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Sample records for adjusted indirect comparison

  1. Adjusted indirect treatment comparisons of bioequivalence studies

    NARCIS (Netherlands)

    Gwaza, L

    2016-01-01

    Generic medicines are approved by regulatory authorities based on demonstration of bioequivalence with the innovator, however, current regulatory systems do not require direct comparison between all available generics of the same innovator to ensure interchangeability. As such, interchangeability be

  2. Evaluating Matching-Adjusted Indirect Comparisons in Practice: A Case Study of Patients with Attention-Deficit/Hyperactivity Disorder.

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    Shafrin, Jason; Shrestha, Anshu; Chandra, Amitabh; Erder, M Haim; Sikirica, Vanja

    2016-09-13

    Differences in patient characteristics across trials may bias efficacy estimates from indirect treatment comparisons. To address this issue, matching-adjusted indirect comparison (MAIC) measures treatment efficacy after weighting individual patient data to match patient characteristics across trials. To date, however, there is no consensus on how best to implement MAIC. To address this issue, we applied MAIC to measure how two attention-deficit/hyperactivity disorder (ADHD) treatments (guanfacine extended release and atomoxetine hydrochloride) affect patients' ADHD symptoms, as measured by the ADHD Rating Scale IV score. We tested MAIC sensitivity to: matched patient characteristics, matched statistical moments, weighting matrix, and placebo-arm matching (i.e., matching on outcomes in the placebo arm). After applying MAIC, guanfacine and atomoxetine had similar reductions in ADHD symptoms (Δ: 0.4, p implication of this finding and advise MAIC practitioners to carefully consider the use of placebo-arm matching, depending on the presence of residual confounding across trials. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  3. Indirect comparisons of therapeutic interventions

    Directory of Open Access Journals (Sweden)

    Boulkhemair, Dalila

    2009-07-01

    include, independent of any comparator, all randomised controlled trials (RCT that provide a study arm with the intervention of interest. 2. Adjusted indirect comparisons 3. and metaregression analyses include only those studies that provide one study arm with the intervention of interest and another study arm with a common comparator. While the aforementioned methods use conventional metaanalytical techniques, 4. Mixed treatment comparisons (MTC use Bayesian statistics. They are able to analyse a complex network of RCT with multiple comparators simultaneously. During the period from 1999 to 2008 adjusted indirect comparisons are the most commonly used method for indirect comparisons. Since 2006 an increase in the application of the more methodologically challenging MTC is being observed. For the validity check 248 data sets, which include results of a direct and an indirect comparison, are available. The share of statistically significant discrepant results is greatest in the unadjusted indirect comparisons (25,5% [95% CI: 13,1%; 38%], followed by metaregression analyses (16,7% [95% CI: -13,2%; 46,5%], adjusted indirect comparisons (12,1% [95% CI: 6,1%; 18%] and MTC (1,8% [95% CI: -1,7%; 5,2%]. Discrepant results are mainly detected if the basic assumption for an indirect comparison – between-study homogeneity – does not hold. However a systematic over- or underestimation of the results of direct comparisons by any of the indirectly comparing methods was not observed in this sample. Discussion: The selection of an appropriate method for an indirect comparison has to account for its validity, the number of interventions to be compared and the quality as well as the quantity of available studies. Unadjusted indirect comparisons provide, contrasted with the results of direct comparisons, a low validity. Adjusted indirect comparisons and MTC may, under certain circumstances, give results which are consistent with the results of direct comparisons. The limited number of

  4. Survival benefit and additional value of preoperative chemoradiotherapy in resectable gastric and gastro-oesophageal junction cancer: a direct and adjusted indirect comparison meta-analysis.

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    Kumagai, K; Rouvelas, I; Tsai, J A; Mariosa, D; Lind, P A; Lindblad, M; Ye, W; Lundell, L; Schuhmacher, C; Mauer, M; Burmeister, B H; Thomas, J M; Stahl, M; Nilsson, M

    2015-03-01

    Several phase I/II studies of chemoradiotherapy for gastric cancer have reported promising results, but the significance of preoperative radiotherapy in addition to chemotherapy has not been proven. In this study, a systematic literature search was performed to capture survival and postoperative morbidity and mortality data in randomised clinical studies comparing preoperative (chemo)radiotherapy or chemotherapy versus surgery alone, or preoperative chemoradiotherapy versus chemotherapy for gastric and/or gastro-oesophageal junction (GOJ) cancer. Hazard ratios (HRs) for overall mortality were extracted from the original studies, individual patient data provided from the principal investigators of eligible studies or the earlier published meta-analysis. The incidences of postoperative morbidities and mortalities were also analysed. In total 18 studies were eligible and data were available from 14 of these. The meta-analysis on overall survival yielded HRs of 0.75 (95% CI 0.65-0.86, P < 0.001) for preoperative (chemo)radiotherapy and 0.83 (95% CI 0.67-1.01, P = 0.065) for preoperative chemotherapy when compared to surgery alone. Direct comparison between preoperative chemoradiotherapy and chemotherapy resulted in an HR of 0.71 (95% CI 0.45-1.12, P = 0.146). Combination of direct and adjusted indirect comparisons yielded an HR of 0.86 (95% CI 0.69-1.07, P = 0.171). No statistically significant differences were seen in the risk for postoperative morbidity or mortality between preoperative treatments and surgery alone, or preoperative (chemo)radiotherapy and chemotherapy. Preoperative (chemo)radiotherapy for gastric and GOJ cancer showed significant survival benefit over surgery alone. In comparisons between preoperative chemotherapy and (chemo)radiotherapy, there is a trend towards improved survival when adding radiotherapy, without increased postoperative morbidity or mortality.

  5. Meta-analysis: adjusted indirect comparison of drug-eluting bead transarterial chemoembolization versus {sup 90}Y-radioembolization for hepatocellular carcinoma

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    Ludwig, Johannes M.; Xing, Minzhi [Yale School of Medicine, Division of Interventional Radiology, Department of Radiology and Biomedical Imaging, New Haven, CT (United States); Zhang, Di [University of Pittsburgh Graduate School of Public Health, Department of Biostatistics, Pittsburgh, PA (United States); Kim, Hyun S. [Yale School of Medicine, Division of Interventional Radiology, Department of Radiology and Biomedical Imaging, New Haven, CT (United States); Yale School of Medicine, Yale Cancer Center, New Haven, CT (United States)

    2017-05-15

    To investigate comparative effectiveness of drug-eluting bead transarterial chemoembolization (DEB-TACE) versus Yttrium-90 ({sup 90}Y)-radioembolization for hepatocellular carcinoma (HCC). Studies comparing conventional (c)TACE versus {sup 90}Y-radioembolization or DEB-TACE for HCC treatment were identified using PubMed/Medline, Embase, and Cochrane databases. The adjusted indirect meta-analytic method for effectiveness comparison of DEB-TACE versus {sup 90}Y-radioembolization was used. Wilcoxon rank-sum test was used to compare baseline characteristics. A priori defined sensitivity analysis of stratified study subgroups was performed for primary outcome analyses. Publication bias was tested by Egger's and Begg's tests. Fourteen studies comparing DEB-TACE or {sup 90}Y-radioembolization with cTACE were included. Analysis revealed a 1-year overall survival benefit for DEB-TACE over {sup 90}Y-radioembolization (79 % vs. 54.8 %; OR: 0.57; 95 %CI: 0.355-0.915; p = 0.02; I-squared: 0 %; p > 0.5), but not for the 2-year (61 % vs. 34 %; OR: 0.65; 95%CI: 0.294-1.437; p = 0.29) and 3-year survival (56.4 % vs. 20.9 %; OR: 0.713; 95 % CI: 0.21-2.548; p = 0.62). There was significant heterogeneity in the 2- and 3-year survival analyses. The pooled median overall survival was longer for DEB-TACE (22.6 vs. 14.7 months). There was no significant difference in tumour response rate. DEB-TACE and {sup 90}Y-radioembolization are efficacious treatments for patients suffering from HCC; DEB-TACE demonstrated survival benefit at 1-year compared to {sup 90}Y-radioembolization but direct comparison is warranted for further evaluation. (orig.)

  6. Real medical benefit assessed by indirect comparison.

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    Falissard, Bruno; Zylberman, Myriam; Cucherat, Michel; Izard, Valérie; Meyer, François

    2009-01-01

    Frequently, in data packages submitted for Marketing Approval to the CHMP, there is a lack of relevant head-to-head comparisons of medicinal products that could enable national authorities responsible for the approval of reimbursement to assess the Added Therapeutic Value (ASMR) of new clinical entities or line extensions of existing therapies.Indirect or mixed treatment comparisons (MTC) are methods stemming from the field of meta-analysis that have been designed to tackle this problem. Adjusted indirect comparisons, meta-regressions, mixed models, Bayesian network analyses pool results of randomised controlled trials (RCTs), enabling a quantitative synthesis.The REAL procedure, recently developed by the HAS (French National Authority for Health), is a mixture of an MTC and effect model based on expert opinions. It is intended to translate the efficacy observed in the trials into effectiveness expected in day-to-day clinical practice in France.

  7. 42 CFR 412.322 - Indirect medical education adjustment factor.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Indirect medical education adjustment factor. 412.322 Section 412.322 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND... Capital-Related Costs § 412.322 Indirect medical education adjustment factor. (a) Basic data....

  8. Comparison of direct and indirect radionuclide cystography

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    Bower, G.; Lovegrove, F.T.; Geijsel, H.; Van der Schaff, A.; Guelfi, G.

    1985-05-01

    Thirty children were studied using both direct (catheter) and indirect techniques of radionuclide cystography. Of 54 ureters able to be compared, six showed vesicoureteric reflux (VUR) on the direct study but were read as negative on the indirect cystogram, and five showed no reflux on the direct cystogram but were read as positive for VUR on the indirect study. Regarding ureters read as true positives on indirect study, if that ureter has ever shown reflux at any time, or if it drained a scarred kidney specificity was improved to 97% without changing the sensitivity. Concerns about the validity of indirect cystogram results and the ease of assessment and low radiation dose from the direct cystogram has made direct cystography our preferred technique.

  9. Assessment and indirect adjustment for confounding by smoking in cohort studies using relative hazards models.

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    Richardson, David B; Laurier, Dominique; Schubauer-Berigan, Mary K; Tchetgen Tchetgen, Eric; Cole, Stephen R

    2014-11-01

    Workers' smoking histories are not measured in many occupational cohort studies. Here we discuss the use of negative control outcomes to detect and adjust for confounding in analyses that lack information on smoking. We clarify the assumptions necessary to detect confounding by smoking and the additional assumptions necessary to indirectly adjust for such bias. We illustrate these methods using data from 2 studies of radiation and lung cancer: the Colorado Plateau cohort study (1950-2005) of underground uranium miners (in which smoking was measured) and a French cohort study (1950-2004) of nuclear industry workers (in which smoking was unmeasured). A cause-specific relative hazards model is proposed for estimation of indirectly adjusted associations. Among the miners, the proposed method suggests no confounding by smoking of the association between radon and lung cancer--a conclusion supported by adjustment for measured smoking. Among the nuclear workers, the proposed method suggests substantial confounding by smoking of the association between radiation and lung cancer. Indirect adjustment for confounding by smoking resulted in an 18% decrease in the adjusted estimated hazard ratio, yet this cannot be verified because smoking was unmeasured. Assumptions underlying this method are described, and a cause-specific proportional hazards model that allows easy implementation using standard software is presented.

  10. Siblings’ Perceptions of Differential Treatment, Fairness, and Jealousy and Adolescent Adjustment: A Moderated Indirect Effects Model

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    Loeser, Meghan K.; Whiteman, Shawn D.; McHale, Susan M.

    2016-01-01

    Youth's perception of parents’ differential treatment (PDT) are associated with maladjustment during adolescence. Although the direct relations between PDT and youth's maladjustment have been well established, the mechanisms underlying these associations remain unclear. We addressed this gap by examining whether sibling jealousy accounted for the links between PDT and youth's depressive symptoms, self-worth, and risky behaviors. Additionally, we examined whether youth's perceptions of fairness regarding their treatment as well as the gender constellation of the dyad moderated these indirect relations (i.e., moderated-indirect effects). Participants were first- and second-born adolescent siblings (M = 15.96, SD = .72 years for older siblings, M = 13.48, SD = 1.02 years for younger siblings) and their parents from 197 working and middle class European American families. Data were collected via home interviews. A series of Conditional Process Analyses revealed significant indirect effects of PDT through sibling jealousy to all three adjustment outcomes. Furthermore, perceptions of fairness moderated the relations between PDT and jealousy, such that the indirect effects were only significant at low (−1 SD) and average levels of fairness. At high levels of fairness (+1 SD) there was no association between PDT, jealousy, and youth adjustment. Taken together, results indicate that youth and parents would benefit from engaging in clear communication regarding the reasoning for the occurrence of differential treatment, likely maximizing youth and parent perceptions of that treatment as being fair, and in turn mitigating sibling jealousy and maladjustment. PMID:27867295

  11. Siblings' Perceptions of Differential Treatment, Fairness, and Jealousy and Adolescent Adjustment: A Moderated Indirect Effects Model.

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    Loeser, Meghan K; Whiteman, Shawn D; McHale, Susan M

    2016-08-01

    Youth's perception of parents' differential treatment (PDT) are associated with maladjustment during adolescence. Although the direct relations between PDT and youth's maladjustment have been well established, the mechanisms underlying these associations remain unclear. We addressed this gap by examining whether sibling jealousy accounted for the links between PDT and youth's depressive symptoms, self-worth, and risky behaviors. Additionally, we examined whether youth's perceptions of fairness regarding their treatment as well as the gender constellation of the dyad moderated these indirect relations (i.e., moderated-indirect effects). Participants were first- and second-born adolescent siblings (M = 15.96, SD = .72 years for older siblings, M = 13.48, SD = 1.02 years for younger siblings) and their parents from 197 working and middle class European American families. Data were collected via home interviews. A series of Conditional Process Analyses revealed significant indirect effects of PDT through sibling jealousy to all three adjustment outcomes. Furthermore, perceptions of fairness moderated the relations between PDT and jealousy, such that the indirect effects were only significant at low (-1 SD) and average levels of fairness. At high levels of fairness (+1 SD) there was no association between PDT, jealousy, and youth adjustment. Taken together, results indicate that youth and parents would benefit from engaging in clear communication regarding the reasoning for the occurrence of differential treatment, likely maximizing youth and parent perceptions of that treatment as being fair, and in turn mitigating sibling jealousy and maladjustment.

  12. A scoping review of indirect comparison methods and applications using individual patient data

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    Areti Angeliki Veroniki

    2016-04-01

    Full Text Available Abstract Background Several indirect comparison methods, including network meta-analyses (NMAs, using individual patient data (IPD have been developed to synthesize evidence from a network of trials. Although IPD indirect comparisons are published with increasing frequency in health care literature, there is no guidance on selecting the appropriate methodology and on reporting the methods and results. Methods In this paper we examine the methods and reporting of indirect comparison methods using IPD. We searched MEDLINE, Embase, the Cochrane Library, and CINAHL from inception until October 2014. We included published and unpublished studies reporting a method, application, or review of indirect comparisons using IPD and at least three interventions. Results We identified 37 papers, including a total of 33 empirical networks. Of these, only 9 (27 % IPD-NMAs reported the existence of a study protocol, whereas 3 (9 % studies mentioned that protocols existed without providing a reference. The 33 empirical networks included 24 (73 % IPD-NMAs and 9 (27 % matching adjusted indirect comparisons (MAICs. Of the 21 (64 % networks with at least one closed loop, 19 (90 % were IPD-NMAs, 13 (68 % of which evaluated the prerequisite consistency assumption, and only 5 (38 % of the 13 IPD-NMAs used statistical approaches. The median number of trials included per network was 10 (IQR 4–19 (IPD-NMA: 15 [IQR 8–20]; MAIC: 2 [IQR 3–5], and the median number of IPD trials included in a network was 3 (IQR 1–9 (IPD-NMA: 6 [IQR 2–11]; MAIC: 2 [IQR 1–2]. Half of the networks (17; 52 % applied Bayesian hierarchical models (14 one-stage, 1 two-stage, 1 used IPD as an informative prior, 1 unclear-stage, including either IPD alone or with aggregated data (AD. Models for dichotomous and continuous outcomes were available (IPD alone or combined with AD, as were models for time-to-event data (IPD combined with AD. Conclusions One in three indirect comparison

  13. Family boundary structures and child adjustment: the indirect role of emotional reactivity.

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    Lindahl, Kristin M; Bregman, Hallie R; Malik, Neena M

    2012-12-01

    Structural and system theories propose that disruptions in family subsystem functioning increase risk for youth maladjustment. While there is growing evidence to support this proposition, studies that specifically focus on the larger family system remain relatively rare. Furthermore, the pathways that connect problems in family subsystem alliances to externalizing or internalizing problems in youth are as yet largely unexplored. This study examined youth emotional reactivity (anger and sadness) to family conflict as an indirect pathway of the association between family boundary disturbances and youth adjustment in a sample of two-parent families (N = 270). Observational coding was used to group families into Balanced, Dyadic, or Disengaged family alliance structures and to assess youth emotional reactivity, and parent-report was used to assess youth psychopathology. Structural equation modeling indicated both anger and sadness served as indirect pathways through which family boundary disturbances are linked with youth adjustment. In addition, gender was tested as a moderator and important gender differences were found. Specifically, boys were directly impacted by dyadic disturbances while girls were directly impacted by family disengagement. The findings help target goals for intervention and indicate that worthwhile objectives may include realigning family subsystem boundaries, changing family communication patterns, and improving affective coping skills for youth. PsycINFO Database Record (c) 2012 APA, all rights reserved.

  14. A Comparison between Direct and Indirect Laser Sintering of Metals

    Institute of Scientific and Technical Information of China (English)

    Montasser M.Dewidar; Jae-Kyoo LIM; K.W.Dalgarno

    2008-01-01

    Layer manufacture technologies are gaining increasing attention in the manufacturing for the production of polymer mould tooling. Layer manufacture techniques can be used in this potential manufacturing area to produce tooling either indirectly or directly, and powder metal based layer manufacture systems are considered as an effective way of producing rapid tooling. Mechanical properties and accuracy are critical for tooling. This paper reports the results of an experimental study examining the potential of layer manufacturing processes to deliver production tooling for polymer manufacture. A comparison between indirectly selective laser sintering and directly selective laser sintering to provide the tooling was reported. Three main areas were addressed during the study: mechanical strength, accuracy, and build rate. Overviews of the results from the studies were presented.

  15. [Development of an Excel spreadsheet for meta-analysis of indirect and mixed treatment comparisons].

    Science.gov (United States)

    Tobías, Aurelio; Catalá-López, Ferrán; Roqué, Marta

    2014-01-01

    Meta-analyses in clinical research usually aimed to evaluate treatment efficacy and safety in direct comparison with a unique comparator. Indirect comparisons, using the Bucher's method, can summarize primary data when information from direct comparisons is limited or nonexistent. Mixed comparisons allow combining estimates from direct and indirect comparisons, increasing statistical power. There is a need for simple applications for meta-analysis of indirect and mixed comparisons. These can easily be conducted using a Microsoft Office Excel spreadsheet. We developed a spreadsheet for indirect and mixed effects comparisons of friendly use for clinical researchers interested in systematic reviews, but non-familiarized with the use of more advanced statistical packages. The use of the proposed Excel spreadsheet for indirect and mixed comparisons can be of great use in clinical epidemiology to extend the knowledge provided by traditional meta-analysis when evidence from direct comparisons is limited or nonexistent.

  16. Conducting Indirect-Treatment-Comparison and Network-Meta-Analysis Studies : Report of the ISPOR Task Force on Indirect Treatment Comparisons Good Research Practices: Part 2

    NARCIS (Netherlands)

    Hoaglin, David C.; Hawkins, Neil; Jansen, Jeroen P.; Scott, David A.; Itzler, Robbin; Cappelleri, Joseph C.; Boersma, Cornelis; Thompson, David; Larholt, Kay M.; Diaz, Mireya; Barrett, Annabel

    Evidence-based health care decision making requires comparison of all relevant competing interventions. In the absence of randomized controlled trials involving a direct comparison of all treatments of interest, indirect treatment comparisons and network meta-analysis provide useful evidence for

  17. Conducting Indirect-Treatment-Comparison and Network-Meta-Analysis Studies : Report of the ISPOR Task Force on Indirect Treatment Comparisons Good Research Practices: Part 2

    NARCIS (Netherlands)

    Hoaglin, David C.; Hawkins, Neil; Jansen, Jeroen P.; Scott, David A.; Itzler, Robbin; Cappelleri, Joseph C.; Boersma, Cornelis; Thompson, David; Larholt, Kay M.; Diaz, Mireya; Barrett, Annabel

    2011-01-01

    Evidence-based health care decision making requires comparison of all relevant competing interventions. In the absence of randomized controlled trials involving a direct comparison of all treatments of interest, indirect treatment comparisons and network meta-analysis provide useful evidence for jud

  18. Use of indirect comparison methods in systematic reviews: a survey of Cochrane review authors.

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    Abdelhamid, Asmaa S; Loke, Yoon K; Parekh-Bhurke, Sheetal; Chen, Yen-Fu; Sutton, Alex; Eastwood, Alison; Holland, Richard; Song, Fujian

    2012-06-01

    Because of insufficient evidence from direct comparison trials, the use of indirect or mixed treatment comparison methods has attracted growing interest recently. We investigated the views and knowledge of Cochrane systematic review authors regarding the use of indirect comparison and related methods in the evaluation of competing healthcare interventions. An online survey was sent to 84 authors of Cochrane systematic review reviews between January and March 2011. The response rate was 57%. Most respondents (87%) had heard of/had some knowledge of indirect comparison, and 23% actually used indirect comparison methods. Some were suspicious of the methods (9%). Most authors (89%) felt they needed more training, especially in assessing the validity of indirect evidence. Almost all felt that the validity of indirect comparison could potentially be influenced by a large number of effect modifiers. Many reviewers (76%) accepted that indirect evidence is needed as it may be the only source of information for relative effectiveness of competing interventions, provided that review authors and readers are conscious of its limitations. Time commitment and resources needed were identified as an important concern for Cochrane reviewers. In summary, there is an acceptance of the increasing demand for indirect comparison and related methods and an urgent need to develop structured guidance and training for its use and interpretation. Copyright © 2011 John Wiley & Sons, Ltd. Copyright © 2011 John Wiley & Sons, Ltd.

  19. THE POSSIBILITIES AND RESULTS OF INDIRECT COMPARISON OF BIOLOGICAL AGENTS IN ANKYLOSING SPONDYLITIS

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    Sh. F. Erdes

    2016-01-01

    Full Text Available The paper analyzes two matching-adjusted indirect comparison-based investigations of the efficacy of adalimumab (ADA and secukinumab (SCM in active ankylosing spondylitis, which have been recently reported at the EULAR Congress (London, 2016. One study sponsored by AbbVie was conducted to determine the short-term (16-week comparative clinical and economic efficacy of the test drugs and the other was supported by Novartis to reveal long-term (52-week, only clinical efficacy. Both studies have shown that the short-term efficacy ofADAand SCM is practically similar; however, the latter has a better long-term clinical efficacy. A pharmacoeconomic analysis of both drugs used during the first 12 weeks has demonstrated some advantage ofADA. 

  20. Comparison Method - Preference Of Adjustment Techniques Among Valuers

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    Anuar Alias

    2010-12-01

    Full Text Available This paper discusses the adjustment techniques applied by valuers in determining the market value of the property. There are several types of adjustment techniques that can be applied in comparison method such as summative percentage, dollar percentage, add and/or subtract percentage, and proper base adjustments. In order to investigate the most preferred adjustment techniques applied by valuers in Malaysia as well as the elements of adjustment, a questionnaire survey is conducted that involves valuers from government and private sectors as respondents. The research reveals that the most preferred adjustment technique among valuers in Malaysia is the summative percentage method with the sequence of adjustment based on the ranking order of tenure, date of transaction, location, physical characteristics, economic, land use and zoning, quantum, topography, and financial terms. This study benefits the profession of real estate especially to practising valuers in Malaysia.

  1. Assessing Students' Writing Skills: A Comparison of Direct & Indirect Methods.

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    Koffler, Stephen L.

    This research examined the results from direct and indirect writing assessments to determine the most effective method of discrimination. The New Jersey State Department of Education developed a test for ninth-grade students which was designed to measure the ability to apply writing mechanics to written text and to communicate effectively in…

  2. Comparison between direct and indirect cooling core catchers

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    Suh, Jung Soo; Lee, Jong Ho; Bae, Byung Hwan [Korea Hydro and Nuclear Power Co., Ltd., Seoul (Korea, Republic of)

    2012-10-15

    The European nuclear design requirements, which should be satisfied by nuclear reactors in Europe, usually recommend a so called core catcher, which is a molten core ex vessel cooling facility, to manage a severe accident at a nuclear reactor. Two different types of core catcher concepts are compared to determine their abilities to manage severe accidents and cool core melts. The study reveals that direct cooling is better for cooling capacity and is convenient to construct, while indirect cooling is better for the management of a severe accident.

  3. Efficacy of anti-leishmania therapy in visceral leishmaniasis among HIV infected patients: a systematic review with indirect comparison.

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    Gláucia F Cota

    Full Text Available OBJECTIVE: We conducted a systematic literature review with indirect comparison of studies evaluating therapeutic efficacy and toxicity associated to visceral leishmaniasis (VL therapy among HIV infected individuals. MAIN OUTCOME MEASUREMENTS: The outcomes of interest were clinical and parasitological cure, mortality, and adverse events. METHODS: PRISMA guidelines for systematic reviews and Cochrane manual were followed. Sources were MEDLINE, LILACS, EMBASE, Web of Knowledge databases and manual search of references from evaluated studies. We included all studies reporting outcomes after VL treatment, regardless of their design. Study quality was evaluated systematically by using the Newcastle-Ottawa Scale (NOS for assessing the quality of nonrandomized studies in meta-analyses. Comprehensive Meta-Analysis software v.2.2.048 was used to perform one-group meta-analysis of study arms with the same drug to estimate global rates of success and adverse events with each drug. These estimates were used, when possible, to indirectly compare treatment options, adjusted for CD4 count. Direct comparison was pooled when available. RESULTS: Seventeen studies reporting five treatment regimens and outcome of 920 VL episodes occurring in HIV infected individuals were included. The main outstanding difference in outcome among the treatment regimens was observed in mortality rate: it was around 3 times higher with high-dose antimony use (18.4%, CI 95% 13.3-25%, indirectly compared to lipid formulations of amphotericin B treatment (6.1%, CI 95% 3.9-9.4%. It was observed, also by indirect comparison, higher rates of clinical improvement in study arms using amphotericin B than in study arms using pentavalent antimonial therapy (Sb(v. The parasitological cure, an outcome that presented some degree of risk of selection and verification bias, had rates that varied widely within the same treatment arm, with high heterogeneity, hampering any formal comparison among drugs

  4. A Dominant Social Comparison Heuristic Unites Alternative Mechanisms for the Evolution of Indirect Reciprocity

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    Whitaker, Roger M.; Colombo, Gualtiero B.; Allen, Stuart M.; Dunbar, Robin I. M.

    2016-08-01

    Cooperation is a fundamental human trait but our understanding of how it functions remains incomplete. Indirect reciprocity is a particular case in point, where one-shot donations are made to unrelated beneficiaries without any guarantee of payback. Existing insights are largely from two independent perspectives: i) individual-level cognitive behaviour in decision making, and ii) identification of conditions that favour evolution of cooperation. We identify a fundamental connection between these two areas by examining social comparison as a means through which indirect reciprocity can evolve. Social comparison is well established as an inherent human disposition through which humans navigate the social world by self-referential evaluation of others. Donating to those that are at least as reputable as oneself emerges as a dominant heuristic, which represents aspirational homophily. This heuristic is found to be implicitly present in the current knowledge of conditions that favour indirect reciprocity. The effective social norms for updating reputation are also observed to support this heuristic. We hypothesise that the cognitive challenge associated with social comparison has contributed to cerebral expansion and the disproportionate human brain size, consistent with the social complexity hypothesis. The findings have relevance for the evolution of autonomous systems that are characterised by one-shot interactions.

  5. A Dominant Social Comparison Heuristic Unites Alternative Mechanisms for the Evolution of Indirect Reciprocity

    Science.gov (United States)

    Whitaker, Roger M.; Colombo, Gualtiero B.; Allen, Stuart M.; Dunbar, Robin I. M.

    2016-01-01

    Cooperation is a fundamental human trait but our understanding of how it functions remains incomplete. Indirect reciprocity is a particular case in point, where one-shot donations are made to unrelated beneficiaries without any guarantee of payback. Existing insights are largely from two independent perspectives: i) individual-level cognitive behaviour in decision making, and ii) identification of conditions that favour evolution of cooperation. We identify a fundamental connection between these two areas by examining social comparison as a means through which indirect reciprocity can evolve. Social comparison is well established as an inherent human disposition through which humans navigate the social world by self-referential evaluation of others. Donating to those that are at least as reputable as oneself emerges as a dominant heuristic, which represents aspirational homophily. This heuristic is found to be implicitly present in the current knowledge of conditions that favour indirect reciprocity. The effective social norms for updating reputation are also observed to support this heuristic. We hypothesise that the cognitive challenge associated with social comparison has contributed to cerebral expansion and the disproportionate human brain size, consistent with the social complexity hypothesis. The findings have relevance for the evolution of autonomous systems that are characterised by one-shot interactions. PMID:27515119

  6. Interpreting Indirect Treatment Comparisons and Network Meta-Analysis for Health-Care Decision Making : Report of the ISPOR Task Force on Indirect Treatment Comparisons Good Research Practices: Part 1

    NARCIS (Netherlands)

    Jansen, Jeroen P.; Fleurence, Rachael; Devine, Beth; Itzler, Robbin; Barrett, Annabel; Hawkins, Neil; Lee, Karen; Boersma, Cornelis; Annemans, Lieven; Cappelleri, Joseph C.

    Evidence-based health-care decision making requires comparisons of all relevant competing interventions. In the absence of randomized, controlled trials involving a direct comparison of all treatments of interest, indirect treatment comparisons and network meta-analysis provide useful evidence for

  7. Duloxetine compared with fluoxetine and venlafaxine: use of meta-regression analysis for indirect comparisons

    Directory of Open Access Journals (Sweden)

    Lançon Christophe

    2006-07-01

    Full Text Available Abstract Background Data comparing duloxetine with existing antidepressant treatments is limited. A comparison of duloxetine with fluoxetine has been performed but no comparison with venlafaxine, the other antidepressant in the same therapeutic class with a significant market share, has been undertaken. In the absence of relevant data to assess the place that duloxetine should occupy in the therapeutic arsenal, indirect comparisons are the most rigorous way to go. We conducted a systematic review of the efficacy of duloxetine, fluoxetine and venlafaxine versus placebo in the treatment of Major Depressive Disorder (MDD, and performed indirect comparisons through meta-regressions. Methods The bibliography of the Agency for Health Care Policy and Research and the CENTRAL, Medline, and Embase databases were interrogated using advanced search strategies based on a combination of text and index terms. The search focused on randomized placebo-controlled clinical trials involving adult patients treated for acute phase Major Depressive Disorder. All outcomes were derived to take account for varying placebo responses throughout studies. Primary outcome was treatment efficacy as measured by Hedge's g effect size. Secondary outcomes were response and dropout rates as measured by log odds ratios. Meta-regressions were run to indirectly compare the drugs. Sensitivity analysis, assessing the influence of individual studies over the results, and the influence of patients' characteristics were run. Results 22 studies involving fluoxetine, 9 involving duloxetine and 8 involving venlafaxine were selected. Using indirect comparison methodology, estimated effect sizes for efficacy compared with duloxetine were 0.11 [-0.14;0.36] for fluoxetine and 0.22 [0.06;0.38] for venlafaxine. Response log odds ratios were -0.21 [-0.44;0.03], 0.70 [0.26;1.14]. Dropout log odds ratios were -0.02 [-0.33;0.29], 0.21 [-0.13;0.55]. Sensitivity analyses showed that results were

  8. Optimization and Comparison of Direct and Indirect Supercritical Carbon Dioxide Power Plant Cycles for Nuclear Applications

    Energy Technology Data Exchange (ETDEWEB)

    Edwin A. Harvego; Michael G. McKellar

    2011-11-01

    between 550 C and 850 C. The UniSim models used realistic component parameters and operating conditions to model the complete reactor and power conversion systems. CO2 properties were evaluated, and the operating ranges of the cycles were adjusted to take advantage of the rapidly changing properties of CO2 near the critical point. The results of the analyses showed that, for the direct supercritical CO2 power cycle, thermal efficiencies in the range of 40 to 50% can be achieved. For the indirect supercritical CO2 power cycle, thermal efficiencies were approximately 10% lower than those obtained for the direct cycle over the same reactor outlet temperature range.

  9. Relevance of indirect comparisons in the German early benefit assessment and in comparison to HTA processes in England, France and Scotland.

    Science.gov (United States)

    Lebioda, Andrea; Gasche, David; Dippel, Franz-Werner; Theobald, Karlheinz; Plantör, Stefan

    2014-12-01

    Early benefit assessment in Germany under the legislative framework of AMNOG (Arzneimittelmarktneuordnungsgesetz) requires direct comparisons of the new drug with appropriate comparators determined by the Federal Joint Committee (G-BA). In case no head-to-head studies are available for direct comparisons, the submission of indirect comparisons is permitted to assess the additional benefit of the new drug. However, the Institute for Quality and Efficiency in Health Care (IQWiG) states a clear preference for head-to-head trials and defines strict requirements for indirect comparisons to be considered in the benefit assessment. Similar requirements also exist in other countries with mandatory health technology assessments (HTA), like France, England and Scotland. Our evaluation shows that a comparison of the different HTA regarding indirect comparisons is difficult. Overall, external preconditions and methodological requirements are demanding and hardly to fulfill by pharmaceutical companies for implementation of indirect comparisons in early benefit assessment. The determination of the appropriate comparators, outcomes, patient subgroups and study choice are the main target within indirect comparisons for the future. To compare and assess submitted indirect comparisons it would be desirable that a transparent process was established, including the mandatory publication of HTA-reports within Europe and international guidelines, accepted by a large number of HTA-agencies.

  10. Simulation evaluation of statistical properties of methods for indirect and mixed treatment comparisons

    Directory of Open Access Journals (Sweden)

    Song Fujian

    2012-09-01

    Full Text Available Abstract Background Indirect treatment comparison (ITC and mixed treatment comparisons (MTC have been increasingly used in network meta-analyses. This simulation study comprehensively investigated statistical properties and performances of commonly used ITC and MTC methods, including simple ITC (the Bucher method, frequentist and Bayesian MTC methods. Methods A simple network of three sets of two-arm trials with a closed loop was simulated. Different simulation scenarios were based on different number of trials, assumed treatment effects, extent of heterogeneity, bias and inconsistency. The performance of the ITC and MTC methods was measured by the type I error, statistical power, observed bias and mean squared error (MSE. Results When there are no biases in primary studies, all ITC and MTC methods investigated are on average unbiased. Depending on the extent and direction of biases in different sets of studies, ITC and MTC methods may be more or less biased than direct treatment comparisons (DTC. Of the methods investigated, the simple ITC method has the largest mean squared error (MSE. The DTC is superior to the ITC in terms of statistical power and MSE. Under the simulated circumstances in which there are no systematic biases and inconsistencies, the performances of MTC methods are generally better than the performance of the corresponding DTC methods. For inconsistency detection in network meta-analysis, the methods evaluated are on average unbiased. The statistical power of commonly used methods for detecting inconsistency is very low. Conclusions The available methods for indirect and mixed treatment comparisons have different advantages and limitations, depending on whether data analysed satisfies underlying assumptions. To choose the most valid statistical methods for research synthesis, an appropriate assessment of primary studies included in evidence network is required.

  11. Network meta-analysis: a technique to gather evidence from direct and indirect comparisons

    Directory of Open Access Journals (Sweden)

    Tonin FS

    2017-03-01

    Full Text Available Systematic reviews and pairwise meta-analyses of randomized controlled trials, at the intersection of clinical medicine, epidemiology and statistics, are positioned at the top of evidence-based practice hierarchy. These are important tools to base drugs approval, clinical protocols and guidelines formulation and for decision-making. However, this traditional technique only partially yield information that clinicians, patients and policy-makers need to make informed decisions, since it usually compares only two interventions at the time. In the market, regardless the clinical condition under evaluation, usually many interventions are available and few of them have been studied in head-to-head studies. This scenario precludes conclusions to be drawn from comparisons of all interventions profile (e.g. efficacy and safety. The recent development and introduction of a new technique – usually referred as network meta-analysis, indirect meta-analysis, multiple or mixed treatment comparisons – has allowed the estimation of metrics for all possible comparisons in the same model, simultaneously gathering direct and indirect evidence. Over the last years this statistical tool has matured as technique with models available for all types of raw data, producing different pooled effect measures, using both Frequentist and Bayesian frameworks, with different software packages. However, the conduction, report and interpretation of network meta-analysis still poses multiple challenges that should be carefully considered, especially because this technique inherits all assumptions from pairwise meta-analysis but with increased complexity. Thus, we aim to provide a basic explanation of network meta-analysis conduction, highlighting its risks and benefits for evidence-based practice, including information on statistical methods evolution, assumptions and steps for performing the analysis.

  12. Brief Introduction of Indirect Comparison Software%间接比较软件简介

    Institute of Scientific and Technical Information of China (English)

    李胜; 张超; 原瑞霞; 徐畅; 曾宪涛

    2015-01-01

    ITC (Indirect Treatment Comparison)软件及Stata软件indirect程序是研发并专用于间接比较的软件与程序,均具有使用界面友好、简洁、支持菜单操作的特点.ITC软件需要先行使用其他软件计算出直接比较的效应量及可信区间,而Stata-indirect程序可以在Stata内部完成直接比较的结果计算,亦可执行命令操作,从而简化了间接比较复杂的流程.仅能执行“单路径”数据传递合并是两者均存在的不足.从结果来看,两者的结果相似度很高.

  13. Bucher's indirect comparison of daylight photodynamic therapy with methyl aminolevulinate cream versus diclofenac plus hyaluronic acid gel for the treatment of multiple actinic keratosis.

    Science.gov (United States)

    Calzavara-Pinton, Piergiacomo; Zane, Cristina; Pacou, Maud; Szeimies, Rolf-Markus

    2016-10-01

    Actinic keratosis (AK) is a pre-cancerous condition characterised by patches of thick, scaly skin developing on sun-exposed areas of the body. When multiple AKs develop on severely photodamaged skin, commonly used treatments include photodynamic therapy and diclofenac plus hyaluronic acid gel (DHA). Methyl aminolevulinate daylight photodynamic therapy (MAL DL-PDT) is an alternative to conventional photodynamic therapy (MAL c-PDT). Trials have indicated that MAL DL-PDT is as effective as MAL c-PDT but reduces treatment-related pain and dermatological side effects. To indirectly compare between MAL DL-PDT and DHA in patients with AK. A total of three randomised trials were collected using a systematic literature review. An adjusted indirect comparison was conducted on complete lesion response rate at 12 weeks. The data indicated that mild lesions, moderate lesions, and mild and moderate lesions treated with MAL DL-PDT were more than four times more likely to undergo a complete response than lesions treated with DHA at 12 weeks, with ORs ranging from 4.23 to 4.81. Results were all statistically significant. This is the first indirect comparison demonstrating the effectiveness of MAL-PDT over DHA for the treatment of AK, and further research is needed to assess the long-term efficacy of these interventions (i.e. six months and beyond), as well as safety and patient-reported outcomes.

  14. Adolescent Sibling Relationship Quality and Adjustment: Sibling Trustworthiness and Modeling, as Factors Directly and Indirectly Influencing These Associations

    Science.gov (United States)

    Gamble, Wendy C.; Yu, Jeong Jin; Kuehn, Emily D.

    2011-01-01

    The main goal of this study was to examine the direct and moderating effects of trustworthiness and modeling on adolescent siblings' adjustment. Data were collected from 438 families including a mother, a younger sibling in fifth, sixth, or seventh grade (M = 11.6 years), and an older sibling (M = 14.3 years). Respondents completed Web-based…

  15. Comparison of Indirect Calorimetry and Predictive Equations in Estimating Resting Metabolic Rate in Underweight Females

    Directory of Open Access Journals (Sweden)

    Soghra ALIASGHARZADEH

    2015-10-01

    Full Text Available Background: Underweight as a public health problem in young women is associated with nutritional deficiencies, menstrual irregularity, eating disorders, reduced fertility, etc. Since resting metabolic rate (RMR is a necessary compo-nent in the development of nutrition support therapy, therefore we determined the accuracy of commonly used pre-dictive equations against RMR measured by indirect calorimetry among healthy young underweight females.Methods: This cross-sectional study was conducted on 104 underweight females aged 18-30 years old with body mass index (BMI <18.5 kg/m2 in 2013 . After collecting anthropometric data, body composition was measured by bioelec-tric impedance analysis (BIA. RMR was measured by using indirect calorimetry (FitMate™ and was estimated by 10 commonly used predictive equations. Comparisons were conducted using paired t-test. The accuracy of the RMR equations was evaluated on the basis of the percentage of subjects’ predicted RMR within 10% of measured RMR.Results: The mean BMI of subjects was 17.3±1.3 kg/m2. The measured RMR ranged 736-1490 kcal/day (mean 1084.7±175 kcal/day. Findings indicated that except Muller and Abbreviation, other equations significantly over es-timated RMR, compared to measured value (P<0.05. As an individual prediction accuracy, these predictive equations showed poor performance with the highest accuracy rate of 54.8% for Muller equation (22.1% under and 23.1% over-prediction and 43.3% for Abbreviation equation (31.7% under and 25% over-prediction, the percentage bias was 1.8% and 0.63% and RMSE was 162 and 173 kcal/d, respectively.Conclusion: Although Muller equation gave fairly acceptable prediction, more suitable new equations are needed to be developed to help better management of nutritional plans in young underweight people.

  16. Gain Parameter Adjustment Methods Comparison of Controller for Autonomous Rehabilitation Device

    OpenAIRE

    Eski, Ikbal; Kirnap, Ahmet

    2016-01-01

    PID controller design and comparison between two different gainparameter adjustment method for autonomous physical rehabilitation device ispresented in this paper. This device will be capable of doing repeatedtherapeutic exercises of shoulder joint. That devices main objective  is reducing physiotherapist work load. Thecontrollers tested with real angel values. Comparison of simulation resultsshowed Ziegler_Nichols adjustment method has better performance than Matlab'sauto-tune method.

  17. Comparison of multiplicative heterogeneous variance adjustment models for genetic evaluations.

    Science.gov (United States)

    Márkus, Sz; Mäntysaari, E A; Strandén, I; Eriksson, J-Å; Lidauer, M H

    2014-06-01

    Two heterogeneous variance adjustment methods and two variance models were compared in a simulation study. The method used for heterogeneous variance adjustment in the Nordic test-day model, which is a multiplicative method based on Meuwissen (J. Dairy Sci., 79, 1996, 310), was compared with a restricted multiplicative method where the fixed effects were not scaled. Both methods were tested with two different variance models, one with a herd-year and the other with a herd-year-month random effect. The simulation study was built on two field data sets from Swedish Red dairy cattle herds. For both data sets, 200 herds with test-day observations over a 12-year period were sampled. For one data set, herds were sampled randomly, while for the other, each herd was required to have at least 10 first-calving cows per year. The simulations supported the applicability of both methods and models, but the multiplicative mixed model was more sensitive in the case of small strata sizes. Estimation of variance components for the variance models resulted in different parameter estimates, depending on the applied heterogeneous variance adjustment method and variance model combination. Our analyses showed that the assumption of a first-order autoregressive correlation structure between random-effect levels is reasonable when within-herd heterogeneity is modelled by year classes, but less appropriate for within-herd heterogeneity by month classes. Of the studied alternatives, the multiplicative method and a variance model with a random herd-year effect were found most suitable for the Nordic test-day model for dairy cattle evaluation.

  18. Relevance of indirect comparisons in the German early benefit assessment and in comparison to HTA processes in England, France and Scotland

    OpenAIRE

    Lebioda, Andrea; Gasche, David; Dippel, Franz-Werner; Theobald, Karlheinz; Plantör, Stefan

    2014-01-01

    Early benefit assessment in Germany under the legislative framework of AMNOG (Arzneimittelmarktneuordnungsgesetz) requires direct comparisons of the new drug with appropriate comparators determined by the Federal Joint Committee (G-BA). In case no head-to-head studies are available for direct comparisons, the submission of indirect comparisons is permitted to assess the additional benefit of the new drug. However, the Institute for Quality and Efficiency in Health Care (IQWiG) states a clear ...

  19. Risk adjustment for inter-hospital comparison of caesarean delivery rates in low-risk deliveries.

    Directory of Open Access Journals (Sweden)

    Elisa Stivanello

    Full Text Available BACKGROUND: Caesarean delivery (CD rates have been frequently used as quality measures for maternity service comparisons. More recently, primary CD rates (CD in women without previous CD or CD rates within selected categories such as nulliparous, term, cephalic singleton deliveries (NTCS have been used. The objective of this study is to determine the extent to which risk adjustment for clinical and socio-demographic variables is needed for inter-hospital comparisons of CD rates in women without previous CD and in NTCS deliveries. METHODS: Hospital discharge records of women who delivered in Emilia-Romagna Region (Italy from January, 2007 to June 2009 and in Tuscany Region for year 2009 were linked with birth certificates. Adjusted RRs of CD in women without a previous Caesarean and NTCS were estimated using Poisson regression. Percentage differences in RR before and after adjustment were calculated and hospital rankings, based on crude and adjusted RRs, were examined. RESULTS: Adjusted RR differed substantially from crude RR in women without a previous Caesarean and only marginally in NTCS group. Hospital ranking was markedly affected by adjustment in women without a previous CD, but less in NTCS. CONCLUSION: Risk adjustment is warranted for inter-hospital comparisons of primary CD rates but not for NTCS CD rates. Crude NTCS CD rates are a reliable estimate of adjusted NTCS CD.

  20. Comparison of direct and indirect plasma oxidation of NO combined with oxidation by catalyst

    DEFF Research Database (Denmark)

    Jogi, Indrek; Stamate, Eugen; Irimiea, Cornelia

    2015-01-01

    Direct and indirect plasma oxidation of NOx was tested in a medium-scale test-bench at gas flows of 50 slm (3 m(3)/h). For direct plasma oxidation the synthetic flue gas was directed through a stacked DBD reactor. For indirect plasma oxidation, a DBD reactor was used to generate ozone from pure O-2...... of the DBD reactor decreased the long-term efficiency of direct plasma oxidation. At the same time, the efficiency of indirect oxidation increased at elevated reactor temperatures. Additional experiments were carried out to investigate the improvement of indirect oxidation by the introduction of catalyst...

  1. Indirect economic effects of new infrastructure : A comparison of Dutch high speed rail variants

    NARCIS (Netherlands)

    Oosterhaven, J; Romp, WE

    2003-01-01

    New transport infrastructure has a myriad of direct and indirect effects. The indirect effects on population and economic activity are most difficult to estimate. This paper introduces three different models to estimate the impacts of new infrastructure on labour supply and demand, and carefully exp

  2. Comparison of indirect and direct quantification of glycidol fatty acid ester in edible oils.

    Science.gov (United States)

    Shimizu, Masao; Kudo, Naoto; Shiro, Hiroki; Yasunaga, Koichi; Masukawa, Yoshinori; Katsuragi, Yoshihisa; Yasumasu, Takeshi

    2010-01-01

    Two different methods for determining the levels of glycidol fatty acid esters (GEs) in edible oil-the German official indirect method and the direct LC-MS method-are compared. In some cases, the indirect method showed lower GE levels than the direct method. This was investigated using model studies, which revealed two possible causative factors during the acid treatment of the indirect method: (1) incomplete elimination of GE in oil that was high in GEs initially and (2) generation of GEs and/or its relevant compounds in oil that was rich in partial acylglycerol. Both these factors contributed to the subsequent underestimation of GE levels. The above technical limitations of the indirect method found in the present study has led to the inference that the direct method can more precisely determine the GE levels for a wider range of fats and oil products than the indirect method.

  3. Comparison of "direct" and "indirect" nuclear cystography in the diagnosis of vesicoureteric reflux.

    Science.gov (United States)

    Khriesat, I; Khriesat, S; Hazza, I

    2001-01-01

    This study was undertaken to compare "direct" and "indirect" nuclear cystography for the detection of vesicoureteral reflux (VUR). Forty-five children (15 males and 30 females), ranging in age from 5 months to 10 years, were studied at the King Hussein Medical Center, Amman, Jordan between January 1998 and December 1999, using both direct (catheter) and indirect techniques of nuclear cystography (NC). Of the 82 ureters that could be compared, 32 ureters were positive for VUR on the direct technique while only 20 ureters showed VUR on the indirect technique (sensitivity 62%). Nine ureters, which did not show VUR on the direct cystogram, were read as positive on the indirect cystogram (specificity 82%). The false positive results of indirect nuclear cystogram make it invalid for VUR screening program, while the ease of assessment and low radiation dose from the direct NC has made this the recommended test for screening and follow-up of VUR.

  4. Comparison of "Direct" and "Indirect" Nuclear Cystography in the Diagnosis of Vesicoureteric Reflux

    Directory of Open Access Journals (Sweden)

    Khriesat Imad

    2001-01-01

    Full Text Available This study was undertaken to compare "direct" and "indirect" nuclear cystography for the detection of vesicoureteral reflux (VUR. Forty-five children (15 males and 30 females, ranging in age from 5 months to 10 years, were studied at the King Hussein Medical Center, Amman, Jordan between January 1998 and December 1999, using both direct (catheter and indirect techniques of nuclear cystography (NC. Of the 82 ureters that could be compared, 32 ureters were positive for VUR on the direct technique while only 20 ureters showed VUR on the indirect technique (sensitivity 62%. Nine ureters, which did not show VUR on the direct cystogram, were read as positive on the indirect cystogram (specificity 82%. The false positive results of indirect nuclear cystogram make it invalid for VUR screening program, while the ease of assessment and low radiation dose from the direct NC has made this the recommended test for screening and follow-up of VUR.

