over the past decade. PMID:27277547

  20. Changes in cosmic ray cut-off rigidities due to secular variations of the geomagnetic field

    Directory of Open Access Journals (Sweden)

    A. Bhattacharyya

    Full Text Available An analytical expression is derived for the cutoff rigidity of cosmic rays arriving at a point in an arbitrary direction, when the main geomagnetic field is approximated by that of an eccentric dipole. This expression is used to determine changes in geomagnetic cutoffs due to secular variation of the geomagnetic field since 1835. Effects of westward drift of the quadrupole field and decrease in the effective dipole moment are seen in the isorigidity contours. On account of the immense computer time required to determine the cutoff rigidities more accurately using the particle trajectory tracing technique, the present formulation may be useful in estimating the transmission factor of the geomagnetic field in cosmic ray studies, modulation of cosmogenic isotope production by geomagnetic secular variation, and the contribution of geomagnetic field variation to long term changes in climate through cosmic ray related modulation of the current flow in the global electric circuit.