  5. Measurement of the optical density of packable composites: comparison between direct and indirect digital systems

    Directory of Open Access Journals (Sweden)

    Graziottin Luiz Felipe Rodrigues

    2002-01-01

    Full Text Available The aim of this study was to measure the optical density of four packable composite resins with widths of 1, 2, 3 and 4 mm, by means of Digora® (direct and DentScan DentView® (indirect digital imaging systems, in order to compare both methods. Twenty acrylic plates, with the proposed thicknesses, were used, each one containing a sample of each resin. Each acrylic plate was radiographed three times, under a standardized technique. For the Digora® system, an optical plate was used under each resin sample, and, for the DentScan DentView® system, occlusal films were employed, totalizing 60 exposures for each system. Optical plates and films were scanned and three consecutive optical readouts were carried out, totalizing 1,440 readouts. The results were submitted to statistical analysis and revealed that the average optical density of the four resins always increased as thickness increased. Regarding the comparisons between the composite resins, in both analysis the resin with the greater optical density was SurefilTM followed by ProdigyTM Condensable, AlertTM and Solitaire®. The correlations between the results of Digora® and DentScan DentView® were significant for the different thicknesses and materials. The observed tendency is that as the values obtained with the Digora® system increase, so do the values obtained with DentScan DentView®. While thickness increased, the values of optical density in both Digora® and DentScan DentView® tended to approach each other. The Digora® system presented smaller amplitude between the results obtained in adjacent thicknesses.

  6. The Impact of Adjustment for Socioeconomic Status on Comparisons of Cancer Incidence between Two European Countries

    Directory of Open Access Journals (Sweden)

    David W. Donnelly

    2013-01-01

    Full Text Available Background. Cancer incidence rates vary considerably between countries and by socioeconomic status (SES. We investigate the impact of SES upon the relative cancer risk in two neighbouring countries. Methods. Data on 229,824 cases for 16 cancers diagnosed in 1995–2007 were extracted from the cancer registries in Northern Ireland (NI and Republic of Ireland (RoI. Cancers in the two countries were compared using incidence rate ratios (IRRs adjusted for age and age plus area-based SES. Results. Adjusting for SES in addition to age had a considerable impact on NI/RoI comparisons for cancers strongly related to SES. Before SES adjustment, lung cancer incidence rates were 11% higher for males and 7% higher for females in NI, while after adjustment, the IRR was not statistically significant. Cervical cancer rates were lower in NI than in RoI after adjustment for age (IRR: 0.90 (0.84–0.97, with this difference increasing after adjustment for SES (IRR: 0.85 (0.79–0.92. For cancers with a weak or nonexistent relationship to SES, adjustment for SES made little difference to the IRR. Conclusion. Socioeconomic factors explain some international variations but also obscure other crucial differences; thus, adjustment for these factors should not become part of international comparisons.

  7. Radionuclide cystography in children: comparison of direct (retrograde) and indirect (intravenous) techniques

    Energy Technology Data Exchange (ETDEWEB)

    Majd, M.; Kass, E.J.; Belman, A.B. (Children' s Hospital National Medical Center, Washington, DC (U.S.A.))

    1985-01-01

    One hundred twenty children with a known history of vesico-ureteral reflux were evaluated by both direct and indirect methods of radionuclide cystography. The indirect studies were technically optimal in only 99 patients. In 20 of them neither the direct cystogram nor the indirect cystogram showed evidence of reflux. In the remaining 79 patients the direct cystograms demonstrated reflux in 112 ureters while the indirect cystograms showed reflux in only 66 ureters, a false negative rate of 41%. Reflux was not demonstrated in any on the indirect study which was not also noted on the direct cystogram. Indirect radionuclide cystography has a low sensitivity for the detection of reflux and should not be used as the initial screening test. If renal scintigraphy is part of the follow-up evaluation of patients with previously documented reflux, an indirect radionuclide cystogram may be obtained. However, the study is only reliable if reflux is noted. A negative study does not necessarily exclude reflux, and the patient should be evaluated further by direct cystography.

  8. Kriging direct and indirect estimates of sulfate deposition: A comparison. Forest Service research paper

    Energy Technology Data Exchange (ETDEWEB)

    Reams, G.A.; Huso, M.M.P.; Vong, R.J.; McCollum, J.M.

    1997-08-01

    Due to logistical and cost constraints, acidic deposition is rarely measured at forest research or sampling locations. A crucial first step to assessing the effects of acid rain on forests is an accurate estimate of acidic deposition at forest sample sites. The authors examine two methods (direct and indirect) for estimating sulfate deposition at atmospherically unmonitored forest sites. The direct method only uses directly measured deposition data, while the indirect method additionally incorporates precipitation measurements from a spatially denser network of monitoring sites. Sulfate deposition values were estimated by point kriging using both the direct and indirect methods. By using the supplemental data from the precipitation monitoring network, estimates of sulfate deposition improved substantially, particularly at sites that are relatively isolated to the acid deposition monitoring network. Cross-validated procedures indicate that by using the indirect method, a reduction of approximately 20 to 25 percent in the predicted error sum of squares occurred.

  9. Comparison of "Direct" and "Indirect" Nuclear Cystography in the Diagnosis of Vesicoureteric Reflux

    OpenAIRE

    Khriesat Imad; Khriesat Sameer; Hazza Issa

    2001-01-01

    This study was undertaken to compare "direct" and "indirect" nuclear cystography for the detection of vesicoureteral reflux (VUR). Forty-five children (15 males and 30 females), ranging in age from 5 months to 10 years, were studied at the King Hussein Medical Center, Amman, Jordan between January 1998 and December 1999, using both direct (catheter) and indirect techniques of nuclear cystography (NC). Of the 82 ureters that could be compared, 32 ureters were positive for VUR on the direct tec...

  10. Effectiveness comparison of inferior alveolar nerve block anesthesia using direct and indirect technique

    Directory of Open Access Journals (Sweden)

    Rehatta Yongki

    2016-12-01

    Full Text Available Local anesthesia is important to do prior to tooth extraction procedure to control the patient's pain. Local anesthetic technique in dentistry consists of topical, infiltration, and anesthetic blocks. For molar tooth extraction, mandibular block technique is used either direct or indirect. This study aimed to see if there are differences in effectiveness of inferior alveolar nerve block anesthesia techniques between direct and indirect. This clinical experimental design study used 20 patients as samples during February-April. 10 patients were taken as a group that carried out direct technique while 10 others group conducted indirect techniques. The sample selection using purposive sampling method. Pain level were measured using objective assessments (pain experienced by the patient after a given stimulus and subjective evaluation (thick taste perceived by the patient. The average time of onset in direct and indirect techniques in each sample was 16.88 ± 5.30 and 102.00 ± 19.56 seconds (subjectively and 22.50 ± 8.02 and 159.00 ± 25.10 (objectively. These results indicated direct techniques onset faster than indirect techniques. The average duration of direct and indirect techniques respectively was 121.63 ± 8.80 and 87.80 ± 9.96 minutes (subjectively and 91.88 ± 8.37 and 60.20 ± 10.40 minutes (objectively. These results indicated the duration of direct technique is longer than indirect technique. There was no significant difference when viewed from anesthesia depth and aspiration level. This study indicated that direct technique had better effect than indirect technique in terms of onset and duration, while in terms of anesthesia depth and aspiration level was relatively equal. Insignificant differences were obtained when assessing anesthetic technique successful rate based on gender, age and extracted tooth.

  11. Modeling Human Exposure to Phthalate Esters: A Comparison of Indirect and Biomonitoring Estimation Methods

    Science.gov (United States)

    Clark, Kathryn E.; David, Raymond M.; Guinn, Richard; Kramarz, Kurt W.; Lampi, Mark A.; Staples, Charles A.

    2011-01-01

    Humans are potentially exposed to phthalate esters (PEs) through ingestion, inhalation, and dermal contact. Studies quantifying exposure to PEs include “biomarker studies” and “indirect studies.” Biomarker studies use measurements of PE metabolites in urine to back-calculate exposure to the parent diester, while indirect studies use the concentration of the PE in each medium of exposure and the rate of intake of that medium to quantify intake of the PE. In this review, exposure estimates from biomarker and indirect studies are compiled and compared for seven PEs to determine if there are regional differences and if there is a preferred approach. The indirect and biomarker methods generally agree with each other within an order of magnitude and discrepancies are explained by difficulties in accounting for use of consumer products, uncertainty concerning absorption, regional differences, and temporal changes. No single method is preferred for estimating intake of all PEs; it is suggested that biomarker estimates be used for low molecular weight PEs for which it is difficult to quantify all sources of exposure and either indirect or biomarker methods be used for higher molecular weight PEs. The indirect methods are useful in identifying sources of exposure while the biomarker methods quantify exposure. PMID:23087593

  12. Indirect treatment comparison of dabrafenib plus trametinib versus vemurafenib plus cobimetinib in previously untreated metastatic melanoma patients

    Directory of Open Access Journals (Sweden)

    Adil Daud

    2017-01-01

    Full Text Available Abstract Background Metastatic melanoma is an aggressive form of skin cancer with a high mortality rate and the fastest growing global incidence rate of all malignancies. The introduction of BRAF/MEK inhibitor combinations has yielded significant increases in PFS and OS for melanoma. However, at present, no direct comparisons between different BRAF/MEK combinations have been conducted. In light of this, an indirect treatment comparison was performed between two BRAF/MEK inhibitor combination therapies for metastatic melanoma, dabrafenib plus trametinib and vemurafenib plus cobimetinib, in order to understand the relative efficacy and toxicity profiles of these therapies. Methods A systematic literature search identified two randomized trials as suitable for indirect comparison: the coBRIM trial of vemurafenib plus cobimetinib versus vemurafenib and the COMBI-v trial of dabrafenib plus trametinib versus vemurafenib. The comparison followed the method of Bucher et al. and analyzed both efficacy (overall survival [OS], progression-free survival [PFS], and overall response rate [ORR] and safety outcomes (adverse events [AEs]. Results The indirect comparison revealed similar efficacy outcomes between both therapies, with no statistically significant difference between therapies for OS (hazard ratio [HR] 0.94, 95% confidence interval [CI] 0.68 − 1.30, PFS (HR 1.05, 95% CI 0.79 − 1.40, or ORR (risk ratio [RR] 0.90, 95% CI 0.74 − 1.10. Dabrafenib plus trametinib differed significantly from vemurafenib plus cobimetinib with regard to the incidence of treatment-related AE (RR 0.92, 95% CI 0.87 − 0.97, any AE grade ≥3 (RR 0.71, 95% CI 0.60 − 0.85 or dose interruption/modification (RR 0.77, 95% CI 0.60 − 0.99. Several categories of AEs occurred significantly more frequently with vemurafenib plus cobimetinib, while some occurred significantly more frequently with dabrafenib plus trametinib. For severe AEs (grade 3 or

  13. Comparison of radiographic measurements obtained with conventional an indirect digital imaging during endontic treatment

    Directory of Open Access Journals (Sweden)

    Ligia Buloto Schmitd

    2008-04-01

    Full Text Available The aims of this study were to evaluate the quality of indirect digitized radiographic images taken during endodontic procedures and to compare the measurements recorded with this technique to those obtained from conventional radiographs. Two-hundred conventional periapical radiographs taken at the undergraduate Endodontics Clinic of the Dental School of Bauru were digitized. The conventional and indirect digitized images were compared by three examiners as to the quality and accuracy of the measurements recorded during endodontic treatment, in canal length determination, gutta-percha adaptation, lateral condensation and final obturation. The conventional radiographs were observed on a film viewer, surrounded by a dark card, and measured with magnifying glass and a millimeter ruler; the indirect digitized images were evaluated on the Digora® for Windows software, with free utilization of the bright/contrast tool. Unlike the conventional radiographic images, all indirect digitized images were considered as having a high quality. The distance between the filling material and the root apex was 0.117 mm larger, on average, for the Digora® system (p<0.01. The measurements achieved by the investigated radiographic methods were clinically similar and they are thus equivalent. Changes in brightness and contrast of the images using Digora®software improved the diagnosis.

  14. COMPARISON OF RADIOGRAPHIC MEASUREMENTS OBTAINED WITH CONVENTIONAL AND INDIRECT DIGITAL IMAGING DURING ENDODONTIC TREATMENT

    Science.gov (United States)

    Schmitd, Ligia Buloto; Lima, Tatiana de Castro; Chinellato, Luiz Eduardo Montenegro; Bramante, Clóvis Monteiro; Garcia, Roberto Brandão; de Moraes, Ivaldo Gomes; Bernardineli, Norberti

    2008-01-01

    The aims of this study were to evaluate the quality of indirect digitized radiographic images taken during endodontic procedures and to compare the measurements recorded with this technique to those obtained from conventional radiographs. Two-hundred conventional periapical radiographs taken at the undergraduate Endodontics Clinic of the Dental School of Bauru were digitized. The conventional and indirect digitized images were compared by three examiners as to the quality and accuracy of the measurements recorded during endodontic treatment, in canal length determination, gutta-percha adaptation, lateral condensation and final obturation. The conventional radiographs were observed on a film viewer, surrounded by a dark card, and measured with magnifying glass and a millimeter ruler; the indirect digitized images were evaluated on the Digora® for Windows software, with free utilization of the bright/contrast tool. Unlike the conventional radiographic images, all indirect digitized images were considered as having a high quality. The distance between the filling material and the root apex was 0.117 mm larger, on average, for the Digora® system (p<0.01). The measurements achieved by the investigated radiographic methods were clinically similar and they are thus equivalent. Changes in brightness and contrast of the images using Digora® software improved the diagnosis. PMID:19089211

  15. Brief Report: A Comparison of Indirect versus Experimental Strategies for the Assessment of Pica

    Science.gov (United States)

    Wasano, Lauren C.; Borrero, John C.; Kohn, Carolynn S.

    2009-01-01

    We conducted functional analyses of pica for three individuals with varying levels of intellectual disabilities. In addition, two indirect assessment instruments (the "Motivational Assessment Scale [MAS]", and the "Questions About Behavioral Function [QABF]") were also administered to both the parent and teacher of the child…

  16. Comparison of the marginal adaptation of direct and indirect composite inlay restorations with optical coherence tomography

    Science.gov (United States)

    TÜRK, Ayşe Gözde; SABUNCU, Metin; ÜNAL, Sena; ÖNAL, Banu; ULUSOY, Mübin

    2016-01-01

    ABSTRACT Objective The purpose of the study was to use the photonic imaging modality of optical coherence tomography (OCT) to compare the marginal adaptation of composite inlays fabricated by direct and indirect techniques. Material and Methods Class II cavities were prepared on 34 extracted human molar teeth. The cavities were randomly divided into two groups according to the inlay fabrication technique. The first group was directly restored on cavities with a composite (Esthet X HD, Dentsply, Germany) after isolating. The second group was indirectly restored with the same composite material. Marginal adaptations were scanned before cementation with an invisible infrared light beam of OCT (Thorlabs), allowing measurement in 200 µm intervals. Restorations were cemented with a self-adhesive cement resin (SmartCem2, Dentsply), and then marginal adaptations were again measured with OCT. Mean values were statistically compared by using independent-samples t-test and paired samples t-test (prestorations after cementation (p=0.00008839, p=0.000000952 for direct and indirect inlays, respectively). The mean marginal discrepancy value of the direct group increased from 56.88±20.04 µm to 91.88±31.7 µm, whereas the indirect group increased from 107.54±35.63 µm to 170.29±54.83 µm. Different techniques are available to detect marginal adaptation of restorations, but the OCT system can give quantitative information about resin cement thickness and its interaction between tooth and restoration in a nondestructive manner. Conclusions Direct inlays presented smaller marginal discrepancy than indirect inlays. The marginal discrepancy values were increased for all restorations that refer to cement thickness after cementation. PMID:27556210

  17. Indirect comparisons of second-generation tyrosine kinase inhibitors in CML: case study using baseline population characteristics

    Directory of Open Access Journals (Sweden)

    Kimbach Tran Carpiuc

    2010-10-01

    Full Text Available Kimbach Tran Carpiuc1, Gianantonio Rosti2, Fausto Castagnetti2, Maarten Treur3, Jennifer Stephens11Pharmerit North America LLC, Bethesda, MD, USA; 2Department of Hematology and Oncology, S Orsola-Malpighi University Hospital, Bologna, Italy; 3Pharmerit Europe, Rotterdam, The NetherlandsAbstract: The use of indirect comparisons to evaluate the relative effectiveness between two or more treatments is widespread in the literature and continues to grow each year. Appropriate methodologies will be essential for integrating data from various published clinical trials into a systematic framework as part of the increasing emphasis on comparative effectiveness research. This article provides a case study example for clinicians using the baseline study population characteristics and response rates of the tyrosine kinase inhibitors in imatinib-resistant or imatinib-intolerant chronic myelogenous leukemia followed by a discussion of indirect comparison methods that are being increasingly implemented to address challenges with these types of comparisons.Keywords: comparative effectiveness research, meta-analysis, BCR–ABL-positive chronic myelogenous leukemia, imatinib mesylate, nilotinib, dasatinib 

  18. Once-daily long-acting beta-agonists for chronic obstructive pulmonary disease: an indirect comparison of olodaterol and indacaterol.

    Science.gov (United States)

    Roskell, Neil S; Anzueto, Antonio; Hamilton, Alan; Disse, Bernd; Becker, Karin

    2014-01-01

    In the absence of head-to-head clinical trials comparing the once-daily, long-acting beta2-agonists olodaterol and indacaterol for the treatment of chronic obstructive pulmonary disease (COPD), an indirect treatment comparison by systematic review and synthesis of the available clinical evidence was conducted. A systematic literature review of randomized, controlled clinical trials in patients with COPD was performed to evaluate the efficacy and safety of olodaterol and indacaterol. Network meta-analysis and adjusted indirect comparison methods were employed to evaluate treatment efficacy, using outcomes based on trough forced expiratory volume in 1 second (FEV1), Transition Dyspnea Index, St George's Respiratory Questionnaire total score and response, rescue medication use, and proportion of patients with exacerbations. Eighteen trials were identified for meta-analysis (eight, olodaterol; ten, indacaterol). Olodaterol trials included patients of all severities, whilst indacaterol trials excluded patients with very severe COPD. Concomitant maintenance bronchodilator use was allowed in most olodaterol trials, but not in indacaterol trials. When similarly designed trials/data were analyzed for change from baseline in trough FEV1 (liters), the following mean differences (95% confidence interval) were observed: trials excluding concomitant bronchodilator: indacaterol 75 mcg versus olodaterol 5 mcg, -0.005 (-0.077 to 0.067), and indacaterol 150 mcg versus olodaterol 5 mcg, 0.020 (-0.036 to 0.077); trials with concomitant tiotropium: indacaterol 150 mcg versus olodaterol 5 mcg, 0.000 (-0.043 to 0.042). In sensitivity analyses of the full network, results for change from baseline in trough FEV1 favored indacaterol, but this dataset suffered from trial design heterogeneity. For the other endpoints investigated, no statistically significant differences were found when analyzed in the full network. When compared under similar trial conditions, olodaterol and indacaterol have

  19. Comparison of indirect and direct quantification of esters of monochloropropanediol in vegetable oil.

    Science.gov (United States)

    Dubois, Mathieu; Tarres, Adrienne; Goldmann, Till; Empl, Anna Maria; Donaubauer, Alfred; Seefelder, Walburga

    2012-05-04

    The presence of fatty acid esters of monochloropropanediol (MEs) in food is a recent concern raised due to the carcinogenicity of their hydrolysable moieties 2- and 3-monochloropropanediol (2- and 3-MCPD). Several indirect methods for the quantification of MEs have been developed and are commonly in use until today, however significant discrepancies among analytical results obtained are challenging their reliability. The aim of the present study was therefore to test the trueness of an indirect method by comparing it to a newly developed direct method using palm oil and palm olein as examples. The indirect method was based on ester cleavage under acidic conditions, derivatization of the liberated 2- and 3-MCPD with heptafluorobutyryl imidazole and GC-MS determination. The direct method was comprised of two extraction procedures targeting 2-and 3-MCPD mono esters (co-extracting as well glycidyl esters) by the use of double solid phase extraction (SPE), and 2- and 3-MCPD di-esters by the use of silica gel column, respectively. Detection was carried out by liquid chromatography coupled to time of flight mass spectrometry (LC-ToF-MS). Accurate quantification of the intact compounds was assured by means of matrix matched standard addition on extracts. Analysis of 22 palm oil and 7 palm olein samples (2- plus 3-MCPD contamination ranged from 0.3 to 8.8 μg/g) by both methods revealed no significant bias. Both methods were therefore considered as comparable in terms of results; however the indirect method was shown to require less analytical standards, being less tedious and furthermore applicable to all type of different vegetable oils and hence recommended for routine application.

  20. Anti-tumor necrosis factor (TNF drugs for the treatment of psoriatic arthritis: an indirect comparison meta-analysis

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    Thorlund K

    2012-12-01

    Full Text Available Kristian Thorlund,1 Eric Druyts,2 J Antonio Aviña-Zubieta,3,4 Edward J Mills1,21Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada; 2Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada; 3Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; 4Division of Rheumatology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, CanadaObjective: To evaluate the comparative effectiveness of available tumor necrosis factor-a inhibitors (anti-TNFs for the management of psoriatic arthritis (PsA in patients with an inadequate response to disease-modifying antirheumatic drugs (DMARDs.Methods: We used an exhaustive search strategy covering randomized clinical trials, systematic reviews and health technology assessments (HTA published on anti-TNFs for PsA. We performed indirect comparisons of the available anti-TNFs (adalimumab, etanercept, golimumab, and infliximab measuring relative risks (RR for the psoriatic arthritis response criteria (PsARC, mean differences (MDs for improvements from baseline for the Health Assessment Questionnaire (HAQ by PsARC responders and non-responders, and MD for the improvements from baseline for the psoriasis area and severity index (PASI. When the reporting of data on intervention group response rates and improvements were incomplete, we used straightforward conversions based on the available data.Results: We retrieved data from 20 publications representing seven trials, as well as two HTAs. All anti-TNFs were significantly better than control, but the indirect comparison did not reveal any statistically significant difference between the anti-TNFs. For PsARC response, golimumab yielded the highest RR and etanercept the second highest; adalimumab and infliximab both yielded notably smaller RRs. For HAQ improvement, etanercept and infliximab yielded the largest MD among PsARC responders

  1. Comparison of Two Methods of Obtaining Digital Orthodontic Models: Direct vs. Indirect

    Science.gov (United States)

    2013-05-17

    important to consider the accuracy of the impression materials. In a study performed by Shah et al in 2004, both polyether ( Impregum ) and Polyvinyl...and all adjustment knobs were tightened to avoid any movement from the established maxillomandibular occlusion. Vinyl polysiloxane ( Aquasil

  2. Rate-adjusted spike-LFP coherence comparisons from spike-train statistics.

    Science.gov (United States)

    Aoi, Mikio C; Lepage, Kyle Q; Kramer, Mark A; Eden, Uri T

    2015-01-30

    Coherence is a fundamental tool in the analysis of neuronal data and for studying multiscale interactions of single and multiunit spikes with local field potentials. However, when the coherence is used to estimate rhythmic synchrony between spiking and any other time series, the magnitude of the coherence is dependent upon the spike rate. This property is not a statistical bias, but a feature of the coherence function. This dependence confounds cross-condition comparisons of spike-field and spike-spike coherence in electrophysiological experiments. Taking inspiration from correction methods that adjust the spike rate of a recording with bootstrapping ('thinning'), we propose a method of estimating a correction factor for the spike-field and spike-spike coherence that adjusts the coherence to account for this rate dependence. We demonstrate that the proposed rate adjustment is accurate under standard assumptions and derive distributional properties of the estimator. The reduced estimation variance serves to provide a more powerful test of cross-condition differences in spike-LFP coherence than the thinning method and does not require repeated Monte Carlo trials. We also demonstrate some of the negative consequences of failing to account for rate dependence. The proposed spike-field coherence estimator accurately adjusts the spike-field coherence with respect to rate and has well-defined distributional properties that endow the estimator with lower estimation variance than the existing adjustment method.

  3. Risk adjustment for inter-hospital comparison of primary cesarean section rates: need, validity and parsimony

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    Dallolio Laura

    2006-08-01

    Full Text Available Abstract Background Cesarean section rates is often used as an indicator of quality of care in maternity hospitals. The assumption is that lower rates reflect in developed countries more appropriate clinical practice and general better performances. Hospitals are thus often ranked on the basis of caesarean section rates. The aim of this study is to assess whether the adjustment for clinical and sociodemographic variables of the mother and the fetus is necessary for inter-hospital comparisons of cesarean section (c-section rates and to assess whether a risk adjustment model based on a limited number of variables could be identified and used. Methods Discharge abstracts of labouring women without prior cesarean were linked with abstracts of newborns discharged from 29 hospitals of the Emilia-Romagna Region (Italy from 2003 to 2004. Adjusted ORs of cesarean by hospital were estimated by using two logistic regression models: 1 a full model including the potential confounders selected by a backward procedure; 2 a parsimonious model including only actual confounders identified by the "change-in-estimate" procedure. Hospital rankings, based on ORs were examined. Results 24 risk factors for c-section were included in the full model and 7 (marital status, maternal age, infant weight, fetopelvic disproportion, eclampsia or pre-eclampsia, placenta previa/abruptio placentae, malposition/malpresentation in the parsimonious model. Hospital ranking using the adjusted ORs from both models was different from that obtained using the crude ORs. The correlation between the rankings of the two models was 0.92. The crude ORs were smaller than ORs adjusted by both models, with the parsimonious ones producing more precise estimates. Conclusion Risk adjustment is necessary to compare hospital c-section rates, it shows differences in rankings and highlights inappropriateness of some hospitals. By adjusting for only actual confounders valid and more precise estimates

  4. Comparison of direct and indirect measurement of the elastocaloric effect in natural rubber

    Science.gov (United States)

    Xie, Zhongjian; Sebald, Gael; Guyomar, Daniel

    2016-01-01

    The directly measured temperature change Δ T upon deformation (elastocaloric effect) of natural rubber was compared with indirect method, which is deduced from the Clausius-Clapeyron factor ( ∂ σ / ∂ T ) ɛ , where σ is the stress and ɛ is the strain. The factor ( ∂ σ / ∂ T ) ɛ can be measured by two different methods. One is to measure the stress vs. strain behavior at different static temperatures. It is found that the Δ T deduction is underestimated or even of opposite sign compared with the directly measured one. These behaviors are different from elastocaloric effect of shape memory alloys. An interpretation based on strain-induced crystallite is proposed. The other characterization is to measure the stress vs. temperature at constant strain. It results in a prediction, which is in good quantitative agreement with the directly measured one. The stress appears then to be a non-state variable, thus questioning the ergodicity of the material.

  5. Comparison of direct and indirect pyrolysis of micro-algae Isochrysis.

    Science.gov (United States)

    Wang, Xin; Zhao, Bingwei; Tang, Xiaohan; Yang, Xiaoyi

    2015-03-01

    Yield and composition of pyrolysis oil in direct and indirect pyrolysis process were investigated which indicated that pyrolysis of defatted microalgae provided a potential way to convert protein and carbohydrate to biofuels. Defatted microalgae pyrolysis with lipid extraction has higher total oil yield than only microalgae direct pyrolysis. There was an increase for N-heterocyclic compounds and phenols and a decrease for hydrocarbons in defatted microalgae pyrolysis oil. There is an apparent decrease from C12 to C16 and nearly no carbon distribution from C17 to C22 for defatted microalgae pyrolysis. Based on composition of pyrolysis feedstock, pyrolysis oil yields were simulated by Compounds Biofuel Model and their accuracy was less than ±4.4%. Considering total oil yield and characteristics, microalgae pyrolysis after lipid extraction process is a promising way for microalgae utilization. Copyright © 2014 Elsevier Ltd. All rights reserved.

  6. Comparison of arterial blood pressure measurements and hypertension scores obtained by use of three indirect measurement devices in hospitalized dogs.

    Science.gov (United States)

    Wernick, Morena B; Höpfner, Robert M; Francey, Thierry; Howard, Judith

    2012-04-15

    To evaluate the agreement of blood pressure measurements and hypertension scores obtained by use of 3 indirect arterial blood pressure measurement devices in hospitalized dogs. Design-Diagnostic test evaluation. 29 client-owned dogs. 5 to 7 consecutive blood pressure readings were obtained from each dog on each of 3 occasions with a Doppler ultrasonic flow detector, a standard oscillometric device (STO), and a high-definition oscillometric device (HDO). When the individual sets of 5 to 7 readings were evaluated, the coefficient of variation for systolic arterial blood pressure (SAP) exceeded 20% for 0% (Doppler), 11 % (STO), and 28% (HDO) of the sets of readings. After readings that exceeded a 20% coefficient of variation were discarded, repeatability was within 25 (Doppler), 37 (STO), and 39 (HDO) mm Hg for SAP. Correlation of mean values among the devices was between 0.47 and 0.63. Compared with Doppler readings, STO underestimated and HDO overestimated SAP. Limits of agreement between mean readings of any 2 devices were wide. With the hypertension scale used to score SAP, the intraclass correlation of scores was 0.48. Linear-weighted inter-rater reliability between scores was 0.40 (Doppler vs STO), 0.38 (Doppler vs HDO), and 0.29 (STO vs HDO). Results of this study suggested that no meaningful clinical comparison can be made between blood pressure readings obtained from the same dog with different indirect blood pressure measurement devices.

  7. Indirect comparisons of adverse events and dropout rates in early Parkinson's disease trials of pramipexole, ropinirole, and rasagiline.

    Science.gov (United States)

    Zagmutt, Francisco J; Tarrants, Marcy L

    2012-07-01

    The comparative safety profiles of monotherapeutic treatments for Parkinson's disease (PD) can provide valuable therapeutic information. The objective of this study was to perform an indirect comparison of Adverse Events (AEs) and Dropout Rates (DRs) among clinical trials of pramipexole, ropinirole, and rasagiline. Outcomes analyzed included DRs, total AEs, and AE categories: Cognitive (CG), Gastrointestinal (GI), and Sleep/Fatigue (SF). The odds-ratio (OR) and Credible Interval (CrI) of outcomes between products using placebo as common comparator was calculated using indirect meta-analytical methods. AEs incidences for subjects receiving rasagiline were not significantly different from placebo, whereas DRs were significantly lower than for placebo (OR = 0.55; 95% CrI = 0.34-0.88). Patients receiving pramipexole or ropinirole had higher incidence of all AEs and DRs than patients taking rasagiline, except for the nonsignificant incidence of CG for ropinirole vs. rasagiline (1.76; 0.69-4.70). The incidence of GI (2.11; 1.13-4.06) and SF (2.75; 1.42-5.47) was significantly higher for ropinirole than for pramipexole, whereas the incidence of CG was significantly lower for ropinirole than for pramipexole (0.22; 0.07-0.69). Findings suggest that subjects with early PD treated with rasagiline have fewer AEs and DRs than those treated with pramipexole or ropinirole. GI and SF AEs were highest for subjects treated with ropinirole, while individuals treated with pramipexole exhibited the highest incidence of cognitive AEs.

  8. An indirect comparison of the efficacy and safety of desvenlafaxine and venlafaxine using placebo as the common comparator.

    Science.gov (United States)

    Coleman, Kristina A; Xavier, Vanessa Y; Palmer, Trish L; Meaney, James V; Radalj, Libby M; Canny, Louise M

    2012-09-01

    This meta-analysis compared the efficacy and safety of desvenlafaxine and venlafaxine at the Australian approved doses. A systematic literature search was conducted to identify all placebo-controlled studies of desvenlafaxine and venlafaxine in the treatment of major depression. The pivotal outcome measure used to assess comparative efficacy was the mean change in Hamilton Rating Scale for Depression-17 score from baseline. Tolerability and safety were compared by an evaluation of reported adverse events. Standard and Bayesian methods were used to conduct the indirect comparisons. Findings Using a mixed model repeated measures analysis, the pooled weighted mean difference for the mean change in Hamilton Rating Scale for Depression-17 score from baseline was -2.81 (-3.72, -1.91; p desvenlafaxine and -2.61 (-3.17, -2.05; p desvenlafaxine and venlafaxine (relative risk 1.01; 0.96, 1.06; p = 0.70 and risk difference -0.01; -0.05, 0.03; p = 0.59). Standard indirect comparisons of both nausea and drop-outs identified potential differences between treatments, with the risk difference analyses suggesting a trend in favor of desvenlafaxine (nausea: relative risk 0.97; 0.77, 1.22; p = 0.80/RD -0.07; -0.12, -0.01; p = 0.02; and drop-outs due to adverse events: RR 0.86; 0.58, 1.29; p = 0.48/RD -0.04; -0.08, 0.00; p = 0.06). Based on the results of this meta-analysis, desvenlafaxine was shown to be non-inferior to venlafaxine in terms of efficacy, and has an advantage in terms of less nausea.

  9. Indirect Haemagglutination Test in Comparison with ELISA for Detection of Antibodies against Invasive Amoebiasis

    Science.gov (United States)

    Dhanalakshmi, Sankaramoorthy; Meenachi, Chidambaram

    2016-01-01

    Introduction Diagnosis of amoebiasis is based on combination of tests like microscopy, imaging, serology and molecular methods. In absence of molecular techniques, serology can be used as an alternative aid. Various serological techniques were reported with different sensitivity and specificity. The diagnostic efficiency of these assays mainly depends on the characteristics of antigen that is being used and various conditions of performance. Aim To evaluate the efficiency of recombinant calcium binding domain containing protein by Indirect Haemagglutination Assay (IHA) against a commercial ELISA among amoebic liver abscess cases and control group. Materials and Methods The study was carried out during the period of 2011-2015 and blood samples were collected from suspected amoebiasis cases who were attending the clinics of Medicine and Paediatrics department, JIPMER. A total of 200 sera samples which included 100 Amoebic Liver Abscess (ALA), 50 cases of other parasitic infections and liver diseases and 50 presumed healthy controls were examined by IHA and commercial ELISA. In brief, chick cells were stabilized by Double Aldehyde Sensitization (DAS) method. Optimum Sensitizing Dose (OSD) of the antigen was determined. The test was performed in a U-bottomed microtiter plate with recombinant amoebic antigen (12.5μg/ml), incubated at Room Temperature (RT) for 2 hours. RIDASCREEN Entamoeba IgG ELISA kit which is commercially available was used to evaluate the samples as per manufacturer’s instruction. Results The overall sensitivity and specificity of the IHA was 62% and 96%, respectively when compared to ELISA having sensitivity and specificity of 69% and 90%, respectively. The positive predictive value of the IHA was 91% while negative predictive value was 79%. Similarly, the positive predictive value of the ELISA was 87% while negative predictive value was 74%. Conclusion As serology heavily suffers due to lack of a standardised test system employing the native

  10. Comparison study of indirect MR arthrography and direct MR arthrography of the shoulder

    Energy Technology Data Exchange (ETDEWEB)

    Jung, Jee Young; Yoon, Young Cheol [Sungkyunkwan University, Department of Radiology, Samsung Medical Center, School of Medicine, Seoul (Korea); Yi, Sang-Kyu [Sungkyunkwan University, Department of Radiology, Samsung Medical Center, School of Medicine, Seoul (Korea); Sekye Radiologic Clinic, Daejeon (Korea); Yoo, Jaechul [Sungkyunkwan University, Department of Orthopedic Surgery, School of Medicine, Seoul (Korea); Choe, Bong-Keun [Kyung Hee University, Department of Preventive Medicine, School of Medicine, Seoul (Korea)

    2009-07-15

    To compare the diagnostic value of indirect magnetic resonance arthrography (I-MRA) with that of direct MR arthrography (D-MRA) for labral tears, rotator cuff tears, and long head of biceps tendon (LHBT) tears using a 3-T MR unit. Institutional review board approval was given; written informed consent was obtained from all patients. From November 2005 to June 2006, 19 patients (eight men and 11 women; mean age, 51 years) who had undergone both I-MRA and D-MRA underwent arthroscopic surgery. Both methods were performed in fat-saturated axial, coronal oblique, and sagittal oblique T1-weighted sequences, as well as axial and coronal oblique T2-weighted sequences. Two radiologists independently and retrospectively evaluated two sets of MRA for the diagnosis of superior and anterior labral tears, subscapularis tendon (SSC), and supraspinatus-infraspinatus tendon (SSP-ISP) tears, and LHBT tears. With the arthroscopic finding as a gold standard, we analyzed statistical differences of sensitivities and specificities between two sets of MRA and inter-observer agreement was evaluated using the kappa value. The sensitivity and specificity of I-MRA and D-MRA for reader 1 were 79/80% and 71/80%, respectively, for superior labral tears; 100/100% and 100/100%, respectively, for anterior labral tears; 64/75% and 64/100%, respectively, for SSC tears; 100/86% and 100/100%, respectively, for SSP-ISP tears; and 67/100% and 78/100%, respectively, for LHBT tears. Those of I-MRA and D-MRA for reader 2 were 86/80% and 71/100%, respectively, for superior labral tears; 100/83% and 100/100%, respectively, for anterior labral tears; 64/88% and 82/100%, respectively, for SSC tears; 92/86% and 100/100%, respectively, for SSP-ISP tears; and 78/90% and 89/100%, respectively, for LHBT tears. No significant differences were found between the methods. Inter-observer agreements were higher than moderate ({kappa} > 0.41) with both methods. Based on a relatively small number of patients, no significant

  11. Once-daily long-acting beta-agonists for chronic obstructive pulmonary disease: an indirect comparison of olodaterol and indacaterol

    Directory of Open Access Journals (Sweden)

    Roskell NS

    2014-07-01

    Full Text Available Neil S Roskell,1 Antonio Anzueto,2 Alan Hamilton,3 Bernd Disse,4 Karin Becker5 1Statistics, Bresmed Health Solutions Ltd, Sheffield, UK; 2School of Medicine, University of Texas Health Science Center, San Antonio, TX, USA; 3Medical Department, Boehringer Ingelheim (Canada Ltd, Burlington, ON, Canada; 4Medical Department, Boehringer Ingelheim GmbH, Ingelheim am Rhein, Germany; 5Global Health Economics and Outcomes Research, Boehringer Ingelheim GmbH, Ingelheim am Rhein, Germany Purpose: In the absence of head-to-head clinical trials comparing the once-daily, long-acting beta2-agonists olodaterol and indacaterol for the treatment of chronic obstructive pulmonary disease (COPD, an indirect treatment comparison by systematic review and synthesis of the available clinical evidence was conducted. Methods: A systematic literature review of randomized, controlled clinical trials in patients with COPD was performed to evaluate the efficacy and safety of olodaterol and indacaterol. Network meta-analysis and adjusted indirect comparison methods were employed to evaluate treatment efficacy, using outcomes based on trough forced expiratory volume in 1 second (FEV1, Transition Dyspnea Index, St George’s Respiratory Questionnaire total score and response, rescue medication use, and proportion of patients with exacerbations. Results: Eighteen trials were identified for meta-analysis (eight, olodaterol; ten, indacaterol. Olodaterol trials included patients of all severities, whilst indacaterol trials excluded patients with very severe COPD. Concomitant maintenance bronchodilator use was allowed in most olodaterol trials, but not in indacaterol trials. When similarly designed trials/data were analyzed for change from baseline in trough FEV1 (liters, the following mean differences (95% confidence interval were observed: trials excluding concomitant bronchodilator: indacaterol 75 mcg versus olodaterol 5 mcg, –0.005 (–0.077 to 0.067, and indacaterol 150 mcg

  12. The Comparison of Tendency to Addiction and Adjustment in Girls and Boys Students

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    Reza Sheydae

    2010-08-01

    Full Text Available Objective: This study compared the drug tended to fit 17-12 year old male and female students were holy city of Rabat. Methods: The research design of a comparison. Results: The study subjects consisted of 21 male and 29 female students who cover the charity Fatima Zahra studying in Rabat Karim units were selected by random sampling. Tool: in the study to measure the tendency to addiction People exposed to drug test Dhkrdyan and Bell was used to test adjustment. The results showed an inverse relation between the tendency to addiction in adolescents and that there are significant inconsistencies. The relation between the subscales inconsistency and tendency to addiction, a strong and significant positive relationship between family conflicts to tendency to addiction exists. Inconsistency between the two groups of boys and girls in terms of variables and there is significant risk of addiction. So that the average inconsistency in boys than girls and boys at risk for substance abuse than are females. Conclusions: The tendency to addiction, there are significant adjustment among adolescents and the tendency to addiction in adolescent boys and girls significant adjustment there.

  13. Functional comparison of annexin V analogues labeled indirectly and directly with iodine-124

    Energy Technology Data Exchange (ETDEWEB)

    Dekker, Bronwen [CRUK/UMIST Dept. of Radiochemical Targeting and Imaging, Paterson Inst. for Cancer Research, M20 4BX Manchester (United Kingdom)]|[Dept. of Instrumentation and Analytical Science, Univ. of Manchester Inst. for Science and Technology (United Kingdom)]. E-mail: bdekker@picr.man.ac.uk; Keen, Heather [CRUK/UMIST Dept. of Radiochemical Targeting and Imaging, Paterson Inst. for Cancer Research, M20 4BX Manchester (United Kingdom)]|[Dept. of Instrumentation and Analytical Science, Univ. of Manchester Inst. for Science and Technology, M60 1QD Manchester (United Kingdom); Shaw, David [CRUK/UMIST Dept. of Radiochemical Targeting and Imaging, Paterson Inst. for Cancer Research, M20 4BX Manchester (United Kingdom)]|[CRUK Dept. of Immunology, Paterson Inst. for Cancer Research, M20 4BX Manchester (United Kingdom); Disley, Lynn [CRUK/UMIST Dept. of Radiochemical Targeting and Imaging, Paterson Inst. for Cancer Research, M20 4BX Manchester (United Kingdom); Hastings, David; Julyan, Peter [CRUK/UMIST Dept. of Radiochemical Targeting and Imaging, Paterson Inst. for Cancer Research, M20 4BX Manchester (United Kingdom)]|[North Western Medical Physics, Christie Hospital NHS Trust, M20 4BX Manchester (United Kingdom); Hadfield, John [School of Environment and Life Sciences, Univ. of Salford, M5 4WT Manchester (United Kingdom); Reader, Andrew [Dept. of Instrumentation and Analytical Science, Univ. of Manchester Inst. for Science and Technology, M60 1QD Manchester (United Kingdom); Allan, Donald [Physics and Electronic Unit, Paterson Inst. for Cancer Research, M20 4BX Manchester (United Kingdom); Watson, Alastair [Dept. of Medicine, Univ of Liverpool (United Kingdom); Zweit, Jamal [CRUK/UMIST Dept. of Radiochemical Targeting and Imaging, Paterson Inst. for Cancer Research, M20 4BX Manchester (United Kingdom)]|[Dept. of Instrumentation and Analytical Science, Univ. of Manchester Inst. for Science and Technology (United Kingdom)]. E-mail: jzweit@picr.man.ac.uk

    2005-05-01

    We are interested in imaging cell death in vivo using annexin V radiolabeled with {sup 124}I. In this study, [{sup 124}I]4IB-annexin V and [{sup 124}I]4IB-ovalbumin were made using [{sup 124}I]N-hydroxysuccinimidyl-4-iodobenzoate prepared by iododestannylation of N-hydroxysuccinimidyl-4-(tributylstannyl)benzoate. [{sup 124}I]4IB-annexin V binds to phosphatidylserine-coated microtiter plates and apoptotic Jurkat cells and accumulates in hepatic apoptotic lesions in mice treated with anti-Fas antibody, while [{sup 124}I]4IB-ovalbumin does not. In comparison with {sup 124}I-annexin V, [{sup 124}I]4IB-annexin V has a higher rate of binding to phosphatidylserine in vitro, a higher kidney and urine uptake, a lower thyroid and stomach content uptake, greater plasma stability and a lower rate of plasma clearance. Binding of radioactivity to apoptotic cells relative to normal cells in vitro and in vivo appears to be lower for [{sup 124}I]4IB-annexin V than for {sup 124}I-annexin V.

  14. Comparison Analysis of Indirect FOC Induction Motor Drive using PI, Anti-Windup and Pre Filter Schemes

    Directory of Open Access Journals (Sweden)

    Md Hairul Nizam Talib

    2014-10-01

    Full Text Available This paper presents the speed performance analysis of indirect Field Oriented Control (FOC induction motor drive by applying Proportional Integral (PI controller, PI with Anti-Windup (PIAW and Pre- Filter (PF. The objective of this experiment is to have quantitative comparison between the controller strategies towards the performance of the motor in term of speed tracking and load rejection capability in low, medium and rated speed operation. In the first part, PI controller is applied to the FOC induction motor drive which the gain is obtained based on determined Induction Motor (IM motor parameters.  Secondly an AWPI strategy is added to the outer loop and finally, PF is added to the system. The Space Vector Pulse Width Modulation (SVPWM technique is used to control the voltage source inverter and complete vector control scheme of the IM drive is tested by using a DSpace 1103 controller board. The analysis of the results shows that, the PI and AWPI controller schemes produce similar performance at low speed operation. However, for the medium and rated speed operation the AWPI scheme shown significant improvement in reducing the overshoot problem and improving the setting time. The PF scheme on the other hand, produces a slower speed and torque response for all tested speed operation. All schemes show similar performance for load disturbance rejection capability.

  15. Atmospheric water vapor monitoring from local GNSS networks: comparisons of GNSS data adjustment strategies

    Science.gov (United States)

    Capponi, Martina; Fermi, Alessandro; Monti Guarnieri, Andrea; Realini, Eugenio; Venuti, Giovanna

    2016-04-01

    Since many years GNSS has been regarded by the meteorological community as one of the systems for atmospheric water vapor remote sensing. Time series of GNSS wet delays are estimated as by-products of accurate positioning. Their assimilation into numerical weather prediction (NWP) models is being investigated at both research and operational levels, although typically at coarse space resolutions (e.g. few tens of km). A dedicated use of this system for water vapor monitoring at higher resolutions is still under investigation. Ad hoc networks have been designed and implemented to collect data at a high spatial resolution (station inter-distances of 1-10 km), to have an insight into the spatial distribution of GNSS derived wet delays and/or into the impact of such information on high resolution NWP models. Within this research framework the paper reports the comparisons carried out between ZWD time series obtained from the data collected by an Italian and a Japanese dense networks of permanent geodetic GNSS receivers. Tropospheric delays have been estimated by applying different data adjustment strategies: relative positioning and PPP (precise point positioning). For this last strategy two different solutions have been analyzed and compared: the Bernese software batch solution, and the RTNet software Kalman filter solution. Assessment of the results were performed against IGS GNSS delays as well as by comparison with radiosonde-derived precipitable water vapor (PWV).

  16. Comparison of indirect methods for the estimation of Boundary Layer height over flat-terrain in a coastal site

    Directory of Open Access Journals (Sweden)

    Daniele Contini

    2009-06-01

    Full Text Available In this paper an analysis of different indirect methods for the calculation of the boundary layer height (BLH using sodar, ultrasonic anemometer and a prognostic model based on single point surface measurements is presented. In particular the automatic spectral routine developed for Remtech sodar is compared with the results obtained with the parameterization of the vertical velocity variance of a minisodar, with the calculation of a prognostic model, with a parameterization based on horizontal velocity spectra and with the BLH evaluated from the intensity of minisodar echoes in stable conditions. The data of a radiosonde system taken in a nearby site was also analysed to get an independent evaluation of BLH for comparison. There is a significant scatter in the data for both the evaluation through the variance of vertical wind speed and the spectral analysis of the horizontal wind velocity although created by different effects. In unstable conditions the different methods give a similar pattern even if the prognostic model in some days predicts a significantly higher BLH with respect to the other methods. In stable nocturnal conditions the performances of the Remtech routine are worse than those in unstable conditions with an evident overestimation of the BLH that it is likely related to the overestimation of vertical turbulence and to the use of multiple range gates in the algorithm. Taking as reference the evaluation of BLH of the sodar, the spectral method applied to ultrasonic anemometer data seems to be affected by the lowest biases and it is a possible candidate, for the development of automatic routines for operational evaluation of BLH possibly with a different parameterisation for stable and unstable cases.

  17. Comparison between binocular indirect ophthalmoscopy and digital retinography for diabetic retinopathy screening: the multicenter Brazilian Type 1 Diabetes Study

    National Research Council Canada - National Science Library

    Malerbi, Fernando Korn; Morales, Paulo Henrique; Farah, Michel Eid; Drummond, Karla Rezende Guerra; Mattos, Tessa Cerqueira Lemos; Pinheiro, André Araújo; Mallmann, Felipe; Perez, Ricardo Vessoni; Leal, Franz Schubert Lopes; Gomes, Marília Brito; Dib, Sergio Atala

    2015-01-01

    .... Our objective is to compare binocular indirect ophthalmoscopy (BIO) to telemedicine protocols of digital retinography for diabetic retinopathy screening in a large and heterogenous type 1 diabetes population in a developing country...

  18. A comparison of microhardness of indirect composite restorative materials Estudo comparativo da microdureza de materiais resinosos indiretos

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    Carolina Baptista Miranda

    2003-06-01

    Full Text Available The purpose of this study was to compare the microhardness of four indirect composite resins. Forty cylindrical samples were prepared according to the manufacturer’s recommendations using a Teflon mold. Ten specimens were produced from each tested material, constituting four groups (n=10 as follows: G1 - Artglass; G2 - Sinfony; G3 - Solidex; G4 - Targis. Microhardness was determined by the Vickers indentation technique with a load of 300g for 10 seconds. Four indentations were made on each sample, determining the mean microhardness values for each specimen. Descriptive statistics data for the experimental conditions were: G1 - Artglass (mean ±standard deviation: 55.26 ± 1.15HVN; median: 52.6; G2 - Sinfony (31.22 ± 0.65HVN; 31.30; G3 - Solidex (52.25 ± 1.55HVN; 52.60; G4 - Targis (72.14 ± 2.82HVN; 73.30. An exploratory data analysis was performed to determine the most appropriate statistical test through: (I Levene's for homogeneity of variances; (II ANOVA on ranks (Kruskal-Wallis; (III Dunn's multiple comparison test (0.05. Targis presented the highest microhardness values while Sinfony presented the lowest. Artglass and Solidex were found as intermediate materials. These results indicate that distinct mechanical properties may be observed at specific materials. The composition of each material as well as variations on polymerization methods are possibly responsibles for the difference found in microhardness. Therefore, indirect composite resin materials that guarantee both good esthetics and adequate mechanical properties may be considered as substitutes of natural teeth.O objetivo deste estudo foi comparar a microdureza de 4 resinas compostas indiretas. Quarenta amostras cilíndricas foram obtidas com o auxílio de uma matriz de teflon, seguindo-se as recomendações dos fabricantes. Foram obtidas 10 amostras para cada material testado, contituindo-se 4 grupos (n=10 como se segue: G1-Artglass; G2-Sinfony; G3-Solidex; G4-Targis. A

  19. Aquaporin-4 autoantibodies in neuromyelitis optica spectrum disorders: comparison between tissue-based and cell-based indirect immunofluorescence assays

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    Chan Koon H

    2010-09-01

    Full Text Available Abstract Background Neuromyelitis optica spectrum disorders (NMOSD are severe central nervous system inflammatory demyelinating disorders (CNS IDD characterized by monophasic or relapsing, longitudinally extensive transverse myelitis (LETM and/or optic neuritis (ON. A significant proportion of NMOSD patients are seropositive for aquaporin-4 (AQP4 autoantibodies. We compared the AQP4 autoantibody detection rates of tissue-based indirect immunofluorescence assay (IIFA and cell-based IIFA. Methods Serum of Chinese CNS IDD patients were assayed for AQP4 autoantibodies by tissue-based IIFA using monkey cerebellum and cell-based IIFA using transfected HEK293 cells which express human AQP4 on their cell membranes. Results In total, 128 CNS IDD patients were studied. We found that 78% of NMO patients were seropositive for AQP4 autoantibodies by cell-based IIFA versus 61% by tissue-based IFA (p = 0.250, 75% of patients having relapsing myelitis (RM with LETM were seropositive by cell-based IIFA versus 50% by tissue-based IIFA (p = 0.250, and 33% of relapsing ON patients were seropositive by cell-based IIFA versus 22% by tissue-based IIFA (p = 1.000; however the differences were not statistically significant. All patients seropositive by tissue-based IIFA were also seropositive for AQP4 autoantibodies by cell-based IIFA. Among 29 NMOSD patients seropositive for AQP4 autoantibodies by cell-based IIFA, 20 (69% were seropositive by tissue-based IIFA. The 9 patients seropositive by cell-based IIFA while seronegative by tissue-based IIFA had NMO (3, RM with LETM (3, a single attack of LETM (1, relapsing ON (1 and a single ON attack (1. Among 23 NMO or RM patients seropositive for AQP4 autoantibodies by cell-based IIFA, comparison between those seropositive (n = 17 and seronegative (n = 6 by tissue-based IIFA revealed no differences in clinical and neuroradiological characteristics between the two groups. Conclusion Cell-based IIFA is slightly more sensitive

  20. Boceprevir and telaprevir for the treatment of chronic hepatitis C genotype 1 infection: an indirect comparison meta-analysis

    Directory of Open Access Journals (Sweden)

    Cooper CL

    2012-03-01

    Full Text Available Curtis L Cooper1, Eric Druyts2, Kristian Thorlund3, Jean B Nachega4, Antoine C El Khoury5, Christopher O'Regan6, Edward J Mills2,31Division of Infectious Diseases, Faculty of Medicine, 2Faculty of Health Sciences, University of Ottawa, Ottawa, 3Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada; 4Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, 5Merck and Co, Inc, Whitehouse Station, NJ, 6Merck Sharp and Dohme Ltd, Hoddesdon, Hertfordshire, United KingdomBackground: The aim of this study was to examine the relative efficacy and safety of boceprevir and telaprevir, when used in combination with pegylated interferon alpha and ribavirin, using an indirect comparison meta-analysis.Methods: Published phase II and phase III randomized placebo-controlled trials examining the efficacy of boceprevir and telaprevir in chronic hepatitis C virus genotype 1 infected adult populations were included. The primary outcomes were sustained virologic response, relapse, and discontinuation of all study drugs. Secondary outcomes included the adverse events of anemia, neutropenia, rash, and pruritus. Results: Four boceprevir trials and six telaprevir trials were included. No significant differences were observed for sustained virologic response among either naïve (relative risk [RR] 1.14, 95% confidence interval [CI] 0.93–1.37, P = 0.20 or experienced patients (RR 0.81, 95% CI 0.52–1.23, P = 0.30. Similarly, for relapse among naïve (RR 0.80, 95% CI 0.18–3.45, P = 0.77 and experienced patients (RR 1.71, 95% CI 0.90–3.24, P = 0.10, or discontinuation of therapy for naïve (RR 0.80, 95% CI 0.28–2.29, P = 0.72 and experienced patients (RR 0.88, 95% CI 0.69–1.12, P = 0.30. Telaprevir was more likely to be associated with rash and pruritus, and boceprevir was more likely to be associated with neutropenia in certain patient populations.Conclusion: Boceprevir and telaprevir appear

  1. Indirect treatment comparison of bevacizumab + interferon-α-2a vs tyrosine kinase inhibitors in first-line metastatic renal cell carcinoma therapy

    Directory of Open Access Journals (Sweden)

    Gerald HJ Mickisch

    2011-01-01

    Full Text Available Gerald HJ Mickisch1, Björn Schwander2, Bernard Escudier3, Joaquim Bellmunt4, José P Maroto5, Camillo Porta6, Stefan Walzer7, Uwe Siebert8,91Department of Urology, Center of Operative Urology Bremen, Bremen, Germany; 2Department of Outcomes Research, AiM GmbH Assessment-in-Medicine, Lörrach, Germany; 3Immunotherapy Unit, Institut Gustave Roussy, Villejuif, France; 4Department of Medical Oncology, University Hospital del Mar UPF, Barcelona, Spain; 5Department of Medical Oncology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; 6Department of Medical Oncology, IRCCS San Matteo University Hospital Foundation, Pavia, Italy; 7Global Health Economics, F Hoffmann-La Roche Pharmaceuticals AG, Basel, Switzerland; 8Department of Public Health, Medical Decision Making and Health Technology Assessment, UMIT - University for Health Sciences, Medical Informatics and Technology, Hall i.T., Austria; 9Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USABackground: The vascular endothelial growth factor inhibitor bevacizumab (BEV given in combination with interferon-α-2a (IFN, and the tyrosine kinase inhibitors (TKIs sunitinib (SUN and pazopanib (PAZ, have all shown significant increase in progression-free survival (PFS in first-line metastatic renal-cell carcinoma (mRCC therapy. These targeted therapies are currently competing to be primary choice; hence, in the absence of direct head-to-head comparison, there is a need for valid indirect comparison assessment.Methods: Standard indirect comparison methods were applied to independent review PFS data of the pivotal Phase III trials, to determine indirect treatment comparison hazard-ratios (HR with 95% confidence intervals (95% CI. As BEV+IFN and SUN have been compared to IFN, indirect comparison was enabled by the common IFN comparator arms. As PAZ was compared to placebo (PLA, a connector trial (IFN vs PLA was required for the indirect comparison to BEV

  2. Indirect Medical Education and Disproportionate Share Adj...

    Data.gov (United States)

    U.S. Department of Health & Human Services — Indirect Medical Education and Disproportionate Share Adjustments to Medicare Inpatient Payment Rates The indirect medical education (IME) and disproportionate share...

  3. Indirect Medical Education and Disproportionate Share Adj...

    Data.gov (United States)

    U.S. Department of Health & Human Services — Indirect Medical Education and Disproportionate Share Adjustments to Medicare Inpatient Payment Rates The indirect medical education (IME) and disproportionate share...

  4. Comparison of steps and energy expenditure assessment in adults of Fitbit Tracker and Ultra to the Actical and indirect calorimetry.

    Science.gov (United States)

    Adam Noah, J; Spierer, David K; Gu, Jialu; Bronner, Shaw

    2013-10-01

    Epidemic levels of inactivity are associated with chronic diseases and rising healthcare costs. To address this, accelerometers have been used to track levels of activity. The Fitbit and Fitbit Ultra are some of the newest commercially available accelerometers. The purpose of this study was to determine the reliability and validity of the Fitbit and Fitbit Ultra. Twenty-three subjects were fitted with two Fitbit and Fitbit Ultra accelerometers, two industry-standard accelerometers and an indirect calorimetry device. Subjects participated in 6-min bouts of treadmill walking, jogging and stair stepping. Results indicate the Fitbit and Fitbit Ultra are reliable and valid for activity monitoring (step counts) and determining energy expenditure while walking and jogging without an incline. The Fitbit and standard accelerometers under-estimated energy expenditure compared to indirect calorimetry for inclined activities. These data suggest the Fitbit and Fitbit Ultra are reliable and valid for monitoring over-ground energy expenditure.

  5. Comparison of direct, indirect, and ecosystem engineering effects of an earthworm on the red-backed salamander.

    Science.gov (United States)

    Ransom, Tami S

    2012-10-01

    In addition to creating or modifying habitat, ecosystem engineers interact with other species as predators, prey, or competitors. The earthworm, Lumbricus terrestris, interacts with the common woodland salamander, Plethodon cinereus, via: (1) ecosystem engineering, by providing burrows that are used as a refuge, (2) direct effects as a prey item, and (3) indirectly, by competing with microinvertebrates, another prey item for P. cinereus. Using enclosures in the forest, I examined the relative strengths of these component pathways between seasons and salamander age classes. I found that the relative strength (partial eta2) of the positive direct (trophic) effect of L. terrestris on the change in mass of P. cineresus was greater than that of the negative indirect effect, but only in summer. Positive effects of ecosystem engineering were only evident over the winter as increased adult survival. This research has implications for how habitat provisioning complements more well-studied species interactions, such as competition and predation, within communities.

  6. Experimental investigation on the comparison of fenugreek drying in an indirect solar dryer and under open sun

    Science.gov (United States)

    Shrivastava, Vipin; Kumar, Anil

    2016-09-01

    The convective heat transfer coefficient is an essential parameter for designing of any solar drying system. In this paper heat transfer modeling in term of convective heat transfer coefficient is performed and compared with open sun drying. The data obtained from experimentation under open sun and indirect solar drying conditions have been used to find values of the experimental constant `C' and exponent `n' by regression analysis and, consequently, convective heat transfer coefficient. From this study it is concluded that the convective heat transfer coefficient is decreasing with drying time it is due to decrease in moisture content. Results also showed that convective heat transfer coefficients are more in indirect solar dryer system than under open sun drying.

  7. Evaluation and Comparison of Individual and Group Sports in the Social Adjustment of Students

    Directory of Open Access Journals (Sweden)

    Seyed Hossein Mousavi

    2012-01-01

    Full Text Available Due to the role of sports in youth social adjustment and social skills in their interpersonal relationships and social skills associated with academic achievement and their role in reducing mental and psychological problems ,we conducted this study to examine the role of physical activity in different sport fields. In order to compare the social skills of male students participating in the team and individual sports in Islamic Azad University of Zanjan, we chose 30 randomly as the sample size. In order to gather information, two questionnaires-i-e-demographic questionnaire and social skills questionnaire (social adjustment section Albert J. Petitpas F (2004 with a reliability of 0.90 were used. For data analysis, descriptive statistics and T-test were used. Results showed significant differences between team and individual sports athletes with the soccer ranking higher than the rest of the field. Gymnastics athletes would have better social adjustment than the rest of athletes and the rowing athletes had less social adjustment, but this difference was not statistically significant and the results showed no significant relationship between age and marital status with the Social Adjustment. The results of this study confirm a considerable effect of team sports on levels of social adjustment compared with individual sports.

  8. Comparison of three dimensional isotropic and two dimensional conventional indirect MR arthrography for the diagnosis of rotator cuff tears

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Ji Hyun; Yoon, Young Cheol; Kwon, Jong Won; Yoo, Jae Chul [Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of); Cha, Jang Kyu [Dept. of Radiology, Soonchunhyang University Bucheon Hospital, Bucheon (Korea, Republic of); Jee, Suk Kyoung [Joeun Madi Hospital, Seoul (Korea, Republic of)

    2014-12-15

    To compare the accuracy between a three-dimensional (3D) indirect isotropic T1-weighted fast spin-echo (FSE) magnetic resonance (MR) arthrography and a conventional two-dimensional (2D) T1-weighted sequences of indirect MR arthrography for diagnosing rotator cuff tears. The study was approved by our Institutional Review Board. In total, 205 patients who had undergone indirect shoulder MR arthrography followed by arthroscopic surgery for 206 shoulders were included in this study. Both conventional 2D T1-weighted FSE sequences and 3D isotropic T1-weighted FSE sequence were performed in all patients. Two radiologists evaluated the images for the presence of full- or partial-thickness tears in the supraspinatus-infraspinatus (SSP-ISP) tendons and tears in the subscapularis (SSC) tendons. Using the arthroscopic findings as the reference standard, the diagnostic performances of both methods were analyzed by the area under the receiver operating characteristic curve (AUC). Arthroscopy confirmed 165 SSP-ISP tendon tears and 103 SSC tendon tears. For diagnosing SSP-ISP tendon tears, the AUC values were 0.964 and 0.989 for the 2D sequences and 3D T1-weighted FSE sequence, respectively, in reader I and 0.947 and 0.963, respectively, in reader II. The AUC values for diagnosing SSC tendon tears were 0.921 and 0.925, respectively, for reader I and 0.856 and 0.860, respectively, for reader II. There was no significant difference between the AUC values of the 2D and 3D sequences in either reader for either type of tear. 3D indirect isotropic MR arthrography with FSE sequence and the conventional 2D arthrography are not significantly different in terms of accuracy for diagnosing rotator cuff tears.

  9. Comparison of the resin cement bond strength to an indirect composites treated by Er;YAG laser and sandblast

    Directory of Open Access Journals (Sweden)

    Mansure Mirzaee

    2014-04-01

    Full Text Available   Background and Aims: Indirect composites are designed to overcome the shortcomings of direct composites such as polymerization shrinkage and low degree of conversion. But, good adhesion of resin cements to indirect composites is still difficult. This research was designed to assess the effect of different powers of Er;YAG laser compared with sandblasting. On the micro tensil bond strength of resin cement to indirect composites.   Materials and Methods: Specimens were prepred using dental resin composite (Gradia GC and metallic mold (15×5×5 mm and were cured according to the manufacturer’s instructions. 24 blocks were prepared and randomly divided into 12 groups. G1:no treatment (as control, G 2-6: Er; YAG laser irradiation (2, 3, 4, 5, 6 Watt, G7: sandblast. Two composite blocks were bonded to each other with Panavia F.2. resin cement. The cylindrical sections with dimensions of 1 mm were tested in a microtensile bond strength tester device using 0.5 mm/min speed until fracture points. Data were analyzed using 2-way ANOVA and T-test.   Results: Interaction between lasers irradiation and sandblast treatments were significant (P0.05 whether samples were sandblasted or not. Samples which received 300 mJ of laser showed lower bond strength compared with no laser treatment. Other groups showed no significant difference (P>0.05.   Conclusion: It seems that application of sandblast with proper variables, is a good way to improve bond strength.Laser application had no influence in improving the bond strength between the indirect composite and resin cement.

  10. Indirect calorimetry

    NARCIS (Netherlands)

    Gerrits, W.J.J.; Labussière, E.

    2015-01-01

    The use of indirect calorimetry to measure the heat production of men and animals has increased rapidly since the pioneering work of Lavoisier. Measurement of the consumption of oxygen and production of carbon dioxide are the basis for the measurement of heat production. Today, applications of indir

  11. Comparison of Propensity Score Methods and Covariate Adjustment: Evaluation in 4 Cardiovascular Studies.

    Science.gov (United States)

    Elze, Markus C; Gregson, John; Baber, Usman; Williamson, Elizabeth; Sartori, Samantha; Mehran, Roxana; Nichols, Melissa; Stone, Gregg W; Pocock, Stuart J

    2017-01-24

    Propensity scores (PS) are an increasingly popular method to adjust for confounding in observational studies. Propensity score methods have theoretical advantages over conventional covariate adjustment, but their relative performance in real-word scenarios is poorly characterized. We used datasets from 4 large-scale cardiovascular observational studies (PROMETHEUS, ADAPT-DES [the Assessment of Dual AntiPlatelet Therapy with Drug-Eluting Stents], THIN [The Health Improvement Network], and CHARM [Candesartan in Heart Failure-Assessment of Reduction in Mortality and Morbidity]) to compare the performance of conventional covariate adjustment with 4 common PS methods: matching, stratification, inverse probability weighting, and use of PS as a covariate. We found that stratification performed poorly with few outcome events, and inverse probability weighting gave imprecise estimates of treatment effect and undue influence to a small number of observations when substantial confounding was present. Covariate adjustment and matching performed well in all of our examples, although matching tended to give less precise estimates in some cases. PS methods are not necessarily superior to conventional covariate adjustment, and care should be taken to select the most suitable method. Copyright © 2017 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  12. Comparison of Indirect MR Arthrography With Conventional MRI in the Diagnosis of Knee Pathologies in Patients With Knee Pain

    Directory of Open Access Journals (Sweden)

    Babaei Jandaghi

    2016-03-01

    Full Text Available Background Knee pain is a common problem in the general population. In order to determine the extent of the injury and the appropriate treatment, MRI provides the most accurate imaging method. This may be done through conventional MRI techniques or by injecting a contrast material (MR arthrography. Objectives The purpose of this study was to compare the diagnostic value of these two methods. Patients and Methods The study involved the diagnostic evaluation on 60 patients with knee pain who received treatment over the course of a one-year period. Referred patients were randomly divided into two groups: indirect MR arthrography was performed on one group, and conventional MRI was performed on the other group. Both groups then underwent arthroscopy. The results from both groups were compared with the arthroscopic findings. Results In all of the pathologies studied, the sensitivity, specificity, and the positive and negative predictive values were evaluated. A high rate of accuracy was found between MR arthrography and arthroscopy (P < 0.05 for all knee injuries, however a similar rate of accuracy between conventional MRI and arthroscopy was only seen in patients with damage to the posterior cruciate ligament (PCL, the tibio-femoral articular cartilage, and patella chondromalacia (P < 0.05. The highest rate of accuracy was seen in cases where indirect MR arthrography was used for the diagnosis of anterior cruciate ligament (ACL damage (K = 1. Conclusions Our results have shown that indirect MR arthrography had greater diagnostic accuracy in regards to the sensitivity, specificity, and positive and negative predictive values than conventional MRI in knee pathologies.

  13. Interpreting discordant indirect and multiple treatment comparison meta-analyses: an evaluation of direct acting antivirals for chronic hepatitis C infection

    Directory of Open Access Journals (Sweden)

    Druyts E

    2013-06-01

    Full Text Available Eric Druyts,1 Kristian Thorlund,2,3 Samantha Humphreys,4 Michaela Lion,4 Curtis L Cooper,5 Edward J Mills1,31Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada; 2Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada; 3Stanford Prevention Research Centre, Department of Medicine, Stanford University, Palo Alto, CA, USA; 4Merck Sharp and Dohme Ltd, UK; 5Division of Infectious Diseases, Department of Medicine, The Ottawa Hospital, University of Ottawa, Ottawa, Ontario, CanadaAbstract: Indirect treatment comparison (ITC and multiple treatment comparison (MTC meta-analyses are increasingly being used to estimate the comparative effectiveness of interventions when head-to-head data do not exist. ITC meta-analyses can be conducted using simple methodology to compare two interventions. MTC meta-analyses can be conducted using more complex methodology, often employing Bayesian approaches, to compare multiple interventions. As the number of ITC and MTC meta-analyses increase, it is common to find multiple analyses evaluating the same interventions in similar therapeutic areas. Depending on the choice of the methodological approach, the conclusions about relative treatment efficacy may differ. Such situations create uncertainty for decision makers. An illustration of this is provided by four ITC and MTC meta-analyses assessing the efficacy of boceprevir and telaprevir for chronic hepatitis C virus infection. This paper examines why these evaluations provide discordant results by examining specific methodological issues that can strengthen or weaken inferences.Keywords: indirect treatment comparison, multiple treatment comparison, meta-analysis, hepatitis C virus

  14. Comparison of direct (X-ray diffraction and infrared spectrophotometry) and indirect (infrared spectrophotometry) methods for the analysis of alpha-quartz in airborne dusts.

    Science.gov (United States)

    Kauffer, E; Masson, A; Moulut, J C; Lecaque, T; Protois, J C

    2005-11-01

    In this study, the alpha-quartz contents measured by different analytical techniques (X-ray diffraction, direct method; and infrared spectrophotometry, direct and indirect methods) were compared. The analyses were carried out on filters sampled in an industrial setting by means of a Dorr-Oliver cyclone. To verify the methodology used, filters loaded with pure alpha-quartz were also analysed. By and large, the agreement between the two direct methods was close on average, but on the basis of a comparison of the individual results, considerable differences exist. In absolute value, the mean relative deviation between the two techniques was infrared) were on average 13% lower than the results obtained by the two direct methods with a more important difference (23%) for samples where calcite was identified by X-ray diffraction in comparison with those where it was not (8%). This underestimation, which was not owing to dust losses during preparation, is probably explained by the elimination of organic compounds during dust calcinations or by the transformation of mineral compounds. The indirect method introduces additional sample handling operations with more risk of material loss. When the quantity of calcined material was <0.4 mg, the weighing operations necessary to correct any losses of material resulted in considerable variability. In terms of overall uncertainty, it would be better in this case not to carry out correction and to employ an operating mode favouring the recovery of a maximum of material while accepting a bias of about 5-7%.

  15. Comparison of time adjustment clauses between DZ3910, AS4000 and STCC

    Directory of Open Access Journals (Sweden)

    David Finnie

    2013-03-01

    Full Text Available This article examines time adjustment clauses, as they relate to time adjustment between standard terms of construction contracts. DZ3910, AS4000 and STCC were compared on the basis of how risks are allocated, how this may impact on the contractor’s pricing, and ease of understanding for each clause. ASTCC was found to be the most easily interpreted contract, followed by AS4000 and then NZS3910. These assessments were based on the following: a whether each contract contains words with multiple meanings, b the number of words used per sentence, c the amount of internal cross-referencing, and d the clarity of the contract structure. The allowable pre-conditions for the contractor to claim a time adjustment are similar for all three contracts, and none of them expressly state which party is to bare the risk of buildability, or address the risk of a designer’s disclaimer clause. All of the contracts adopt the principle of contra preferentum which means that the employer bares the risk of variance if there are any ambiguities in the design documentation. Due to their similarities of risk allocation, all of the contracts provide the employer with a similar amount of price surety. AS4000 is the only contract to contain a stringent time-bar clause, limiting a contractor’s time adjustment claim. ASTCC requires the contractor to apply ‘immediately’ and DZ3910 provides a time-bar of 20 working days or as soon as practicable. None of the contracts clarify whether their timing requirements take precedence over the prevention principle, or over any other ground for claiming a time adjustment. The effect of DZ3910’s pre-notification clause 5.19.3 is discussed, and an alternative contents structure is recommended for DZ3910, using a project management method.

  16. Comparison of time adjustment clauses between DZ3910, AS4000 and STCC

    Directory of Open Access Journals (Sweden)

    David Finnie

    2013-03-01

    Full Text Available This article examines time adjustment clauses, as they relate to time adjustment between standard terms of construction contracts. DZ3910, AS4000 and STCC were compared on the basis of how risks are allocated, how this may impact on the contractor’s pricing, and ease of understanding for each clause. ASTCC was found to be the most easily interpreted contract, followed by AS4000 and then NZS3910. These assessments were based on the following: a whether each contract contains words with multiple meanings, b the number of words used per sentence, c the amount of internal cross-referencing, and d the clarity of the contract structure. The allowable pre-conditions for the contractor to claim a time adjustment are similar for all three contracts, and none of them expressly state which party is to bare the risk of buildability, or address the risk of a designer’s disclaimer clause. All of the contracts adopt the principle of contra preferentum which means that the employer bares the risk of variance if there are any ambiguities in the design documentation. Due to their similarities of risk allocation, all of the contracts provide the employer with a similar amount of price surety. AS4000 is the only contract to contain a stringent time-bar clause, limiting a contractor’s time adjustment claim. ASTCC requires the contractor to apply ‘immediately’ and DZ3910 provides a time-bar of 20 working days or as soon as practicable. None of the contracts clarify whether their timing requirements take precedence over the prevention principle, or over any other ground for claiming a time adjustment. The effect of DZ3910’s pre-notification clause 5.19.3 is discussed, and an alternative contents structure is recommended for DZ3910, using a project management method. 

  17. [Blood flow measurement in arteriovenous fistula. Comparison of 2 ultrasonic methods, direct and indirect by compression of the fistula].

    Science.gov (United States)

    Deklunder, G; Goullard, L; Lecroart, J L; Foulard, M; Houdas, Y

    1990-05-19

    Measuring blood flow in arteriovenous fistulae in patients under chronic dialysis is of interest to evaluate the repercussions of the fistula on the heart. The apparently simplest method is direct measurement of the mean blood flow velocity by the pulsed doppler technique and ot the cross-section area by ultrasonography, the product of these two values being the blood flow rate. Another method has been proposed, which consists of measuring the cardiac output before and after compression of the fistula, the difference between the two values being supposed to represent the blood flow rate in the fistula. A comparative study of these two methods was conducted in 17 patients aged from 2 to 21 years (mean: 14 years). The direct method gave a figure of 475 ml.min-1.m-2 (SD = 240), while the figure obtained with the indirect method was 471 ml.min-1.m-2 (SD = 227); the difference was statistically not significant. In terms of concept, however, the indirect method is open to much more severe criticism than the direct method, and whenever possible the latter should be preferred when measuring blood flow in arteriovenous fistulae.

  18. Energy Expenditure in Adolescents With Cerebral Palsy: Comparison of the SenseWear Armband and Indirect Calorimetry.

    Science.gov (United States)

    Koehler, Karsten; Abel, Thomas; Wallmann-Sperlich, Birgit; Dreuscher, Annika; Anneken, Volker

    2015-04-01

    Inactivity and overweight are major health concerns in children and adolescents with disabilities. Methods for the assessment of activity and energy expenditure may be affected negatively by the underlying disability, especially when motor function is impaired. The purpose of this study was to assess the validity of the SenseWear Armband in adolescents with cerebral palsy and hemiparesis. Ten volunteers (age: 13.4 ± 1.6 years) were equipped with SenseWear Armbands on the hemiparetic and nonhemiparetic side of the body. Energy expenditure was measured at rest and during treadmill exercise (speed range: 0.85 to 2.35 m/s). Indirect calorimetry served as independent reference method. The mean error was between -0.6 and 0.8 kcal/min and there were no significant differences between SenseWear and indirect calorimetry at any speed. Differences between body sides in expenditure (mean: -0.2 to 0.0 kcal/min) and step count (mean: -3.4 to 9.7 steps/min) were not significant. The validity of the SenseWear Armband does not appear to be negatively affected by cerebral palsy during laboratory treadmill exercise. Future field studies are necessary to assess the validity and practicability energy expenditure and physical activity in children and adolescents with physical disabilities.

  19. Indirect and total costs of early rheumatoid arthritis: a randomized comparison of combined step-down prednisolone, methotrexate, and sulfasalazine with sulfasalazine alone.

    Science.gov (United States)

    Korthals-de Bos, Ingeborg; Van Tulder, Maurits; Boers, Maarten; Verhoeven, Arco C; Adèr, Herman J; Bibo, Jack; Boonen, Annelies; Van Der Linden, Sjef

    2004-09-01

    To describe the effect of indirect costs for patients with early rheumatoid arthritis (RA) within the COBRA trial (Combinatietherapie Bij Reumatoide Artritis) on the cost-effectiveness of both therapies. Analyses of the efficacy and direct costs of the treatments have already been reported. Patients with early RA selected for the 56-week trial were randomly assigned to prednisolone, methotrexate, and sulfasalazine (the COBRA combination) (n = 76, tapered after 28 weeks) or to sulfasalazine (SSZ; n = 79, of which 78 patients were evaluable) alone. The main efficacy outcomes were a pooled index and radiographic damage score in hands and feet, and utilities. Direct and indirect costs were measured (from a societal perspective) by means of cost diaries and interviews completed by patients during the intervention phase and the followup phase, each lasting 28 weeks. Differences in mean costs between groups and cost-utility ratios were evaluated by applying nonparametric bootstrapping techniques. In the first 28 weeks, indirect costs per patient totaled US $2,578 and US $3,638 for COBRA and SSZ therapy, respectively (p = 0.09). The total costs were $5,931 and $7,853, respectively (p < 0.05). These differences were lost in the second 28 weeks. For the total period the mean total costs per patient were $10,262 and $12,788, respectively (p = 0.11). Sensitivity analyses showed robustness of the data. The point estimate of the cost per quality-adjusted life-year based on the rating scale was negative at $-385, suggesting dominance of COBRA (more effect at lower cost). COBRA therapy adds additional disease control (improvements in disease activity, physical function, and rate of damage progression) at lower or equal cost compared to SSZ in early RA.

  20. An Indirect Comparison of Efficacy and Safety of Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Disoproxil Fumarate and Abacavir/Lamivudine + Dolutegravir in Initial Therapy.

    Directory of Open Access Journals (Sweden)

    Josep M Llibre

    Full Text Available The objective of this analysis is to perform an indirect comparison of elvitegravir, cobicistat, emtricitabine and tenofovir DF (E/C/F/TDF to abacavir/lamivudine and dolutegravir (ABC/3TC + DTG by using 2 trials evaluating each of these regimens in comparison to efavirenz, emtricitabine and tenofovir DF (EFV/FTC/TDF.An indirect comparison was performed by using a generalization of Bucher's methodology to calculate risk differences. Two phase III clinical trials (GS-US-236-0102 and SINGLE-described above were used.Results of the indirect comparison showed no statistically significant risk difference of the efficacy endpoint of achieving HIV RNA < 50 copies/mL between E/C/F/TDF and ABC/3TC + DTG for the ITT population at weeks 48, 96 and 144: respectively -3.7% (CI95% = [-10.8%; 3.4%], -5.2% (CI95% = [-13.2%; 2.8%] and -3.1% (CI95% = [-12.0%; 5.7%]. There was no statistically significant differences in the risk difference for serious adverse events (5.7% (CI95% = [-2.2%; 12.3%], drug related adverse event (2.7% (CI95% = [-7.0%;12.4%], drug related serious adverse event (0.8% (CI95% = [-1.6%;3.2%] and death (0.5% (CI95% = [-0.8%;1.8%], respectively, between E/C/F/TDF and ABC/3TC + DTG. A significant difference was found for discontinuation due to adverse events with a higher rate for E/C/F/TDF (difference = 8.6% (CI95% = [3.3%; 13.9%]. There was also no statistically significant risk difference of the viral resistance of 1.2% (CI95% = [-1.2; 3.7] between E/C/F/TDF and ABC/3TC + DTG at week 48, 1.7% at week 96 (CI95% = [-1.1; 4.5] and 2.2% (CI95% = [-1.0; 5.4] at week 144.

  1. Comparison of covariate adjustment methods using space-time scan statistics for food animal syndromic surveillance

    OpenAIRE

    Alton, Gillian D; Pearl, David L.; Bateman, Ken G.; McNab, Bruce; Berke, Olaf

    2013-01-01

    Background Abattoir condemnation data show promise as a rich source of data for syndromic surveillance of both animal and zoonotic diseases. However, inherent characteristics of abattoir condemnation data can bias results from space-time cluster detection methods for disease surveillance, and may need to be accounted for using various adjustment methods. The objective of this study was to compare the space-time scan statistics with different abilities to control for covariates and to assess t...

  2. Comparison of conditional bias-adjusted estimators for interim analysis in clinical trials with survival data.

    Science.gov (United States)

    Shimura, Masashi; Gosho, Masahiko; Hirakawa, Akihiro

    2017-02-17

    Group sequential designs are widely used in clinical trials to determine whether a trial should be terminated early. In such trials, maximum likelihood estimates are often used to describe the difference in efficacy between the experimental and reference treatments; however, these are well known for displaying conditional and unconditional biases. Established bias-adjusted estimators include the conditional mean-adjusted estimator (CMAE), conditional median unbiased estimator, conditional uniformly minimum variance unbiased estimator (CUMVUE), and weighted estimator. However, their performances have been inadequately investigated. In this study, we review the characteristics of these bias-adjusted estimators and compare their conditional bias, overall bias, and conditional mean-squared errors in clinical trials with survival endpoints through simulation studies. The coverage probabilities of the confidence intervals for the four estimators are also evaluated. We find that the CMAE reduced conditional bias and showed relatively small conditional mean-squared errors when the trials terminated at the interim analysis. The conditional coverage probability of the conditional median unbiased estimator was well below the nominal value. In trials that did not terminate early, the CUMVUE performed with less bias and an acceptable conditional coverage probability than was observed for the other estimators. In conclusion, when planning an interim analysis, we recommend using the CUMVUE for trials that do not terminate early and the CMAE for those that terminate early. Copyright © 2017 John Wiley & Sons, Ltd.

  3. Comparison of clinical probability-adjusted D-dimer and age-adjusted D-dimer interpretation to exclude venous thromboembolism.

    Science.gov (United States)

    Takach Lapner, Sarah; Julian, Jim A; Linkins, Lori-Ann; Bates, Shannon; Kearon, Clive

    2017-10-05

    Two new strategies for interpreting D-dimer results have been proposed: i) using a progressively higher D-dimer threshold with increasing age (age-adjusted strategy) and ii) using a D-dimer threshold in patients with low clinical probability that is twice the threshold used in patients with moderate clinical probability (clinical probability-adjusted strategy). Our objective was to compare the diagnostic accuracy of age-adjusted and clinical probability-adjusted D-dimer interpretation in patients with a low or moderate clinical probability of venous thromboembolism (VTE). We performed a retrospective analysis of clinical data and blood samples from two prospective studies. We compared the negative predictive value (NPV) for VTE, and the proportion of patients with a negative D-dimer result, using two D-dimer interpretation strategies: the age-adjusted strategy, which uses a progressively higher D-dimer threshold with increasing age over 50 years (age in years × 10 µg/L FEU); and the clinical probability-adjusted strategy which uses a D-dimer threshold of 1000 µg/L FEU in patients with low clinical probability and 500 µg/L FEU in patients with moderate clinical probability. A total of 1649 outpatients with low or moderate clinical probability for a first suspected deep vein thrombosis or pulmonary embolism were included. The NPV of both the clinical probability-adjusted strategy (99.7 %) and the age-adjusted strategy (99.6 %) were similar. However, the proportion of patients with a negative result was greater with the clinical probability-adjusted strategy (56.1 % vs, 50.9 %; difference 5.2 %; 95 % CI 3.5 % to 6.8 %). These findings suggest that clinical probability-adjusted D-dimer interpretation is a better way of interpreting D-dimer results compared to age-adjusted interpretation.

  4. A comparison of White and Hispanic women's stories of adjustment to the birth of a child.

    Science.gov (United States)

    Pollard, Sara E; Nievar, M Angela; Nathans, Laura L; Riggs, Shelley A

    2014-01-01

    As part of a larger project designed to inform prevention and treatment of postpartum depression and promote positive mother-child relationships in diverse families, this study describes personal stories of postnatal adjustment from 14 White and 9 Hispanic women recruited from prenatal care clinics. Qualitative interviews conducted in the mothers' primary language (English or Spanish) were analyzed using a modified grounded theory content-analysis approach. The coding scheme developed to capture the women's discourse about their experiences included child temperament and health; intergenerational patterns; work demands and job loss; schedule changes; increased responsibilities; difficulties with parenting tasks; emotional distress; social stressors and resources; coping strategies; and changes in work, personal, social, and marital domains. More White mothers than Hispanic mothers reported changes in time structure, work stressors, use of psychotropic medication, informational support, and social support from other mothers and professionals; however, within-group differences were more evident than were cross-group ethnic differences. Analyses of qualitative interviews led to the integration of Belsky's Determinants of Parenting Model (1984) and the Double ABCX Model of Family Adjustment and Adaptation (McCubbin & Patterson, 1983) into a hybrid third theoretical framework.

  5. Comparison of complement-dependent cytotoxicity and indirect immunofluorescence for enumeration of T-cell subpopulations in human peripheral blood.

    Science.gov (United States)

    Gratama, J W; Schuurman, R K; Van Leeuwen, A; Jansen, J; Oljans, P; Tanke, H J; Van Rood, J J

    1983-11-11

    The monitoring of T-lymphocyte subsets of recipients of organ grafts enables studies on immune reconstitution (after bone-marrow transplantation) and may predict graft rejection (after kidney transplantation). Quantitation of human peripheral T-lymphocyte subsets from healthy volunteers and from recipients of a bone-marrow graft by a complement dependent cytotoxicity (CDC) assay, based on the use of propidium iodide, and by an indirect immunofluorescence (IIF) technique has been compared using the monoclonal antibodies OKT3, OKT4 and OKT8. Except for OKT3 in healthy individuals--for which no significant difference was found between CDC and IIF--CDC detected significantly more cells of each subset than IIF. Furthermore, the CDC results indicated the presence of low numbers of OKT4+8+ cells in the peripheral blood of healthy individuals and--with higher numbers--following marrow transplantation. Results of depletion experiments, obtained by fluorescence activated cell sorting (FACS) for either OKT4 or OKT8, supported this conclusion. OKT4/OKT8 ratios were calculated from enumerations by the CDC assay and by the IIF assay and found to be linearly related, both in healthy persons and in marrow-graft recipients. Thus, the CDC assay is a reliable method for monitoring T-cell subsets, allowing detection of lymphocytes carrying low densities of membrane determinants.

  6. Comparison of enzyme linked immunosorbent assay (ELISA with indirect immunofluorescence for detection of anti-nuclear antibody

    Directory of Open Access Journals (Sweden)

    G.L.S. Sumanth Kumar

    2014-10-01

    Full Text Available Background: Detection of antinuclear antibody (ANA is used as one of the diagnostic criteria for autoimmune rheumatic diseases (ARD. Both indirect immunofluorescence (IIF and enzyme linked immunosorbant assay (ELISA methods are used for this purpose. However, there are lack of data comparing these two tests from India. Methods: We prospectively studed 294 patients clinically suspected to be having ARD between April 2012 and September 2013. They were tested for ANA by IIF and ELISA methods. Representative samples positive by both the tests were processed again by a line immunoassay test to detect the specific antinuclear antibodies. Considering the IIF results as the ‘gold standard’, the utility of ELISA for ANA detection was analyzed. Results: Of the 294 samples processed, 181 (61.5% were from female patients. By IIF 30% of samples in males and 40.3% sample in females tested positive. We found ELISA to have a poor sensitivity (45.8% but good specificity (99.5%. The positive predictive value for ELISA were 98% and negative predictive value 76.2% respectively. Forty four samples positive by both IIF and ELISA were tested by Western blot to detect individual autoantibodies. Of these, only 24 samples showed the presence of one or more bands, while the remaining 20 (45.4% were negative by line immunoassay. In our study anti-nuclear ribonucleoprotein/Smith was the most common ANA detected. Conclusions: The poor sensitivity raises concerns regarding the practice of initial screening for ANA by ELISA

  7. Geant4-DNA simulation of DNA damage caused by direct and indirect radiation effects and comparison with biological data.

    Science.gov (United States)

    Villagrasa, Carmen; Meylan, Sylvain; Gonon, Geraldine; Gruel, Gaëtan; Giesen, Ulrich; Bueno, Marta; Rabus, Hans

    2017-09-01

    In this work we present results obtained in the frame of the BioQuaRT project. The objective of the study was the correlation between the number of radiation-induced double strand breaks (DSB) of the DNA molecule and the probability of detecting nuclear foci after targeted microbeam irradiation of cells with protons and alpha particles of different LET. The former were obtained by simulation with new methods integrated into Geant4-DNA that permit calculating the number of DSB in a DNA target model induced by direct and indirect radiation effects. A particular focus was laid in this work on evaluating the influence of different criteria applied to the simulated results for predicting the formation of a direct SSB. Indeed, these criteria have an important impact on the predicted number of DSB per particle track and its dependence with LET. Among the criteria tested in this work, the case that a direct radiation interaction leads to a strand break if the cumulative energy deposited in the backbone part of one nucleotide exceeds a threshold of 17.5 eV leads to the best agreement with the relative LET dependence of number of radiation induced foci. Further calculations and experimental data are nevertheless needed in order to fix the simulation parameters and to help interpreting the biological experimental data observed by immunofluorescence in terms of the DSB complexity.

  8. Diagnostic performance of CT and MRI on the detection of symptomatic intracranial dural arteriovenous fistula: a meta-analysis with indirect comparison

    Energy Technology Data Exchange (ETDEWEB)

    Lin, Yen-Heng [National Taiwan University, Institute of Epidemiology and Preventive Medicine, Taipei (China); National Taiwan University Hospital in Taipei and Yuan-Lin Branch, Department of Medical Imaging and Radiology, Hospital and Medical College, Taipei (China); Lin, Hsien-Ho [National Taiwan University, Institute of Epidemiology and Preventive Medicine, Taipei (China); Liu, Hon-Man; Lee, Chung-Wei; Chen, Ya-Fang [National Taiwan University Hospital in Taipei and Yuan-Lin Branch, Department of Medical Imaging and Radiology, Hospital and Medical College, Taipei (China)

    2016-08-15

    This study aims to review the diagnostic performance of computed tomography (CT) and magnetic resonance imaging (MRI) in symptomatic dural arteriovenous fistula (DAVF). EMBASE, PubMed, and Cochrane Library were searched until April 2015 for studies which compared CT, MRI, or both with angiography for the detection of DAVF. The diagnostic performances of MRI and CT were indirectly compared using modality as a covariate in the analysis. Thirteen studies met our inclusion criteria. MRI had a sensitivity of 0.90 (95 % confidence interval (CI) = 0.83-0.94) and specificity of 0.94 (95 % CI = 0.90-0.96). CT had a sensitivity of 0.80 (95 % CI = 0.62-0.90) and specificity of 0.87 (95 % CI = 0.74-0.94). MRI showed better diagnostic performance than CT (p = 0.02). Contrast medium use and time-resolved MR angiography did not improve MRI diagnostic performance (p = 0.31 and 0.44, respectively). Both CT and MRI had good diagnostic performance. MRI was better than CT on the detection of symptomatic intracranial dural arteriovenous fistula in the indirect comparison. (orig.)

  9. Rate-adjusted spike-LFP coherence comparisons from spike-train statistics

    OpenAIRE

    2014-01-01

    Coherence is a fundamental tool in the analysis of neuronal data and for studying multiscale interactions of single and multiunit spikes with local field potentials. However, when the coherence is used to estimate rhythmic synchrony between spiking and any other time series, the magnitude of the coherence is dependent upon the spike rate. This property is not a statistical bias, but a feature of the coherence function. This dependence confounds cross-condition comparisons of spike-field and s...

  10. Screening for retinopathy of prematurity-a comparison between binocular indirect ophthalmoscopy and RetCam 120

    Directory of Open Access Journals (Sweden)

    Shah Parag

    2006-01-01

    Full Text Available Aim: To compare the photographic screening for retinopathy of prematurity (ROP using RetCam 120 with binocular indirect ophthalmoscope (BIO, which is the current gold standard. Setting and Design: Prospective, comparative study. Materials and Methods: A total of 87 RetCam examinations were performed on 27 premature babies. They were stored in a separate file after deleting the identifying information. At the same visit using the BIO with scleral depression, an experienced vitreoretinal surgeon evaluated the fundus in detail. A masked examiner then evaluated the RetCam photographs for presence or absence of ROP, the stage and zone of the disease, and the presence or absence of plus disease. These data were then compared with the BIO findings to determine the sensitivity, specificity, and the positive and negative predictive values of the method. Results: ROP was detected in 63 of 87 examinations by BIO and in 56 of 87 RetCam examinations. Nine RetCam examinations were false-negative and two were false-positive. Sensitivity of RetCam was 85.71% (54/63 and specificity was 91.66% (22/24. The positive and negative predictive values were 96.43% and 70.97% respectively. Conclusion: Nine cases having ROP were missed by the RetCam. All these cases were either in zone 3 or the outer part of zone 2, which later regressed. These were missed mostly because of the restricted mobility of the camera head caused by its size and the barrier caused by the lid speculum arms. No case of threshold ROP was missed. RetCam may replace BIO for screening of ROP.

  11. A Comparison of Carbon Dioxide Elimination Measurements Between a Portable Indirect Calorimeter and Volumetric Capnography Monitor: An In Vitro Simulation.

    Science.gov (United States)

    Smallwood, Craig D; Martinez, Enid E; Mehta, Nilesh M

    2016-03-01

    Gas exchange measurements for carbon dioxide elimination (V̇CO2 ) and oxygen consumption (V̇O2 ) have been used to derive resting energy expenditure and guide energy prescription. Volumetric capnography is used in intensive care units and provides V̇CO2 measurements that could be used for titrating respiratory and nutritional support. We have recently suggested that measuring V̇CO2 may be sufficient to obtain a reasonable estimate of energy expenditure. However, data describing the accuracy of gas exchange measurement devices are limited. We used an in vitro simulation model to test the accuracy of gas exchange measurements by 2 devices: the CCM Express indirect calorimeter and the NM3, a volumetric capnography monitor. A Huszczuk gas injection system combined with a high-fidelity lung simulator was used to simulate V̇O2 and V̇CO2 values in the pediatric and adult range. Bland-Altman analysis was used to examine the agreement between the measured and simulated values across a range of tidal volumes and gas exchange values. Additionally, agreement between the 2 devices was examined. During the adult simulation with the CCM Express, the mean bias (95% CI) for V̇CO2 values was -12.6% (-16.4 to -8.8%) and -17.5% (-19.9 to -15.1%) for V̇O2 values. For the pediatric simulation with the CCM Express, mean bias for V̇O2 was -14.7% (-16.4 to -13.0%) and V̇CO2 was -10.9% (-13.5 to -8.3%). For the adult and pediatric simulations with the NM3, the bias for V̇CO2 was -8.2% (-15.7 to -0.7%) and -8.3% (-19.4 to -2.8%), respectively. Between the 2 devices, the mean bias was -4.4% (-10.2 to 1.3%) and -2.3% (-11.4 to 6.8%) for the adult and pediatric V̇CO2 simulations, respectively. Currently available portable gas exchange monitors demonstrated acceptable agreement with reference V̇O2 and V̇CO2 values in an in vitro simulation. The devices demonstrated good agreement with each other. Copyright © 2016 by Daedalus Enterprises.

  12. Clinical and radiographic comparison of indirect pulp treatment using light-cured calcium silicate and mineral trioxide aggregate in primary molars: A randomized clinical trial

    Directory of Open Access Journals (Sweden)

    Navya P Menon

    2016-01-01

    Full Text Available Aim: To clinically and radiographically evaluate the reparative dentin formation in indirect pulp treatment (IPT using mineral trioxide aggregate (MTA and light cured calcium silicate (TheraCal in primary molars over a period of 6 months. Materials and Methods: A clinical trial on IPT on 43 primary molars in 21 patients between the age of 4–7 years, divided into two groups: 22 teeth in MTA group and 21 in TheraCal group. Measurement of the variation in dentin thickness was done on the digitalized radiograph at baseline, 3 months and 6 months using CorelDRAW X3 software. Results: Statistical analysis using an independent t-test for intragroup and intergroup comparison showed a significant increase in dentin thickness in both the MTA and TheraCal group (intragroup comparison [P 0.05. Conclusion: Clinically and radiographically, both MTA and TheraCal are good IPT materials. The better handling characteristics and comparable reparative dentin-forming ability of TheraCal make this material an alternative to MTA in pediatric restorative procedures.

  13. Comparison of Inorganic Carbon System Parameters Measured in the Atlantic Ocean from 1990 to 1998 and Recommended Adjustments

    Energy Technology Data Exchange (ETDEWEB)

    Wanninkhof, R.

    2003-05-21

    As part of the global synthesis effort sponsored by the Global Carbon Cycle project of the National Oceanic and Atmospheric Administration (NOAA) and U.S. Department of Energy, a comprehensive comparison was performed of inorganic carbon parameters measured on oceanographic surveys carried out under auspices of the Joint Global Ocean Flux Study and related programs. Many of the cruises were performed as part of the World Hydrographic Program of the World Ocean Circulation Experiment and the NOAA Ocean-Atmosphere Carbon Exchange Study. Total dissolved inorganic carbon (DIC), total alkalinity (TAlk), fugacity of CO{sub 2}, and pH data from twenty-three cruises were checked to determine whether there were systematic offsets of these parameters between cruises. The focus was on the DIC and TAlk state variables. Data quality and offsets of DIC and TAlk were determined by using several different techniques. One approach was based on crossover analyses, where the deep-water concentrations of DIC and TAlk were compared for stations on different cruises that were within 100 km of each other. Regional comparisons were also made by using a multiple-parameter linear regression technique in which DIC or TAlk was regressed against hydrographic and nutrient parameters. When offsets of greater than 4 {micro}mol/kg were observed for DIC and/or 6 {micro}mol/kg were observed for TAlk, the data taken on the cruise were closely scrutinized to determine whether the offsets were systematic. Based on these analyses, the DIC data and TAlk data of three cruises were deemed of insufficient quality to be included in the comprehensive basinwide data set. For several of the cruises, small adjustments in TAlk were recommended for consistency with other cruises in the region. After these adjustments were incorporated, the inorganic carbon data from all cruises along with hydrographic, chlorofluorocarbon, and nutrient data were combined as a research quality product for the scientific community.

  14. Comparison of Satellite-based Basal and Adjusted Evapotranspiration for Several California Crops

    Science.gov (United States)

    Johnson, L.; Lund, C.; Melton, F. S.

    2013-12-01

    There is a continuing need to develop new sources of information on agricultural crop water consumption in the arid Western U.S. Pursuant to the California Water Conservation Act of 2009, for instance, the stakeholder community has developed a set of quantitative indicators involving measurement of evapotranspiration (ET) or crop consumptive use (Calif. Dept. Water Resources, 2012). Fraction of reference ET (or, crop coefficients) can be estimated from a biophysical description of the crop canopy involving green fractional cover (Fc) and height as per the FAO-56 practice standard of Allen et al. (1998). The current study involved 19 fields in California's San Joaquin Valley and Central Coast during 2011-12, growing a variety of specialty and commodity crops: lettuce, raisin, tomato, almond, melon, winegrape, garlic, peach, orange, cotton, corn and wheat. Most crops were on surface or subsurface drip, though micro-jet, sprinkler and flood were represented as well. Fc was retrospectively estimated every 8-16 days by optical satellite data and interpolated to a daily timestep. Crop height was derived as a capped linear function of Fc using published guideline maxima. These variables were used to generate daily basal crop coefficients (Kcb) per field through most or all of each respective growth cycle by the density coefficient approach of Allen & Pereira (2009). A soil water balance model for both topsoil and root zone, based on FAO-56 and using on-site measurements of applied irrigation and precipitation, was used to develop daily soil evaporation and crop water stress coefficients (Ke, Ks). Key meteorological variables (wind speed, relative humidity) were extracted from the California Irrigation Management Information System (CIMIS) for climate correction. Basal crop ET (ETcb) was then derived from Kcb using CIMIS reference ET. Adjusted crop ET (ETc_adj) was estimated by the dual coefficient approach involving Kcb, Ke, and incorporating Ks. Cumulative ETc

  15. Comparison of Indirect CsI/a:Si and Direct a:Se Digital Radiography. An assessment of contrast and detail visualization

    Energy Technology Data Exchange (ETDEWEB)

    Fischbach, F.; Freund, T.; Pech, M.; Werk, M.; Bassir, C.; Stoever, B.; Felix, R.; Ricke, J. [Humboldt-Univ. Medical School, Campus Virchow-Klinikum, Berlin (Germany). Dept. of Radiology

    2003-11-01

    Purpose: To assess and quantify the image quality at two dose levels for an amorphous Silicon (a:Si) Cesium Iodide (CsI) flat panel system compared with a direct amorphous Selenium (a:Se) digital radiography system. Material and Methods: A contrast detectability test was performed employing the CDRAD-phantom at mAs-values leading to approximately equal phantom entrance doses of 41.4, 57.9, 75.1 and 120.8 {mu}Gy for the a:Se and 39.9, 58.4, 75.6 and 117.9 {mu}Gy for the CsI system. Images were presented to 4 independent observers. For quantitative comparison, the image quality figure (IQF) was calculated. Statistical analysis was performed using Pearson's correlation and the Wilcoxon test. A ROC-analysis was performed employing the TRG-phantom in a high- and a low-dose setting leading to entrance doses of 126.2 and 35 {mu}Gy for the direct, and 125.9 and 34.4 {mu}Gy for the indirect system. Statistical significance was evaluated using the Wilcoxon test. Results: The flat panel a:Si digital system provided superior results compared with the a:Se drum digital system with respect to low-dose settings for CDRAD-phantom and ROC-analysis, ensuring a better image quality with respect to contrast and detail detectability. Higher-dose settings provided similar results for both systems. Conclusion: Image quality of a:Si flat panel digital radiography proved to be superior to a:Se drum digital radiography using low-dose settings. If the primary target is dose reduction indirect flat panel technology should be used. Digital radiography amorphous selenium amorphous silicon chest radiography.

  16. Comparison of indirect immunofluorescence assays for diagnosis of scrub typhus and murine typhus using venous blood and finger prick filter paper blood spots.

    Science.gov (United States)

    Phetsouvanh, Rattanaphone; Blacksell, Stuart D; Jenjaroen, Kemajittra; Day, Nicholas P J; Newton, Paul N

    2009-05-01

    We performed indirect immunofluorescence assays (IFAs) to compare levels of IgM and IgG antibodies to Orientia tsutsugamushi and Rickettsia typhi in admission-phase serum samples and filter paper blood spots (assayed immediately and stored at 5.4 degrees C and 29 degrees C for 30 days) collected on the same day from 53 adults with suspected scrub typhus and murine typhus admitted to Mahosot Hospital Vientiane, Lao People's Democratic Republic. The sensitivities and specificities of admission-phase filter paper blood spots in comparison to paired sera were between 91% and 95% and 87% and 100%, respectively, for the diagnosis of scrub typhus and murine typhus. The classification of patients as having or not having typhus did not significantly differ after storage of the blood spots for 30 days (P > 0.4) at 5.4 degrees C and 29 degrees C. Because filter paper blood samples do not require sophisticated and expensive storage and transport, they may be an appropriate specimen collection technique for the diagnosis of rickettsial disease in the rural tropics.

  17. Communication Networks and Perceptions of Social Support as Antecedents to College Adjustment: A Comparison between Student Commuters and Campus Residents.

    Science.gov (United States)

    Somera, Lilnabeth P.; Ellis, Beth Hartman

    1996-01-01

    Presents a two-part study that looks at the impact of social support on college adjustment among "traditional" campus residents and commuters. Begins with a review of social support measures and the relationship between commuting and college adjustment. Finds factors critical to academic adjustment vary in the contexts of commuting students and…

  18. Empirical comparison of four baseline covariate adjustment methods in analysis of continuous outcomes in randomized controlled trials

    Directory of Open Access Journals (Sweden)

    Zhang S

    2014-07-01

    Full Text Available Shiyuan Zhang,1 James Paul,2 Manyat Nantha-Aree,2 Norman Buckley,2 Uswa Shahzad,2 Ji Cheng,2 Justin DeBeer,5 Mitchell Winemaker,5 David Wismer,5 Dinshaw Punthakee,5 Victoria Avram,5 Lehana Thabane1–41Department of Clinical Epidemiology and Biostatistics, 2Department of Anesthesia, McMaster University, Hamilton, ON, Canada; 3Biostatistics Unit/Centre for Evaluation of Medicines, St Joseph's Healthcare - Hamilton, Hamilton, ON, Canada; 4Population Health Research Institute, Hamilton Health Science/McMaster University, 5Department of Surgery, Division of Orthopaedics, McMaster University, Hamilton, ON, CanadaBackground: Although seemingly straightforward, the statistical comparison of a continuous variable in a randomized controlled trial that has both a pre- and posttreatment score presents an interesting challenge for trialists. We present here empirical application of four statistical methods (posttreatment scores with analysis of variance, analysis of covariance, change in scores, and percent change in scores, using data from a randomized controlled trial of postoperative pain in patients following total joint arthroplasty (the Morphine COnsumption in Joint Replacement Patients, With and Without GaBapentin Treatment, a RandomIzed ControlLEd Study [MOBILE] trials.Methods: Analysis of covariance (ANCOVA was used to adjust for baseline measures and to provide an unbiased estimate of the mean group difference of the 1-year postoperative knee flexion scores in knee arthroplasty patients. Robustness tests were done by comparing ANCOVA with three comparative methods: the posttreatment scores, change in scores, and percentage change from baseline.Results: All four methods showed similar direction of effect; however, ANCOVA (-3.9; 95% confidence interval [CI]: -9.5, 1.6; P=0.15 and the posttreatment score (-4.3; 95% CI: -9.8, 1.2; P=0.12 method provided the highest precision of estimate compared with the change score (-3.0; 95% CI: -9.9, 3.8; P=0

  19. Comparison of three first trimester screening algorithms for trisomy 21 with and without adjustment for maternal characteristics.

    Science.gov (United States)

    Lüthgens, K; Merz, E; Hackelöer, B J; Thode, C; Eiben, B; Kagan, K O

    2013-04-01

    Comparison of three algorithms (DoE 2007 and DoE 2011 algorithm of the FMF Germany and MoM algorithm of the FMF UK) in first trimester biochemical screening for trisomy 21 based on maternal and gestational age, free ß-hCG, and PAPP-A and assessment of relevant maternal characteristics. Data from 22 449 euploid singleton pregnancies undergoing combined screening for trisomy 21 at 11 to 13 weeks of gestation were examined. The measured maternal free β-hCG and PAPP-A concentrations were converted into DoE 2007 and DoE 2011 values according to the algorithm of the FMF Germany and into MoM values according to the algorithm of the FMF UK. In each pregnancy, patient-specific risks and false-positive rates (FPR) were computed according to the three algorithms and were stratified according to gestational age, maternal ethnicity, maternal weight, and smoking status. Free ß-hCG and PAPP-A MoM and DoE 2011 were acceptably independent from maternal characteristics and gestational age, while there was a strong relationship between maternal weight and the DoE 2007 values. For a risk cut-off that corresponds to an overall 5 % FPR rate for each algorithm, the FPR in each group were around 5 % at gestational week 11 - 13. The FPR of the DoE 2007 algorithm increased linearly with maternal weight from 3.6 % in women of 50 kg or less to 11.8 % in women of more than 110 kg. Especially maternal weight has a significant impact on the risk calculation. In contrast to the DoE 2007 algorithm, the DoE 2011 and MoM algorithms both adjust for maternal weight. © Georg Thieme Verlag KG Stuttgart · New York.

  20. A comparison of titers of anti-Brucella antibodies of naturally infected and healthy vaccinated cattle by standard tube agglutination test, microtiter plate agglutination test, indirect hemagglutination assay, and indirect enzyme-linked immunosorbent assay

    Directory of Open Access Journals (Sweden)

    Anju Mohan

    2016-07-01

    Full Text Available Aim: We determined the antibody response in cattle naturally infected with brucellosis and normal healthy adult cattle vaccinated during calf hood with strain 19. Materials and Methods: The antibody titers were measured by standard tube agglutination test (STAT, microtiter plate agglutination test (MAT, indirect hemagglutination assay (IHA, and indirect enzyme-linked immunosorbent assay (iELISA as per standard protocols. Results: The mean STAT titers were 1.963±0.345 in infected cattle and 1.200±0.155 in healthy vaccinated cattle. The difference was extremely significant (p<0.0001. The mean MAT titers were 2.244±0.727 in infected cattle and 1.200±0.155 in healthy vaccinated cattle. The difference was very significant (p<0.005. The mean IHA titers in infected cattle were 2.284±0.574, and those in healthy vaccinated cattle were 1.200±0.155. The difference was extremely significant (p=0.0002. However, the difference in mean iELISA titers of infected cattle (1.3678±0.014 and healthy vaccinated cattle (1.367±0.014 was non-significant. The infected animals showed very high titers of agglutinating antibodies compared to the vaccinated animals. However, it cannot be ascertained whether these antibodies are due to vaccine or response to infection. Since the infected animals had been vaccinated earlier, the current infection may suggest that vaccination was unable to induce protective levels of antibody. The heightened antibody response after infection may also indicate a secondary immune response to the antigens common to the vaccine strain and wild Brucella organisms. Conclusion: The brucellosis infected animals showed very high titers of agglutinating antibodies compared to the vaccinated animals.

  1. Empirical comparison of maximal voxel and non-isotropic adjusted cluster extent results in a voxel-based morphometry study of comorbid learning disability with schizophrenia.

    Science.gov (United States)

    Moorhead, T William J; Job, Dominic E; Spencer, Michael D; Whalley, Heather C; Johnstone, Eve C; Lawrie, Stephen M

    2005-11-15

    We present an empirical comparison of cluster extent and maximal voxel results in a voxel-based morphometry (VBM) study of brain structure. The cluster extents are adjusted for underlying deviation from uniform smoothness. We implement this comparison on a four-group cohort that has previously shown evidence of a neuro-developmental component in schizophrenia (Moorhead, T.W.J., Job, D.E., Whalley, H.C., Sanderson, T.L., Johnstone, E.C. and Lawrie, S.M. 2004. Voxel-based morphometry of comorbid schizophrenia and learning disability: analyses in normalized and native spaces using parametric and nonparametric statistical methods. NeuroImage 22: 188-202.). We find that adjusted cluster extent results provide information on the nature of deficits that occur in the schizophrenia affected groups, and these important structural differences are not all shown in maximal voxel results. The maximal voxel and cluster extent results are corrected for multiple comparisons using Random Fields (RF) methods. In order to apply the cluster extent measures, we propose a post-hoc method for determining the primary threshold in the analysis. Unadjusted cluster extent results are reported, for these, no allowance is made for non-isotropic smoothness, and comparison with the adjusted extent results shows that the unadjusted results can be either conservative or anti-conservative depending upon the underlying tissue distributions.

  2. Risk adjustment models for interhospital comparison of CS rates using Robson's ten group classification system and other socio-demographic and clinical variables.

    Science.gov (United States)

    Colais, Paola; Fantini, Maria P; Fusco, Danilo; Carretta, Elisa; Stivanello, Elisa; Lenzi, Jacopo; Pieri, Giulia; Perucci, Carlo A

    2012-06-21

    Caesarean section (CS) rate is a quality of health care indicator frequently used at national and international level. The aim of this study was to assess whether adjustment for Robson's Ten Group Classification System (TGCS), and clinical and socio-demographic variables of the mother and the fetus is necessary for inter-hospital comparisons of CS rates. The study population includes 64,423 deliveries in Emilia-Romagna between January 1, 2003 and December 31, 2004, classified according to theTGCS. Poisson regression was used to estimate crude and adjusted hospital relative risks of CS compared to a reference category. Analyses were carried out in the overall population and separately according to the Robson groups (groups I, II, III, IV and V-X combined). Adjusted relative risks (RR) of CS were estimated using two risk-adjustment models; the first (M1) including the TGCS group as the only adjustment factor; the second (M2) including in addition demographic and clinical confounders identified using a stepwise selection procedure. Percentage variations between crude and adjusted RRs by hospital were calculated to evaluate the confounding effect of covariates. The percentage variations from crude to adjusted RR proved to be similar in M1 and M2 model. However, stratified analyses by Robson's classification groups showed that residual confounding for clinical and demographic variables was present in groups I (nulliparous, single, cephalic, ≥37 weeks, spontaneous labour) and III (multiparous, excluding previous CS, single, cephalic, ≥37 weeks, spontaneous labour) and IV (multiparous, excluding previous CS, single, cephalic, ≥37 weeks, induced or CS before labour) and to a minor extent in groups II (nulliparous, single, cephalic, ≥37 weeks, induced or CS before labour) and IV (multiparous, excluding previous CS, single, cephalic, ≥37 weeks, induced or CS before labour). The TGCS classification is useful for inter-hospital comparison of CS section rates, but

  3. Sibling comparison of differential parental treatment in adolescence: gender, self-esteem, and emotionality as mediators of the parenting-adjustment association.

    Science.gov (United States)

    Feinberg, M E; Neiderhiser, J M; Simmens, S; Reiss, D; Hetherington, E M

    2000-01-01

    This study employs findings from social comparison research to investigate adolescents' comparisons with siblings with regard to parental treatment. The sibling comparison hypothesis was tested on a sample of 516 two-child families by examining whether gender, self-esteem, and emotionality-which have been found in previous research to moderate social comparison-also moderate sibling comparison as reflected by siblings' own evaluations of differential parental treatment. Results supported a moderating effect for self-esteem and emotionality but not gender. The sibling comparison process was further examined by using a structural equation model in which parenting toward each child was associated with the adjustment of that child and of the child's sibling. Evidence of the "sibling barricade" effect-that is, parenting toward one child being linked with opposite results on the child's sibling as on the target child-was found in a limited number of cases and interpreted as reflecting a sibling comparison process. For older siblings, emotionality and self-esteem moderated the sibling barricade effect but in the opposite direction as predicted. Results are discussed in terms of older siblings' increased sensitivity to parenting as well as the report of differential parenting reflecting the child's level of comfort and benign understanding of differential parenting, which buffers the child against environmental vicissitudes evoking sibling comparison processes.

  4. Psychosocial adjustment and marital intimacy among partners of patients with breast cancer: a comparison study with partners of healthy women.

    Science.gov (United States)

    Moreira, Helena; Canavarro, Maria Cristina

    2013-01-01

    This cross-sectional study investigated the psychosocial adjustment of 70 partners of patients with breast cancer by comparing their emotional adjustment and quality of life (QoL) with 70 partners of women without cancer. The role of marital intimacy in their adjustment and the moderating effect of group type were analyzed. The partners of patients with breast cancer presented higher levels of anxious and depressive symptomatology; poor social, psychological, general and physical QoL; and higher levels of intimacy. The moderation analysis showed that higher levels of intimacy predicted lower levels of depression and anxiety and greater QoL only among the partners of cancer patients.

  5. A prospective crossover comparison of neurally adjusted ventilatory assist and pressure-support ventilation in a pediatric and neonatal intensive care unit population.

    LENUS (Irish Health Repository)

    Breatnach, Cormac

    2012-02-01

    OBJECTIVE: To compare neurally adjusted ventilatory assist ventilation with pressure-support ventilation. DESIGN: Prospective, crossover comparison study. SETTING: Tertiary care pediatric and neonatal intensive care unit. PATIENTS: Sixteen ventilated infants and children: mean age = 9.7 months (range = 2 days-4 yrs) and mean weight = 6.2 kg (range = 2.4-13.7kg). INTERVENTIONS: A modified nasogastric tube was inserted and correct positioning was confirmed. Patients were ventilated in pressure-support mode with a pneumatic trigger for a 30-min period and then in neurally adjusted ventilatory assist mode for up to 4 hrs. MEASUREMENTS AND MAIN RESULTS: Data collected for comparison included activating trigger (neural vs. pneumatic), peak and mean airway pressures, expired minute and tidal volumes, heart rate, respiratory rate, pulse oximetry, end-tidal CO2 and arterial blood gases. Synchrony was improved in neurally adjusted ventilatory assist mode with 65% (+\\/-21%) of breaths triggered neurally vs. 35% pneumatically (p < .001) and 85% (+\\/-8%) of breaths cycled-off neurally vs. 15% pneumatically (p = .0001). The peak airway pressure in neurally adjusted ventilatory assist mode was significantly lower than in pressure-support mode with a 28% decrease in pressure after 30 mins (p = .003) and 32% decrease after 3 hrs (p < .001). Mean airway pressure was reduced by 11% at 30 mins (p = .13) and 9% at 3 hrs (p = .31) in neurally adjusted ventilatory assist mode although this did not reach statistical significance. Patient hemodynamics and gas exchange remained stable for the study period. No adverse patient events or device effects were noted. CONCLUSIONS: In a neonatal and pediatric intensive care unit population, ventilation in neurally adjusted ventilatory assist mode was associated with improved patient-ventilator synchrony and lower peak airway pressure when compared with pressure-support ventilation with a pneumatic trigger. Ventilating patients in this new mode

  6. Introducing a new generation indirect calorimeter for estimating energy requirements in adult intensive care unit patients: feasibility, practical considerations, and comparison with a mathematical equation.

    Science.gov (United States)

    De Waele, Elisabeth; Spapen, Herbert; Honoré, Patrick M; Mattens, Sabrina; Van Gorp, Viola; Diltoer, Marc; Huyghens, Luc

    2013-10-01

    Indirect calorimetry (IC) is increasingly advocated for individualizing nutritional therapy in critically ill adult patients, but questions remain regarding its practical implementation. During 12 weeks, we prospectively assessed utility and practical aspects of IC use. Adult medico-surgical intensive care unit (ICU) patients were daily screened for malnutrition. Indirect calorimetry was planned in subjects considered unable to meet energy requirements on day 3 after admission. Measured energy expenditure (MEE) was compared with calculated (resting/total) energy expenditure. A total of 940 evaluations were performed in 266 patients (age, 63±16 years; 59% males; Acute Physiology and Chronic Health Evaluation II score, 14±8). A total of 230 patients (86.5%) were at risk for malnutrition, and in 118 of them, IC was indicated. Practical considerations precluded measurements in 72 cases (61%). Forty-six calorimetric evaluations revealed an MEE of 1649±544 kcal per 24 hours that poorly correlated with calculated resting energy expenditure (r2=0.19) and calculated total energy expenditure (r2=0.20). Indirect calorimetry measurements were not time-consuming. Indirect calorimetry was indicated in half but effectively performed in only 20% of a representative intensive care unit population at risk for malnutrition. Correlation between MEE and CEE was poor. Indirect calorimetry is increasingly advocated for individualizing nutritional therapy in critically ill adult patients. Practical feasibility is tested in this study. Large differences between measured and calculated energy expenditure are observed. Together with patients' characteristics, feasibility results can guide clinicians or institutes in using IC in their daily clinical practice. Copyright © 2013 Elsevier Inc. All rights reserved.

  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. The occurrence of the filled duration illusion: a comparison of the method of adjustment with the method of magnitude estimation.

    Science.gov (United States)

    Hasuo, Emi; Nakajima, Yoshitaka; Tomimatsu, Erika; Grondin, Simon; Ueda, Kazuo

    2014-03-01

    A time interval between the onset and the offset of a continuous sound (filled interval) is often perceived to be longer than a time interval between two successive brief sounds (empty interval) of the same physical duration. The present study examined whether and how this phenomenon, sometimes called the filled duration illusion (FDI), occurs for short time intervals (40-520 ms). The investigation was conducted with the method of adjustment (Experiment 1) and the method of magnitude estimation (Experiment 2). When the method of adjustment was used, the FDI did not appear for the majority of the participants, but it appeared clearly for some participants. In the latter case, the amount of the FDI increased as the interval duration lengthened. The FDI was more likely to occur with magnitude estimation than with the method of adjustment. The participants who showed clear FDI with one method did not necessarily show such clear FDI with the other method.

  9. Convexity Adjustments

    DEFF Research Database (Denmark)

    M. Gaspar, Raquel; Murgoci, Agatha

    2010-01-01

    of particular importance to practitioners: yield convexity adjustments, forward versus futures convexity adjustments, timing and quanto convexity adjustments. We claim that the appropriate way to look into any of these adjustments is as a side effect of a measure change, as proposed by Pelsser (2003...

  10. Comparison of Scores on Two Visual-Motor Tests for Children Referred for Learning or Adjustment Difficulties.

    Science.gov (United States)

    DeMers, Stephen T.; And Others

    1981-01-01

    This study compared the performance of school-aged children referred for learning or adjustment difficulties on Beery's Developmental Test of Visual-Motor Integration and Koppitz's version of the Bender-Gestalt test. Results indicated that the tests are related but not equivalent when administered to referred populations. (Author/AL)

  11. Soil biological quality of grassland fertilized with adjusted cattle manure slurries in comparison with organic and inorganic fertilizers

    NARCIS (Netherlands)

    Eekeren, van N.J.M.; Boer, H.; Bloem, J.; Schouten, T.; Rutgers, M.; Goede, de R.G.M.; Brussaard, L.

    2009-01-01

    We studied the effect of five fertilizers (including two adjusted manure slurries) and an untreated control on soil biota and explored the effect on the ecosystem services they provided. Our results suggest that the available N (NO3- and NH4+) in the soil plays a central role in the effect of fertil

  12. Comparison of Methods for Adjusting Incorrect Assignments of Items to Subtests Oblique Multiple Group Method Versus Confirmatory Common Factor Method

    NARCIS (Netherlands)

    Stuive, Ilse; Kiers, Henk A.L.; Timmerman, Marieke E.

    2009-01-01

    A common question in test evaluation is whether an a priori assignment of items to subtests is supported by empirical data. If the analysis results indicate the assignment of items to subtests under study is not supported by data, the assignment is often adjusted. In this study the authors compare t

  13. Soil biological quality of grassland fertilized with adjusted cattle manure slurries in comparison with organic and inorganic fertilizers

    NARCIS (Netherlands)

    Eekeren, van N.J.M.; Boer, de Herman; Bloem, J.; Schouten, T.; Rutgers, M.; Goede, de R.G.M.; Brussaard, L.

    2009-01-01

    We studied the effect of five fertilizers (including two adjusted manure slurries) and an untreated control on soil biota and explored the effect on the ecosystem services they provided. Our results suggest that the available N (NO3- and NH4+) in the soil plays a central role in the effect of

  14. Comparison of the fracture toughness and wear resistance of indirect composites cured by conventional post curing methods and electron beam irradiation

    Directory of Open Access Journals (Sweden)

    Vaishnavi C

    2010-01-01

    Full Text Available Aim : To compare the fracture toughness and wear resistance of indirect composites cured by conventional post curing methods and electron beam irradiation. Materials and Methods : Forty specimens were randomly assigned into four groups of ten each and were subjected to various post curing methods. Fracture toughness and wear resistance tests were performed and the results were tabulated and analyzed statistically using Kruskal Wallis and Mann-Whitney U test. Results : It was found that Inlay system showed higher values followed by electron beam irradiation. Conclusion : Electron beam irradiation of dental composites gives comparable mechanical properties to other post curing systems. It can be concluded that further studies with increased radiation dose should be performed to improve the mechanical properties of indirect composites.

  15. Comparison of three-dimensional isotropic and two-dimensional conventional indirect MR arthrography for the diagnosis of rotator cuff tears.

    Science.gov (United States)

    Lee, Ji Hyun; Yoon, Young Cheol; Jee, Sukkyung; Kwon, Jong Won; Cha, Jang Gyu; Yoo, Jae Chul

    2014-01-01

    To compare the accuracy between a three-dimensional (3D) indirect isotropic T1-weighted fast spin-echo (FSE) magnetic resonance (MR) arthrography and a conventional two-dimensional (2D) T1-weighted sequences of indirect MR arthrography for diagnosing rotator cuff tears. The study was approved by our Institutional Review Board. In total, 205 patients who had undergone indirect shoulder MR arthrography followed by arthroscopic surgery for 206 shoulders were included in this study. Both conventional 2D T1-weighted FSE sequences and 3D isotropic T1-weighted FSE sequence were performed in all patients. Two radiologists evaluated the images for the presence of full- or partial-thickness tears in the supraspinatus-infraspinatus (SSP-ISP) tendons and tears in the subscapularis (SSC) tendons. Using the arthroscopic findings as the reference standard, the diagnostic performances of both methods were analyzed by the area under the receiver operating characteristic curve (AUC). Arthroscopy confirmed 165 SSP-ISP tendon tears and 103 SSC tendon tears. For diagnosing SSP-ISP tendon tears, the AUC values were 0.964 and 0.989 for the 2D sequences and 3D T1-weighted FSE sequence, respectively, in reader I and 0.947 and 0.963, respectively, in reader II. The AUC values for diagnosing SSC tendon tears were 0.921 and 0.925, respectively, for reader I and 0.856 and 0.860, respectively, for reader II. There was no significant difference between the AUC values of the 2D and 3D sequences in either reader for either type of tear. 3D indirect isotropic MR arthrography with FSE sequence and the conventional 2D arthrography are not significantly different in terms of accuracy for diagnosing rotator cuff tears.

  16. Comparison of Three-Dimensional Isotropic and Two-Dimensional Conventional Indirect MR Arthrography for the Diagnosis of Rotator Cuff Tears

    Science.gov (United States)

    Lee, Ji Hyun; Jee, Sukkyung; Kwon, Jong Won; Cha, Jang Gyu; Yoo, Jae Chul

    2014-01-01

    Objective To compare the accuracy between a three-dimensional (3D) indirect isotropic T1-weighted fast spin-echo (FSE) magnetic resonance (MR) arthrography and a conventional two-dimensional (2D) T1-weighted sequences of indirect MR arthrography for diagnosing rotator cuff tears. Materials and Methods The study was approved by our Institutional Review Board. In total, 205 patients who had undergone indirect shoulder MR arthrography followed by arthroscopic surgery for 206 shoulders were included in this study. Both conventional 2D T1-weighted FSE sequences and 3D isotropic T1-weighted FSE sequence were performed in all patients. Two radiologists evaluated the images for the presence of full- or partial-thickness tears in the supraspinatus-infraspinatus (SSP-ISP) tendons and tears in the subscapularis (SSC) tendons. Using the arthroscopic findings as the reference standard, the diagnostic performances of both methods were analyzed by the area under the receiver operating characteristic curve (AUC). Results Arthroscopy confirmed 165 SSP-ISP tendon tears and 103 SSC tendon tears. For diagnosing SSP-ISP tendon tears, the AUC values were 0.964 and 0.989 for the 2D sequences and 3D T1-weighted FSE sequence, respectively, in reader I and 0.947 and 0.963, respectively, in reader II. The AUC values for diagnosing SSC tendon tears were 0.921 and 0.925, respectively, for reader I and 0.856 and 0.860, respectively, for reader II. There was no significant difference between the AUC values of the 2D and 3D sequences in either reader for either type of tear. Conclusion 3D indirect isotropic MR arthrography with FSE sequence and the conventional 2D arthrography are not significantly different in terms of accuracy for diagnosing rotator cuff tears. PMID:25469089

  17. Indirection and computer security.

    Energy Technology Data Exchange (ETDEWEB)

    Berg, Michael J.

    2011-09-01

    The discipline of computer science is built on indirection. David Wheeler famously said, 'All problems in computer science can be solved by another layer of indirection. But that usually will create another problem'. We propose that every computer security vulnerability is yet another problem created by the indirections in system designs and that focusing on the indirections involved is a better way to design, evaluate, and compare security solutions. We are not proposing that indirection be avoided when solving problems, but that understanding the relationships between indirections and vulnerabilities is key to securing computer systems. Using this perspective, we analyze common vulnerabilities that plague our computer systems, consider the effectiveness of currently available security solutions, and propose several new security solutions.

  18. Biomechanical comparison of 2 anterior cruciate ligament graft preparation techniques for tibial fixation: adjustable-length loop cortical button or interference screw.

    Science.gov (United States)

    Mayr, Raul; Heinrichs, Christian Heinz; Eichinger, Martin; Coppola, Christian; Schmoelz, Werner; Attal, René

    2015-06-01

    Cortical button fixation at the femoral side and interference screws within the tibial bone tunnel are widely used for anterior cruciate ligament graft fixation. Using a bone socket instead of a full tunnel allows cortical button fixation on the tibial side as well. If adjustable-length loop cortical button devices are used for femoral and tibial fixation, the tendon graft has to be secured with sutures in a closed tendon loop. The increased distance of fixation points and potential slippage of the tendon strands at the securing sutures might lead to greater risk of postoperative graft elongation when compared with conventional graft preparation with tibial interference screw fixation. Compared with an anterior cruciate ligament graft with tibial adjustable-length loop cortical button fixation, a graft with tibial interference screw fixation will show less graft elongation during cyclic loading and lower ultimate failure loads. Controlled laboratory study. Grafts with tibial adjustable-length loop cortical button fixation and grafts with tibial interference screw fixation were biomechanically tested in calf tibiae (n = 10 per group). Femoral fixation was equivalent for both groups, using an adjustable-length loop cortical button. Specimens underwent cyclic loading followed by a load-to-failure test. Grafts with screw fixation showed significantly less initial elongation (cycles 1-5: 1.46 ± 0.26 mm), secondary elongation (cycles 6-1000: 1.87 ± 0.67 mm), and total elongation (cycles 1-1000: 3.33 ± 0.83 mm) in comparison with grafts with button fixation (2.47 ± 0.26, 3.56 ± 0.39, and 6.03 ± 0.61 mm, respectively) (P button fixation were able to withstand significantly higher ultimate failure loads (908 ± 74 vs 693 ± 119 N) (P button fixation resulted in higher graft elongation during cyclic loading and showed higher ultimate failure loads in comparison with conventional graft preparation with tibial interference screw fixation at time zero. The results of this

  19. The combined geodetic network adjusted on the reference ellipsoid – a comparison of three functional models for GNSS observations

    Directory of Open Access Journals (Sweden)

    Kadaj Roman

    2016-12-01

    Full Text Available The adjustment problem of the so-called combined (hybrid, integrated network created with GNSS vectors and terrestrial observations has been the subject of many theoretical and applied works. The network adjustment in various mathematical spaces was considered: in the Cartesian geocentric system on a reference ellipsoid and on a mapping plane. For practical reasons, it often takes a geodetic coordinate system associated with the reference ellipsoid. In this case, the Cartesian GNSS vectors are converted, for example, into geodesic parameters (azimuth and length on the ellipsoid, but the simple form of converted pseudo-observations are the direct differences of the geodetic coordinates. Unfortunately, such an approach may be essentially distorted by a systematic error resulting from the position error of the GNSS vector, before its projection on the ellipsoid surface. In this paper, an analysis of the impact of this error on the determined measures of geometric ellipsoid elements, including the differences of geodetic coordinates or geodesic parameters is presented. Assuming that the adjustment of a combined network on the ellipsoid shows that the optimal functional approach in relation to the satellite observation, is to create the observational equations directly for the original GNSS Cartesian vector components, writing them directly as a function of the geodetic coordinates (in numerical applications, we use the linearized forms of observational equations with explicitly specified coefficients. While retaining the original character of the Cartesian vector, one avoids any systematic errors that may occur in the conversion of the original GNSS vectors to ellipsoid elements, for example the vector of the geodesic parameters. The problem is theoretically developed and numerically tested. An example of the adjustment of a subnet loaded from the database of reference stations of the ASG-EUPOS system was considered for the preferred functional

  20. The combined geodetic network adjusted on the reference ellipsoid - a comparison of three functional models for GNSS observations

    Science.gov (United States)

    Kadaj, Roman

    2016-12-01

    The adjustment problem of the so-called combined (hybrid, integrated) network created with GNSS vectors and terrestrial observations has been the subject of many theoretical and applied works. The network adjustment in various mathematical spaces was considered: in the Cartesian geocentric system on a reference ellipsoid and on a mapping plane. For practical reasons, it often takes a geodetic coordinate system associated with the reference ellipsoid. In this case, the Cartesian GNSS vectors are converted, for example, into geodesic parameters (azimuth and length) on the ellipsoid, but the simple form of converted pseudo-observations are the direct differences of the geodetic coordinates. Unfortunately, such an approach may be essentially distorted by a systematic error resulting from the position error of the GNSS vector, before its projection on the ellipsoid surface. In this paper, an analysis of the impact of this error on the determined measures of geometric ellipsoid elements, including the differences of geodetic coordinates or geodesic parameters is presented. Assuming that the adjustment of a combined network on the ellipsoid shows that the optimal functional approach in relation to the satellite observation, is to create the observational equations directly for the original GNSS Cartesian vector components, writing them directly as a function of the geodetic coordinates (in numerical applications, we use the linearized forms of observational equations with explicitly specified coefficients). While retaining the original character of the Cartesian vector, one avoids any systematic errors that may occur in the conversion of the original GNSS vectors to ellipsoid elements, for example the vector of the geodesic parameters. The problem is theoretically developed and numerically tested. An example of the adjustment of a subnet loaded from the database of reference stations of the ASG-EUPOS system was considered for the preferred functional model of the GNSS

  1. Sensitivity assessment, adjustment, and comparison of mathematical models describing the migration of pesticides in soil using lysimetric data

    Science.gov (United States)

    Shein, E. V.; Kokoreva, A. A.; Gorbatov, V. S.; Umarova, A. B.; Kolupaeva, V. N.; Perevertin, K. A.

    2009-07-01

    The water block of physically founded models of different levels (chromatographic PEARL models and dual-porosity MACRO models) was parameterized using laboratory experimental data and tested using the results of studying the water regime of loamy soddy-podzolic soil in large lysimeters of the Experimental Soil Station of Moscow State University. The models were adapted using a stepwise approach, which involved the sequential assessment and adjustment of each submodel. The models unadjusted for the water block underestimated the lysimeter flow and overestimated the soil water content. The theoretical necessity of the model adjustment was explained by the different scales of the experimental objects (soil samples) and simulated phenomenon (soil profile). The adjustment of the models by selecting the most sensitive hydrophysical parameters of the soils (the approximation parameters of the soil water retention curve (SWRC)) gave good agreement between the predicted moisture profiles and their actual values. In distinction from the PEARL model, the MARCO model reliably described the migration of a pesticide through the soil profile, which confirmed the necessity of physically founded models accounting for the separation of preferential flows in the pore space for the prediction, analysis, optimization, and management of modern agricultural technologies.

  2. Relationship between multiple sources of perceived social support and psychological and academic adjustment in early adolescence: comparisons across gender.

    Science.gov (United States)

    Rueger, Sandra Yu; Malecki, Christine Kerres; Demaray, Michelle Kilpatrick

    2010-01-01

    The current study investigated gender differences in the relationship between sources of perceived support (parent, teacher, classmate, friend, school) and psychological and academic adjustment in a sample of 636 (49% male) middle school students. Longitudinal data were collected at two time points in the same school year. The study provided psychometric support for the Child and Adolescent Social Support Scale (Malecki et al., A working manual on the development of the Child and Adolescent Social Support Scale (2000). Unpublished manuscript, Northern Illinois University, 2003) across gender, and demonstrated gender differences in perceptions of support in early adolescence. In addition, there were significant associations between all sources of support with depressive symptoms, anxiety, self-esteem, and academic adjustment, but fewer significant unique effects of each source. Parental support was a robust unique predictor of adjustment for both boys and girls, and classmates' support was a robust unique predictor for boys. These results illustrate the importance of examining gender differences in the social experience of adolescents with careful attention to measurement and analytic issues.

  3. 优化我国税制结构的对策思考——基于调整直接税间接税的分析%Reflections on Optimizing the Structure of Tax System in China —— An Analysis of Adjustment to Direct and Indirect Tax

    Institute of Scientific and Technical Information of China (English)

    罗红

    2011-01-01

    通过直接税与间接税的配比,针对我国现行税制结构的不合理进行了分析,间接税方面:商品和劳务流转领域两税并存,导致了产业之间的税负不均衡;间接税过多,加重了消费者的税收负担;间接税偏高,容易引发大量的消费外移,不利于扩大内需。直接税方面:个人所得税小修小补,框架上没有根本突破,制度上没有实质的变革;个人房产持有环节缺失,加剧了财产贫富差距。并对进一步优化税制结构的思路、难点提出了对策建议:一是通过改革流转税,降低间接税;二是推进直接税建设,充分发挥税收调节分配的作用。%Through the proportioning between the direct taxation and indirect taxation, irrationality of the current tax system structure is analyzed. In the indirect taxation aspects, goods and labour services tax coexist in the circulation field, which leads to the disequilibrium of tax burden among industries. Excessive indirect taxation could cause tax overburden for consumers. Heavier than desirable indirect taxation could cause a large amount of consumption to move overseas, which goes against boosting domestic demand. In the direct taxation aspects, individual income tax policy has only been modified a little. Actually, its framework hasn' t been broken through at all and there has been no substantial reform in the system. Due to the tax deficiency of individual holding of real estate, the property gap between the rich and the poor is becoming wider. Some countermeasures and suggestions on the optimization of tax structure are put forward here, such as reducing the indirect taxation by the reform of turnover tax, boosting the construction of direct taxation and fully taking advantage of the adjustment and distribution function of tax.

  4. A comparison of administrative and physiologic predictive models in determining risk adjusted mortality rates in critically ill patients.

    Directory of Open Access Journals (Sweden)

    Kyle B Enfield

    Full Text Available BACKGROUND: Hospitals are increasingly compared based on clinical outcomes adjusted for severity of illness. Multiple methods exist to adjust for differences between patients. The challenge for consumers of this information, both the public and healthcare providers, is interpreting differences in risk adjustment models particularly when models differ in their use of administrative and physiologic data. We set to examine how administrative and physiologic models compare to each when applied to critically ill patients. METHODS: We prospectively abstracted variables for a physiologic and administrative model of mortality from two intensive care units in the United States. Predicted mortality was compared through the Pearsons Product coefficient and Bland-Altman analysis. A subgroup of patients admitted directly from the emergency department was analyzed to remove potential confounding changes in condition prior to ICU admission. RESULTS: We included 556 patients from two academic medical centers in this analysis. The administrative model and physiologic models predicted mortalities for the combined cohort were 15.3% (95% CI 13.7%, 16.8% and 24.6% (95% CI 22.7%, 26.5% (t-test p-value<0.001. The r(2 for these models was 0.297. The Bland-Atlman plot suggests that at low predicted mortality there was good agreement; however, as mortality increased the models diverged. Similar results were found when analyzing a subgroup of patients admitted directly from the emergency department. When comparing the two hospitals, there was a statistical difference when using the administrative model but not the physiologic model. Unexplained mortality, defined as those patients who died who had a predicted mortality less than 10%, was a rare event by either model. CONCLUSIONS: In conclusion, while it has been shown that administrative models provide estimates of mortality that are similar to physiologic models in non-critically ill patients with pneumonia, our results

  5. Mechanism and comparison of needle-type non-thermal direct and indirect atmospheric pressure plasma jets on the degradation of dyes

    OpenAIRE

    Pankaj Attri; Maksudbek Yusupov; Ji Hoon Park; Lakshmi Prasanna Lingamdinne; Janardhan Reddy Koduru; Masaharu Shiratani; Eun Ha Choi; Annemie Bogaerts

    2016-01-01

    Purified water supply for human use, agriculture and industry is the major global priority nowadays. The advanced oxidation process based on atmospheric pressure non-thermal plasma (NTP) has been used for purification of wastewater, although the underlying mechanisms of degradation of organic pollutants are still unknown. In this study we employ two needle-type atmospheric pressure non-thermal plasma jets, i.e., indirect (ID-APPJ) and direct (D-APPJ) jets operating at Ar feed gas, for the tre...

  6. Clinical and radiographic comparison of indirect pulp treatment using light-cured calcium silicate and mineral trioxide aggregate in primary molars: A randomized clinical trial

    OpenAIRE

    Navya P Menon; Balagopal R Varma; Sureshkumar Janardhanan; Parvathy Kumaran; Arun Mamachan Xavier; Bhat Sangeetha Govinda

    2016-01-01

    Aim: To clinically and radiographically evaluate the reparative dentin formation in indirect pulp treatment (IPT) using mineral trioxide aggregate (MTA) and light cured calcium silicate (TheraCal) in primary molars over a period of 6 months. Materials and Methods: A clinical trial on IPT on 43 primary molars in 21 patients between the age of 4–7 years, divided into two groups: 22 teeth in MTA group and 21 in TheraCal group. Measurement of the variation in dentin thickness was done on the digi...

  7. Indirect Speech Acts

    Institute of Scientific and Technical Information of China (English)

    李威

    2001-01-01

    Indirect speech acts are frequently used in verbal communication, the interpretation of them is of great importance in order to meet the demands of the development of students' communicative competence. This paper, therefore, intends to present Searle' s indirect speech acts and explore the way how indirect speech acts are interpreted in accordance with two influential theories. It consists of four parts. Part one gives a general introduction to the notion of speech acts theory. Part two makes an elaboration upon the conception of indirect speech act theory proposed by Searle and his supplement and development of illocutionary acts. Part three deals with the interpretation of indirect speech acts. Part four draws implication from the previous study and also serves as the conclusion of the dissertation.

  8. Reverse-total shoulder arthroplasty cost-effectiveness: A quality-adjusted life years comparison with total hip arthroplasty.

    Science.gov (United States)

    Bachman, Daniel; Nyland, John; Krupp, Ryan

    2016-02-18

    To compare reverse-total shoulder arthroplasty (RSA) cost-effectiveness with total hip arthroplasty cost-effectiveness. This study used a stochastic model and decision-making algorithm to compare the cost-effectiveness of RSA and total hip arthroplasty. Fifteen patients underwent pre-operative, and 3, 6, and 12 mo post-operative clinical examinations and Short Form-36 Health Survey completion. Short form-36 Health Survey subscale scores were converted to EuroQual Group Five Dimension Health Outcome scores and compared with historical data from age-matched patients who had undergone total hip arthroplasty. Quality-adjusted life year (QALY) improvements based on life expectancies were calculated. The cost/QALY was $3900 for total hip arthroplasty and $11100 for RSA. After adjusting the model to only include shoulder-specific physical function subscale items, the RSA QALY improved to 2.8 years, and its cost/QALY decreased to $8100. Based on industry accepted standards, cost/QALY estimates supported both RSA and total hip arthroplasty cost-effectiveness. Although total hip arthroplasty remains the quality of life improvement "gold standard" among arthroplasty procedures, cost/QALY estimates identified in this study support the growing use of RSA to improve patient quality of life.

  9. Social cognition of indirect speech: Evidence from Parkinson's Disease.

    Science.gov (United States)

    McNamara, Patrick; Holtgraves, Thomas; Durso, Raymon; Harris, Erica

    2010-03-01

    We examined potential neurocognitive mechanisms of indirect speech in support of face management in 28 patients with Parkinson's disease (PD) and 32 elderly controls with chronic disease. In experiment 1, we demonstrated automatic activation of indirect meanings of particularized implicatures in controls but not in PD patients. Failure to automatically engage comprehension of indirect meanings of indirect speech acts in PD patients was correlated with a measure of prefrontal dysfunction. In experiment 2, we showed that while PD patients and controls offered similar interpretations of indirect speech acts, PD participants were overly confident in their interpretations and unaware of errors of interpretation. Efficient reputational adjustment mechanisms apparently require intact striatal-prefrontal networks.

  10. The influence of student perceptions of school climate on socioemotional and academic adjustment: a comparison of chinese and american adolescents.

    Science.gov (United States)

    Jia, Yueming; Way, Niobe; Ling, Guangming; Yoshikawa, Hirokazu; Chen, Xinyin; Hughes, Diane; Ke, Xiaoyan; Lu, Zuhong

    2009-01-01

    This study explored students' perceptions of 3 dimensions of school climate (teacher support, student-student support, and opportunities for autonomy in the classroom) and the associations between these dimensions and adolescent psychological and academic adjustment in China and the United States. Data were drawn from 2 studies involving 706 middle school students (M = 12.26) from Nanjing, China, and 709 middle school students (M = 12.36) from New York City. Findings revealed that students in China perceived higher levels of teacher support, student-student support, and opportunities for autonomy in the classroom than students in the United States. Furthermore, students' perceptions of teacher support and student-student support were positively associated with adolescents' self-esteem and grade point average but negatively associated with depressive symptoms for both Chinese and American adolescents.

  11. Conceptualizing and measuring illness self-concept: a comparison with self-esteem and optimism in predicting fibromyalgia adjustment.

    Science.gov (United States)

    Morea, Jessica M; Friend, Ronald; Bennett, Robert M

    2008-12-01

    Illness self-concept (ISC), or the extent to which individuals are consumed by their illness, was theoretically described and evaluated with the Illness Self-Concept Scale (ISCS), a new 23-item scale, to predict adjustment in fibromyalgia. To establish convergent and discriminant validity, illness self-concept was compared to self-esteem and optimism in predicting health status, illness intrusiveness, depression, and life satisfaction. The ISCS demonstrated good reliability (alpha = .94; test-retest r = .80) and was a strong predictor of outcomes, even after controlling for optimism or self-esteem. The ISCS predicted unique variance in health-related outcomes; optimism and self-esteem did not, providing construct validation. Illness self-concept may play a significant role in coping with fibromyalgia and may prove useful in the evaluation of other chronic illnesses. (c) 2008 Wiley Periodicals, Inc.

  12. Estimating Total Claim Size in the Auto Insurance Industry: a Comparison between Tweedie and Zero-Adjusted Inverse Gaussian Distribution

    Directory of Open Access Journals (Sweden)

    Adriana Bruscato Bortoluzzo

    2011-01-01

    Full Text Available The objective of this article is to estimate insurance claims from an auto dataset using the Tweedie and zero-adjusted inverse Gaussian (ZAIG methods. We identify factors that influence claim size and probability, and compare the results of these methods which both forecast outcomes accurately. Vehicle characteristics like territory, age, origin and type distinctly influence claim size and probability. This distinct impact is not always present in the Tweedie estimated model. Auto insurers should consider estimating total claim size using both the Tweedie and ZAIG methods. This allows for an estimation of confidence interval based on empirical quantiles using bootstrap simulation. Furthermore, the fitted models may be useful in developing a strategy to obtain premium pricing.

  13. Adjuvant cyclophosphamide, methotrexate, and fluorouracil in premonopausal patients with node-positive breast cancer: indirect comparison of dose and schedule in DBCG trials 77, 82, and 89

    DEFF Research Database (Denmark)

    Ejlertsen, B.; Mouridsen, H.T.; Jensen, M.B.

    2008-01-01

    A significant reduction in the risk of recurrence and death was achieved three decades ago with adjuvant chemotherapy in patients with operable breast. The major pivotal trials used oral cyclophosphamide (C) days 1-14 with intravenous methotrexate (M) and fluorouracil (F) on days 1 and 8, repeated...... Cancer Cooperative Group (DBCG), and two succeeding randomised trials in premenopausal patients with node positive breast cancer used three-weekly or four-weekly intravenous CMF in one of the treatment arms. RESULTS: Between November 1977 and January 2001 these trials included 2 213 patients who...... was performed adjusting for the known prognostic factors. In the adjusted analysis a 30% increase in the risk of recurrence was observed for two the intravenous regimens as compared to classical CMF. As concerns survival a significant 40% increase in the risk of death was observed with the four-weekly regimen...

  14. INDIRECT MICROLARYNGOSTROBOSCOPIC SURGERY

    NARCIS (Netherlands)

    MAHIEU, HF; DIKKERS, FG

    Detailed preoperative laryngostroboscopic examination is a prerequisite for phonosurgical correction of organic dysphonia. Although suspension microlaryngoscopic surgery has proved its value in the past, it excludes functional control during the removal of vocal fold swellings. Using an indirect

  15. INDIRECT MICROLARYNGOSTROBOSCOPIC SURGERY

    NARCIS (Netherlands)

    MAHIEU, HF; DIKKERS, FG

    1992-01-01

    Detailed preoperative laryngostroboscopic examination is a prerequisite for phonosurgical correction of organic dysphonia. Although suspension microlaryngoscopic surgery has proved its value in the past, it excludes functional control during the removal of vocal fold swellings. Using an indirect mic

  16. A comparison of two sleep spindle detection methods based on all night averages: individually adjusted versus fixed frequencies

    Directory of Open Access Journals (Sweden)

    Péter Przemyslaw Ujma

    2015-02-01

    Full Text Available Sleep spindles are frequently studied for their relationship with state and trait cognitive variables, and they are thought to play an important role in sleep-related memory consolidation. Due to their frequent occurrence in NREM sleep, the detection of sleep spindles is only feasible using automatic algorithms, of which a large number is available. We compared subject averages of the spindle parameters computed by a fixed frequency (11-13 Hz for slow spindles, 13-15 Hz for fast spindles automatic detection algorithm and the individual adjustment method (IAM, which uses individual frequency bands for sleep spindle detection. Fast spindle duration and amplitude are strongly correlated in the two algorithms, but there is little overlap in fast spindle density and slow spindle parameters in general. The agreement between fixed and manually determined sleep spindle frequencies is limited, especially in case of slow spindles. This is the most likely reason for the poor agreement between the two detection methods in case of slow spindle parameters. Our results suggest that while various algorithms may reliably detect fast spindles, a more sophisticated algorithm primed to individual spindle frequencies is necessary for the detection of slow spindles as well as individual variations in the number of spindles in general.

  17. Comparing historical and modern methods of Sea Surface Temperature measurement - Part 1: Review of methods, field comparisons and dataset adjustments

    Science.gov (United States)

    Matthews, J. B. R.

    2012-09-01

    Sea Surface Temperature (SST) measurements have been obtained from a variety of different platforms, instruments and depths over the post-industrial period. Today most measurements come from ships, moored and drifting buoys and satellites. Shipboard methods include temperature measurement of seawater sampled by bucket and in engine cooling water intakes. Engine intake temperatures are generally thought to average a few tenths of a °C warmer than simultaneous bucket temperatures. Here I review SST measurement methods, studies comparing shipboard methods by field experiment and adjustments applied to SST datasets to account for variable methods. In opposition to contemporary thinking, I find average bucket-intake temperature differences reported from field studies inconclusive. Non-zero average differences often have associated standard deviations that are several times larger than the averages themselves. Further, average differences have been found to vary widely between ships and between cruises on the same ship. The cause of non-zero average differences is typically unclear given the general absence of additional temperature observations to those from buckets and engine intakes. Shipboard measurements appear of variable quality, highly dependent upon the accuracy and precision of the thermometer used and the care of the observer where manually read. Methods are generally poorly documented, with written instructions not necessarily reflecting actual practices of merchant mariners. Measurements cannot be expected to be of high quality where obtained by untrained sailors using thermometers of low accuracy and precision.

  18. Indirect neutrino oscillations

    CERN Document Server

    Babu, K S; Wilczek, Frank; Pati, Jogesh C; Wilczek, Frank

    1995-01-01

    We show how two different scales for oscillations between e and \\mu neutrinos, characterized by different mixing angles and effective mass scales, can arise in a simple and theoretically attractive framework. One scale characterizes direct oscillations, which can accommodate the MSW approach to the solar neutrino problem, whereas the other can be considered as arising indirectly, through virtual transitions involving the \\tau neutrino with a mass \\sim 1 eV. This indirect transition allows the possibility of observable \\bar \

  19. Serological diagnosis of autoimmune bullous skin diseases: Prospective comparison of the BIOCHIP mosaic-based indirect immunofluorescence technique with the conventional multi-step single test strategy

    Directory of Open Access Journals (Sweden)

    van Beek Nina

    2012-08-01

    Full Text Available Abstract Background Various antigen-specific immunoassays are available for the serological diagnosis of autoimmune bullous diseases. However, a spectrum of different tissue-based and monovalent antigen-specific assays is required to establish the diagnosis. BIOCHIP mosaics consisting of different antigen substrates allow polyvalent immunofluorescence (IF tests and provide antibody profiles in a single incubation. Methods Slides for indirect IF were prepared, containing BIOCHIPS with the following test substrates in each reaction field: monkey esophagus, primate salt-split skin, antigen dots of tetrameric BP180-NC16A as well as desmoglein 1-, desmoglein 3-, and BP230gC-expressing human HEK293 cells. This BIOCHIP mosaic was probed using a large panel of sera from patients with pemphigus vulgaris (PV, n = 65, pemphigus foliaceus (PF, n = 50, bullous pemphigoid (BP, n = 42, and non-inflammatory skin diseases (n = 97 as well as from healthy blood donors (n = 100. Furthermore, to evaluate the usability in routine diagnostics, 454 consecutive sera from patients with suspected immunobullous disorders were prospectively analyzed in parallel using a the IF BIOCHIP mosaic and b a panel of single antibody assays as commonly used by specialized centers. Results Using the BIOCHIP mosaic, sensitivities of the desmoglein 1-, desmoglein 3-, and NC16A-specific substrates were 90%, 98.5% and 100%, respectively. BP230 was recognized by 54% of the BP sera. Specificities ranged from 98.2% to 100% for all substrates. In the prospective study, a high agreement was found between the results obtained by the BIOCHIP mosaic and the single test panel for the diagnosis of BP, PV, PF, and sera without serum autoantibodies (Cohen’s κ between 0.88 and 0.97. Conclusions The BIOCHIP mosaic contains sensitive and specific substrates for the indirect IF diagnosis of BP, PF, and PV. Its diagnostic accuracy is comparable with the conventional multi

  20. Male and Female University Students' Experiences of Indirect Aggression

    Science.gov (United States)

    Leenaars, Lindsey; Rinaldi, Christina M.

    2010-01-01

    This study examines the role of sex, gender role orientation, social representations of indirect aggression, and indicators of psychosocial adjustment in indirect aggression and victimization in an emerging adult sample. A total of 42 participants (19 men, 23 women) recruited are required to complete the questionnaires, along with 18 participants…

  1. A Comparison of Pain Beliefs and Coping Strategies and Their Association with Chronic Pain Adjustment Between Singapore and United States.

    Science.gov (United States)

    Thong, Ivan S K; Tan, Gabriel; Lee, Tammy Y C; Jensen, Mark P

    2017-09-01

    Research examining the importance of pain beliefs and coping strategies to chronic pain adjustment has been performed almost exclusively using Western populations. The purpose of this study was to examine empirically the generalizability of this research to Singapore. Employing a cross-sectional design, measures assessing pain beliefs, coping strategies, pain intensity, pain interference, and depressive symptoms were administered to 101 patients with chronic pain from Singapore. Analyses examined the means of belief and coping strategies measures and their associations with measures of pain intensity, pain interference, and depressive symptoms and compared the results with the data of a sample of 100 patients with chronic pain from a previously published study from the United States. Mean differences between the Singapore and US samples were found for four of the seven belief scales, and four of the eight coping scales. When significant, associations between belief and coping strategies with measures of pain and dysfunction were in the hypothesized directions in both samples. We also found that the strength of four out of 30 of the associations between beliefs/coping strategies and measures of pain and dysfunction were different between the Singapore and US samples. The findings provide further support for the potential influence of culture on how individuals view and cope with pain. However, the many similarities found in direction and strength of the associations between beliefs/coping strategies and measures of pain/dysfunction provide preliminary support for the appropriateness of the use of cognitive behavioral therapy developed in the United States with the Singapore population.

  2. Indirect Comorbidity in Childhood and Adolescence

    Directory of Open Access Journals (Sweden)

    William eCopeland

    2013-11-01

    Full Text Available Objective: Comorbidity between psychiatric disorders is common, but pairwise associations between two disorders may be explained by the presence of other diagnoses that are associated with both disorders or indirect comorbidity. Method: Comorbidities of common childhood psychiatric disorders were tested in three community samples of children ages 6 to 17 (8931 observations of 2965 subjects. Psychiatric disorder status in all three samples was assessed with the Child and Adolescent Psychiatric Assessment. Indirect comorbidity was defined as A-B associations that decreased from significance to nonsignificance after adjusting for other disorders. Results: All tested childhood psychiatric disorders were positively associated in bivariate analyses. After adjusting for comorbidities, many ssociations involving a behavioral disorder and an emotional disorder were attenuated suggesting indirect comorbidity. Generalized anxiety and depressive disorders displayed a very high level of overlap (adjusted OR=37.9. All analyses were rerun with depressive disorders grouped with generalized anxiety disorder in a single distress disorders category. In these revised models, all associations between and emotional disorder and a behavior disorder met our criteria for indirect comorbidity except for the association of oppositional defiant disorder with distress disorders (OR=11.3. Follow-up analyses suggested that the indirect associations were primarily accounted for by oppositional defiant disorder and the distress disorder category. There was little evidence of either sex differences or differences by developmental period Conclusions: After accounting for the overlap between depressive disorders with generalized anxiety disorder, direct comorbidity between emotional and behavioral disorders was uncommon. When there was evidence of indirect comorbidity, ODD and distress disorders were the key intermediary diagnoses accounting for the apparent associations.

  3. Mechanism and comparison of needle-type non-thermal direct and indirect atmospheric pressure plasma jets on the degradation of dyes

    Science.gov (United States)

    Attri, Pankaj; Yusupov, Maksudbek; Park, Ji Hoon; Lingamdinne, Lakshmi Prasanna; Koduru, Janardhan Reddy; Shiratani, Masaharu; Choi, Eun Ha; Bogaerts, Annemie

    2016-01-01

    Purified water supply for human use, agriculture and industry is the major global priority nowadays. The advanced oxidation process based on atmospheric pressure non-thermal plasma (NTP) has been used for purification of wastewater, although the underlying mechanisms of degradation of organic pollutants are still unknown. In this study we employ two needle-type atmospheric pressure non-thermal plasma jets, i.e., indirect (ID-APPJ) and direct (D-APPJ) jets operating at Ar feed gas, for the treatment of methylene blue, methyl orange and congo red dyes, for two different times (i.e., 20 min and 30 min). Specifically, we study the decolorization/degradation of all three dyes using the above mentioned plasma sources, by means of UV-Vis spectroscopy, HPLC and a density meter. We also employ mass spectroscopy to verify whether only decolorization or also degradation takes place after treatment of the dyes by the NTP jets. Additionally, we analyze the interaction of OH radicals with all three dyes using reactive molecular dynamics simulations, based on the density functional-tight binding method. This investigation represents the first report on the degradation of these three different dyes by two types of NTP setups, analyzed by various methods, and based on both experimental and computational studies. PMID:27708352

  4. Mechanism and comparison of needle-type non-thermal direct and indirect atmospheric pressure plasma jets on the degradation of dyes

    Science.gov (United States)

    Attri, Pankaj; Yusupov, Maksudbek; Park, Ji Hoon; Lingamdinne, Lakshmi Prasanna; Koduru, Janardhan Reddy; Shiratani, Masaharu; Choi, Eun Ha; Bogaerts, Annemie

    2016-10-01

    Purified water supply for human use, agriculture and industry is the major global priority nowadays. The advanced oxidation process based on atmospheric pressure non-thermal plasma (NTP) has been used for purification of wastewater, although the underlying mechanisms of degradation of organic pollutants are still unknown. In this study we employ two needle-type atmospheric pressure non-thermal plasma jets, i.e., indirect (ID-APPJ) and direct (D-APPJ) jets operating at Ar feed gas, for the treatment of methylene blue, methyl orange and congo red dyes, for two different times (i.e., 20 min and 30 min). Specifically, we study the decolorization/degradation of all three dyes using the above mentioned plasma sources, by means of UV-Vis spectroscopy, HPLC and a density meter. We also employ mass spectroscopy to verify whether only decolorization or also degradation takes place after treatment of the dyes by the NTP jets. Additionally, we analyze the interaction of OH radicals with all three dyes using reactive molecular dynamics simulations, based on the density functional-tight binding method. This investigation represents the first report on the degradation of these three different dyes by two types of NTP setups, analyzed by various methods, and based on both experimental and computational studies.

  5. Comparison between indirect enzyme-linked immunosorbent assays for Anaplasma marginale antibodies with recombinant major surface protein 5 and initial body antigens

    Directory of Open Access Journals (Sweden)

    Virgínia MG Silva

    2006-08-01

    Full Text Available Indirect enzyme-linked immunosorbent assays (ELISAs based on recombinant major surface protein 5 (rMSP5 and initial body (IB antigens from a Brazilian isolate of Anaplasma marginale were developed to detect antibodies against this rickettsia in cattle. Both tests showed the same sensitivity (98.2% and specificities (100% for rMSP5 and 93.8% for IB ELISA which did not differ statistically. No cross-reactions were detected with Babesia bigemina antibodies, but 5 (rMSP5 ELISA to 15% (IB ELISA of cross-reactions were detected with B. bovis antibodies. However, such difference was not statistically significant. Prevalences of seropositive crossbred beef cattle raised extensively in Miranda county, state of Mato Grosso do Sul, Brazil, were 78.1% by rMSP5 ELISA and 79.7% by IB ELISA. In the analysis of sera from dairy calves naturally-infected with A. marginale, the dynamics of antibody production was very similar between both tests, with maternal antibodies reaching the lowest levels at 15-30 days, followed by an increase in the mean optical densities in both ELISAs, suggesting the development of active immunity against A. marginale. Results showed that all calves were seropositive by one-year old, characterizing a situation of enzootic stability. The similar performances of the ELISAs suggest that both tests can be used in epidemiological surveys for detection of antibodies to A. marginale in cattle.

  6. Comparison of Rose Bengal Plate Agglutination, Standard tube agglutination and Indirect ELISA tests for detection of Brucella antibodies in Cows and Buffaloes

    Directory of Open Access Journals (Sweden)

    S. N. Ghodasara

    2010-04-01

    Full Text Available A total of 180 serum samples (107 cows, 73 buffaloes from cases of abortion and various reproductive disorders were collected for detection of Brucella antibody by Rose Bengal Plate Agglutination Test (RBPT, Serum Tube Agglutination Test (STAT and indirect- ELISA (i-ELISA. The overall prevalence of brucellosis by RBPT, STAT and i-ELISA were 11.21%, 16.00% and 24.30% in cows 9.59%, 12.33% and 26.03% in buffaloes respectively. Overall seroprevalence of Brucellosis in cases of abortion, R.O.P. by RBPT, STAT and i-ELISA were 11.32%, 16.04% and 32.08% respectively. When three serological tests were compared, seropositivity was found highest by i-ELISA (25%, followed by STAT (14.45% and RBPT (10.56%. The results shows higher prevalence of brucellosis in cases of abortion and R.O.P., while at lower level from various reproductive disorders as detected serologically indicating endemicity of the infection in villages around Anand city, Gujarat. [Vet. World 2010; 3(2.000: 61-64

  7. [Comparison of the indirect immunofluorescence assay performance of Bartonella henselae antigens obtained by co-cultivation in Vero and HeLa cells].

    Science.gov (United States)

    Ergin, Cağrı; Akkaya, Yüksel; Kiriş Satılmış, Ozgün; Yılmaz, Cansev

    2011-07-01

    The laboratory diagnosis of Bartonella henselae infection is mainly based on serological testing by indirect immunofluorescence assay (IFA). Cell line co-cultivation with B.henselae and agar derivated antigens are the two major procedures used for evaluation of anti-Bartonella antibodies. Vero and Hep-2 cell lines are the most commonly used media for co-cultivation both in-house and commercial diagnostic kits production. However, HeLa cells which are easily supplied and grown, also can easily be infected by B.henselae. The aim of this study was to compare the performances of antigens obtained by co-cultivation of B.henselae ATCC 49882 (Houston-1) in Vero and HeLa Cells in IFA serology. Out of 381 sera samples, 127 (33.3%) were found positive and 195 (51.2%) were found negative by IFA performed by both cell line co-cultivations. The total agreement between the methods were found as 84.5% (322/381), and Cohen kappa value was calculated as 0.68 (strong, coherent). As a result, He-La cells were found to be useful for the preparation of B.henselae antigens to be used in IFA for the serologic diagnosis of B.henselae infections. However different genotype strains and cross reactions with other infectious agents should be investigated by further studies before routine applications of HeLa cell co-cultivations procedure is established.

  8. A comparison of the indirect estimate of mean arterial pressure calculated by the conventional equation and calculated to compensate for a change in heart rate.

    Science.gov (United States)

    Rogers, G; Oosthuyse, T

    2000-02-01

    The standard equation used to calculate mean arterial pressure (MAP) assumes that diastole persists for 2/3 and systole for 1/3 of each cardiac cycle. This ratio is altered when heart rate increases, and therefore we investigated the efficacy of predicting MAP during exercise using non-invasive indirect methods. Eight subjects exercised on a cycle ergometer for 3 minute intervals to elicit heart rates between 100-110, 120-130, 140-150, 160-170, and 180-190 beats/min. In the last minute of each 3 min interval an ECG recording was taken and systolic (SP) and diastolic (DP) blood pressure was measured by manual auscultation. MAP was calculated for each heart rate interval by: MAP=DP+1/3(SP-DP) (method A), and MAP= DP + Fs(SP- DP) (method B), where Fs is the fraction of the cardiac cycle comprising systole, measured from the ECG. Fs increased from 0.35+/-0.049 at rest to 0.47+/-0.039 at a heart rate of 180-190 beats/min. MAP measured by method B was consistently greater than MAP calculated by method A at all heart rates greater than resting heart rate (pequation (method A) to derive MAP during exercise (measured as the percentage difference between method A and B) increased linearly with heart rate (r=0.98). The standard MAP equation should not be applied during exercise, as it does not account for the change in the systolic: diastolic period ratio as heart rate increases.

  9. Chiropractic Adjustment

    Science.gov (United States)

    ... syndrome) A certain type of stroke (vertebral artery dissection) after neck manipulation Don't seek chiropractic adjustment ... Chiropractic treatment. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015. Shekelle P, et al. Spinal ...

  10. Indirect Sexism in Discourse

    Institute of Scientific and Technical Information of China (English)

    彭卓

    2008-01-01

    This thesis draws attention to one of the most vigorous debate in sociolinguistics,sexism in discourse,despite the chicken-and egg question whether it is our language shape sexism or sexism creates certain language.Unlike most researches conducted in sexism and language in the past,we challenge the traditional notion of linguistic sexism and direct our view to what we call "an indirect sexism" here.We then argue the difference between direct and indirect sexism and depict how such an undercurrent drives secretly and carefully in our daily discourse.

  11. Indirect airway challenges

    NARCIS (Netherlands)

    Joos, GF; O'Connor, B; Anderson, SD; Chung, F; Cockcroft, DW; Dahlen, B; DiMaria, G; Foresi, A; Hargreave, FE; Holgate, ST; Inman, M; Lotvall, J; Magnussen, H; Polosa, R; Postma, DS; Riedler, J

    2003-01-01

    Indirect challenges act by causing the release of endogenous mediators that cause the airway smooth muscle to contract. This is in contrast to the direct challenges where agonists such as methacholine or histamine cause airflow limitation predominantly via a direct effect on airway smooth muscle. Di

  12. Indirect resin composites

    Directory of Open Access Journals (Sweden)

    Nandini Suresh

    2010-01-01

    Full Text Available Aesthetic dentistry continues to evolve through innovations in bonding agents, restorative materials, and conservative preparation techniques. The use of direct composite restoration in posterior teeth is limited to relatively small cavities due to polymerization stresses. Indirect composites offer an esthetic alternative to ceramics for posterior teeth. This review article focuses on the material aspect of the newer generation of composites. This review was based on a PubMed database search which we limited to peer-reviewed articles in English that were published between 1990 and 2010 in dental journals. The key words used were ′indirect resin composites,′ composite inlays,′ and ′fiber-reinforced composites.′

  13. Indirect Control and Power

    Directory of Open Access Journals (Sweden)

    Cesarino Bertini

    2016-01-01

    Full Text Available To determine who has the power within a stock corporate company can be a quite complex problem, especially when control is achieved through alliances between shareholders. This problem arises especially in cases of indirect control of corporations, that is, in situations involving shareholders and companies with cross-shareholdings. The first to solve the problem of measuring power in the case of indirect share control were Gianfranco Gambarelli and Guillermo Owen in [10]. In the following years, numerous other models were introduced. In this paper, we critically examine the models of: Gambarelli and Owen, Denti and Prati, Crama and Leruth, Karos and Peters, as well as Mercik and Lobos, taking into account two well-known, illustrative examples, one with an acyclic corporate structure and the other with a cyclic structure. (original abstract

  14. Pedal indirect lymphangiography

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Kil Woo; Hong, Myung Sun; Kim, In Jae [College of Medicine, Hallym University, Seoul (Korea, Republic of)

    1994-04-15

    Recently, indirect lymphangiography has been developed as a relatively good and noninvasive imaging modality of the lymphatic system at extremities. But the disadvantage of the indirect lymphangiography is a low contrast ratio between the surrounding tissues and the contrast media in lymphatic vessels, because dimeric nonionic contrast media is water soluble and diluted in the proximal leg lymphatic vessels. We could have relatively better image than previously published images for the leg lymphatic system, when we injected contrast media with adequate high pressure in intradermal space of the interdigital areas at the foot dorsum. So, we would like to report the results. We could study all 9 lymphedemas(primary: 6, secondary: 3) from April 1990 to May 1993 on outpatient base. They were diagnosed as lymphedema clinically and radiologically. Ten ml of dimeric nonionic aget, iotrolan(Isovist 300) was injected into intradermal space with five 30-gauge needles. The injection speed was more than 0.2 ml/min. We have done one side pedal lymphangiogram in 30 minutes. The evaluation of the anterior superficial lymphatics was according to the criteria of the Weissleder. The results were as follows: 1. All lymphatic vessels from foot to inguinal area could be visualized. 2. Two or three inferior inguinal lymph nodes could be visualized about 42%. 3. The most common abnormal finding of the lymphedma was the neovascularization of the lymphatics on indirect pedal lymphangiogram. If we use adequate technique relatively high pressure injection, correct intradermal needle insertion, adequate soft tissue exposure technique indirect lymphangiography is considered to be a safe and noninvasive imaging modality for the evaluation of the lymphedema of lower extremity lymphatics including inferior inguinal lymph nodes.

  15. (abstract) A Comparison Between Measurements of the F-layer Critical Frequency and Values Derived from the PRISM Adjustment Algorithm Applied to Total Electron Content Data in the Equatorial Region

    Science.gov (United States)

    Mannucci, A. J.; Anderson, D. N.; Abdu, A. M.

    1994-01-01

    The Parametrized Real-Time Ionosphere Specification Model (PRISM) is a global ionospheric specification model that can incorporate real-time data to compute accurate electron density profiles. Time series of computed and measured data are compared in this paper. This comparison can be used to suggest methods of optimizing the PRISM adjustment algorithm for TEC data obtained at low altitudes.

  16. Salary adjustments

    CERN Multimedia

    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

  17. Salary adjustments

    CERN Multimedia

    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

  18. Practice-based randomized controlled-comparison clinical trial of chiropractic adjustments and brief massage treatment at sites of subluxation in subjects with essential hypertension: pilot study.

    Science.gov (United States)

    Plaugher, Gregory; Long, Cynthia R; Alcantara, Joel; Silveus, Alyssa D; Wood, Herbert; Lotun, Kapildeo; Menke, J Michael; Meeker, William C; Rowe, Stephen H

    2002-05-01

    To determine the feasibility of conducting a randomized clinical trial in the private practice setting examining short- and long-term effects of chiropractic adjustments for subjects with essential hypertension compared with a brief soft tissue massage, as well as a nontreatment control group. Randomized controlled-comparison trial with 3 parallel groups. Private practice outpatient chiropractic clinic. Twenty-three subjects, aged 24 to 50 years with systolic or diastolic essential hypertension. Two months of full-spine chiropractic care (ie, Gonstead) consisting primarily of specific-contact, short-lever-arm adjustments delivered at motion segments exhibiting signs of subluxation. The massage group had a brief effleurage procedure delivered at localized regions of the spine believed to be exhibiting signs of subluxation. The nontreatment control group rested alone for a period of approximately 5 minutes in an adjustment room. Cost per enrolled subject, as well as systolic and diastolic blood pressure (BP) measured with a random-0 sphygmomanometer and patient reported health status (SF-36). Pilot study outcome measures also included an assessment of cooperation of subjects to randomization procedures and drop-out rates, recruitment effectiveness, analysis of temporal stability of BPs at the beginning of care, and the effects of inclusion/exclusion criteria on the subject pool. Thirty subjects enrolled, yielding a cost of $161 per enrolled subject. One subject was later determined to be ineligible, and 6 others dropped out. In both the chiropractic and massage therapy groups, all subjects were classified as either overweight or obese; in the control group there were only 2 classified as such. SF-36 profiles for the groups were similar to that of a normal population. The mean change in diastolic BP was -4 (95% confidence interval [CI]: -8.6, 0.5) in the chiropractic care group, 0.5 (95% CI: -3.5, 4.5) in the brief massage treatment group, and -4.9 (95% CI: -9.7, -0

  19. The ability to identify the intraparotid facial nerve for locating parotid gland lesions in comparison to other indirect landmark methods: evaluation by 3.0 T MR imaging with surface coils

    Energy Technology Data Exchange (ETDEWEB)

    Ishibashi, Mana; Fujii, Shinya; Nishihara, Keisuke; Matsusue, Eiji; Kodani, Kazuhiko; Kaminou, Toshio; Ogawa, Toshihide [Tottori University, Division of Radiology, Department of Pathophysiological and Therapeutic Science, Faculty of Medicine, Tottori (Japan); Kawamoto, Katsuyuki [Tottori University, Division of Otolaryngology, Head and Neck Surgery, Department of Medicine of Sensory and Motor Organs, Faculty of Medicine, Tottori (Japan)

    2010-11-15

    It is important to know whether a parotid gland lesion is in the superficial or deep lobe for preoperative planning. We aimed to investigate the ability of 3.0 T magnetic resonance (MR) imaging with surface coils to identify the intraparotid facial nerve and locate parotid gland lesions, in comparison to other indirect landmark methods. We retrospectively evaluated 50 consecutive patients with primary parotid gland lesions. The position of the facial nerve was determined by tracing the nerve in the stylomastoid foramen and then following it on sequential MR sections through the parotid gland. The retromandibular vein and the facial nerve line (FN line) were also identified. For each radiologist and each method, we determined the diagnostic ability for deep lobe lesions and superficial lobe lesions, as well as accuracy. These abilities were compared among the three methods using the Chi-square test with Yates' correction. Mean diagnostic ability for deep lobe lesions, the diagnostic ability for superficial lobe lesions, and accuracy were 92%, 86%, 87%, respectively, for the direct identification method; 67%, 89%, 86%, respectively, for the retromandibular vein method; and 25%, 99%, 90%, respectively, for the FN line method. The direct identification method had significantly higher diagnostic ability for deep lesions than the FN line method (P < 0.01), but significantly lower diagnostic ability for superficial lobe lesions than the FN line method (P < 0.01). Direct identification of the intraparotid facial nerve enables parotid gland lesions to be correctly located, particularly those in the deep lobes. (orig.)

  20. Indirect radioimmunoassay for interferon

    Energy Technology Data Exchange (ETDEWEB)

    Lyons, S.F.; Schoub, B.D. (University of the Witwatersrand, Johannesburg (South Africa). Dept. of Virology); Chiu, M.N.; Crespi, M. (National Institute for Virology, Johannesburg (South Africa))

    1982-10-01

    An indirect radioimmunoassay for testing the antiviral activity of interferon (IFN) is described. Vero cells are seeded in microtitre plates, treated with appropriate dilutions of interferon and challenged with Sindbis virus. Viral yield is measured using specific antibody and radiolabelled protein A. The assay is able to detect IFN levels of 5 international units (I.U.)/ml, has a high degree of reproducibility, and could be easily adapted to various cell and virus combinations. This microsystem is technically simple, allows testing of small volumes of test material, and eliminates subjectivity in reading of endpoints.

  1. Bioechnology of indirect liquefaction

    Energy Technology Data Exchange (ETDEWEB)

    Datta, R.; Jain, M.K.; Worden, R.M.; Grethlein, A.J.; Soni, B.; Zeikus, J.G.; Grethlein, H.

    1990-05-07

    The project on biotechnology of indirect liquefaction was focused on conversion of coal derived synthesis gas to liquid fuels using a two-stage, acidogenic and solventogenic, anaerobic bioconversion process. The acidogenic fermentation used a novel and versatile organism, Butyribacterium methylotrophicum, which was fully capable of using CO as the sole carbon and energy source for organic acid production. In extended batch CO fermentations the organism was induced to produce butyrate at the expense of acetate at low pH values. Long-term, steady-state operation was achieved during continuous CO fermentations with this organism, and at low pH values (a pH of 6.0 or less) minor amounts of butanol and ethanol were produced. During continuous, steady-state fermentations of CO with cell recycle, concentrations of mixed acids and alcohols were achieved (approximately 12 g/l and 2 g/l, respectively) which are high enough for efficient conversion in stage two of the indirect liquefaction process. The metabolic pathway to produce 4-carbon alcohols from CO was a novel discovery and is believed to be unique to our CO strain of B. methylotrophicum. In the solventogenic phase, the parent strain ATCC 4259 of Clostridium acetobutylicum was mutagenized using nitrosoguanidine and ethyl methane sulfonate. The E-604 mutant strain of Clostridium acetobutylicum showed improved characteristics as compared to parent strain ATCC 4259 in batch fermentation of carbohydrates.

  2. 谈施工阶段进度计划的对比与调整%Comparison and Adjustment of Progress Schedules in Construction Stage

    Institute of Scientific and Technical Information of China (English)

    郝国鹏; 吴文平

    2011-01-01

    In a project construction,the construction schedule control is one of the three control objectives of an engineering construction as quality control and cost control.Under the condition of ensuring the project safety and quality,to expedite the construction schedule in order to make the project be completed and used ahead of time,and play a role in engineering functions and investment benefits as early as possible,is the common aspiration of all construction organizations.Because the construction stage has an important factor affecting on the construction schedule,the factors that affect the construction schedule are discussed here firstly.Then the comparison of actual progress and scheduled progress in construction stage and the adjustment method of progress schedule are also introduced emphatically and by combining with practical cases.%工程建设进度控制是工程项目建设中与质量控制、成本控制并列为工程建设控制的三大目标之一。在保证工程安全、质量的前提下,加快施工进度使得工程早竣工、早使用,尽早发挥工程使用功能和投资效益,是所有施工单位的共同愿望。施工阶段对工程进度的影响十分重要,本文从影响施工进度的因素谈起,着重介绍了施工阶段实际进度与计划进度的对比与进度计划的调整方法,并结合实际案例进行了探讨。

  3. Direct and indirect methods for the quantification of leg volume: Comparison between water displacement volumetry, the disk model method and the frustum sign model method, using the correlation coefficient and the limits of agreement

    NARCIS (Netherlands)

    D.M.K.S. Kaulesar Sukul (D. M K S); P.Th. den Hoed (Pieter); T. Johannes (Tanja); R. van Dolder (R.); E. Benda (Eric)

    1993-01-01

    textabstractVolume changes can be measured either directly by water-displacement volumetry or by various indirect methods in which calculation of the volume is based on circumference measurements. The aim of the present study was to determine the most appropriate indirect method for lower leg volume

  4. Direct and indirect methods for the quantification of leg volume: Comparison between water displacement volumetry, the disk model method and the frustum sign model method, using the correlation coefficient and the limits of agreement

    NARCIS (Netherlands)

    D.M.K.S. Kaulesar Sukul (D. M K S); P.Th. den Hoed (Pieter); T. Johannes (Tanja); R. van Dolder (R.); E. Benda (Eric)

    1993-01-01

    textabstractVolume changes can be measured either directly by water-displacement volumetry or by various indirect methods in which calculation of the volume is based on circumference measurements. The aim of the present study was to determine the most appropriate indirect method for lower leg volume

  5. The Adjustment Problems Faced by International Students in the United States: A Comparison of International Students and Administrative Perceptions at Two Private, Religiously Affiliated Universities

    Science.gov (United States)

    Galloway, Fred J.; Jenkins, John R.

    2005-01-01

    International students and the faculty and administrators charged with their oversight were surveyed at two religiously affiliated, private universities to determine the extent of their adjustment problems in the United States. Although the international students were found to have only minor adjustment problems in the twelve areas covered by the…

  6. Quality-Adjusted Life Expectancies in Patients with Rheumatoid Arthritis-Comparison of Index Scores from EQ-5D, 15D, and SF-6D

    DEFF Research Database (Denmark)

    Sørensen, Jan; Linde, Louise; Østergaard, Mikkel;

    2012-01-01

    The aim of this study was to compare quality-adjusted life expectancy (QALE) for patients with rheumatoid arthritis generated from three generic health-related quality-of-life instruments.......The aim of this study was to compare quality-adjusted life expectancy (QALE) for patients with rheumatoid arthritis generated from three generic health-related quality-of-life instruments....

  7. Age and gender adjusted comparison of clinical features between severe cases infected with H7N9 and H1N1pdm influenza A in Jiangsu Province, China.

    Directory of Open Access Journals (Sweden)

    Xiang Huo

    Full Text Available Influenza H7N9 and H1N1pdm can cause severe human infections. It is important to investigate the distinguishing clinical features between these two diseases. Several studies have compared the differences in general, however, age and gender adjusted comparisons may be more useful and informative to the health professionals.A total of 184 severe H1N1pdm patients and 37 severe H7N9 patients from Jiangsu Province were included in this analysis to perform age and gender adjusted comparison of clinical features.After adjusting age and gender, no significant differences in chronic medical conditions or treatment were found between severely ill patients with H7N9 and H1N1pdm. Severely ill patients with H7N9 had significantly longer interval from onset of illness to neuraminidase inhibitor treatment and to death. They were more likely to have complications such as acute respiratory distress syndrome (ARDS, liver and renal dysfunctions, and had a significantly higher risk of death.Our results suggests that age and gender should be adjusted as important confounding factors when comparing the clinical features between severe H7N9 and H1N1pdm patients to avoid any misunderstanding regarding the differences between these two diseases particularly in terms of clinical severity and prognosis.

  8. The Adjustment Problems Faced by International and Overseas Chinese Students Studying in Taiwan Universities: A Comparison of Student and Faculty/Staff Perceptions

    Science.gov (United States)

    Jenkins, John R.; Galloway, Fred

    2009-01-01

    Over the last 15 years the number of international students studying at universities in Taiwan has increased dramatically; however, to date, there have been few studies that measured the cultural adjustment problems that this diverse group of students experience. To remedy this problem, this study gathered data from 1,174 international students…

  9. The Adjustment Problems Faced by International and Overseas Chinese Students Studying in Taiwan Universities: A Comparison of Student and Faculty/Staff Perceptions

    Science.gov (United States)

    Jenkins, John R.; Galloway, Fred

    2009-01-01

    Over the last 15 years the number of international students studying at universities in Taiwan has increased dramatically; however, to date, there have been few studies that measured the cultural adjustment problems that this diverse group of students experience. To remedy this problem, this study gathered data from 1,174 international students…

  10. Comparison of (semi-)automatic and manually adjusted measurements of left ventricular function in dual source computed tomography using three different software tools

    NARCIS (Netherlands)

    de Jonge, G. J.; van Ooijen, P. M. A.; Overbosch, J.; Litcheva Gueorguieva, A.; Janssen-van der Weide, M. C.; Oudkerk, M.

    To assess the accuracy of (semi-)automatic measurements of left ventricular (LV) functional parameters in cardiac dual-source computed tomography (DSCT) compared to manually adjusted measurements in three different workstations. Forty patients, who underwent cardiac DSCT, were included (31 men, mean

  11. A simplified indirect bonding technique

    Directory of Open Access Journals (Sweden)

    Radha Katiyar

    2014-01-01

    Full Text Available With the advent of lingual orthodontics, indirect bonding technique has become an integral part of practice. It involves placement of brackets initially on the models and then their transfer to teeth with the help of transfer trays. Problems encountered with current indirect bonding techniques used are (1 the possibility of adhesive flash remaining around the base of the brackets which requires removal (2 longer time required for the adhesive to gain enough bond strength for secure tray removal. The new simplified indirect bonding technique presented here overcomes both these problems.

  12. Direct vs. Indirect Moral Enhancement.

    Science.gov (United States)

    Schaefer, G Owen

    2015-09-01

    Moral enhancement is an ostensibly laudable project. Who wouldn't want people to become more moral? Still, the project's approach is crucial. We can distinguish between two approaches for moral enhancement: direct and indirect. Direct moral enhancements aim at bringing about particular ideas, motives or behaviors. Indirect moral enhancements, by contrast, aim at making people more reliably produce the morally correct ideas, motives or behaviors without committing to the content of those ideas, motives and/or actions. I will argue, on Millian grounds, that the value of disagreement puts serious pressure on proposals for relatively widespread direct moral enhancement. A more acceptable path would be to focus instead on indirect moral enhancements while staying neutral, for the most part, on a wide range of substantive moral claims. I will outline what such indirect moral enhancement might look like, and why we should expect it to lead to general moral improvement.

  13. Ecology: Dynamics of Indirect Extinction.

    Science.gov (United States)

    Montoya, Jose M

    2015-12-01

    The experimental identification of the mechanism by which extinctions of predators trigger further predator extinctions emphasizes the role of indirect effects between species in disturbed ecosystems. It also has deep consequences for the hidden magnitude of the current biodiversity crisis.

  14. COMPARISON OF HEART RATE VARIABILITY ADJUSTED FOR AGE AND HEART RATE IN WOMEN WITH RHEUMATOID ARTHRITIS AND WOMEN WITHOUT RHEUMATIC DISEASES

    Directory of Open Access Journals (Sweden)

    D. S. Novikova

    2015-09-01

    Full Text Available Aim. To compare the 24-hour indicators of heart rate variability (HRV, adjusted for age and 24-hour average heart rate (HR24 in women with rheumatoid arthritis (RA and women of the control group.Material and methods. Women with RA (n=291 at the age of 20-60 were examined. Women without rheumatic diseases (n=125 were included into control group. The presence of traditional cardiovascular risk factors, the results of 24-hour ECG monitoring were assessed in addition to clinical symptoms, RA activity and severity. Transformation of the initial HRV parameters in their logarithms, and the standardization of the logarithms of age and HR24, the calculation of the exponential of the standardized logarithm were performed to remove the effects of age and heart rate on HRV.Results. Time and frequency HRV indices, adjusted for age and HP24 (HRVa in women with RA were lower than these in women of control group. HRVa decline was observed in 14–24% of women with RA. The maximum HRVa decrease was observed among the parameters that reflect an activity of parasympathetic autonomic nervous system (RMSSDn, pNN50n, HFn.Conclusion. The young and middle age women with RA differ from the women of the control group in significant decrease in the time and spectral HRV indices adjusted for age and HR24.

  15. COMPARISON OF HEART RATE VARIABILITY ADJUSTED FOR AGE AND HEART RATE IN WOMEN WITH RHEUMATOID ARTHRITIS AND WOMEN WITHOUT RHEUMATIC DISEASES

    Directory of Open Access Journals (Sweden)

    D. S. Novikova

    2013-01-01

    Full Text Available Aim. To compare the 24-hour indicators of heart rate variability (HRV, adjusted for age and 24-hour average heart rate (HR24 in women with rheumatoid arthritis (RA and women of the control group.Material and methods. Women with RA (n=291 at the age of 20-60 were examined. Women without rheumatic diseases (n=125 were included into control group. The presence of traditional cardiovascular risk factors, the results of 24-hour ECG monitoring were assessed in addition to clinical symptoms, RA activity and severity. Transformation of the initial HRV parameters in their logarithms, and the standardization of the logarithms of age and HR24, the calculation of the exponential of the standardized logarithm were performed to remove the effects of age and heart rate on HRV.Results. Time and frequency HRV indices, adjusted for age and HP24 (HRVa in women with RA were lower than these in women of control group. HRVa decline was observed in 14–24% of women with RA. The maximum HRVa decrease was observed among the parameters that reflect an activity of parasympathetic autonomic nervous system (RMSSDn, pNN50n, HFn.Conclusion. The young and middle age women with RA differ from the women of the control group in significant decrease in the time and spectral HRV indices adjusted for age and HR24.

  16. The logic of indirect speech.

    Science.gov (United States)

    Pinker, Steven; Nowak, Martin A; Lee, James J

    2008-01-22

    When people speak, they often insinuate their intent indirectly rather than stating it as a bald proposition. Examples include sexual come-ons, veiled threats, polite requests, and concealed bribes. We propose a three-part theory of indirect speech, based on the idea that human communication involves a mixture of cooperation and conflict. First, indirect requests allow for plausible deniability, in which a cooperative listener can accept the request, but an uncooperative one cannot react adversarially to it. This intuition is supported by a game-theoretic model that predicts the costs and benefits to a speaker of direct and indirect requests. Second, language has two functions: to convey information and to negotiate the type of relationship holding between speaker and hearer (in particular, dominance, communality, or reciprocity). The emotional costs of a mismatch in the assumed relationship type can create a need for plausible deniability and, thereby, select for indirectness even when there are no tangible costs. Third, people perceive language as a digital medium, which allows a sentence to generate common knowledge, to propagate a message with high fidelity, and to serve as a reference point in coordination games. This feature makes an indirect request qualitatively different from a direct one even when the speaker and listener can infer each other's intentions with high confidence.

  17. The logic of indirect speech

    Science.gov (United States)

    Pinker, Steven; Nowak, Martin A.; Lee, James J.

    2008-01-01

    When people speak, they often insinuate their intent indirectly rather than stating it as a bald proposition. Examples include sexual come-ons, veiled threats, polite requests, and concealed bribes. We propose a three-part theory of indirect speech, based on the idea that human communication involves a mixture of cooperation and conflict. First, indirect requests allow for plausible deniability, in which a cooperative listener can accept the request, but an uncooperative one cannot react adversarially to it. This intuition is supported by a game-theoretic model that predicts the costs and benefits to a speaker of direct and indirect requests. Second, language has two functions: to convey information and to negotiate the type of relationship holding between speaker and hearer (in particular, dominance, communality, or reciprocity). The emotional costs of a mismatch in the assumed relationship type can create a need for plausible deniability and, thereby, select for indirectness even when there are no tangible costs. Third, people perceive language as a digital medium, which allows a sentence to generate common knowledge, to propagate a message with high fidelity, and to serve as a reference point in coordination games. This feature makes an indirect request qualitatively different from a direct one even when the speaker and listener can infer each other's intentions with high confidence. PMID:18199841

  18. Adjusted indices of multiple deprivation to enable comparisons within and between constituent countries of the UK including an illustration using mortality rates.

    Science.gov (United States)

    Abel, Gary A; Barclay, Matthew E; Payne, Rupert A

    2016-11-15

    Social determinants can have a major impact on health and as a consequence substantial inequalities are seen between and within countries. The study of inequalities between countries relies on having accurate and consistent measures of deprivation across the country borders. However, in the UK most socioeconomic deprivation measures are not comparable between countries. We give a method of adjusting the Indices of Multiple Deprivation (IMD) for use across the UK, describe the deprivation of each UK country, and show the problems introduced by naïvely using country-specific deprivation measures in a UK-wide analysis of mortality rates. 42 148 geographic areas covering the population of the UK. Adjusted IMD scores based on the income and employment domains of country-specific IMD scores, adjusting for the contribution of other domains. The mortality rate among people aged under 75 years standardised to the UK age structure was compared between country-specific and UK-adjusted IMD quintiles. Of the constituent countries of the UK, Northern Ireland was the most deprived with 37% of the population living in areas in the most deprived fifth of the UK, followed by Wales with 22% of the population living in the most deprived fifth of the UK. England and Scotland had similar levels of deprivation. Deprivation-specific mortality rates were similar in England and Wales. Northern Ireland had lower mortality rates than England for each deprivation group, with similar differences for each group. Scotland had higher mortality rates than England for each deprivation group, with larger differences for more deprived groups. Analyses of between-country and within-country inequalities by socioeconomic position should use consistent measures; failing to use consistent measures may give misleading results. The published adjusted IMD scores we describe allow consistent analysis across the UK. Published by the BMJ Publishing Group Limited. For permission to use (where not already

  19. Sibling Comparison of Differential Parental Treatment in Adolescence: Gender, Self-Esteem, and Emotionality as Mediators of the Parenting-Adjustment Association.

    Science.gov (United States)

    Feinberg, Mark E.; Neiderhiser, Jenae M.; Simmens, Sam; Reiss, David; Hetherington, E. Mavis

    2000-01-01

    Compared adolescent siblings' evaluations of parental treatment. Found support for a moderating effect for self-esteem and emotionality but not gender. Evidence of the "sibling barricade" effect was limited and interpreted as reflecting a sibling comparison process. For older siblings, emotionality and self-esteem moderated the sibling barricade…

  20. Social and emotional adjustment following early pregnancy in young Australian women: a comparison of those who terminate, miscarry, or complete pregnancy.

    Science.gov (United States)

    Olsson, Craig A; Horwill, Emily; Moore, Elya; Eisenberg, Marla E; Venn, Alison; O'Loughlin, Christina; Patton, George C

    2014-06-01

    To compare social and emotional adjustment including educational attainment and substance use in women who had a child, pregnancy termination, or miscarriage by young adulthood. Data were from a population-based longitudinal study of the health and well-being of 1,943 young Australians (Victorian Adolescent Health Cohort Study) followed from 15 to 24 years of age. The sample was restricted to female participants and based on pregnancies reported by age 24 years. Analyses were adjusted for early teenage depressive symptoms, cigarette smoking, alcohol use, cannabis use, and parent socioeconomic context. A total of 208 pregnancies (in 170 women) were reported from a sample of 824 young women by 24 years of age. Compared with those who had never been pregnant, those who had a child had lower tertiary education completion and a higher risk of nicotine dependence; those who terminated a pregnancy were more commonly single and had a higher risk of smoking and alcohol use as well as nicotine and alcohol dependence; and those who had a miscarriage had a higher risk of depressive symptomatology and binge drinking as well as nicotine and cannabis dependence. Young women who have been pregnant by their mid-twenties report a range of difficulties in social and emotional adjustment that vary across the different pregnancy outcomes. Broad-based psychosocial health care is essential not only for young women whose pregnancies proceed to live birth, but also for those whose pregnancies end with miscarriage or induced abortion. Copyright © 2014 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  1. A Comparison Between Impedance Measured by a Commercial Analyzer and your Value Adjusted by a Theoretical Model in Body Composition Evaluation

    Science.gov (United States)

    2007-11-02

    equipment with tetrapolar array set of electrodes is used to realize the bioimpedance measurement . The aim of the present work is to show that the... bioimpedance measured is normally sub-estimated and to develop a correction factor to such values. The comparison between the original bioimpedance ...conducted on 10 male subjects. Besides the bioimpedance analysis, anthropometric measures consisting of height, weight and skinfold-thickness were also

  2. Comparison of the performance of the CMS Hierarchical Condition Category (CMS-HCC risk adjuster with the charlson and elixhauser comorbidity measures in predicting mortality

    Directory of Open Access Journals (Sweden)

    Li Pengxiang

    2010-08-01

    Full Text Available Abstract Background The Centers for Medicare and Medicaid Services (CMS has implemented the CMS-Hierarchical Condition Category (CMS-HCC model to risk adjust Medicare capitation payments. This study intends to assess the performance of the CMS-HCC risk adjustment method and to compare it to the Charlson and Elixhauser comorbidity measures in predicting in-hospital and six-month mortality in Medicare beneficiaries. Methods The study used the 2005-2006 Chronic Condition Data Warehouse (CCW 5% Medicare files. The primary study sample included all community-dwelling fee-for-service Medicare beneficiaries with a hospital admission between January 1st, 2006 and June 30th, 2006. Additionally, four disease-specific samples consisting of subgroups of patients with principal diagnoses of congestive heart failure (CHF, stroke, diabetes mellitus (DM, and acute myocardial infarction (AMI were also selected. Four analytic files were generated for each sample by extracting inpatient and/or outpatient claims for each patient. Logistic regressions were used to compare the methods. Model performance was assessed using the c-statistic, the Akaike's information criterion (AIC, the Bayesian information criterion (BIC and their 95% confidence intervals estimated using bootstrapping. Results The CMS-HCC had statistically significant higher c-statistic and lower AIC and BIC values than the Charlson and Elixhauser methods in predicting in-hospital and six-month mortality across all samples in analytic files that included claims from the index hospitalization. Exclusion of claims for the index hospitalization generally led to drops in model performance across all methods with the highest drops for the CMS-HCC method. However, the CMS-HCC still performed as well or better than the other two methods. Conclusions The CMS-HCC method demonstrated better performance relative to the Charlson and Elixhauser methods in predicting in-hospital and six-month mortality. The CMS

  3. Comparison of Memory Function and MMPI-2 Profile between Post-traumatic Stress Disorder and Adjustment Disorder after a Traffic Accident.

    Science.gov (United States)

    Bae, Sung-Man; Hyun, Myoung-Ho; Lee, Seung-Hwan

    2014-04-01

    Differential diagnosis between post-traumatic stress disorder (PTSD) and adjustment disorder (AD) is rather difficult, but very important to the assignment of appropriate treatment and prognosis. This study investigated methods to differentiate PTSD and AD. Twenty-five people with PTSD and 24 people with AD were recruited. Memory tests, the Minnesota Multiphasic Personality Inventory 2 (MMPI-2), and Beck's Depression Inventory were administered. There were significant decreases in immediate verbal recall and delayed verbal recognition in the participants with PTSD. The reduced memory functions of participants with PTSD were significantly influenced by depressive symptoms. Hypochondriasis, hysteria, psychopathic deviate, paranoia, schizophrenia, post-traumatic stress disorder scale of MMPI-2 classified significantly PTSD and AD group. Our results suggest that verbal memory assessments and the MMPI-2 could be useful for discriminating between PTSD and AD.

  4. The Indirect Costs of Financial Distress in Indonesia

    Directory of Open Access Journals (Sweden)

    Wijantini Wijantini

    2007-06-01

    Full Text Available This paper presents quantitative estimates of the indirect cost of financial distress and its determinants. In order to measure the cost, this study estimates the annualized changes in industry-adjusted operation profit and sales from a year before the onset of distress to the resolution year. Using those approaches, the median of indirect financial distress cost is estimated between three and 11 percent annually. To the extent that the direct cost of financial distress reduces reported operating income, the estimated costs are overstated. The simple regressions analysis suggest that the indirect cost of financial distress significantly increases with size, leverage, number of creditors, and poor industry performance, but is not related to degree of bank loan reliance. The findings provide a weak support for the financial distress theory which suggests that conflicts of interest render the costs of financial distress.

  5. Macroeconomic shocks and firms' labor adjustment

    DEFF Research Database (Denmark)

    Eriksson, Tor

    2013-01-01

    , but a brief discussion of cross-country differences and similarities in firmlevel labor adjustment is also provided. For Denmark, remarkable long-term stability in firms’ labor adjustment technologies is observed and the cross-country comparisons reveal striking similarities between countries with very...... diverse labor market institutions....

  6. Indirect methods in nuclear astrophysics

    CERN Document Server

    Bertulani, C A; Mukhamedzhanov, A; Kadyrov, A S; Kruppa, A; Pang, D Y

    2015-01-01

    We discuss recent developments in indirect methods used in nuclear astrophysics to determine the capture cross sections and subsequent rates of various stellar burning processes, when it is difficult to perform the corresponding direct measurements. We discuss in brief, the basic concepts of Asymptotic Normalization Coefficients, the Trojan Horse Method, the Coulomb Dissociation Method, (d,p), and charge-exchange reactions.

  7. Indirect bonding technique in orthodontics

    Directory of Open Access Journals (Sweden)

    Kübra Yıldırım

    2016-08-01

    Full Text Available ‘Direct Bonding Technique’ which allows the fixed orthodontic appliances to be directly bonded to teeth without using bands decreased the clinic time for bracket bonding and increased esthetics and oral hygiene during orthodontic treatment. However, mistakes in bracket positioning were observed due to decreased direct visual sight and access to posterior teeth. ‘Indirect Bonding Technique’ was developed for eliminating these problems. Initially, decreased bond strength, higher bond failure rate, periodontal tissue irritation, compromised oral hygiene and increased laboratory time were the main disadvantages of this technique when compared to direct bonding. The newly developed materials and modified techniques help to eliminate these negative consequences. Today, the brackets bonded with indirect technique have similar bond strength with brackets bonded directly. Moreover, indirect and direct bonding techniques have similar effects on periodontal tissues. However, indirect bonding technique requires more attention and precision in laboratory and clinical stage, and has higher cost. Orthodontist's preference between these two bonding techniques may differ according to time spent in laboratory and clinic, cost, patient comfort and personal opinion.

  8. 19 CFR 10.776 - Indirect materials.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Indirect materials. 10.776 Section 10.776 Customs... Rules of Origin § 10.776 Indirect materials. Indirect materials are to be disregarded in determining..., except that the cost of such indirect materials may be included in meeting the value-content requirement...

  9. 19 CFR 10.816 - Indirect materials.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Indirect materials. 10.816 Section 10.816 Customs... Rules of Origin § 10.816 Indirect materials. Indirect materials are to be disregarded in determining..., except that the cost of such indirect materials may be included in meeting the value-content requirement...

  10. Comparing historical and modern methods of Sea Surface Temperature measurement – Part 1: Review of methods, field comparisons and dataset adjustments

    Directory of Open Access Journals (Sweden)

    J. B. R. Matthews

    2012-09-01

    Full Text Available Sea Surface Temperature (SST measurements have been obtained from a variety of different platforms, instruments and depths over the post-industrial period. Today most measurements come from ships, moored and drifting buoys and satellites. Shipboard methods include temperature measurement of seawater sampled by bucket and in engine cooling water intakes. Engine intake temperatures are generally thought to average a few tenths of a °C warmer than simultaneous bucket temperatures. Here I review SST measurement methods, studies comparing shipboard methods by field experiment and adjustments applied to SST datasets to account for variable methods. In opposition to contemporary thinking, I find average bucket-intake temperature differences reported from field studies inconclusive. Non-zero average differences often have associated standard deviations that are several times larger than the averages themselves. Further, average differences have been found to vary widely between ships and between cruises on the same ship. The cause of non-zero average differences is typically unclear given the general absence of additional temperature observations to those from buckets and engine intakes. Shipboard measurements appear of variable quality, highly dependent upon the accuracy and precision of the thermometer used and the care of the observer where manually read. Methods are generally poorly documented, with written instructions not necessarily reflecting actual practices of merchant mariners. Measurements cannot be expected to be of high quality where obtained by untrained sailors using thermometers of low accuracy and precision.

  11. A comparison of knee-ankle-foot orthoses with either metal struts or an adjustable posterior strut in hemiplegic stroke patients.

    Science.gov (United States)

    Maeshima, Shinichiro; Okazaki, Hideto; Okamoto, Sayaka; Mizuno, Shiho; Asano, Naoki; Maeda, Hirofumi; Masaki, Mitsuko; Matsuo, Hiroshi; Tsunoda, Tetsuya; Sonoda, Shigeru

    2015-06-01

    We investigated differences in factors affecting judgments regarding the creation of new adjustable posterior strut knee-ankle-foot orthoses (APS-KAFO) and knee-ankle-foot orthoses with metal struts (traditional KAFO) for hemiplegic stroke patients for whom KAFO were created in rehabilitation wards. Subjects were 50 patients with hemiplegia due to new-onset stroke (cerebral infarction: n = 25, cerebral hemorrhage: n = 25) who were prescribed KAFO. Patient ages ranged from 36 to 90 years, and the mean duration from stroke onset to hospitalization was 28.8 ± 13.8 days. Neurologic symptoms, cognitive function, activities of daily living, duration from hospitalization to orthosis creation, hospitalization duration, walking ability at discharge, outcome after discharge, and so forth were compared. Fourteen patients were prescribed APS-KAFO, and 36 were prescribed traditional KAFO. Those prescribed APS-KAFO had somewhat milder neurologic symptoms and cognitive dysfunction and a shorter hospitalization duration than those prescribed traditional KAFO. Patients prescribed APS-KAFO also had a higher score and efficiency on functional independence measure at admission and discharge. Walking independence at discharge was seen in 8 of the 14 patients for whom APS-KAFO were created and 8 of the 36 patients for whom traditional KAFO were created. APS-KAFO was chosen for patients with a high level of activity in the ward and with a higher likelihood of acquiring walking ability using APS-AFO at discharge, whereas traditional KAFO tended to be chosen for patients with relatively severe symptoms who were not expected to acquire practical walking ability. Copyright © 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  12. Comparison of calcium hydroxide removal by self-adjusting file, EndoVac, and CanalBrush agitation techniques: An in vitro study

    Directory of Open Access Journals (Sweden)

    Sevinç Aktemur Türker

    2013-01-01

    Full Text Available Objectives: This study comparatively evaluated the efficacy of self-adjusting file (SAF, Endovac, and CanalBrush irrigant agitation protocols in removing calcium hydroxide (Ca(OH 2 from the root canals. Materials and Methods: Sixty extracted human mandibular canine teeth were instrumented with ProTaper rotary instruments to size #40 and dressed with Ca(OH 2 . The roots were randomly assigned to four groups according to irrigant agitation protocol used (n = 15. In Group 1: Conventional syringe irrigation (no activation, control; Group 2: Rotary brush agitation (CanalBrush; Group 3: Apical negative pressure irrigation (EndoVac system; and Group 4: Sonic agitation (SAF were used. Scanning electron microscopic (SEM evaluation was done for assessment of Ca(OH 2 removal in the coronal and apical thirds. Statistical analysis was performed by Wilcoxon and Kruskal-Wallis tests. Results: There were statistically significant differences among the groups (P = 0.218. A statistically significant difference was seen between the test groups in Ca(OH 2 removal from the apical third of the canal (P 0.05. The most efficient Ca(OH 2 removal in apical third was recorded in Group 3 (EndoVac and Group 4 (SAF (P < 0.05. In Group 4 (sonic agitation, there was no significantly difference between Ca(OH 2 removal in coronal and apical thirds. Conclusions: SAF and EndoVac showed significantly better performance than CanalBrush and conventional syringe irrigation in removing Ca(OH 2 from apical third of the root canals.

  13. 直接树脂修复与间接树脂嵌体的临床应用比较%Clinical comparison on restoring posterior teeth with composite resin fillings and indirect resin inlays

    Institute of Scientific and Technical Information of China (English)

    洪席超; 文静; 于世德

    2012-01-01

    Objective To evaluate the clinical performance of resin fillings and inlays in restoring the posterior teeth.Methods 46 posterior teeth were filled with composite resin directly and 50 posterior teeth were restored with indirect resin inlays.Each restoration was evaluated at baseline,after 1 year and 2 years,according to the modified USPHS criteria.Results There was significant difference in marginal discoloration,marginal integrity,secondary carries and wear-resistance between these two groups (P<0.05).The achievement ratio of direct resin fillings was 72.2% and the achievement ratio of indirect resin inlays was 91.3% Conclusion Indirect resin inlays can be suitable for restorations of posterior teeth with more physical property,with less irritation or microleakage.%目的 比较复合树脂及树脂嵌体用于修复后牙缺损的临床治疗效果.方法 选择82例患者,共96颗后牙,临床完成直接树脂修复46个,树脂嵌体50个,术后即刻、1年及2年,参考改良USPHS标准,观察其临床效果.结果 直接树脂修复和间接树脂嵌体修复在边缘着色、边缘密合、继发龋、耐磨性等方面差异有显著性(P<0.05),直接树脂修复成功率为72.2%(26/36),间接树脂嵌体成功率为91.3%(42/ 46).结论 树脂嵌体具有更好的边缘密合性、抗磨损和抗折裂能力,同时对牙髓的刺激更小.

  14. INDIRECT ACCELERATED ADAPTIVE FUZZY CONTROLLER

    Institute of Scientific and Technical Information of China (English)

    ZHU Liye; FANG Yuan; ZHANG Weidong

    2008-01-01

    According to a type of normal nonlinear system, an indirect adaptive fuzzy (IAF) controller has been applied to those systems where no accurate mathematical models of the systems under control are available. To satisfy with system performance, an indirect accelerated adaptive fuzzy (IAAF) controller is proposed, and its general form is presented. The general form IAAF controller ensures necessary control criteria and system's global stability using Lyapunov Theorem. It has been proved that the close-loop system error converges to a small neighborhood of equilibrium point. The optimal IAAF controller is derived to guarantee the process's shortest settling time. Simulation results indicate the IAAF controller make the system more stable, accurate, and fast.

  15. Indirect reciprocity with trinary reputations

    CERN Document Server

    Tanabe, Shoma; Masuda, Naoki

    2012-01-01

    Indirect reciprocity is a reputation-based mechanism for cooperation in social dilemma situations when individuals do not repeatedly meet. The conditions under which cooperation based on indirect reciprocity occurs has been examined in great details. Previous theoretical analysis assumed for mathematical tractability that an individual possesses a binary reputation value, i.e., good or bad, which depends on their past actions and other factors. However, in real situations, reputations of individuals may be multiple valued. Another puzzling discrepancy between the theory and experiments is the status of the so-called image scoring, in which cooperation and defection are judged to be good and bad, respectively, independent of other factors. Such an assessment rule is found in behavioral experiments, whereas it is known to be unstable in theory. In the present study, we fill both gaps by theoretical analysis of a trinary reputation model. By an exhaustive search, we identify all the cooperative and stable equili...

  16. The calculation of language lateralization indices in post-stroke aphasia: A comparison of a standard and a lesion-adjusted formula

    Directory of Open Access Journals (Sweden)

    Aimee Dietz

    2016-10-01

    Full Text Available Background: The language lateralization index (LI is a valuable tool in functional magnetic resonance imaging (fMRI research, especially in people with post-stroke aphasia. However, there is inconsistent consideration for the overlap of lesions with regions of interest (ROIs. The purpose of this study was to determine whether standard LI (SLI and lesion-adjusted LI (LALI formulae generate different LI values and language lateralization classification for people with post-stroke chronic aphasia.Methods: SLI and LALI were calculated for an event-related (overt verb generation task in an anterior and a posterior language regions of interest (ROI. Twelve people with aphasia due to a single left-hemispheric infarct (11 right-handed; 1 left-handed; 77.2 ± 41.7 months post-stroke were included (8 females; 57 ± 8.88 years. Spearman correlation coefficients and intraclass correlation coefficients (ICC were calculated to determine the relationship of the LI values generated by the SLI and the LALI formulas. Fischer’s exact test and a weighted Cohen’s Kappa determined the difference in language lateralization classification and agreement in the classification. Spearman correlation was used to examine the relationship between the difference in lateralization values produced by the LALI and SLI calculations with (1 lesion size, (2 the percentage of lesion overlap in each ROI, and (3 aphasia severity. Results: The two calculation methods were highly correlated and produced similar LI Values, yet yielded significantly different classification for language lateralization. Further, a more leftward LI resulted from application of the LALI formula in 10 participants, in either the anterior ROI (n = 3 or the posterior ROI (n = 7. Finally, for the posterior ROI only, significant correlations were revealed between the two calculation methods and the (1 lesion size and (2 percent of overlap with the ROI.Discussion: While both approaches produce highly correlated

  17. The Calculation of Language Lateralization Indices in Post-stroke Aphasia: A Comparison of a Standard and a Lesion-Adjusted Formula

    Science.gov (United States)

    Dietz, Aimee; Vannest, Jennifer; Maloney, Thomas; Altaye, Mekibib; Szaflarski, Jerzy P.; Holland, Scott K.

    2016-01-01

    Background: The language lateralization index (LI) is a valuable tool in functional magnetic resonance imaging (fMRI) research, especially in people with post-stroke aphasia. However, there is inconsistent consideration for the overlap of lesions with regions of interest (ROIs). The purpose of this study was to determine whether standard LI (SLI) and lesion-adjusted LI (LALI) formulae generate different LI values and language lateralization classification for people with post-stroke chronic aphasia. Methods: SLI and LALI were calculated for an event-related (overt) verb generation task in an anterior and a posterior language ROI. Twelve people with aphasia due to a single left-hemispheric infarct (11 right-handed; 1 left-handed; 77.2 ± 41.7 months post-stroke) were included (eight females; 57 ± 8.88 years). Spearman correlation coefficients and intraclass correlation coefficients were calculated to determine the relationship of the LI values generated by the SLI and the LALI formulas. Fischer’s exact test and a weighted Cohen’s Kappa determined the difference in language lateralization classification and agreement in the classification. Spearman correlation was used to examine the relationship between the difference in lateralization values produced by the LALI and SLI calculations with (1) lesion size, (2) the percentage of lesion overlap in each ROI, and (3) aphasia severity. Results: The two calculation methods were highly correlated and produced similar LI Values, yet yielded significantly different classification for language lateralization. Further, a more leftward LI resulted from application of the LALI formula in 10 participants, in either the anterior ROI (n = 3) or the posterior ROI (n = 7). Finally, for the posterior ROI only, significant correlations were revealed between the two calculation methods and the (1) lesion size and (2) percent of overlap with the ROI. Discussion: While both approaches produce highly correlated LI values, differences

  18. 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...

  19. Ergonomic evaluation of the Apple Adjustable Keyboard

    Energy Technology Data Exchange (ETDEWEB)

    Tittiranonda, P.; Burastero, S.; Shih, M. [Lawrence Livermore National Lab., CA (United States); Rempel, D. [University of California Berkeley/San Francisco (United States). Ergonomics Laboratory

    1994-05-01

    This study presents an evaluation of the Apple Adjustable Keyboard based on subjective preference and observed joint angles during typing. Thirty five keyboard users were asked to use the Apple adjustable keyboard for 7--14 days and rate the various characteristics of the keyboard. Our findings suggest that the most preferred opening angles range from 11--20{degree}. The mean ulnar deviation on the Apple Adjustable keyboard is 11{degree}, compared to 16{degree} on the standard keyboard. The mean extension was decreased from 24{degree} to 16{degree} when using the adjustable keyboard. When asked to subjectively rate the adjustable keyboard in comparison to the standard, the average subject felt that the Apple Adjustable Keyboard was more comfortable and easier to use than the standard flat keyboard.

  20. Indirect searches for dark matter

    Indian Academy of Sciences (India)

    Marco Cirelli

    2012-11-01

    The current status of indirect searches for dark matter has been reviewed in a schematic way here. The main relevant experimental results of the recent years have been listed and the excitements and disappointments that their phenomenological interpretations in terms of almost-standard annihilating dark matter have brought along have been discussed. The main sources of uncertainties that affect this kind of searches are also listed. [Report number: Saclay T11/206, CERN-PH-TH/2011-257, extended version in arXiv:1202.1454], [Prepared for the Proceedings of Lepton–Photon 2011, Mumbai, India, 22–27 Aug. 2011].

  1. Indirect costs associated with glioblastoma: Experience at one hospital.

    Science.gov (United States)

    Undabeitia, J; Torres-Bayona, S; Samprón, N; Arrázola, M; Bollar, A; Armendariz, M; Torres, P; Ruiz, I; Caballero, M C; Egaña, L; Querejeta, A; Villanua, J; Pardo, E; Etxegoien, I; Liceaga, G; Urtasun, M; Michan, M; Emparanza, J I; Aldaz, P; Matheu, A; Úrculo, E

    2016-07-20

    Glioblastoma is the most common primary brain tumour. Despite advances in treatment, its prognosis remains dismal, with a mean survival time of about 14 months. Many articles have addressed direct costs, those associated with the diagnosis and treatment of the disease. Indirect costs, those associated with loss of productivity due to the disease, have seldom been described. We conducted a retrospective study in patients diagnosed with glioblastoma at Hospital Universitario Donostia between January 1, 2010 and December 31, 2013. We collected demographics, data regarding the treatment received, and survival times. We calculated the indirect costs with the human capital approach, adjusting the mean salaries of comparable individuals by sex and age and obtaining mortality data for the general population from the Spanish National Statistics Institute. Past salaries were updated to 2015 euros according to the annual inflation rate and we applied a discount of 3.5% compounded yearly to future salaries. We reviewed the records of 99 patients: 46 women (mean age 63.53) and 53 men (mean age 59.94); 29 patients underwent a biopsy and the remaining 70 underwent excisional surgery. Mean survival was 18.092 months for the whole series. The total indirect cost for the series was €11 080 762 (2015). Mean indirect cost per patient was €111 926 (2015). Although glioblastoma is a relatively uncommon type of tumour, accounting for only 4% of all cancers, its poor prognosis and potential sequelae generate disproportionately large morbidity and mortality rates which translate to high indirect costs. Clinicians should be aware of the societal impact of glioblastoma and indirect costs should be taken into account when cost effectiveness studies are performed to better illustrate the overall consequences of this disease. Copyright © 2016 Sociedad Española de Neurología. Publicado por Elsevier España, S.L.U. All rights reserved.

  2. A single-arm trial indirect comparison investigation: a proof-of-concept method to predict venous leg ulcer healing time for a new acellular synthetic matrix matched to standard care control.

    Science.gov (United States)

    Shannon, Ronald; Nelson, Andrea

    2017-08-01

    To compare data on time to healing from two separate cohorts: one treated with a new acellular synthetic matrix plus standard care (SC) and one matched from four large UK pragmatic, randomised controlled trials [venous leg ulcer (VLU) evidence network]. We introduce a new proof-of-concept strategy to a VLU clinical evidence network, propensity score matching and sensitivity analysis to predict the feasibility of the new acellular synthetic matrix plus SC for success in future randomised, controlled clinical trials. Prospective data on chronic VLUs from a safety and effectiveness study on an acellular synthetic matrix conducted in one wound centre in the UK (17 patients) and three wound centres in Australia (36 patients) were compared retrospectively to propensity score-matched data from patients with comparable leg ulcer disease aetiology, age, baseline ulcer area, ulcer duration, multi-layer compression bandaging and majority of care completed in specialist wound centres (average of 1 visit per week), with the outcome measures at comparable follow-up periods from patients enrolled in four prospective, multicentre, pragmatic, randomised studies of venous ulcers in the UK (the comparison group; VLU evidence network). Analysis using Kaplan-Meier survival curves showed a mean healing time of 73·1 days for ASM plus SC (ASM) treated ulcers in comparison with 83·5 days for comparison group ulcers treated with SC alone (Log rank test, χ(2) 5·779, P = 0·016) within 12 weeks. Sensitivity analysis indicates that an unobserved covariate would have to change the odds of healing for SC by a factor of 1·1 to impact the baseline results. Results from this study predict a significant effect on healing time when using a new ASM as an adjunct to SC in the treatment of non-healing venous ulcers in the UK, but results are sensitive to unobserved covariates that may be important in healing time comparison. © 2016 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

  3. 19 CFR 10.460 - Indirect materials.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Indirect materials. 10.460 Section 10.460 Customs... of Origin § 10.460 Indirect materials. An indirect material, as defined in § 10.402(o), will be considered to be an originating material without regard to where it is produced. Example. Chilean Producer C...

  4. 19 CFR 10.603 - Indirect materials.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Indirect materials. 10.603 Section 10.603 Customs... States Free Trade Agreement Rules of Origin § 10.603 Indirect materials. An indirect material, as defined in § 10.582(m) of this subpart, will be considered to be an originating material without regard to...

  5. 19 CFR 10.541 - Indirect materials.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Indirect materials. 10.541 Section 10.541 Customs... Rules of Origin § 10.541 Indirect materials. An indirect material, as defined in § 10.502(j) of this subpart, will be considered to be an originating material without regard to where it is produced, and its...

  6. Indirect Calorimetry in Mechanically Ventilated Patients

    DEFF Research Database (Denmark)

    Allingstrup, Matilde Jo; Kondrup, Jens; Perner, Anders

    2017-01-01

    BACKGROUND AND AIMS: The 2 currently available indirect calorimeters, CCM Express Indirect Calorimeter (MedGraphics, St Paul, MN) and Quark RMR ICU Indirect Calorimeter (COSMED, Rome, Italy), have not been validated against a gold standard in mechanically ventilated patients. Our aim was to do so...

  7. 46 CFR 154.1720 - Indirect refrigeration.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Indirect refrigeration. 154.1720 Section 154.1720... § 154.1720 Indirect refrigeration. A refrigeration system that is used to cool acetaldehyde, ethylene oxide, or methyl bromide, must be an indirect refrigeration system that does not use vapor compression....

  8. Indirect costs of rheumatoid arthritis.

    Science.gov (United States)

    Raciborski, Filip; Kłak, Anna; Kwiatkowska, Brygida

    2015-01-01

    It is estimated that in Poland about 400,000 persons in general suffer from inflammatory joint diseases, including rheumatoid arthritis (RA). Epidemiological surveys documenting the frequency and disturbance of musculoskeletal disorders in the Polish population are few in number. Most of the estimations are based on epidemiological data from other countries (prevalence of 0.5-1%). According to the data of the National Health Fund in Poland 135,000-157,000 persons in total are treated because of rheumatoid arthritis per year [ICD10 (International Statistical Classification of Diseases and Related Health Problems): M05, M06]. In the case of this group of diseases indirect costs significantly outweigh the direct costs. Indirect costs increase together with activity level of the disease. The cost analysis of productivity loss of RA patients indicates that sickness absenteeism and informal care are the most burdensome. At the national level it amounts in total from 1.2 billion to 2.8 billion PLN per year, depending on the method of analysis. These costs could be significantly reduced through early diagnosis and introduction of effective treatment.

  9. Indirect reciprocity with trinary reputations.

    Science.gov (United States)

    Tanabe, Shoma; Suzuki, Hideyuki; Masuda, Naoki

    2013-01-21

    Indirect reciprocity is a reputation-based mechanism for cooperation in social dilemma situations when individuals do not repeatedly meet. The conditions under which cooperation based on indirect reciprocity occurs have been examined in great details. Most previous theoretical analysis assumed for mathematical tractability that an individual possesses a binary reputation value, i.e., good or bad, which depends on their past actions and other factors. However, in real situations, reputations of individuals may be multiple valued. Another puzzling discrepancy between the theory and experiments is the status of the so-called image scoring, in which cooperation and defection are judged to be good and bad, respectively, independent of other factors. Such an assessment rule is found in behavioral experiments, whereas it is known to be unstable in theory. In the present study, we fill both gaps by analyzing a trinary reputation model. By an exhaustive search, we identify all the cooperative and stable equilibria composed of a homogeneous population or a heterogeneous population containing two types of players. Some results derived for the trinary reputation model are direct extensions of those for the binary model. However, we find that the trinary model allows cooperation under image scoring under some mild conditions. Copyright © 2012 Elsevier Ltd. All rights reserved.

  10. Energy expenditure evaluation in humans and non-human primates by SenseWear Armband. Validation of energy expenditure evaluation by SenseWear Armband by direct comparison with indirect calorimetry.

    Directory of Open Access Journals (Sweden)

    Francesca Casiraghi

    Full Text Available INTRODUCTION: The purpose of this study was to compare and validate the use of SenseWear Armband (SWA placed on the arm (SWA ARM and on the back (SWA BACK in healthy humans during resting and a cycle-ergometer exercise and to evaluate the SWA to estimate Resting Energy Expenditure (REE and Total Energy Expenditure (TEE in healthy baboons. METHODS: We studied 26 (15F/11M human subjects wearing SWA in two different anatomical sites (arm and back during resting and a cycle-ergometer test and directly compared these results with indirect calorimetry evaluation (IC, performed at the same time. We then inserted the SWA in a metabolic jacket for baboons and evaluated the TEE and REE in free living condition for 6 days in 21 (8F/13M non-human primates. RESULTS: In humans we found a good correlation between SWA place on the ARM and on the BACK with IC during the resting experiment (1.1±0.3 SWAs, 1±0.2 IC kcal/min and a slight underestimation in the SWAs data compared with IC during the cycle-ergometer exercise (5±1.9 SWA ARM, 4.5±1.5 SWA BACK and 5.4±2.1 IC kcal/min. In the non-human primate (baboons experiment SWA estimated a TEE of 0.54±0.009 kcal/min during free living and a REE of 0.82±0.06 kcal/min. CONCLUSION: SWA, an extremely simple and inexpensive apparatus, provides quite accurate measurements of energy expenditure in humans and in baboons. Energy expenditure data obtained with SWA are highly correlated with the data obtained with "gold standard", IC, in humans.

  11. Measuring energy expenditure in the intensive care unit: a comparison of indirect calorimetry by E-sCOVX and Quark RMR with Deltatrac II in mechanically ventilated critically ill patients.

    Science.gov (United States)

    Rehal, Martin Sundström; Fiskaare, Erik; Tjäder, Inga; Norberg, Åke; Rooyackers, Olav; Wernerman, Jan

    2016-03-05

    Indirect calorimetry allows the determination of energy expenditure in critically ill patients by measuring oxygen consumption (VO2) and carbon dioxide production (VCO2). Recent studies have demonstrated variable performance of "breath-by-breath" instruments compared to mixing chamber technology. The aim of this study was to validate two modern devices (E-sCOVX and Quark RMR) against a reference method (Deltatrac II). Measurements of VO2/VCO2 with the test and reference devices were performed simultaneously over a 20-min period in mechanically ventilated adult intensive care unit patients. Accuracy and precision of instruments were analyzed using Bland-Altman plots. Forty-eight measurements in 22 patients were included for analysis. Both E-sCOVX and Quark RMR overestimated VO2 and VCO2 compared to Deltatrac II, corresponding to a 10% higher mean resting energy expenditure. Limits of agreement of resting energy expenditure within ± 2 standard deviations were ± 461 kcal/24 h (± 21% expressed as percentage error) for ΔE-sCOVX-Deltatrac II and ± 465 kcal/24 h (± 22%) for ΔQuark RMR-Deltatrac II. Both test devices overestimate VO2 and VCO2 compared to Deltatrac II. The observed limits of agreement are comparable to those commonly accepted in evaluations of circulatory monitoring, and significantly less than results from predictive equations. We hypothesize that the discrepancy between methods is due to patient/ventilator-related factors that affect the synchronization of gas and spirometry waveforms. Australian New Zealand Clinical Trials Registry, Trial ID ACTRN12615000205538. Date registered 3 March 2015.

  12. Weather Radar Adjustment Using Runoff from Urban Surfaces

    DEFF Research Database (Denmark)

    Ahm, Malte; Rasmussen, Michael Robdrup

    2017-01-01

    Weather radar data used for urban drainage applications are traditionally adjusted to point ground references, e.g., rain gauges. However, the available rain gauge density for the adjustment is often low, which may lead to significant representativeness errors. Yet, in many urban catchments......, rainfall is often measured indirectly through runoff sensors. This paper presents a method for weather radar adjustment on the basis of runoff observations (Z-Q adjustment) as an alternative to the traditional Z-R adjustment on the basis of rain gauges. Data from a new monitoring station in Aalborg......, Denmark, were used to evaluate the flow-based weather radar adjustment method against the traditional rain-gauge adjustment. The evaluation was performed by comparing radar-modeled runoff to observed runoff. The methodology was both tested on an events basis and multiple events combined. The results...

  13. Risk-adjusted monitoring of survival times

    Energy Technology Data Exchange (ETDEWEB)

    Sego, Landon H.; Reynolds, Marion R.; Woodall, William H.

    2009-02-26

    We consider the monitoring of clinical outcomes, where each patient has a di®erent risk of death prior to undergoing a health care procedure.We propose a risk-adjusted survival time CUSUM chart (RAST CUSUM) for monitoring clinical outcomes where the primary endpoint is a continuous, time-to-event variable that may be right censored. Risk adjustment is accomplished using accelerated failure time regression models. We compare the average run length performance of the RAST CUSUM chart to the risk-adjusted Bernoulli CUSUM chart, using data from cardiac surgeries to motivate the details of the comparison. The comparisons show that the RAST CUSUM chart is more efficient at detecting a sudden decrease in the odds of death than the risk-adjusted Bernoulli CUSUM chart, especially when the fraction of censored observations is not too high. We also discuss the implementation of a prospective monitoring scheme using the RAST CUSUM chart.

  14. Indirect photobiomodulation in functional networks

    Science.gov (United States)

    Liu, Timon Cheng-Yi; Zhu, Wei-Wei; Yang, Xiang-Bo

    2012-12-01

    Photobiomodulation (PBM) is a non-damaged modulation of laser irradiation or monochromatic light (LI) on a biosystem function. It depends on whether the function is in its function-specific homeostasis (FSH), a negative feedback response for the function to be performed perfectly. Many redundant pathways (RPs) maintain the same cellular function. The full activation of any of RPs can maintain a normal function in its FSH, but partial activation of all the RPs can only maintain a dysfunctional function far from its FSH. A PBM may self-adaptively modulate the activation of a partially activated RP of a normal function until it is fully activated and the normal function is then upgraded. This PBM is called indirect PBM (iPBM). The iPBM on cells such as tumor cells, myoblast cells and fibroblasts and other biosystems and their applications would be reviewed in this paper.

  15. Aerosols indirectly warm the Arctic

    Directory of Open Access Journals (Sweden)

    T. Mauritsen

    2010-07-01

    Full Text Available On average, airborne aerosol particles cool the Earth's surface directly by absorbing and scattering sunlight and indirectly by influencing cloud reflectivity, life time, thickness or extent. Here we show that over the central Arctic Ocean, where there is frequently a lack of aerosol particles upon which clouds may form, a small increase in aerosol loading may enhance cloudiness thereby likely causing a climatologically significant warming at the ice-covered Arctic surface. Under these low concentration conditions cloud droplets grow to drizzle sizes and fall, even in the absence of collisions and coalescence, thereby diminishing cloud water. Evidence from a case study suggests that interactions between aerosol, clouds and precipitation could be responsible for attaining the observed low aerosol concentrations.

  16. Adjustable Fiber Optic Microwave Transversal Filters

    Science.gov (United States)

    Shadaram, Mehdi; Lutes, George F.; Logan, Ronald T.; Maleki, Lutfollah

    1994-01-01

    Microwave transversal filters implemented as adjustable tapped fiber optic delay lines developed. Main advantages of these filters (in comparison with conventional microwave transversal filters) are small size, light weight, no need for matching of radio-frequency impedances, no need for shielding against electromagnetic radiation at suboptical frequencies, no need for mechanical tuning, high stability of amplitude and phase, and active control of transfer functions. Weights of taps in fiber optic delay lines adjusted.

  17. Comparison of adjustable permanent magnetic field sources

    DEFF Research Database (Denmark)

    Bjørk, Rasmus; Bahl, Christian Robert Haffenden; Smith, Anders

    2010-01-01

    A permanent magnet assembly in which the flux density can be altered by a mechanical operation is often significantly smaller than comparable electromagnets and also requires no electrical power to operate. In this paper five permanent magnet designs in which the magnetic flux density can...

  18. An examination of family adjustment among Operation Desert Storm veterans.

    Science.gov (United States)

    Taft, Casey T; Schumm, Jeremiah A; Panuzio, Jillian; Proctor, Susan P

    2008-08-01

    This study examined interrelationships among combat exposure, symptoms of posttraumatic stress disorder (PTSD), and family adjustment in a sample of male and female Operation Desert Storm veterans (N = 1,512). In structural equation models for both male and female veterans, higher combat exposure was associated with higher PTSD symptoms, which in turn were associated with poorer family adjustment, although these indirect effects did not reach statistical significance. The model for female veterans evidenced a significant direct negative association between combat exposure and family adjustment when it statistically accounted for PTSD symptoms. When the relative impacts of separate PTSD symptom groupings were examined, those reflecting withdrawal/numbing symptoms and arousal/lack of control symptoms significantly and indirectly accounted for the negative effects of combat exposure on family adjustment. Study findings indicate a number of possible pathways through which war-zone deployments negatively impact military families and suggest several avenues for future research. Copyright 2008 APA, all rights reserved.

  19. Ares I-X Launch Abort System, Crew Module, and Upper Stage Simulator Vibroacoustic Flight Data Evaluation, Comparison to Predictions, and Recommendations for Adjustments to Prediction Methodology and Assumptions

    Science.gov (United States)

    Smith, Andrew; Harrison, Phil

    2010-01-01

    The National Aeronautics and Space Administration (NASA) Constellation Program (CxP) has identified a series of tests to provide insight into the design and development of the Crew Launch Vehicle (CLV) and Crew Exploration Vehicle (CEV). Ares I-X was selected as the first suborbital development flight test to help meet CxP objectives. The Ares I-X flight test vehicle (FTV) is an early operational model of CLV, with specific emphasis on CLV and ground operation characteristics necessary to meet Ares I-X flight test objectives. The in-flight part of the test includes a trajectory to simulate maximum dynamic pressure during flight and perform a stage separation of the Upper Stage Simulator (USS) from the First Stage (FS). The in-flight test also includes recovery of the FS. The random vibration response from the ARES 1-X flight will be reconstructed for a few specific locations that were instrumented with accelerometers. This recorded data will be helpful in validating and refining vibration prediction tools and methodology. Measured vibroacoustic environments associated with lift off and ascent phases of the Ares I-X mission will be compared with pre-flight vibration predictions. The measured flight data was given as time histories which will be converted into power spectral density plots for comparison with the maximum predicted environments. The maximum predicted environments are documented in the Vibroacoustics and Shock Environment Data Book, AI1-SYS-ACOv4.10 Vibration predictions made using statistical energy analysis (SEA) VAOne computer program will also be incorporated in the comparisons. Ascent and lift off measured acoustics will also be compared to predictions to assess whether any discrepancies between the predicted vibration levels and measured vibration levels are attributable to inaccurate acoustic predictions. These comparisons will also be helpful in assessing whether adjustments to prediction methodologies are needed to improve agreement between the

  20. 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 with ...

  1. Benchmarking Judgmentally Adjusted Forecasts

    NARCIS (Netherlands)

    Ph.H.B.F. Franses (Philip Hans); L.P. de Bruijn (Bert)

    2017-01-01

    textabstractMany 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 given

  2. 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

  3. 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

  4. Indirect Lightning Safety Assessment Methodology

    Energy Technology Data Exchange (ETDEWEB)

    Ong, M M; Perkins, M P; Brown, C G; Crull, E W; Streit, R D

    2009-04-24

    Lightning is a safety hazard for high-explosives (HE) and their detonators. In the However, the current flowing from the strike point through the rebar of the building The methodology for estimating the risk from indirect lighting effects will be presented. It has two parts: a method to determine the likelihood of a detonation given a lightning strike, and an approach for estimating the likelihood of a strike. The results of these two parts produce an overall probability of a detonation. The probability calculations are complex for five reasons: (1) lightning strikes are stochastic and relatively rare, (2) the quality of the Faraday cage varies from one facility to the next, (3) RF coupling is inherently a complex subject, (4) performance data for abnormally stressed detonators is scarce, and (5) the arc plasma physics is not well understood. Therefore, a rigorous mathematical analysis would be too complex. Instead, our methodology takes a more practical approach combining rigorous mathematical calculations where possible with empirical data when necessary. Where there is uncertainty, we compensate with conservative approximations. The goal is to determine a conservative estimate of the odds of a detonation. In Section 2, the methodology will be explained. This report will discuss topics at a high-level. The reasons for selecting an approach will be justified. For those interested in technical details, references will be provided. In Section 3, a simple hypothetical example will be given to reinforce the concepts. While the methodology will touch on all the items shown in Figure 1, the focus of this report is the indirect effect, i.e., determining the odds of a detonation from given EM fields. Professor Martin Uman from the University of Florida has been characterizing and defining extreme lightning strikes. Using Professor Uman's research, Dr. Kimball Merewether at Sandia National Laboratory in Albuquerque calculated the EM fields inside a Faraday-cage type

  5. Direct versus indirect detection of supersymmetric dark matter

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-07-01

    This document gathers the slides that were presented during the workshop 'direct versus indirect detection of supersymmetric dark matter'(about 30 contributions). This workshop intended to bring together people from the particle theory community, astrophysicists and cosmologists, as well as experimentalists involved in the detection of dark matter. The aim is to generate a discussion about current and future strategies for detection of SUSY dark matter (with focus, but not exclusively, on neutralinos). Complementarities between accelerator, direct and indirect searches as well as a comparison between the uncertainties in direct and indirect searches of dark matter, are supposed to be discussed. Among the issues which will be addressed are: -) the crucial questions related to the structure of galaxies (local dark matter density, clumping, anomalous velocity distributions, etc.) ; -) the possibilities offered by the present and future experimental facilities for direct and indirect (photon, neutrino) searches; -) the potential for the discovery of SUSY at LHC and beyond; and -) the parameterization of the SUSY breaking models beyond the minimal versions.

  6. Indirect discrimination and breast screening.

    Science.gov (United States)

    Botha, J L; Manku-Scott, T K; Moledina, F; Williams, A

    1993-01-01

    Uptake of screening services in inner-city communities has been low, particularly in older age groups, lower social classes, and ethnic minorities. In Leicester City, where up to 25% of the population belong to ethnic minorities, this may have important implications for breast screening. We randomly sampled 701 inner-city women aged 45 to 64 years, stratified by neighborhood and by women's "likely home language." Trained interviewers succeeded in interviewing 79% of those eligible, and we report here a preliminary analysis of 413 respondents. Knowledge of breast cancer and screening varied markedly and significantly by actual language: 60.4% of English-speaking and 12.5% of non-English-speaking women correctly answered 10 or more questions (of 14) about breast cancer and screening (chi 2(1) = 89.884; P = .000). Despite that, 80% or more women stated their intention to attend for screening and assessment if necessary, irrespective of neighborhood, language, age, or social class. We suggest that the difference in knowledge between language groups arose from indirect discrimination in the way in which health-related information is disseminated in British society. However, after providing appropriate screening information, we report similarly high intended acceptance rates in the two language groups.

  7. Indirect Self-Destructiveness and Emotional Intelligence.

    Science.gov (United States)

    Tsirigotis, Konstantinos

    2016-06-01

    While emotional intelligence may have a favourable influence on the life and psychological and social functioning of the individual, indirect self-destructiveness exerts a rather negative influence. The aim of this study has been to explore possible relations between indirect self-destructiveness and emotional intelligence. A population of 260 individuals (130 females and 130 males) aged 20-30 (mean age of 24.5) was studied by using the Polish version of the chronic self-destructiveness scale and INTE, i.e., the Polish version of the assessing emotions scale. Indirect self-destructiveness has significant correlations with all variables of INTE (overall score, factor I, factor II), and these correlations are negative. The intensity of indirect self-destructiveness differentiates significantly the height of the emotional intelligence and vice versa: the height of the emotional intelligence differentiates significantly the intensity of indirect self-destructiveness. Indirect self-destructiveness has negative correlations with emotional intelligence as well as its components: the ability to recognize emotions and the ability to utilize emotions. The height of emotional intelligence differentiates the intensity of indirect self-destructiveness, and vice versa: the intensity of indirect self-destructiveness differentiates the height of emotional intelligence. It seems advisable to use emotional intelligence in the prophylactic and therapeutic work with persons with various types of disorders, especially with the syndrome of indirect self-destructiveness.

  8. 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 ...

  9. Remotely Adjustable Hydraulic Pump

    Science.gov (United States)

    Kouns, H. H.; Gardner, L. D.

    1987-01-01

    Outlet pressure adjusted to match varying loads. Electrohydraulic servo has positioned sleeve in leftmost position, adjusting outlet pressure to maximum value. Sleeve in equilibrium position, with control land covering control port. For lowest pressure setting, sleeve shifted toward right by increased pressure on sleeve shoulder from servovalve. Pump used in aircraft and robots, where hydraulic actuators repeatedly turned on and off, changing pump load frequently and over wide range.

  10. 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.

  11. 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.

  12. Indirect Relativistic Effect in Electron-Alkali-Atom Collision

    Institute of Scientific and Technical Information of China (English)

    LIU Yi-Bao; PANG Wen-Ning; DING Hai-Bing; SHANG Ren-Cheng

    2005-01-01

    @@ We present detailed studies on the differential cross section (DCS) and total cross section (TCS) in electronalkali-atom collision processes by using two types of distorted wave methods, the ordinary distorted wave method and the indirect-relativistic distorted wave method. We find that the indirect relativistic effect in the target atom can be neglected in the TCS calculation in the processes; however, with an increase of the atomic number, this effect becomes significant in the DCS calculation. Then, based on the density matrix theory, the orientation and alignment parameters of excited caesium P states scattered by electrons at low incident energy are calculated,and comparisons are made for the two series between the two methods. The results show that accordance is reached at scattering angles smaller than 45°, but considerable difference appears at angles larger than 45° due to the relativistic effect.

  13. Scaling of social prestige by direct and indirect psychophysical methods

    Directory of Open Access Journals (Sweden)

    Fátima Faleiros-Sousa

    2004-04-01

    Full Text Available The professional social prestige practiced by: Social Assistants, Biologists, Dentists, Nurses, Engineers, Pharmacists, Physicists, Physical Therapists, Phonoaudiologists, Physicians, Psychologists, Chemists, and Sociologists was scaled by psychophysical methods of pair comparisons (indirect and the magnitude estimations (direct. The results showed: 1 both of the methods yield substantially different scaling; 2 the pair comparisons scale (proportion or z is a logarithmic function of the magnitude estimations scale; 3 the pair of comparison scale (proportion or z is a linear function of the logarithms of the magnitude estimations scale; and 4 a high correlation (rho = .95 between the degrees of prestige attributed to the professions obtained by both methods. With these results we can conclude that: 1 the continuous of social prestige (not metric scaled by these two methods yield a relation similar to the obtained in the sensorial continuous (metric; and 2 the continuous of social prestige has the following characteristics: quantitative, prothetic and non-qualitative (metathetic.

  14. Indirect calorimetry during incubation of hatching eggs

    NARCIS (Netherlands)

    Brand, van den H.; Heetkamp, M.J.W.; Kemp, B.

    2015-01-01

    Indirect calorimetry can be used during incubation of avian eggs to monitor the quality of the incubation process, the development of the embryo and the utilization of nutrients. Indirect calorimetry has several benefits above direct calorimetry, particularly in hatching eggs. However, to obtain rel

  15. The Indirectness of Young Goodman Brown

    Institute of Scientific and Technical Information of China (English)

    袁臣

    2010-01-01

    Young Goodman Brown is one the best short fictions written by Nathaniel Hawthorne in 1835. The indirectness of the Young Goodman Brown can be seen from the produce, narration and the characteristics of the short fiction. The indirectness of expression or description leaves enough space for readers to understand the theme of the short fiction by themselves.

  16. Factors of Politeness and Indirect Speech Acts

    Institute of Scientific and Technical Information of China (English)

    杨雪梅

    2016-01-01

    Polite principle is influenced deeply by a nation's history,culture,custom and so on,therefor different countries have different understandings and expressions of politeness and indirect speech acts.This paper shows some main factors influencing a polite speech.Through this article,readers can comprehensively know about politeness and indirect speech acts.

  17. JUSTIFICATION FOR INDIRECT DISCRIMINATION IN EU

    OpenAIRE

    Catalina-Adriana IVANUS

    2014-01-01

    The right to non-discrimination is very important for a civilized society. EU legislation establishes direct and indirect discrimination, harassment, sexual harassment, instruction to discriminate and any less favourable treatment of a woman related to pregnancy or maternity leave as forms of discrimination. The law and the Court of Justice permit the justification of indirect discrimination.

  18. Indirect techniques in nuclear astrophysics: a review.

    Science.gov (United States)

    Tribble, R E; Bertulani, C A; Cognata, M La; Mukhamedzhanov, A M; Spitaleri, C

    2014-10-01

    In this review, we discuss the present status of three indirect techniques that are used to determine reaction rates for stellar burning processes, asymptotic normalization coefficients, the Trojan Horse method and Coulomb dissociation. A comprehensive review of the theory behind each of these techniques is presented. This is followed by an overview of the experiments that have been carried out using these indirect approaches.

  19. 48 CFR 31.203 - Indirect costs.

    Science.gov (United States)

    2010-10-01

    ... contract or other work, indirect costs are those remaining to be allocated to intermediate or two or more... basis of the benefits accruing to intermediate and final cost objectives. When substantially the same... for allocating indirect costs is the cost accounting period during which such costs are incurred...

  20. Photovoltaic efficiency of an indirect bandgap material

    Science.gov (United States)

    Tomasik, Michelle; Mangan, Niall; Grossman, Jeffrey

    2015-03-01

    Photovoltaic materials with direct band gap transitions absorb light more readily than those with indirect gaps, allowing for thinner devices. However, direct bands also suffer faster rates of radiative recombination than indirect bandgap materials. Some novel photovoltaic absorber materials, such as tin sulfide, have both direct and indirect gaps. Such materials raise the question of whether the multiple energy states benefit or harm device efficiency. We develop a model for current in a device with direct and indirect band gaps using detailed balance, similar to the Shockley-Quiesser model for direct band photovoltaics. We explore the effects of the following on device performance: transition probability of carriers between the direct and indirect state, and relative transport rate in each band.

  1. Direct and indirect costs of smoking in Vietnam

    Science.gov (United States)

    Hoang Anh, Pham Thi; Thu, Le Thi; Ross, Hana; Quynh Anh, Nguyen; Linh, Bui Ngoc; Minh, Nguyen Thac

    2016-01-01

    Objective To estimate the direct and indirect costs of active smoking in Vietnam. Method A prevalence-based disease-specific cost of illness approach was utilised to calculate the costs related to five smoking-related diseases: lung cancer, cancers of the upper aerodigestive tract, chronic obstructive pulmonary disease, ischaemic heart disease and stroke. Data on healthcare came from an original survey, hospital records and official government statistics. Morbidity and mortality due to smoking combined with the average per capita income were used to calculate the indirect costs of smoking by applying the human capital approach. The smoking-attributable fraction was calculated using the adjusted relative risk values from phase II of the American Cancer Society Cancer Prevention Study (CPS-II). Costs were classified as personal, governmental and health insurance costs. Results The total economic cost of smoking in 2011 was estimated at 24 679.9 billion Vietnamese dong (VND), equivalent to US$1173.2 million or approximately 0.97% of the 2011 gross domestic product. The direct costs of inpatient and outpatient care reached 9896.2 billion VND (US$470.4 million) and 2567.2 billion VND (US$122.0 million), respectively. The government’s contribution to these costs was 4534.3 billion VND (US$215.5 million), which was equivalent to 5.76% of its 2011 healthcare budget. The indirect costs (productivity loss) due to morbidity and mortality were 2652.9 billion VND (US$126.1 million) and 9563.5 billion VND (US$454.6 million), respectively. These indirect costs represent about 49.5% of the total costs of smoking. Conclusions Tobacco consumption has large negative consequences on the Vietnamese economy. PMID:25512430

  2. Direct and indirect costs of smoking in Vietnam.

    Science.gov (United States)

    Hoang Anh, Pham Thi; Thu, Le Thi; Ross, Hana; Quynh Anh, Nguyen; Linh, Bui Ngoc; Minh, Nguyen Thac

    2016-01-01

    To estimate the direct and indirect costs of active smoking in Vietnam. A prevalence-based disease-specific cost of illness approach was utilised to calculate the costs related to five smoking-related diseases: lung cancer, cancers of the upper aerodigestive tract, chronic obstructive pulmonary disease, ischaemic heart disease and stroke. Data on healthcare came from an original survey, hospital records and official government statistics. Morbidity and mortality due to smoking combined with the average per capita income were used to calculate the indirect costs of smoking by applying the human capital approach. The smoking-attributable fraction was calculated using the adjusted relative risk values from phase II of the American Cancer Society Cancer Prevention Study (CPS-II). Costs were classified as personal, governmental and health insurance costs. The total economic cost of smoking in 2011 was estimated at 24 679.9 billion Vietnamese dong (VND), equivalent to US$1173.2 million or approximately 0.97% of the 2011 gross domestic product. The direct costs of inpatient and outpatient care reached 9896.2 billion VND (US$470.4 million) and 2567.2 billion VND (US$122.0 million), respectively. The government's contribution to these costs was 4534.3 billion VND (US$215.5 million), which was equivalent to 5.76% of its 2011 healthcare budget. The indirect costs (productivity loss) due to morbidity and mortality were 2652.9 billion VND (US$126.1 million) and 9563.5 billion VND (US$454.6 million), respectively. These indirect costs represent about 49.5% of the total costs of smoking. Tobacco consumption has large negative consequences on the Vietnamese economy. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  3. Expression of future prospective in indirect speech

    Directory of Open Access Journals (Sweden)

    Bodnaruk Elena Vladimirovna

    2015-03-01

    Full Text Available The article analyzes the characteristics and use of grammatical semantics and lexical and grammatical means used to create future prospects in double indirect discourse. The material for the study were epic works by contemporary German writers. In the analysis of the empirical material it has been pointed out that indirect discourse has preterial basis and is the kind of most frequent inner speech of characters. The most widely used form with future semantics in preterial indirect speech is conditional I, formally having a conjunctive basis, but is mostly used with the indicative semantics. Competitive to conditional I in indirect speech is preterial indicative. A characteristic feature of the indirect speech is the use of modal verbs, which, thanks to its semantics is usually referred as an action at a later term, creating the prospect of future statements. The most frequent were modal verbs wollen and sollen in the form of the preterite, more rare verbs were m ssen and k nnen. German indirect speech distinguishes the ability to use forms on the basis of conjunctive: preterite and plusquamperfect of conjunctive. Both forms express values similar to those of the indicative. However, conjunctive forms the basis of the data shown in a slightly more pronounced seme of uncertainty that accompanies future uses of these forms in indirect speech. In addition, plusquamperfect conjunctive differs from others by the presence of the seme of completeness.

  4. Direct and indirect laryngoscopy: equipment and techniques.

    Science.gov (United States)

    Collins, Stephen R

    2014-06-01

    Visualization of the larynx by direct or indirect means is referred to as laryngoscopy and is the principal aim during airway management for passage of a tracheal tube. This paper presents a brief background regarding the development and practice of laryngoscopy and examines the equipment and techniques for both direct and indirect methods. Patient evaluation during the airway examination is discussed, as are predictors for difficult intubation. Laryngoscope blade design, newer intubating techniques, and a variety of indirect laryngoscopic technologies are reviewed, as is the learning curve for these techniques and devices.

  5. Indirect Kalman Filter in Mobile Robot Application

    Directory of Open Access Journals (Sweden)

    Surachai Panich

    2010-01-01

    Full Text Available Problem statement: The most successful applications of Kalman filtering are to linearize about some nominal trajectory in state space that does not depend on the measurement data. The resulting filter is usually referred to as simply a linearized Kalman filter. Approach: This study introduced mainly indirect Kalman filter to estimate robot’s position. A developed differential encoder system integrated accelerometer is experimental tested in square shape. Results: Experimental results confirmed that indirect Kalman filter improves the accuracy and confidence of position estimation. Conclusion: In summary, we concluded that indirect Kalman filter has good potential to reduce error of measurement data.

  6. Indirect estimators in US federal programs

    CERN Document Server

    1996-01-01

    In 1991, a subcommittee of the Federal Committee on Statistical Methodology met to document the use of indirect estimators - that is, estimators which use data drawn from a domain or time different from the domain or time for which an estimate is required. This volume comprises the eight reports which describe the use of indirect estimators and they are based on case studies from a variety of federal programs. As a result, many researchers will find this book provides a valuable survey of how indirect estimators are used in practice and which addresses some of the pitfalls of these methods.

  7. 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.

  8. Psychological Adjustment and Homosexuality.

    Science.gov (United States)

    Gonsiorek, John C.

    In this paper, the diverse literature bearing on the topic of homosexuality and psychological adjustment is critically reviewed and synthesized. The first chapter discusses the most crucial methodological issue in this area, the problem of sampling. The kinds of samples used to date are critically examined, and some suggestions for improved…

  9. Identification of Methodology of Indirect Assessment of Economy Shadowing

    Directory of Open Access Journals (Sweden)

    Avhustyn Ruslan R.

    2014-03-01

    Full Text Available The article explains the essence of the shadow economy as an objective phenomenon of socio-economic relations and its influence upon national economy security through instruments of pricing, fiscal restrictions, tax control, and banking and insurance regulation. It proves the necessity of use of the indirect method of assessment of the level of economy shadowing along with methods of direct control over the growth of shadowed economic relations, since such an approach would allow rational approach to identification of volumes and level of shadow activity. In the result of the study the article marks out varieties of indirect assessment of economy shadowing (methods of document, accounting and economic analysis, their specific features, advantages and shortcomings and results of practical use. The article reveals approaches and indicators of economic analysis that allow identification of reasons of deviations from the normal economic activity of economic subjects. It provides examples of the indirect method of assessment of the volume of shadowed economy that deal with analysis of demand on money and comparison of rates of the growth of the money supply with the volume of sight drafts with GDP.

  10. Evaluation of bone surrogates for indirect and direct ballistic fractures.

    Science.gov (United States)

    Bir, Cynthia; Andrecovich, Chris; DeMaio, Marlene; Dougherty, Paul J

    2016-04-01

    The mechanism of injury for fractures to long bones has been studied for both direct ballistic loading as well as indirect. However, the majority of these studies have been conducted on both post-mortem human subjects (PMHS) and animal surrogates which have constraints in terms of storage, preparation and testing. The identification of a validated bone surrogate for use in forensic, medical and engineering testing would provide the ability to investigate ballistic loading without these constraints. Two specific bone surrogates, Sawbones and Synbone, were evaluated in comparison to PMHS for both direct and indirect ballistic loading. For the direct loading, the mean velocity to produce fracture was 121 ± 19 m/s for the PMHS, which was statistically different from the Sawbones (140 ± 7 m/s) and Synbone (146 ± 3 m/s). The average distance to fracture in the indirect loading was .70 cm for the PMHS. The Synbone had a statistically similar average distance to fracture (.61 cm, p=0.54) however the Sawbones average distance to fracture was statistically different (.41 cm, pballistic testing was not identified and future work is warranted.

  11. The indirect effects on the computation of geoid undulations

    Science.gov (United States)

    Wichiencharoen, C.

    1982-01-01

    The indirect effects on the geoid computation due to the second method of Helmert's condensation were studied. when Helmert's anomalies are used in Stokes's equation, there are three types of corrections to the free air geoid. The first correction, the indirect effect on geoid undulation due to the potential change in Helmert's reduction, had a maximum value of 0.51 meters in the test area covering the United States. The second correction, the attraction change effect on geoid undulation, had a maximum value of 9.50 meters when the 10 deg cap was used in Stokes' equation. The last correction, the secondary indirect effect on geoid undulatin, was found negligible in the test area. The corrections were applied to uncorrected free air geoid undulations at 65 Doppler stations in the test area and compared with the Doppler undulations. Based on the assumption that the Doppler coordinate system has a z shift of 4 meters with respect to the geocenter, these comparisons showed that the corrections presented in this study yielded improved values of gravimetric undulations.

  12. A comparison of microhardness of indirect composite restorative materials

    DEFF Research Database (Denmark)

    Miranda, Carolina Baptista; Pagani, Clóvis; Bottino, Marco Cícero;

    2003-01-01

    ) as follows: G1 - Artglass; G2 - Sinfony; G3 - Solidex; G4 - Targis. Microhardness was determined by the Vickers indentation technique with a load of 300g for 10 seconds. Four indentations were made on each sample, determining the mean microhardness values for each specimen. Descriptive statistics data...

  13. Outcome indicators for direct and indirect caregiving.

    Science.gov (United States)

    Schoenfelder, D P; Swanson, E A; Specht, J K; Maas, M; Johnson, M

    2000-02-01

    Informal caregiving and outcomes for caregiving are an important part of health care and of particular importance in nursing. The purpose of this research is to report the results of a survey mailed to nursing experts for validation of the outcome labels Caregiver Role Performance: Direct Care and Caregiver Role Performance: Indirect Care and their accompanying indicators. Experts were asked to rate how important the identified indicators were for assessing those two outcomes. In addition, the respondents were asked to what extent nursing interventions influence the achievement of each identified indicator for Caregiver Role Performance: Direct Care and Caregiver Role Performance: Indirect Care. In general, the validity of the concept analysis work by the caregiver focus group was supported. Ten indicators for Caregiver Performance: Direct Care were retained, 1 was dropped that was considered most appropriate for indirect care, and 3 new indicators were added to reflect the nurse experts surveyed. For Caregiver Performance: Indirect Care, all of the indicators were retained.

  14. Indirect composite resin materials for posterior applications.

    Science.gov (United States)

    Shellard, E; Duke, E S

    1999-12-01

    Indirect composite resin restorations were introduced a number of years ago as possible alternatives to traditional metallic or ceramic-based indirect restorations. However, the earlier formulations did not provide evidence of improvement in mechanical and physical properties over chairside-placed direct composite resin materials. Because they required more tooth structure removal than direct restorations, their use became unpopular and was abandoned by most clinicians. Over the past few years, a new class of composite resin indirect materials has surfaced in the profession. Various technologies have been suggested as reinforcement mechanisms. Fibers, matrix modifications, and an assortment of innovations have been proposed for enhancing indirect composite resin restorations. Applications are from inlay restorations all the way to multi-unit fixed prostheses. This manuscript summarizes some of the progress made in this area. When available, data is presented to provide clinicians with guidelines and indications for the use of these materials.

  15. Indirect self-destructiveness in homosexual individuals

    Directory of Open Access Journals (Sweden)

    Konstantinos - Tsirigotis

    2015-06-01

    The research results indicate that, as compared with the group of heterosexual individuals, in the group of homosexuals there occurs a worsening in psychological functioning, which may be also manifested by an increased indirect self-destructiveness index. The increased intensity of indirect self-destructiveness in homosexual individuals may be considered a manifestation of worsened psychological functioning. The homosexual individuals look after their health similarly to heterosexuals.

  16. Mexican-Origin Parents’ Work Conditions and Adolescents’ Adjustment

    Science.gov (United States)

    Wheeler, Lorey A.; Updegraff, Kimberly A.; Crouter, Ann

    2015-01-01

    Mexican-origin parents’ work experiences are a distal extra-familial context for adolescents’ adjustment. This two-wave multi-informant study examined the prospective mechanisms linking parents’ work conditions (i.e., self-direction, work pressure, workplace discrimination) to adolescents’ adjustment (i.e., educational expectations, depressive symptoms, risky behavior) across the transition to high school drawing on work socialization and spillover models. We examined the indirect effects of parental work conditions on adolescent adjustment through parents’ psychological functioning (i.e., depressive symptoms, role overload) and aspects of the parent-adolescent relationship (i.e., parental solicitation, parent-adolescent conflict), as well as moderation by adolescent gender. Participants were 246 predominantly immigrant, Mexican-origin, two-parent families who participated in home interviews when adolescents were approximately 13 and 15 years of age. Results supported the positive impact of fathers’ occupational self-direction on all three aspects of adolescents’ adjustment through decreased father-adolescent conflict, after controlling for family socioeconomic status and earner status, and underemployment. Parental work pressure and discrimination were indirectly linked to adolescents’ adjustment, with different mechanisms emerging for mothers and fathers. Adolescents’ gender moderated the associations between fathers’ self-direction and girls’ depressive symptoms, and fathers’ experiences of discrimination and boys’ risk behavior. Results suggest that Mexican-origin mothers’ and fathers’ perceptions of work conditions have important implications for multiple domains of adolescents’ adjustment across the transition to high school. PMID:25938710

  17. Mexican-origin parents' work conditions and adolescents' adjustment.

    Science.gov (United States)

    Wheeler, Lorey A; Updegraff, Kimberly A; Crouter, Ann

    2015-06-01

    Mexican-origin parents' work experiences are a distal extrafamilial context for adolescents' adjustment. This 2-wave multiinformant study examined the prospective mechanisms linking parents' work conditions (i.e., self-direction, work pressure, workplace discrimination) to adolescents' adjustment (i.e., educational expectations, depressive symptoms, risky behavior) across the transition to high school drawing on work socialization and spillover models. We examined the indirect effects of parental work conditions on adolescent adjustment through parents' psychological functioning (i.e., depressive symptoms, role overload) and aspects of the parent-adolescent relationship (i.e., parental solicitation, parent-adolescent conflict), as well as moderation by adolescent gender. Participants were 246 predominantly immigrant, Mexican-origin, 2-parent families who participated in home interviews when adolescents were approximately 13 and 15 years of age. Results supported the positive impact of fathers' occupational self-direction on all 3 aspects of adolescents' adjustment through decreased father-adolescent conflict, after controlling for family socioeconomic status and earner status, and underemployment. Parental work pressure and discrimination were indirectly linked to adolescents' adjustment, with different mechanisms emerging for mothers and fathers. Adolescents' gender moderated the associations between fathers' self-direction and girls' depressive symptoms, and fathers' experiences of discrimination and boys' risk behavior. Results suggest that Mexican-origin mothers' and fathers' perceptions of work conditions have important implications for multiple domains of adolescents' adjustment across the transition to high school. (c) 2015 APA, all rights reserved).

  18. An Indirect Route for Ethanol Production

    Energy Technology Data Exchange (ETDEWEB)

    Eggeman, T.; Verser, D.; Weber, E.

    2005-04-29

    The ZeaChem indirect method is a radically new approach to producing fuel ethanol from renewable resources. Sugar and syngas processing platforms are combined in a novel way that allows all fractions of biomass feedstocks (e.g. carbohydrates, lignins, etc.) to contribute their energy directly into the ethanol product via fermentation and hydrogen based chemical process technologies. The goals of this project were: (1) Collect engineering data necessary for scale-up of the indirect route for ethanol production, and (2) Produce process and economic models to guide the development effort. Both goals were successfully accomplished. The projected economics of the Base Case developed in this work are comparable to today's corn based ethanol technology. Sensitivity analysis shows that significant improvements in economics for the indirect route would result if a biomass feedstock rather that starch hydrolyzate were used as the carbohydrate source. The energy ratio, defined as the ratio of green energy produced divided by the amount of fossil energy consumed, is projected to be 3.11 to 12.32 for the indirect route depending upon the details of implementation. Conventional technology has an energy ratio of 1.34, thus the indirect route will have a significant environmental advantage over today's technology. Energy savings of 7.48 trillion Btu/yr will result when 100 MMgal/yr (neat) of ethanol capacity via the indirect route is placed on-line by the year 2010.

  19. Heat Treatment Influences Monomer Conversion and Bond Strength of Indirect Composite Resin Restorations.

    Science.gov (United States)

    Magne, Pascal; Malta, Daniel Alexandre Menezes Pedrosa; Enciso, Reyes; Monteiro-Junior, Sylvio

    2015-12-01

    To assess the resin microtensile bond strength (MTBS) and the degree of conversion (DC) of indirect composite resin restorations polymerized with light and heat. Two direct (Filtek Z100 and Premise) and one indirect (Premise Indirect) composite resins were polymerized with a combination of light and heat (138°C for 20 min). For MTBS, 42 cylinders were fabricated (n = 7). After the surface treatment, cylinders were bonded to each other using adhesive resin (Optibond FL). Specimens were stored in water for 24 h. Another 15 cylinders (n = 5) were fabricated for determining degree of conversion using Fourier Transform Infrared Spectrometry immediately and at 24 h. The MTBS and the DC was submitted to two-way ANOVA. The interaction with existing data was explored with univariate ANOVA and two-way ANOVA. Tukey's HSD post-hoc test was used to detect pairwise differences (α = 0.05). The MTBS to light and heat polymerized Z100 was 75.7 MPa, significantly higher than that to Premise (58.6 MPa) and Premise Indirect (63.9 MPa). The immediate DC for Z100, Premise, and Premise Indirect were 51.0%, 68.7%, and 61.8%, respectively. The DC at 24 h ranged from 53.4% (Z100) to 72.8% (Premise Indirect) and significantly increased for Premise Indirect only. Comparison with previously published data revealed that the heat treatment increased both MTBS and DC of Premise and Premise Indirect. Z100 showed better bond strength but lower DC. Heat treatment and a 24-h delay before delivery can benefit DC of Premise Indirect. The increase in DC of Premise and Premise Indirect did not affect their bond strength.

  20. Metric adjusted skew information

    DEFF Research Database (Denmark)

    Hansen, Frank

    2008-01-01

    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...... quantum statistics is a Bauer simplex and determine its extreme points. We determine a particularly simple skew information, the "¿-skew information," parametrized by a ¿ ¿ (0, 1], and show that the convex cone this family generates coincides with the set of all metric adjusted skew informations.......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...

  1. Evaluation and selection of indirect ELISA and sandwich ELISA kits for anti-HCV detection

    Directory of Open Access Journals (Sweden)

    LI Yongzhen

    2014-10-01

    Full Text Available ObjectiveTo compare the sensitivity and specificity between indirect enzyme-linked immunosorbent assay (ELISA and double-antibody sandwich ELISA kits produced in China and to select the best ELISA kit. MethodsSamples for evaluation included 60 serum plates and 40 serum samples positive or weakly positive for antibody to hepatitis C virus (anti-HCV which were confirmed by recombinant immunoblot assay. These samples were tested with a sandwich ELISA kit and three indirect ELISA kits, all of which were produced in China. Comparison between ELISA kits was made by paired chi-square test; comparison of false negative rate was made by R×C contingency table test. ResultsThe sensitivities of three indirect ELISA kits and a sandwich ELISA kit were 90.2%, 78.0%, 95.1%, and 97.6%, respectively, and the specificities were 78.1%, 72.6%, 94.1%, and 100%, respectively. The sandwich ELISA kit had a 4-8 times higher sensitivity than indirect ELISA kits. The R×C contingency table test revealed significant differences in false negative rate between ELISA kits and combinations of ELISA kits (χ2=29.898, P<0.05. ConclusionSandwich ELISA kit has higher sensitivity and specificity than indirect ELISA kits. Combined use of sandwich ELISA and indirect ELISA kits can significantly reduce the false negative rate and effectively prevent missed anti-HCV detection.

  2. 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.

  3. Case-mix adjustment for diabetes indicators: a systematic review

    NARCIS (Netherlands)

    Calsbeek, H.; Markhorst, J.G.M.; Voerman, G.E.; Braspenning, J.C.

    2016-01-01

    OBJECTIVES: Case-mix adjustment is generally considered indispensable for fair comparison of healthcare performance. Inaccurate results are also unfair to patients as they are ineffective for improving quality. However, little is known about what factors should be adjusted for. We reviewed case-mix

  4. A stochastic version of the brass PF ratio adjustment of age-specific fertility schedules.

    Directory of Open Access Journals (Sweden)

    Jack Baker

    Full Text Available Estimates of age-specific fertility rates based on survey data are known to suffer down-bias associated with incomplete reporting. Previously, William Brass (1964, 1965, 1968 proposed a series of adjustments of such data to reflect more appropriate levels of fertility through comparison with data on children-ever-born by age, a measure of cohort-specific cumulative fertility. His now widely-used Parity/Fertility or PF ratio method makes a number of strong assumptions, which have been the focus of an extended discussion in the literature on indirect estimation. However, while it is clear that the measures used in making adjusted age-specific fertility estimates with this method are captured with statistical uncertainty, little discussion of the nature of this uncertainty around PF-ratio based estimates of fertility has been entertained in the literature. Since both age-specific risk of childbearing and cumulative parity (children ever born are measured with statistical uncertainty, an unknown credibility interval must surround every PF ratio-based estimate. Using the standard approach, this is unknown, limiting the ability to make statistical comparisons of fertility between groups or to understand stochasticity in population dynamics. This paper makes use of approaches applied to similar problems in engineering, the natural sciences, and decision analysis--often discussed under the title of uncertainty analysis or stochastic modeling--to characterize this uncertainty and to present a new method for making PF ratio-based fertility estimates with 95 percent uncertainty intervals. The implications for demographic analysis, between-group comparisons of fertility, and the field of statistical demography are explored.

  5. A stochastic version of the brass PF ratio adjustment of age-specific fertility schedules.

    Science.gov (United States)

    Baker, Jack; Alcantara, Adélamar; Ruan, Xiaomin

    2011-01-01

    Estimates of age-specific fertility rates based on survey data are known to suffer down-bias associated with incomplete reporting. Previously, William Brass (1964, 1965, 1968) proposed a series of adjustments of such data to reflect more appropriate levels of fertility through comparison with data on children-ever-born by age, a measure of cohort-specific cumulative fertility. His now widely-used Parity/Fertility or PF ratio method makes a number of strong assumptions, which have been the focus of an extended discussion in the literature on indirect estimation. However, while it is clear that the measures used in making adjusted age-specific fertility estimates with this method are captured with statistical uncertainty, little discussion of the nature of this uncertainty around PF-ratio based estimates of fertility has been entertained in the literature. Since both age-specific risk of childbearing and cumulative parity (children ever born) are measured with statistical uncertainty, an unknown credibility interval must surround every PF ratio-based estimate. Using the standard approach, this is unknown, limiting the ability to make statistical comparisons of fertility between groups or to understand stochasticity in population dynamics. This paper makes use of approaches applied to similar problems in engineering, the natural sciences, and decision analysis--often discussed under the title of uncertainty analysis or stochastic modeling--to characterize this uncertainty and to present a new method for making PF ratio-based fertility estimates with 95 percent uncertainty intervals. The implications for demographic analysis, between-group comparisons of fertility, and the field of statistical demography are explored.

  6. Indirect combustion noise of auxiliary power units

    Science.gov (United States)

    Tam, Christopher K. W.; Parrish, Sarah A.; Xu, Jun; Schuster, Bill

    2013-08-01

    Recent advances in noise suppression technology have significantly reduced jet and fan noise from commercial jet engines. This leads many investigators in the aeroacoustics community to suggest that core noise could well be the next aircraft noise barrier. Core noise consists of turbine noise and combustion noise. There is direct combustion noise generated by the combustion processes, and there is indirect combustion noise generated by the passage of combustion hot spots, or entropy waves, through constrictions in an engine. The present work focuses on indirect combustion noise. Indirect combustion noise has now been found in laboratory experiments. The primary objective of this work is to investigate whether indirect combustion noise is also generated in jet and other engines. In a jet engine, there are numerous noise sources. This makes the identification of indirect combustion noise a formidable task. Here, our effort concentrates exclusively on auxiliary power units (APUs). This choice is motivated by the fact that APUs are relatively simple engines with only a few noise sources. It is, therefore, expected that the chance of success is higher. Accordingly, a theoretical model study of the generation of indirect combustion noise in an Auxiliary Power Unit (APU) is carried out. The cross-sectional areas of an APU from the combustor to the turbine exit are scaled off to form an equivalent nozzle. A principal function of a turbine in an APU is to extract mechanical energy from the flow stream through the exertion of a resistive force. Therefore, the turbine is modeled by adding a negative body force to the momentum equation. This model is used to predict the ranges of frequencies over which there is a high probability for indirect combustion noise generation. Experimental spectra of internal pressure fluctuations and far-field noise of an RE220 APU are examined to identify anomalous peaks. These peaks are possible indirection combustion noise. In the case of the

  7. [Indirect costs in health technology assessment].

    Science.gov (United States)

    Jakubczyk, Michał; Wrona, Witold; Macioch, Tomasz; Golicki, Dominik; Niewada, Maciej; Hermanowski, Tomasz

    2010-01-01

    In the health technology assessment it is crucial to define the perspective of the analysis. When the societal perspective is chosen it is necessary to include all the costs incurred by the society, also the costs of lost productivity resulting from absence of sick employees from work or their reduced efficiency at work. The aim of this article is to present the notion of indirect costs, their importance in health technology assessment and the methods of calculation. The economic literature has been reviewed for the state of knowledge on indirect costs. Three methods of calculation are described: human capital method, friction cost method or health state valuation. Indirect costs in Western European countries can amount to more than half of total costs attributed to the illness and its treatment. In the literature there is no consensus regarding the proper method of indirect costs calculation. It is necessary to conduct further theoretical and empirical research in the area of indirect costs and enhance discussion among Polish pharmacoeconomists.

  8. 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.

  9. 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...... attention to the transformative implications of conscious strategic maneuvering by incumbent regime actors, when confronting regime structurations. This article provides insight to processes of regime enactment performed by local governments by applying a flow-oriented perspective on regime dynamics...

  10. Adjustable Reeds For Weaving

    Science.gov (United States)

    Farley, Gary L.

    1994-01-01

    Local characteristics of fabrics varied to suit special applications. Adjustable reed machinery proposed for use in weaving fabrics in various net shapes, widths, yarn spacings, and yarn angles. Locations of edges of fabric and configuration of warp and filling yarns varied along fabric to obtain specified properties. In machinery, reed wires mounted in groups on sliders, mounted on lengthwise rails in reed frame. Mechanisms incorporated to move sliders lengthwise, parallel to warp yarns, by sliding them along rails; move sliders crosswise by translating reed frame rails perpendicular to warp yarns; and crosswise by spreading reed rails within group. Profile of reed wires in group on each slider changed.

  11. 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...

  12. Adjusting to the Emergent

    DEFF Research Database (Denmark)

    Revsbæk, Line

    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...... 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...

  13. Dark matter dynamics and indirect detection

    Energy Technology Data Exchange (ETDEWEB)

    Bertone, Gianfranco; /Fermilab; Merritt, David; /Rochester Inst. Tech.

    2005-04-01

    Non-baryonic, or ''dark'', matter is believed to be a major component of the total mass budget of the universe. We review the candidates for particle dark matter and discuss the prospects for direct detection (via interaction of dark matter particles with laboratory detectors) and indirect detection (via observations of the products of dark matter self-annihilations), focusing in particular on the Galactic center, which is among the most promising targets for indirect detection studies. The gravitational potential at the Galactic center is dominated by stars and by the supermassive black hole, and the dark matter distribution is expected to evolve on sub-parsec scales due to interaction with these components. We discuss the dominant interaction mechanisms and show how they can be used to rule out certain extreme models for the dark matter distribution, thus increasing the information that can be gleaned from indirect detection searches.

  14. L’indirection en communication publique

    OpenAIRE

    Gauthier, Gilles

    2015-01-01

    Le texte a pour objectif d’analyser le recours à l’indirection dans les débats télévisés tenus à l’occasion des élections canadiennes et québécoises depuis une quarantaine d’années. Dans un premier temps, le procédé expressif de l’indirection est caractérisé. Ensuite, sont discutés les huit procédés distincts d’indirection utilisés dans les débats télévisés. Des exemples sont donnés de ces huit procédés. Une analyse quantitative de leur utilisation dans les débats est aussi faite. Finalement,...

  15. Indirect taxes on food in Southern Brazil

    Directory of Open Access Journals (Sweden)

    Denize Mirian da Silva

    2013-12-01

    Full Text Available The objective of this paper is to estimate the indirect tax burden on food for ten income classes, based on income and household total expenditure in southern Brazil. Thus it can be seen as indirect taxes on foods affect the monetary income and consumption pattern of households. To reach the objectives proposed, will be used the Pintos-Payeras (2008 model. The database iscomposed by microdata from the Household Budgeting Survey (POF 2008-2009 and the tax regulations of the country and the southern states of Brazil. The results show that indirect taxes on food in Southern Brazil is regressive when based on income and expenditure of household , ie , the poorest people pay proportionately more taxes and have their consumption pattern highest taxed ICMS (Brazilian value added tax is the tax that contributes most to the regressivity.

  16. Continuously adjustable Pulfrich spectacles

    Science.gov (United States)

    Jacobs, Ken; Karpf, Ron

    2011-03-01

    A number of Pulfrich 3-D movies and TV shows have been produced, but the standard implementation has inherent drawbacks. The movie and TV industries have correctly concluded that the standard Pulfrich 3-D implementation is not a useful 3-D technique. Continuously Adjustable Pulfrich Spectacles (CAPS) is a new implementation of the Pulfrich effect that allows any scene containing movement in a standard 2-D movie, which are most scenes, to be optionally viewed in 3-D using inexpensive viewing specs. Recent scientific results in the fields of human perception, optoelectronics, video compression and video format conversion are translated into a new implementation of Pulfrich 3- D. CAPS uses these results to continuously adjust to the movie so that the viewing spectacles always conform to the optical density that optimizes the Pulfrich stereoscopic illusion. CAPS instantly provides 3-D immersion to any moving scene in any 2-D movie. Without the glasses, the movie will appear as a normal 2-D image. CAPS work on any viewing device, and with any distribution medium. CAPS is appropriate for viewing Internet streamed movies in 3-D.

  17. Gender differentiation of indirect self-destructiveness

    Directory of Open Access Journals (Sweden)

    Konstantinos Tsirigotis

    2013-02-01

    Full Text Available Objectives: The objective of this study was to examine the sex (gender differentiation of indirect self-destructiveness intensity and its manifestations, as well as relationships between indirect self-destructiveness and its manifestations (categories and the psychological dimensions of masculinity and femininity, also from the point of view of assessing occupational health and safety. Materials and Methods: A population of 558 individuals (399 females and 159 males aged 19–25 (mean age: 22.6 was studied. The Polish version of the “Chronic Self-Destructiveness Scale” (CS-DS by Kelley adapted by Suchańska was used in order to examine indirect self-destructiveness and its manifestations. Gender testing applied the Polish version of the Bem Sex Role Inventory (BSRI by Bem in its adaptation by Kuczyńska. Results: Males’ scores are signifi cantly higher than those of females for the majority of CS-DS scales/indices: Indirect Self-Destructiveness (general index, Poor Health Maintenance (A2, Lack of Planfulness (A4, and Helplessness, Passiveness (A5. Moreover, there are statistically signifi cant correlations between CS-DS scales and the masculinity dimension (positive as well as the femininity dimension (negative. Conclusions: Masculinity is a factor that may predispose towards indirectly self-destructive behaviors, while femininity is a factor protecting against those. The study results may prove useful in preventing indirectly and directly self-destructive behaviors as well as in therapy work with the individuals who display such tendencies or have made attempts on their own lives, in particular taking into account their being of a specifi c sex/gender and in the context of work (especially in diffi cult or dangerous conditions or both.

  18. Effects of Direct and Indirect Instruction on Fostering Decision-Making Competence in Socioscientific Issues

    Science.gov (United States)

    Bottcher, Florian; Meisert, Anke

    2013-01-01

    In this study the effects of different learning environments on the promotion of decision-making competence for the socioscientific issue of genetically modified crops is investigated. The comparison focuses on direct vs. indirect instructions. Therefore on the one hand a sophisticated decision-making strategy was presented to the directly…

  19. Biomass Indirect Liquefaction Strategy Workshop Summary Report

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-07-01

    This report is based on the proceedings of the U.S. Department of Energy Bioenergy Technologies Office Biomass Indirect Liquefaction Strategy Workshop. The workshop, held March 20–21, 2014, in Golden, Colorado, discussed and detailed the research and development needs for biomass indirect liquefaction. Discussions focused on pathways that convert biomass-based syngas (or any carbon monoxide, hydrogen gaseous stream) to liquid intermediates (alcohols or acids) and further synthesize those intermediates to liquid hydrocarbons that are compatible as either a refinery feed or neat fuel.

  20. Clinical guidelines for indirect resin restorations.

    Science.gov (United States)

    Shannon, A

    1997-06-01

    Ongoing advances in adhesive dentistry have made it possible to successfully and predictably bond tooth-supporting restorations using conservative preparation techniques. Improvements in the durability and esthetic properties of tooth-colored restorative materials have also increased the range of available treatment options. However, dentists have been slow to accept both direct and indirect posterior esthetics. This article provides a step-by-step technique for practitioners who choose to treat their patients with indirect resin esthetic restorations. It will not discuss other posterior restorative treatment techniques or materials (i.e. gold, porcelain, amalgam, bonded amalgam, or direct resin).

  1. Case-mix adjustment approach to benchmarking prevalence rates of nosocomial infection in hospitals in Cyprus and Greece.

    Science.gov (United States)

    Kritsotakis, Evangelos I; Dimitriadis, Ioannis; Roumbelaki, Maria; Vounou, Emelia; Kontou, Maria; Papakyriakou, Panikos; Koliou-Mazeri, Maria; Varthalitis, Ioannis; Vrouchos, George; Troulakis, George; Gikas, Achilleas

    2008-08-01

    To examine the effect of heterogeneous case mix for a benchmarking analysis and interhospital comparison of the prevalence rates of nosocomial infection. Cross-sectional survey. Eleven hospitals located in Cyprus and in the region of Crete in Greece. The survey included all inpatients in the medical, surgical, pediatric, and gynecology-obstetrics wards, as well as those in intensive care units. Centers for Disease Control and Prevention criteria were used to define nosocomial infection. The information collected for all patients included demographic characteristics, primary admission diagnosis, Karnofsky functional status index, Charlson comorbidity index, McCabe-Jackson severity of illness classification, use of antibiotics, and prior exposures to medical and surgical risk factors. Outcome data were also recorded for all patients. Case mix-adjusted rates were calculated by using a multivariate logistic regression model for nosocomial infection risk and an indirect standardization method.Results. The overall prevalence rate of nosocomial infection was 7.0% (95% confidence interval, 5.9%-8.3%) among 1,832 screened patients. Significant variation in nosocomial infection rates was observed across hospitals (range, 2.2%-9.6%). Logistic regression analysis indicated that the mean predicted risk of nosocomial infection across hospitals ranged from 3.7% to 10.3%, suggesting considerable variation in patient risk. Case mix-adjusted rates ranged from 2.6% to 12.4%, and the relative ranking of hospitals was affected by case-mix adjustment in 8 cases (72.8%). Nosocomial infection was significantly and independently associated with mortality (adjusted odds ratio, 3.6 [95% confidence interval, 2.1-6.1]). The first attempt to rank the risk of nosocomial infection in these regions demonstrated the importance of accounting for heterogeneous case mix before attempting interhospital comparisons.

  2. 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...

  3. Disentangling Directand Indirect Effects of Credence Labels

    NARCIS (Netherlands)

    Dentoni, D.; Tonsor, G.; Calantone, R.; Peterson, C.

    2014-01-01

    The purpose of this paper is to disentangle the direct and indirect effects of three credence labels (Australian, animal welfare and grass-fed) on US consumer attitudes toward buying beef steaks. Furthermore, it explores the impact of consumer attribute knowledge, usage frequency, education and opin

  4. Indirect processes in electron-ion scattering

    Energy Technology Data Exchange (ETDEWEB)

    Bottcher, C.; Griffin, D.C.; Pindzola, M.S.; Phaneuf, R.A.

    1983-10-01

    A summary is given of an informal workshop held at Oak Ridge National Laboratory on June 22-23, 1983, in which the current status of theoretical calculations of indirect processes in electron-ion scattering was reviewed. Processes of particular interest in astrophysical and fusion plasmas were emphasized. Topics discussed include atomic structure effects, electron-impact ionization, and dielectronic recombination.

  5. Goals and Indirect Objects in Seri.

    Science.gov (United States)

    Marlett, Stephen A.

    A number of Seri verbs display a sensitivity to whether a goal, which is a term used for recipients, adressees, etc., is singular or plural. The data presented in this paper are of typological interest. It is argued that Seri has indirect objects, but that there is no one-to-one mapping between the semantic role goal and either the syntactic…

  6. Have Indirect Emissions from Biofuels Been Exaggerated?

    Science.gov (United States)

    Kicklighter, D. W.; Gurgel, A.; Melillo, J. M.; Reilly, J. M.; Cronin, T.; Felzer, B. S.; Paltsev, S.; Schlosser, C. A.; Sokolov, A. P.

    2009-12-01

    The production of biofuels may lead to enhanced greenhouse gas (GHG) emissions from land to the atmosphere either by directly converting land to biofuel crops, or indirectly, by causing the displacement of food production and other land uses which then require additional land conversions. The importance of indirect GHG emissions from biofuel-related displacement of food production and other land uses is not known and is highly controversial. Here, we examine the direct and indirect land-use emissions over the 21st century from an expanded global bioenergy program, using a linked economic and terrestrial biogeochemistry modeling system under two different land use policies. We account for the dynamics of potential carbon losses or gains from land-use change along with nitrous oxide emissions from increased N fertilizer application. We find that: 1) indirect emissions from land use are responsible for substantially more carbon loss (up to twice as much) than direct land use; 2) increased nitrous oxide emissions over the century are more important to the GHG balance than the carbon losses themselves; 3) the GHG effects of biofuels change in both sign and magnitude over time so that the GHG cost/benefit of biofuels depends on the time horizon considered; and 4) the economics of biofuels become favorable sooner with the protection of forests. While biofuels can be an effective low carbon energy source from a GHG balance perspective, the associated land conversions may lead to an unacceptable loss of other ecosystem services.

  7. 19 CFR 18.26 - Indirect exportation.

    Science.gov (United States)

    2010-04-01

    ... merchandise to be exported and provide such evidence of exportation as required by the port director under... 19 Customs Duties 1 2010-04-01 2010-04-01 false Indirect exportation. 18.26 Section 18.26 Customs... TRANSPORTATION IN BOND AND MERCHANDISE IN TRANSIT Exportation from Customs Custody of Merchandise Unentered...

  8. 19 CFR 18.43 - Indirect exportation.

    Science.gov (United States)

    2010-04-01

    .... port to another for actual exportation at the second port, any export declarations required to be... 19 Customs Duties 1 2010-04-01 2010-04-01 false Indirect exportation. 18.43 Section 18.43 Customs... TRANSPORTATION IN BOND AND MERCHANDISE IN TRANSIT Merchandise Not Otherwise Subject to Customs Control...

  9. Direct and Indirect Effects of Maltreatment and Social Support on Children's Social Competence Across Reporters.

    Science.gov (United States)

    Miller-Graff, Laura E; Howell, Kathryn H; Martinez-Torteya, Cecilia; Grein, Katherine

    2016-11-22

    Children's social competence is a key characteristic of resilience, yet little research has assessed contributing factors to this construct. The objectives of this study were to examine direct and indirect effects of maltreatment on children's social competence, the promotive role of child and caregiver social support, and factors contributing to reports of child social competence across informants. Structural equation modeling evaluated the influence of CPS report history, child adjustment, and child and caregiver social support on child social competence in n = 783 caregiver-child dyads. CPS report history (age 0-8) was indirectly related to low social competence through child adjustment problems. Social support was a significant promotive factor of child social competence, with caregiver social supports predicting higher levels of parent-reported child social competence. Child social support predicted self-reported child social competence. Findings reinforce the assertion that both caregiver and child social support networks are critical to promoting child well-being after adversity.

  10. Indirect Adaptive Attitude Control for a Ducted Fan Vertical Takeoff and Landing Microaerial Vehicle

    Directory of Open Access Journals (Sweden)

    Shouzhao Sheng

    2015-01-01

    Full Text Available The present paper addresses an attitude tracking control problem of a ducted fan microaerial vehicle. The proposed indirect adaptive controller can greatly reduce tracking error in the initial stage of the adaptive learning process by using an error compensation strategy and can achieve good capability to eliminate the adverse effect of measurement noises on the convergence of adjustable parameters. Moreover, the learning rate adaptation strategy is proposed to further minimize the adverse effect of large learning rates on the convergence of adjustable parameters. The experimental tests have illustrated the effectiveness of the proposed adaptive controller.

  11. Two distinct neural mechanisms underlying indirect reciprocity.

    Science.gov (United States)

    Watanabe, Takamitsu; Takezawa, Masanori; Nakawake, Yo; Kunimatsu, Akira; Yamasue, Hidenori; Nakamura, Mitsuhiro; Miyashita, Yasushi; Masuda, Naoki

    2014-03-18

    Cooperation is a hallmark of human society. Humans often cooperate with strangers even if they will not meet each other again. This so-called indirect reciprocity enables large-scale cooperation among nonkin and can occur based on a reputation mechanism or as a succession of pay-it-forward behavior. Here, we provide the functional and anatomical neural evidence for two distinct mechanisms governing the two types of indirect reciprocity. Cooperation occurring as reputation-based reciprocity specifically recruited the precuneus, a region associated with self-centered cognition. During such cooperative behavior, the precuneus was functionally connected with the caudate, a region linking rewards to behavior. Furthermore, the precuneus of a cooperative subject had a strong resting-state functional connectivity (rsFC) with the caudate and a large gray matter volume. In contrast, pay-it-forward reciprocity recruited the anterior insula (AI), a brain region associated with affective empathy. The AI was functionally connected with the caudate during cooperation occurring as pay-it-forward reciprocity, and its gray matter volume and rsFC with the caudate predicted the tendency of such cooperation. The revealed difference is consistent with the existing results of evolutionary game theory: although reputation-based indirect reciprocity robustly evolves as a self-interested behavior in theory, pay-it-forward indirect reciprocity does not on its own. The present study provides neural mechanisms underlying indirect reciprocity and suggests that pay-it-forward reciprocity may not occur as myopic profit maximization but elicit emotional rewards.

  12. 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…

  13. 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…

  14. Exploration of approaches to adjusting brand-name drug prices in Mainland of China: based on comparison and analysis of some brand-name drug prices of Mainland and Taiwan, China

    Institute of Scientific and Technical Information of China (English)

    Weng Geng; Han Sheng; Pu Run; Pan Wynn HT; Shi Luwen

    2014-01-01

    Background Under the circumstance of the New Medical Reform in Mainland of China,lowering drug prices has become an approach to relieving increase of medical expenses,and lowering brand-name medication price is a key strategy.This study,by comparing and analyzing brand-name medication prices between Mainland of China and Taiwan,explores how to adjust brand-name medication prices in Mainland of China in the consideration of the drug administrative strategies in Taiwan.Methods By selecting brand-name drug with generic name and dose types matched in Mainland and Taiwan,calculate the average unit price and standard deviation and test it with the paired t-test.In the mean time,drug administrative strategies between Mainland and Taiwan are also compared systematically.Results Among the 70 brand-name medications with generic names and matched dose types,54 are at higher prices in Mainland of China than Taiwan,which is statistically significant in t-test.Also,among the 47 medications with all of matched generic names,dose types,and manufacturing enterprises,38 are at higher prices in Mainland than Taiwan,and the gap is also statistically significant in t-test.In Mainland of China,brand-name medication took cost-plus pricing and price-based price adjustment,while in Taiwan,brand-name medication took internal and external reference pricing and market-based price adjustment.Conclusions Brand-name drug prices were higher in Mainland of China than in Taiwan.The adjustment strategies of drug orices are scientific in Taiwan and are worth reference by Mainland of China.

  15. Exploration of approaches to adjusting brand-name drug prices in Mainland of China: based on comparison and analysis of some brand-name drug prices of Mainland and Taiwan, China.

    Science.gov (United States)

    Weng, Geng; Han, Sheng; Pu, Run; Pan, Wynn H T; Shi, Luwen

    2014-01-01

    Under the circumstance of the New Medical Reform in Mainland of China, lowering drug prices has become an approach to relieving increase of medical expenses, and lowering brand-name medication price is a key strategy. This study, by comparing and analyzing brand-name medication prices between Mainland of China and Taiwan, explores how to adjust brand-name medication prices in Mainland of China in the consideration of the drug administrative strategies in Taiwan. By selecting brand-name drug with generic name and dose types matched in Mainland and Taiwan, calculate the average unit price and standard deviation and test it with the paired t-test. In the mean time, drug administrative strategies between Mainland and Taiwan are also compared systematically. Among the 70 brand-name medications with generic names and matched dose types, 54 are at higher prices in Mainland of China than Taiwan, which is statistically significant in t-test. Also, among the 47 medications with all of matched generic names, dose types, and manufacturing enterprises, 38 are at higher prices in Mainland than Taiwan, and the gap is also statistically significant in t-test. In Mainland of China, brand-name medication took cost-plus pricing and price-based price adjustment, while in Taiwan, brand-name medication took internal and external reference pricing and market-based price adjustment. Brand-name drug prices were higher in Mainland of China than in Taiwan. The adjustment strategies of drug prices are scientific in Taiwan and are worth reference by Mainland of China.

  16. Adiabat-shaping in indirect drive inertial confinement fusion

    Energy Technology Data Exchange (ETDEWEB)

    Baker, K. L.; Robey, H. F.; Milovich, J. L.; Jones, O. S.; Smalyuk, V. A.; Casey, D. T.; MacPhee, A. G.; Pak, A.; Celliers, P. M.; Clark, D. S.; Landen, O. L.; Peterson, J. L.; Berzak-Hopkins, L. F.; Weber, C. R.; Haan, S. W.; Döppner, T. D.; Dixit, S.; Hamza, A. V.; Jancaitis, K. S.; Kroll, J. J. [Lawrence Livermore National Laboratory, Livermore, California 94550 (United States); and others

    2015-05-15

    Adiabat-shaping techniques were investigated in indirect drive inertial confinement fusion experiments on the National Ignition Facility as a means to improve implosion stability, while still maintaining a low adiabat in the fuel. Adiabat-shaping was accomplished in these indirect drive experiments by altering the ratio of the picket and trough energies in the laser pulse shape, thus driving a decaying first shock in the ablator. This decaying first shock is designed to place the ablation front on a high adiabat while keeping the fuel on a low adiabat. These experiments were conducted using the keyhole experimental platform for both three and four shock laser pulses. This platform enabled direct measurement of the shock velocities driven in the glow-discharge polymer capsule and in the liquid deuterium, the surrogate fuel for a DT ignition target. The measured shock velocities and radiation drive histories are compared to previous three and four shock laser pulses. This comparison indicates that in the case of adiabat shaping the ablation front initially drives a high shock velocity, and therefore, a high shock pressure and adiabat. The shock then decays as it travels through the ablator to pressures similar to the original low-adiabat pulses when it reaches the fuel. This approach takes advantage of initial high ablation velocity, which favors stability, and high-compression, which favors high stagnation pressures.

  17. Bias, Accuracy, and Impact of Indirect Genetic Effects in Infectious Diseases

    Science.gov (United States)

    Lipschutz-Powell, Debby; Woolliams, J. A.; Bijma, P.; Pong-Wong, R.; Bermingham, M. L.; Doeschl-Wilson, A. B.

    2012-01-01

    Selection for improved host response to infectious disease offers a desirable alternative to chemical treatment but has proven difficult in practice, due to low heritability estimates of disease traits. Disease data from field studies is often binary, indicating whether an individual has become infected or not following exposure to an infectious disease. Numerous studies have shown that from this data one can infer genetic variation in individuals’ underlying susceptibility. In a previous study, we showed that with an indirect genetic effect (IGE) model it is possible to capture some genetic variation in infectivity, if present, as well as in susceptibility. Infectivity is the propensity of transmitting infection upon contact with a susceptible individual. It is an important factor determining the severity of an epidemic. However, there are severe shortcomings with the Standard IGE models as they do not accommodate the dynamic nature of disease data. Here we adjust the Standard IGE model to (1) make expression of infectivity dependent on the individuals’ disease status (Case Model) and (2) to include timing of infection (Case-ordered Model). The models are evaluated by comparing impact of selection, bias, and accuracy of each model using simulated binary disease data. These were generated for populations with known variation in susceptibility and infectivity thus allowing comparisons between estimated and true breeding values. Overall the Case Model provided better estimates for host genetic susceptibility and infectivity compared to the Standard Model in terms of bias, impact, and accuracy. Furthermore, these estimates were strongly influenced by epidemiological characteristics. However, surprisingly, the Case-Ordered model performed considerably worse than the Standard and the Case Models, pointing toward limitations in incorporating disease dynamics into conventional variance component estimation methodology and software used in animal breeding. PMID

  18. Avaliação de métodos indiretos de digitalização de radiografias cefalométricas em comparação ao método digital direto Evaluation of indirect methods of digitization of cephalometric radiographs in comparison with the direct digital method

    Directory of Open Access Journals (Sweden)

    Cleomar Donizeth Rodrigues

    2010-08-01

    Full Text Available OBJETIVO: avaliar métodos de digitalização indireta de radiografias cefalométricas em comparação ao método digital direto. MÉTODOS: a amostra foi composta de dez radiografias cefalométricas adquiridas pelo Orthopantomograph OP100/Orthocef OC100 (GE - Instrumentarium, digital direto. As imagens foram inseridas no programa Adobe Photoshop® e cinco pontos cefalométricos foram marcados. Procedeu-se a impressão em transparência e foi feita a digitalização indireta das imagens impressas, por meio das câmeras fotográficas digitais Sony® DSC-W5 e Canon® Rebel XT/EOS 350D, fixas em estativa, nas distâncias de 25cm e 60cm e com o scanner Scan Jet 4C Hewlett Packard®. As imagens diretas e indiretas foram inseridas e calibradas no software Radiocef Studio (Radiomemory®, Brasil, marcando-se o centro dos pontos previamente assinalados. A análise cefalométrica computadorizada gerou três grandezas angulares e quatro lineares, as quais foram submetidas a tratamento estatístico. RESULTADOS: as imagens do scanner Scan Jet 4C HP® demonstraram pequenas alterações significativas, porém, sem relevância clínica. Quando da digitalização a 60cm da radiografia, as duas câmeras causaram distorções que foram significativas mas clinicamente aceitáveis; e, a 25cm, causaram as maiores distorções, com importância clínica, na Canon® Rebel XT. CONCLUSÃO: o scanner Scan Jet 4C HP® com leitor de transparências foi o melhor método e as câmeras operando a 60cm mostraram-se adequadas para digitalização de radiografias. As câmeras na distância de 25cm causaram distorções na imagem que alteraram as medidas lineares, podendo a Canon® Rebel XT comprometer o diagnóstico ortodôntico.OBJECTIVE: To evaluate the indirect digitization method of cephalometric radiographs in comparison with the direct digital method. METHODS: The sample was composed of ten cephalometric radiographs acquired by Orthopantomograph OP100/Orthocef OC100 (GE

  19. Indirect excitons in (111) GaAs double quantum wells

    Science.gov (United States)

    Hubert, C.; Biermann, K.; Hernández-Mínguez, A.; Santos, P. V.

    2017-08-01

    We study the dynamics of indirect (or dipolar) excitons (interwell IXs) in GaAs (111) double quantum wells (DQWs) subjected to a transverse electric field. In comparison with single (111) QWs, these DQWs can store, for a comparable applied fields and optical excitation density, a density of interwell IXs much larger than in SQWs, thus leading to stronger interwell IX- IX repulsive interactions. We show by means of spatially-resolved optical spectroscopy that interwell IXs in (111) DWQs can be transported over distances exceeding 60 μm. From the spectral dependence of the interwell IX spatial distribution profiles, we show that the long transport distances are due to drift forces arising from the strong interwell IX- IX interactions.

  20. Disproportionate Allocation of Indirect Costs at Individual-Farm Level Using Maximum Entropy

    Directory of Open Access Journals (Sweden)

    Markus Lips

    2017-08-01

    Full Text Available This paper addresses the allocation of indirect or joint costs among farm enterprises, and elaborates two maximum entropy models, the basic CoreModel and the InequalityModel, which additionally includes inequality restrictions in order to incorporate knowledge from production technology. Representing the indirect costing approach, both models address the individual-farm level and use standard costs from farm-management literature as allocation bases. They provide a disproportionate allocation, with the distinctive feature that enterprises with large allocation bases face stronger adjustments than enterprises with small ones, approximating indirect costing with reality. Based on crop-farm observations from the Swiss Farm Accountancy Data Network (FADN, including up to 36 observations per enterprise, both models are compared with a proportional allocation as reference base. The mean differences of the enterprise’s allocated labour inputs and machinery costs are in a range of up to ±35% and ±20% for the CoreModel and InequalityModel, respectively. We conclude that the choice of allocation methods has a strong influence on the resulting indirect costs. Furthermore, the application of inequality restrictions is a precondition to make the merits of the maximum entropy principle accessible for the allocation of indirect costs.

  1. Cruel intentions on television and in real life: can viewing indirect aggression increase viewers' subsequent indirect aggression?

    Science.gov (United States)

    Coyne, Sarah M; Archer, John; Eslea, Mike

    2004-07-01

    Numerous studies have shown that viewing violence in the media can influence an individual's subsequent aggression, but none have examined the effect of viewing indirect aggression. This study examines the immediate effect of viewing indirect and direct aggression on subsequent indirect aggression among 199 children ages 11 to 14 years. They were shown an indirect, direct, or no-aggression video and their subsequent indirect aggression was measured by negative evaluation of a confederate and responses to a vignette. Participants viewing indirect or direct aggression gave a more negative evaluation of and less money to a confederate than participants viewing no-aggression. Participants viewing indirect aggression gave less money to the confederate than those viewing direct aggression. Participants viewing indirect aggression gave more indirectly aggressive responses to an ambiguous situation and participants viewing direct aggression gave more directly aggressive responses. This study provides the first evidence that viewing indirect aggression in the media can have an immediate impact on subsequent aggression.

  2. A New Approach to Calculate Indirect GWPs using the UIUC 2-D CRT and RTM Model

    Science.gov (United States)

    Li, Y.; Youn, D.; Patten, K.; Wuebbles, D.

    2006-12-01

    Global warming potentials (GWPs) are defined to be the total impact over time of adding a unit mass of a greenhouse gas to the atmosphere. Indirect GWPs are due to ozone depletion effects in the stratosphere for a certain compound and therefore stand for the long-term global cooling effects. Previously, indirect GWPs were calculated using a box model, which was not able to consider the complex processes in the atmosphere. As a step towards obtaining indirect GWPs through a more robust approach, the UIUC 2-D CRT model was used as the computational tool to derive ozone changes. The 2-D model has more realistic chemical, physical, and dynamical processes in the atmosphere and a relatively complete transport system, which makes it useful for a more accurate analysis. Furthermore, the University of Illinois at Urbana-Champaign (UIUC) radiative transfer model (RTM) is employed to derive the corresponding time-dependent radiative forcings from the 2-D CRT outputs. Two Halon compounds, Halon-1211 and Halon-1301, were selected to be studied for their indirect GWPs. The results showed that instantaneous and stratospheric adjusted indirect GWPs for a 100-year horizon are -10004.8 and -10237.1 for Halon-1211, while for Halon-1301 they are -19218.0 and -19627.6. The indirect GWPs for Halon-1211 and -1301 presented here are two to three times smaller compared to the results in WMO (2006) draft. Further analysis on indirect GWPs will be carried out using our 3-D MOZART-3 model.

  3. Emotional expression in school context, social relationships, and academic adjustment in kindergarten.

    Science.gov (United States)

    Hernández, Maciel M; Eisenberg, Nancy; Valiente, Carlos; VanSchyndel, Sarah K; Spinrad, Tracy L; Silva, Kassondra M; Berger, Rebecca H; Diaz, Anjolii; Terrell, Nathan; Thompson, Marilyn S; Southworth, Jody

    2016-06-01

    This study evaluated direct relations of both kindergarteners' (N = 301) naturalistically observed emotion in 2 different school contexts and early kindergarten verbal competence to academic adjustment (i.e., standardized measures of academic achievement, teacher-reported academic skills, teacher-reported and observed school engagement) and if these relations were mediated by teacher-reported conflict with students and by peer acceptance. When controlling for verbal competence, positive emotions expressed in the classroom context positively directly predicted academic skills, whereas positive emotions expressed outside class (lunch/recess) negatively predicted academic skills. Negative emotions observed in the classroom context and during lunch/recess negatively predicted academic achievement. Positive emotions observed in both contexts indirectly predicted higher school engagement through its positive relation to peer acceptance; positive emotions expressed in lunch and recess indirectly predicted higher school engagement via lower teacher-student conflict. Negative emotions observed in both contexts also indirectly predicted lower school engagement via higher teacher-student conflict. Furthermore, verbal competence indirectly predicted higher academic adjustment via lower teacher-student conflict. Moreover, verbal competence moderated the association between peer acceptance (but not teacher-student conflict) and academic adjustment. Because verbal competence moderated the associations from peer competence, positive emotions in both contexts indirectly predicted higher academic adjustment via higher peer acceptance primarily for children with low, but not high, initial verbal competence. (PsycINFO Database Record

  4. Relevance of indirect transmission for wildlife disease surveillance

    Directory of Open Access Journals (Sweden)

    Martin Lange

    2016-11-01

    Full Text Available Epidemiological models of infectious diseases are essential tools in support of risk assessment, surveillance design and contingency planning in public and animal health. Direct pathogen transmission from host to host is an essential process of each host-pathogen system and respective epidemiological modelling concepts. It is widely accepted that numerous diseases involve indirect transmission through pathogens shed by infectious hosts to their environment. However, epidemiological models largely do not represent pathogen persistence outside the host explicitly. We hypothesize that this simplification might bias management-related model predictions for disease agents that can persist outside their host for a certain time span. We adapted an individual-based, spatially explicit epidemiological model that can mimic both transmission processes. One version explicitly simulated indirect pathogen transmission through a contaminated environment. A second version simulated direct host-to-host transmission only. We aligned the model variants by the transmission potential per infectious host (i.e. basic reproductive number R0 and the spatial transmission kernel of the infection to allow unbiased comparison of predictions. The quantitative model results are provided for the example of surveillance plans for early detection of foot-and-mouth disease in wild boar, a social host.We applied systematic sampling strategies on the serological status of randomly selected host individuals in both models. We compared between the model variants the time to detection and the area affected prior to detection, measures that strongly influence mitigation costs. Moreover, the ideal sampling strategy to detect the infection in a given time frame was compared between both models.We found the simplified, direct transmission model to underestimate necessary sample size by up to one order of magnitude, but to overestimate the area put under control measures. Thus, the model

  5. Time Spent in Indirect Nursing Care

    Science.gov (United States)

    1983-09-01

    WAIl TIME 9 741 5.3 5.3 1000 -.- *; ICTAL 13932 100.0 100.0 VALID CASES 13932 PI SSING CASES 0 18-G °. Table 10 Darnal1 TIME SPENT IN INDIRECT NURSING...91C 4 1668 180C 18.0 67.8 LPN 5 192 29 1 2.1 69.9 91B 91F 91G 6 1452 15.6 15.6 85.5 AIDE 7 762 8.2 8.2 93.7 WARD CLERK 8 582 6.3 6.3 100.0 ICTAL 9282...27o8 94.9 SATURDAY 7 168 5.1 .o1 100.0 ICTAL 3276 100.0 300.0 VALID CASES 3276 MISSING CASES 0 24-C Table 3 ’I" Ft Devens TIME SPENT IN INDIRECT

  6. Scalar Dark Matter: Direct vs. Indirect Detection

    CERN Document Server

    Duerr, Michael; Smirnov, Juri

    2015-01-01

    We revisit the simplest model for dark matter. In this context the dark matter candidate is a real scalar field which interacts with the Standard Model particles through the Higgs portal. We discuss the relic density constraints as well as the predictions for direct and indirect detection. The final state radiation processes are investigated in order to understand the visibility of the gamma lines from dark matter annihilation. We find two regions where one could observe the gamma lines at gamma-ray telescopes. We point out that the region where the dark matter mass is between 100 and 300 GeV can be tested in the near future at direct and indirect detection experiments.

  7. Direct or indirect - that is the question!

    DEFF Research Database (Denmark)

    Pallesen, Ulla

    2016-01-01

    Time has passed since the prevention of caries was performed by extending cavity preparations wide in the tooth and below the gingiva. In the same period adhesive techniques have improved and nowadays made it possible to extend the indications for direct composite resin restorations, also when...... or crown is made. Factors as remaining tooth structure, endodontic treatment, number of teeth, caries risk, para-functional habits, material properties, economy etc. will all have an influence, when the dentist guides the patient to choose the best solution. What is best for the tooth – direct or indirect...... rather destroyed teeth need to be restored. Although much can be solved by direct fillings and thereby make treatments less invasive for the tooth and less expensive for the patient, there still will be teeth, where the prognosis is improved, if an indirect restoration in terms of an inlay, onlay...

  8. Indirect emissions from biofuels: how important?

    Science.gov (United States)

    Melillo, Jerry M; Reilly, John M; Kicklighter, David W; Gurgel, Angelo C; Cronin, Timothy W; Paltsev, Sergey; Felzer, Benjamin S; Wang, Xiaodong; Sokolov, Andrei P; Schlosser, C Adam

    2009-12-04

    A global biofuels program will lead to intense pressures on land supply and can increase greenhouse gas emissions from land-use changes. Using linked economic and terrestrial biogeochemistry models, we examined direct and indirect effects of possible land-use changes from an expanded global cellulosic bioenergy program on greenhouse gas emissions over the 21st century. Our model predicts that indirect land use will be responsible for substantially more carbon loss (up to twice as much) than direct land use; however, because of predicted increases in fertilizer use, nitrous oxide emissions will be more important than carbon losses themselves in terms of warming potential. A global greenhouse gas emissions policy that protects forests and encourages best practices for nitrogen fertilizer use can dramatically reduce emissions associated with biofuels production.

  9. Comment traduire en japonais les styles indirect et indirect libre de Madame Bovary ?

    Directory of Open Access Journals (Sweden)

    Hisaki Sawasaki

    2012-03-01

    Full Text Available Parmi les difficultés rencontrées lors de la traduction des textes littéraires occidentaux, en japonais, nous examinons le problème des styles indirect et indirect libre. Pour cela, en effectuant une petite mise au point grammaticale, nous comparons sept traductions de Madame Bovary de Gustave Flaubert, dont les dates de parution s’étendent sur une cinquantaine d’années. Cette période s’apparente, de notre point de vue, à un long itinéraire pour assimiler la notion occidentale des styles direct et indirect, tout en la conciliant avec les particularités du japonais. D’un autre côté, ce travail acharné des traducteurs a influencé quelque peu la langue japonaise. On trouve dans l’annexe tous les textes en japonais examinés.We will examine the difficulties met when translating Western literary texts in Japanese, in particular the problem of indirect and free indirect styles. We will define the grammatical issue and compare seven translations of Madame Bovary, published over a fifty year period. This time can be likened to a long path taken to digest the Western notion of direct and indirect styles, while reconciling it with Japanese language characteristics. On the other hand the translators’ relentless work has somewhat influenced the Japanese language. The annex will present all the Japanese texts examined.

  10. Measurements of mixing and indirect CP violation

    CERN Document Server

    Reichert, Stefanie

    2015-01-01

    LHCb has collected the world's largest sample of charmed hadrons. This sample is used to measure the mixing parameters in the $D^0$-$\\bar{D}^0$ system and to search for indirect $CP$ violation. This contribution focuses on measurements of $A_{\\Gamma}$ with $D^*$ and semileptonic $B$ decays and on mixing measurements and a search for $CP$ violation in $D\\to K\\pi$ decays.

  11. Indirectness and Politeness in English Requests

    Institute of Scientific and Technical Information of China (English)

    周伟

    2014-01-01

    Foreign language teachers may have long observed learners’grammatically correct, yet situationally inappropriate ver-bal communication. To make sure they conduct speech acts appropriately, language learners should possess communicative skills and pragmatic competence. This paper addresses how to raise learners’pragmatic awareness through making requests in English. By exploring the verbal indirectness and politeness of requests, the paper aims to facilitate learners ’ability to make socially appro-priate utterances.

  12. Afghanistan, Counterinsurgency, and the Indirect Approach

    Science.gov (United States)

    2010-04-01

    separation of Indirect and Direct brands of warfare is unrealistic. As SOCOM Commander Admiral Eric T. Olson noted, the two forms “are intertwined and...Islamic insurgent threat burst into the world’s eye with terrorist strikes in New York, Bali , Madrid, and many other cities. The exercises and more...military cooperation proved timely as the Islamic insurgent threat burst into the world’s eye with terrorist strikes in New York, Bali , Madrid, and

  13. Indirect Dark Matter Searches with MAGIC Telescopes

    OpenAIRE

    Satalecka, Konstancja; MAGIC Collaboration

    2015-01-01

    In the last few years the indirect dark matter (DM) searches became a hot topic, with several experimental results showing hints of DM signal. The Major Atmospheric Gamma Imaging Cherenkov (MAGIC) telescopes are two $17$\\,m diameter Cherenkov telescopes, located on the Canary island La Palma (Spain). MAGIC carries out a broad DM search program, including observations of dwarf galaxies, galaxy clusters and other DM dominated objects. In these proceedings recent MAGIC results from this field ar...

  14. Direct and indirect mate choice on leks.

    Science.gov (United States)

    Saether, Stein Are; Baglo, Ragnhild; Fiske, Peder; Ekblom, Robert; Höglund, Jacob; Kålås, John Atle

    2005-08-01

    Indirect mate choice is any behavior that restricts the individual's set of potential mates without discrimination of mate attributes directly, for example, by having preferences about where to mate. We analyzed a 14-year data set from great snipe (Gallinago media) leks for evidence of indirect mate choice based on relative and absolute position of lek territories. We found little or no effect of the centrality of territories on mating and no between-year consistency in the spatial distribution of matings within leks. Instead, the probability of matings occurring at a particular site increased if the current territory owner had mated the previous year. Furthermore, individual females returned in later seasons to mate with the same male as previously rather than at the same site. Previous work found that male interactions and dominance do not control matings and that females are very choosy about which territory they mate in. Here we show that this is because of the male occupying the territory rather than its position. We therefore conclude that direct female mate choice is the main behavioral process affecting variation in mating success among great snipe males, unlike in some lekking mammals where male competition and/or indirect mate choice appears more important.

  15. Discovering relations between indirectly connected biomedical concepts.

    Science.gov (United States)

    Weissenborn, Dirk; Schroeder, Michael; Tsatsaronis, George

    2015-01-01

    The complexity and scale of the knowledge in the biomedical domain has motivated research work towards mining heterogeneous data from both structured and unstructured knowledge bases. Towards this direction, it is necessary to combine facts in order to formulate hypotheses or draw conclusions about the domain concepts. This work addresses this problem by using indirect knowledge connecting two concepts in a knowledge graph to discover hidden relations between them. The graph represents concepts as vertices and relations as edges, stemming from structured (ontologies) and unstructured (textual) data. In this graph, path patterns, i.e. sequences of relations, are mined using distant supervision that potentially characterize a biomedical relation. It is possible to identify characteristic path patterns of biomedical relations from this representation using machine learning. For experimental evaluation two frequent biomedical relations, namely "has target", and "may treat", are chosen. Results suggest that relation discovery using indirect knowledge is possible, with an AUC that can reach up to 0.8, a result which is a great improvement compared to the random classification, and which shows that good predictions can be prioritized by following the suggested approach. Analysis of the results indicates that the models can successfully learn expressive path patterns for the examined relations. Furthermore, this work demonstrates that the constructed graph allows for the easy integration of heterogeneous information and discovery of indirect connections between biomedical concepts.

  16. Indirect Comprehensive Review Board (ICRB). Final Report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-01

    Lockheed Martin Idaho Technologies Company (LMITCO) used a systems engineering approach to take the first step toward defining a requirements baseline for all indirect work at the Idaho National Engineering Laboratory. The intent of this effort was to define the requirements for indirect work, identify the activities necessary to meet the requirements, and to produce defensible cost estimates for the work. The result of this effort is a scrubbed-down, defensible budget for all indirect work in FY 1997. Buying power for each dollar of direct work was increased by $.02. Recommendations are identified for improvements to this process in FY 1998. The purpose of this report is twofold. First is to report the final results of the 1996 ICRB process, and second is to document the process used such that incremental improvements may be made in future years. Objectives, processes, and approaches are described to provide a trail for future boards. Appendices contain copies of board composition, documentation of the process, as well as the actual training materials.

  17. Spatially indirect excitons in coupled quantum wells

    Energy Technology Data Exchange (ETDEWEB)

    Lai, Chih-Wei Eddy [Univ. of California, Berkeley, CA (United States)

    2004-03-01

    Microscopic quantum phenomena such as interference or phase coherence between different quantum states are rarely manifest in macroscopic systems due to a lack of significant correlation between different states. An exciton system is one candidate for observation of possible quantum collective effects. In the dilute limit, excitons in semiconductors behave as bosons and are expected to undergo Bose-Einstein condensation (BEC) at a temperature several orders of magnitude higher than for atomic BEC because of their light mass. Furthermore, well-developed modern semiconductor technologies offer flexible manipulations of an exciton system. Realization of BEC in solid-state systems can thus provide new opportunities for macroscopic quantum coherence research. In semiconductor coupled quantum wells (CQW) under across-well static electric field, excitons exist as separately confined electron-hole pairs. These spatially indirect excitons exhibit a radiative recombination time much longer than their thermal relaxation time a unique feature in direct band gap semiconductor based structures. Their mutual repulsive dipole interaction further stabilizes the exciton system at low temperature and screens in-plane disorder more effectively. All these features make indirect excitons in CQW a promising system to search for quantum collective effects. Properties of indirect excitons in CQW have been analyzed and investigated extensively. The experimental results based on time-integrated or time-resolved spatially-resolved photoluminescence (PL) spectroscopy and imaging are reported in two categories. (i) Generic indirect exciton systems: general properties of indirect excitons such as the dependence of exciton energy and lifetime on electric fields and densities were examined. (ii) Quasi-two-dimensional confined exciton systems: highly statistically degenerate exciton systems containing more than tens of thousands of excitons within areas as small as (10 micrometer)2 were

  18. A new ignition scheme using hybrid indirect-direct drive for inertial confinement fusion

    CERN Document Server

    Fan, Zhengfeng; Dai, Zhensheng; Cai, Hong-bo; Zhu, Shao-ping; Zhang, W Y; He, X T

    2013-01-01

    A new hybrid indirect-direct-drive ignition scheme is proposed for inertial confinement fusion: a cryogenic capsule encased in a hohlraum is first compressed symmetrically by indirect-drive x-rays, and then accelerated and ignited by both direct-drive lasers and x-rays. A steady high-density plateau newly formed between the radiation and electron ablation fronts suppresses the rarefaction at the radiation ablation front and greatly enhances the drive pressure. Meanwhile, multiple shock reflections at the fuel/hot-spot interface are prevented during capsule deceleration. Thus rapid ignition and burn are realized. In comparison with the conventional indirect drive, the hybrid drive implodes the capsule with a higher velocity ($\\sim4.3\\times10^7$ cm/s) and a much lower convergence ratio ($\\sim$25), and the growth of hydrodynamic instabilities is significantly reduced, especially at the fuel/hot-spot interface.

  19. 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

  20. 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 bipa......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...

  1. Convexity Adjustments for ATS Models

    DEFF Research Database (Denmark)

    Murgoci, Agatha; Gaspar, Raquel M.

    Practitioners are used to value a broad class of exotic interest rate derivatives simply by preforming for what is known as convexity adjustments (or convexity corrections). We start by exploiting the relations between various interest rate models and their connections to measure changes. As a re......Practitioners are used to value a broad class of exotic interest rate derivatives simply by preforming for what is known as convexity adjustments (or convexity corrections). We start by exploiting the relations between various interest rate models and their connections to measure changes....... As a result we classify convexity adjustments into forward adjustments and swaps adjustments. We, then, focus on affine term structure (ATS) models and, in this context, conjecture convexity adjustments should be related of affine functionals. In the case of forward adjustments, we show how to obtain exact...... formulas. Concretely for LIBOR in arrears (LIA) contracts, we derive the system of Riccatti ODE-s one needs to compute to obtain the exact adjustment. Based upon the ideas of Schrager and Pelsser (2006) we are also able to derive general swap adjustments useful, in particular, when dealing with constant...

  2. Performance comparison of resistance-trained subjects by different methods of adjusting for body mass. DOI: http://dx.doi.org/10.5007/1980-0037.2012v14n3p313

    Directory of Open Access Journals (Sweden)

    Wladymir Külkamp

    2012-05-01

    Full Text Available The aim of this study was to compare the performance (1RM of resistance-trained subjects, using different methods of adjusting for body mass (BM: ratio standard, theoretical allometric exponent (0.67, and specific allometric exponents. The study included 11 male and 11 female healthy non-athletes (mean age = 22 years engaged in regular resistance training for at least 6 months. Bench press (BP, 45° leg press (LP and arm curl (AC exercises were performed, and the participants were ranked (in descending order according to each method. The specific allometric exponents for each exercise were: for men – BP (0.73, LP (0.35, and AC (0.71; and for women – BP (1.22, LP (1.02, and AC (0.85. The Kruskal-Wallis test revealed no differences between the rankings. However, visual inspection indicated that the participants were often classified differently in relation to performance by the methods used. Furthermore, no adjusted strength score was equal to the absolute strength values (1RM. The results suggest that there is a range of values in which the differences between exponents do not reflect different rankings (below 0.07 points and a range in which rankings can be fundamentally different (above 0.14 points. This may be important in long-term selection of universally accepted allometric exponents, considering the range of values found in different studies. The standardization of exponents may allow the use of allometry as an additional tool in the prescription of resistance training.

  3. Indirect two-sided relative ranking: a robust similarity measure for gene expression data

    Directory of Open Access Journals (Sweden)

    Licamele Louis

    2010-03-01

    Full Text Available Abstract Background There is a large amount of gene expression data that exists in the public domain. This data has been generated under a variety of experimental conditions. Unfortunately, these experimental variations have generally prevented researchers from accurately comparing and combining this wealth of data, which still hides many novel insights. Results In this paper we present a new method, which we refer to as indirect two-sided relative ranking, for comparing gene expression profiles that is robust to variations in experimental conditions. This method extends the current best approach, which is based on comparing the correlations of the up and down regulated genes, by introducing a comparison based on the correlations in rankings across the entire database. Because our method is robust to experimental variations, it allows a greater variety of gene expression data to be combined, which, as we show, leads to richer scientific discoveries. Conclusions We demonstrate the benefit of our proposed indirect method on several datasets. We first evaluate the ability of the indirect method to retrieve compounds with similar therapeutic effects across known experimental barriers, namely vehicle and batch effects, on two independent datasets (one private and one public. We show that our indirect method is able to significantly improve upon the previous state-of-the-art method with a substantial improvement in recall at rank 10 of 97.03% and 49.44%, on each dataset, respectively. Next, we demonstrate that our indirect method results in improved accuracy for classification in several additional datasets. These datasets demonstrate the use of our indirect method for classifying cancer subtypes, predicting drug sensitivity/resistance, and classifying (related cell types. Even in the absence of a known (i.e., labeled experimental barrier, the improvement of the indirect method in each of these datasets is statistically significant.

  4. Food assistance programmes are indirectly associated with anaemia status in children Mexico.

    Science.gov (United States)

    Shamah-Levy, Teresa; Méndez-Gómez-Humarán, Ignacio; Gaona-Pineda, Elsa B; Cuevas-Nasu, Lucia; Villalpando, Salvador

    2016-09-01

    Anaemia in children is a public health concern in Mexico; Federal food assistance programmes are being implemented to prevent it. We undertook this research to investigate the indirect association between food assistance programmes (FAP) and anaemia through dietary and socio-economic conditions of beneficiary children. A structural equation model (SEM) was constructed to assess associations among FAP, dietary and socio-economic conditions, as well as anaemia. A cross-sectional comparative study was conducted based on a sample of 1214 households with children malnutrition with amaranth (RMA) and a comparison group in San Luis Potosí, Mexico. The SEM and a decomposition effect analysis revealed the existence of a significant indirect association of FAP on the prevalence of anaemia via dietary and socio-economic conditions in children under 5 years old. The Prospera assistance programme showed a significant indirect positive association with the prevalence of anaemia (standard coefficient=0·027, P<0·031), and the RMA programme showed a significant indirect negative association with the prevalence of anaemia (standard coefficient=-0·029, P=0·047). There was a direct association between FAP and dietary and socio-economic conditions. FAP could indirectly modify the prevalence of anaemia in young children with a direct improvement on dietary and socio-economic conditions. The unexpected finding of the association between RMA, dietary and socio-economic conditions and the prevalence of anaemia reflects differences in the focus of the programmes.

  5. Comparison of the indirect fluorescent antibody test and modified agglutination test for detection of anti-Toxoplasma gondii antibodies in rats / Comparação da reação de imunofluorescência indireta e do teste de aglutinação modificado na detecção de anticorpos anti-Toxoplasma gondii em ratos

    Directory of Open Access Journals (Sweden)

    Roberta Lemos Freire

    2010-09-01

    Full Text Available The toxoplasmosis is a zoonosis caused by Toxoplasma gondii and affects a lot of species of carnivores and omnivores, including the human. The rodents are important in the transmition cycle because they act as an infection font to felines, the definitive host of this protozoan. The objective of this work was to evaluate the Modified Agglutination Test (MAT for the serologic diagnosis of toxoplasmosis in rats, comparing with the Indirect Fluorescent Antibody Test (IFAT, which has been considered the golden standard in animal toxoplasmosis diagnosis. Kappa test was used for comparing the serologic tests (IFAT and MAT and for determination of cutoff appropriate to MAT in this animal species. 182 rats were caught on local recycling of solid waste and solid residue storage in Londrina city, Paraná. Out of the 182 rats, nine (4.94% were positive to IFAT at a dilution of 1:16, and 17 (9.34% and five (2.75% were reactive to MAT in dilutions 1:25 and 1:50, respectively. The comparison of results between the techniques presented kappa coefficients of 0.26 and 0.55, respectively at 1:25 and 1:50 dilutions of MAT. It can be concluded that the dilution 1:50 is the most suitable to be used as cutoff for detecting T. gondii antibodies in rats using MAT, because agreed with IFAT.A toxoplasmose é uma zoonose causada pelo Toxoplasma gondii que acomete várias espécies carnívoras e onívoras, incluindo o ser humano. Os roedores são importantes na cadeia epidemiológica da doença por servirem de fonte de infecção aos felídeos, os hospedeiros definitivos deste protozoário. O objetivo deste trabalho foi avaliar o Teste de Aglutinação Modificada (MAT na detecção de anticorpos contra T. gondii em ratos, comparando-o à Reação de Imunofluorescência Indireta (RIFI, considerada padrão ouro para o diagnóstico da toxoplasmose animal. Empregou-se o teste kappa para a comparação dos testes sorológicos (RIFI e MAT e para a determinação do ponto de corte

  6. Indirect associations between multiple items and a mining algorithm

    Institute of Scientific and Technical Information of China (English)

    Ni Min; Xu Xiaofei; Deng Shengchun

    2005-01-01

    Indirect association is a high level relationship between items and frequent itemsets in data. Current research approaches on indirect association mining are limited to indirect association between itempairs, which will discovertoo many rules from dataset. A formal definition of indirect association between multiple items is presented, along with an algorithm, SET-NIA,for mining this kind of indirect associations based on anti-monotonicity of indirect associations and frequent itempair support matrix. While the found rules contain same information as compared to the rules found by indirect association between itempairs mining algorithms, this notion brings space-saving in storage ofthe rules as well as superiority for human to understand and apply the rules. Experiments conducted on two real-word datasets show that SET-NIA can effectively find fewer rules than existing algorithms which mine indirect association between itempairs, the experimental results also prove that SET-NIA has better performance than existing algorithms.

  7. Direct or indirect - that is the question!

    DEFF Research Database (Denmark)

    Pallesen, Ulla

    2016-01-01

    Time has passed since the prevention of caries was performed by extending cavity preparations wide in the tooth and below the gingiva. In the same period adhesive techniques have improved and nowadays made it possible to extend the indications for direct composite resin restorations, also when...... rather destroyed teeth need to be restored. Although much can be solved by direct fillings and thereby make treatments less invasive for the tooth and less expensive for the patient, there still will be teeth, where the prognosis is improved, if an indirect restoration in terms of an inlay, onlay...

  8. Indirect quantum tomography of quadratic Hamiltonians

    Energy Technology Data Exchange (ETDEWEB)

    Burgarth, Daniel [Institute for Mathematical Sciences, Imperial College London, London SW7 2PG (United Kingdom); Maruyama, Koji; Nori, Franco, E-mail: daniel@burgarth.de, E-mail: kmaruyama@riken.jp [Advanced Science Institute, RIKEN, Wako-shi, Saitama 351-0198 (Japan)

    2011-01-15

    A number of many-body problems can be formulated using Hamiltonians that are quadratic in the creation and annihilation operators. Here, we show how such quadratic Hamiltonians can be efficiently estimated indirectly, employing very few resources. We found that almost all the properties of the Hamiltonian are determined by its surface and that these properties can be measured even if the system can only be initialized to a mixed state. Therefore, our method can be applied to various physical models, with important examples including coupled nano-mechanical oscillators, hopping fermions in optical lattices and transverse Ising chains.

  9. 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…

  10. 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…

  11. 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

  12. Indirect inference with time series observed with error

    DEFF Research Database (Denmark)

    Rossi, Eduardo; Santucci de Magistris, Paolo

    We analyze the properties of the indirect inference estimator when the observed series are contaminated by measurement error. We show that the indirect inference estimates are asymptotically biased when the nuisance parameters of the measurement error distribution are neglected in the indirect...... to estimate the parameters of continuous-time stochastic volatility models with auxiliary specifications based on realized volatility measures. Monte Carlo simulations shows the bias reduction of the indirect estimates obtained when the microstructure noise is explicitly modeled. Finally, an empirical...

  13. THE INDIRECT OBJECT (IO) – ALBANIAN AND ENGLISH

    OpenAIRE

    Shkelqim Millaku; Xhevahire Topanica

    2016-01-01

    The aim of this study is too corporate the function of the indirect object between Albanian and English language. The function and the Albanian typical case for indirect object are dative and ablative. This grammatical phenomena is the full contrast between two languages because in English language doesn’t exist dative and ablative us in Albanian. In Albanian and English language, the indirect object is more heterogenic than the direct object. The indirect (direct) object in both of languages...

  14. 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...

  15. 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.

  16. System markets: Indirect network effects in action, or inaction?

    NARCIS (Netherlands)

    J.L.G. Binken (Jeroen)

    2010-01-01

    textabstractIn this dissertation, I empirically examine system markets up close. More specifically I examine indirect network effects, both demand-side and supply-side indirect network effects. Indirect network effects are the source of positive feedback in system markets, or so network effect

  17. System markets: Indirect network effects in action, or inaction?

    NARCIS (Netherlands)

    J.L.G. Binken (Jeroen)

    2010-01-01

    textabstractIn this dissertation, I empirically examine system markets up close. More specifically I examine indirect network effects, both demand-side and supply-side indirect network effects. Indirect network effects are the source of positive feedback in system markets, or so network effect theo

  18. 21 CFR 870.3640 - Indirect pacemaker generator function analyzer.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Indirect pacemaker generator function analyzer... Indirect pacemaker generator function analyzer. (a) Identification. An indirect pacemaker generator function analyzer is an electrically powered device that is used to determine pacemaker function or...

  19. Evaluation of bond strength of brackets using various indirect bonding techniques

    Directory of Open Access Journals (Sweden)

    Piyush Bolya

    2017-01-01

    Full Text Available Introduction: Accurate bracket placement has been always an area of interest for all orthodontists. Different types of adhesives for indirect bonding techniques have been introduced recently. However, there is limited information regarding bond strength with these new materials. The aim of this study is to compare and evaluate the bond strength in various indirect bonding techniques when using different primers and adhesives. Materials and Methods: In this in vitro investigation, brackets were bonded to fifty extracted premolars which were divided into five groups (A–E of ten each. Results: The overall comparison of all the techniques produced comparable mean bond strengths that were well within the clinically acceptable range. Group D produced the highest bond strength in comparison to other groups followed by Group E, B, C, and A. Conclusion: In the present study, all the groups have shown shear bond strength of more than 7.8 MPa. Hence, all the five techniques are suitable for clinical use.

  20. Cooperation under indirect reciprocity and imitative trust.

    Directory of Open Access Journals (Sweden)

    Serguei Saavedra

    Full Text Available Indirect reciprocity, a key concept in behavioral experiments and evolutionary game theory, provides a mechanism that allows reciprocal altruism to emerge in a population of self-regarding individuals even when repeated interactions between pairs of actors are unlikely. Recent empirical evidence show that humans typically follow complex assessment strategies involving both reciprocity and social imitation when making cooperative decisions. However, currently, we have no systematic understanding of how imitation, a mechanism that may also generate negative effects via a process of cumulative advantage, affects cooperation when repeated interactions are unlikely or information about a recipient's reputation is unavailable. Here we extend existing evolutionary models, which use an image score for reputation to track how individuals cooperate by contributing resources, by introducing a new imitative-trust score, which tracks whether actors have been the recipients of cooperation in the past. We show that imitative trust can co-exist with indirect reciprocity mechanisms up to a threshold and then cooperation reverses -revealing the elusive nature of cooperation. Moreover, we find that when information about a recipient's reputation is limited, trusting the action of third parties towards her (i.e. imitating does favor a higher collective cooperation compared to random-trusting and share-alike mechanisms. We believe these results shed new light on the factors favoring social imitation as an adaptive mechanism in populations of cooperating social actors.

  1. Cooperation under indirect reciprocity and imitative trust.

    Science.gov (United States)

    Saavedra, Serguei; Smith, David; Reed-Tsochas, Felix

    2010-10-27

    Indirect reciprocity, a key concept in behavioral experiments and evolutionary game theory, provides a mechanism that allows reciprocal altruism to emerge in a population of self-regarding individuals even when repeated interactions between pairs of actors are unlikely. Recent empirical evidence show that humans typically follow complex assessment strategies involving both reciprocity and social imitation when making cooperative decisions. However, currently, we have no systematic understanding of how imitation, a mechanism that may also generate negative effects via a process of cumulative advantage, affects cooperation when repeated interactions are unlikely or information about a recipient's reputation is unavailable. Here we extend existing evolutionary models, which use an image score for reputation to track how individuals cooperate by contributing resources, by introducing a new imitative-trust score, which tracks whether actors have been the recipients of cooperation in the past. We show that imitative trust can co-exist with indirect reciprocity mechanisms up to a threshold and then cooperation reverses -revealing the elusive nature of cooperation. Moreover, we find that when information about a recipient's reputation is limited, trusting the action of third parties towards her (i.e. imitating) does favor a higher collective cooperation compared to random-trusting and share-alike mechanisms. We believe these results shed new light on the factors favoring social imitation as an adaptive mechanism in populations of cooperating social actors.

  2. Bioechnology of indirect liquefaction. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Datta, R.; Jain, M.K.; Worden, R.M.; Grethlein, A.J.; Soni, B.; Zeikus, J.G.; Grethlein, H.

    1990-05-07

    The project on biotechnology of indirect liquefaction was focused on conversion of coal derived synthesis gas to liquid fuels using a two-stage, acidogenic and solventogenic, anaerobic bioconversion process. The acidogenic fermentation used a novel and versatile organism, Butyribacterium methylotrophicum, which was fully capable of using CO as the sole carbon and energy source for organic acid production. In extended batch CO fermentations the organism was induced to produce butyrate at the expense of acetate at low pH values. Long-term, steady-state operation was achieved during continuous CO fermentations with this organism, and at low pH values (a pH of 6.0 or less) minor amounts of butanol and ethanol were produced. During continuous, steady-state fermentations of CO with cell recycle, concentrations of mixed acids and alcohols were achieved (approximately 12 g/l and 2 g/l, respectively) which are high enough for efficient conversion in stage two of the indirect liquefaction process. The metabolic pathway to produce 4-carbon alcohols from CO was a novel discovery and is believed to be unique to our CO strain of B. methylotrophicum. In the solventogenic phase, the parent strain ATCC 4259 of Clostridium acetobutylicum was mutagenized using nitrosoguanidine and ethyl methane sulfonate. The E-604 mutant strain of Clostridium acetobutylicum showed improved characteristics as compared to parent strain ATCC 4259 in batch fermentation of carbohydrates.

  3. Indirect and direct search for dark matter

    Science.gov (United States)

    Klasen, M.; Pohl, M.; Sigl, G.

    2015-11-01

    The majority of the matter in the universe is still unidentified and under investigation by both direct and indirect means. Many experiments searching for the recoil of dark-matter particles off target nuclei in underground laboratories have established increasingly strong constraints on the mass and scattering cross sections of weakly interacting particles, and some have even seen hints at a possible signal. Other experiments search for a possible mixing of photons with light scalar or pseudo-scalar particles that could also constitute dark matter. Furthermore, annihilation or decay of dark matter can contribute to charged cosmic rays, photons at all energies, and neutrinos. Many existing and future ground-based and satellite experiments are sensitive to such signals. Finally, data from the Large Hadron Collider at CERN are scrutinized for missing energy as a signature of new weakly interacting particles that may be related to dark matter. In this review article we summarize the status of the field with an emphasis on the complementarity between direct detection in dedicated laboratory experiments, indirect detection in the cosmic radiation, and searches at particle accelerators.

  4. Direct and indirect spino-cerebellar pathways: shared ideas but different functions in motor control

    Directory of Open Access Journals (Sweden)

    Juan eJiang

    2015-07-01

    Full Text Available The impressive precision of mammalian limb movements relies on internal feedback pathways that convey information about ongoing motor output to cerebellar circuits. The spino-cerebellar tracts (SCT in the cervical, thoracic and lumbar spinal cord have long been considered canonical neural substrates for the conveyance of internal feedback signals. Here we consider the distinct features of an indirect spino-cerebellar route, via the brainstem lateral reticular nucleus (LRN, and the implications of this pre-cerebellar ‘detour’ for the execution and evolution of limb motor control. Both direct and indirect spino-cerebellar pathways signal spinal interneuronal activity to the cerebellum during movements, but evidence suggests that direct SCT neurons are mainly modulated by rhythmic activity, whereas the LRN also receives information from systems active during postural adjustment, reaching and grasping. Thus, while direct and indirect spino-cerebellar circuits can both be regarded as internal copy pathways, it seems likely that the direct system is principally dedicated to rhythmic motor acts like locomotion, while the indirect system also provides a means of pre-cerebellar integration relevant to the execution and coordination of de

  5. Indirect readout in protein-peptide recognition: a different story from classical biomolecular recognition.

    Science.gov (United States)

    Yu, Hua; Zhou, Peng; Deng, Maolin; Shang, Zhicai

    2014-07-28

    Protein-peptide interactions are prevalent and play essential roles in many living activities. Peptides recognize their protein partners by direct nonbonded interactions and indirect adjustment of conformations. Although processes of protein-peptide recognition have been comprehensively studied in both sequences and structures recently, flexibility of peptides and the configuration entropy penalty in recognition did not get enough attention. In this study, 20 protein-peptide complexes and their corresponding unbound peptides were investigated by molecular dynamics simulations. Energy analysis revealed that configurational entropy penalty introduced by restriction of the degrees of freedom of peptides in indirect readout process of protein-peptide recognition is significant. Configurational entropy penalty has become the main content of the indirect readout energy in protein-peptide recognition instead of deformation energy which is the main source of the indirect readout energy in classical biomolecular recognition phenomena, such as protein-DNA binding. These results provide us a better understanding of protein-peptide recognition and give us some implications in peptide ligand design.

  6. Muon detection with scintillation detectors using indirect SiPM readout

    CERN Document Server

    Struth, Janina

    2010-01-01

    In the scope of this thesis prototypes of silicon photomultipliers with wavelength shifting fibres were measured for muon detection. This indirect readout happens with silizium photomultipliers (SiPM), which are coupled with the fibre. The scintillator was wrapped with different reflective materials to optimise the light amplification. Furthermore two different thicknesses of the scintillator were used to have a comparison between the different light yield. Consequently different scintillator thicknesses were combinded and measured with different wrapping materials to compare their efficiency.

  7. Parent-Child Cultural Orientations and Child Adjustment in Chinese American Immigrant Families

    Science.gov (United States)

    Chen, Stephen H.; Hua, Michelle; Zhou, Qing; Tao, Annie; Lee, Erica H.; Ly, Jennifer; Main, Alexandra

    2014-01-01

    Direct and indirect/mediated relations of (a) children's and parents' cultural orientations and (b) parent-child gaps in cultural orientations to children's psychological adjustment were examined in a socioeconomically diverse sample of 258 Chinese American children (age = 6-9 years) from immigrant families. Parents reported on children's and…

  8. Parent-Child Cultural Orientations and Child Adjustment in Chinese American Immigrant Families

    Science.gov (United States)

    Chen, Stephen H.; Hua, Michelle; Zhou, Qing; Tao, Annie; Lee, Erica H.; Ly, Jennifer; Main, Alexandra

    2014-01-01

    Direct and indirect/mediated relations of (a) children's and parents' cultural orientations and (b) parent-child gaps in cultural orientations to children's psychological adjustment were examined in a socioeconomically diverse sample of 258 Chinese American children (age = 6-9 years) from immigrant families. Parents reported on…

  9. Cruel Intentions on Television and in Real Life: Can Viewing Indirect Aggression Increase Viewers' Subsequent Indirect Aggression?

    Science.gov (United States)

    Coyne, Sarah M.; Archer, John; Eslea, Mike

    2004-01-01

    Numerous studies have shown that viewing violence in the media can influence an individual's subsequent aggression, but none have examined the effect of viewing indirect aggression. This study examines the immediate effect of viewing indirect and direct aggression on subsequent indirect aggression among 199 children ages 11 to 14 years. They were…

  10. Managing psychosocial adjustment to aphasia.

    Science.gov (United States)

    Müller, D

    1999-01-01

    This article argues for incorporating psychosocial adjustment into treatment plans for people with aphasia. It proposes that rehabilitation is a social rather than a medical construct and that by adopting a broad range of intervention strategies, more effective approaches to reintegration can be adopted. Outcome measures relating to self-esteem are judged to be central to evaluating the efficacy of treatment. The role of social factors in managing psychosocial adjustment are considered alongside individual and family approaches to counseling. It is concluded that clinicians need to broaden their treatment program to include psychosocial adjustment in rehabilitation.

  11. Adjustment of Tsunami Source Parameters By Adjoint Methods

    Science.gov (United States)

    Pires, C.; Miranda, P.

    Tsunami waveforms recorded at tide gauges can be used to adjust tsunami source pa- rameters and, indirectly, seismic focal parameters. Simple inversion methods, based on ray-tracing techniques, only used a small fraction of available information. More elab- orate techniques, based on the Green's functions methods, also have some limitations in their scope. A new methodology, using a variational approach, allows for a much more general inversion, which can directly optimize focal parameters of tsunamigenic earthquakes. Idealized synthetic data and an application to the 1969 Gorringe Earth- quake are used to validate the methodology.

  12. 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.

  13. Household Adjustments to Hurricane Katrina

    National Research Council Canada - National Science Library

    Meri Davlasheridze; Qin Fan

    2017-01-01

    This paper examines household adjustments to Hurricane Katrina by estimating the effects of Katrina-induced damages on changes in household demographics and income distributions in the Orleans Parish...

  14. 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.……

  15. Time-adjusted variable resistor

    Science.gov (United States)

    Heyser, R. C.

    1972-01-01

    Timing mechanism was developed effecting extremely precisioned highly resistant fixed resistor. Switches shunt all or portion of resistor; effective resistance is varied over time interval by adjusting switch closure rate.

  16. Alpha indirect conversion radioisotope power source

    Energy Technology Data Exchange (ETDEWEB)

    Sychov, Maxim [TRACE Photonics Inc., 1680 West Polk, Charleston, IL 61920 (United States)], E-mail: msychov@yahoo.com; Kavetsky, Alexandr; Yakubova, Galina; Walter, Gabriel; Yousaf, Shahid; Lin, Qian; Chan, Doris; Socarras, Heather; Bower, Kenneth [TRACE Photonics Inc., 1680 West Polk, Charleston, IL 61920 (United States)

    2008-02-15

    Advantages of radioisotope-powered electric generators include long service life, wide temperature range operation and high-energy density. We report development of a long-life generator based on indirect conversion of alpha decay energy. Prototyping used 300 mCi Pu-238 alpha emitter and AlGaAs photovoltaic cells designed for low light intensity conditions. The alpha emitter, phosphor screens, and voltaic arrays were assembled into a power source with the following characteristics: I{sub sc}=14 {mu}A; U{sub oc}=2.3 V; power output -21 {mu}W. Using this prototype we have powered an eight-digit electronic calculator and wrist watch.

  17. Importance of direct and indirect triggered seismicity

    CERN Document Server

    Helmstetter, A; Helmstetter, Agnes; Sornette, Didier

    2003-01-01

    Using the simple ETAS branching model of seismicity, which assumes that each earthquake can trigger other earthquakes, we quantify the role played by the cascade of triggered seismicity in controlling the rate of aftershock decay as well as in the overall level of seismicity in the presence of a constant external seismicity source. We show that, in this model, the proportion of triggered seismicity is equal to the proportion of secondary plus later-generation aftershocks, and is given by the average number of triggered events per earthquake. Based on these results and on the observation that a large fraction of seismicity are triggered earthquakes, we conclude that similarly a large fraction of aftershocks occurring a few hours or days after a mainshock are triggered indirectly by the mainshock.

  18. Editorial on indirect excitons: Physics and applications

    Science.gov (United States)

    2017-08-01

    This special issue contains 9 original review papers, research papers and discussion papers on indirect excitons. An exciton is a Coulomb-correlated electron-hole pair. Frenkel excitons dominate optical properties of organic semiconductors, while Wannier-Mott excitons are responsible for the hydrogen-like absorption spectra of inorganic semiconductors at low temperatures. The interest to the physics of excitons has strongly increased in the new century. This interest is motivated by unique bosonic properties of excitons that lead to the phenomena of exciton-polariton lasing and stimulated scattering, build-up of the spontaneous coherence and polarisation in cold exciton gases. In addition to the rich fundamental physics, excitons offer the perspective of applications in opto-electronic devices such as exciton transistors, switches, optical integrated circuits, etc.

  19. Indirect and direct search for dark matter

    CERN Document Server

    Klasen, Michael; Sigl, Günter

    2015-01-01

    The majority of the matter in the universe is still unidentified and under investigation by both direct and indirect means. Many experiments searching for the recoil of dark-matter particles off target nuclei in underground laboratories have established increasingly strong constraints on the mass and scattering cross sections of weakly interacting particles, and some have even seen hints at a possible signal. Other experiments search for a possible mixing of photons with light scalar or pseudo-scalar particles that could also constitute dark matter. Furthermore, annihilation or decay of dark matter can contribute to charged cosmic rays, photons at all energies, and neutrinos. Many existing and future ground-based and satellite experiments are sensitive to such signals. Finally, data from the Large Hadron Collider at CERN are scrutinized for missing energy as a signature of new weakly interacting particles that may be related to dark matter. In this review article we summarize the status of the field with an e...

  20. Indirect Collider Signals for Extra Dimensions

    CERN Document Server

    Hewett, J L

    1999-01-01

    A recent suggestion that quantum gravity may become strong near the weak scale has several testable consequences. In addition to probing for the new large (submillimeter) extra dimensions associated with these theories via gravitational experiments, one could search for the Kaluza Klein towers of massive gravitons which are predicted in these models and which can interact with the fields of the Standard Model. Here we examine the indirect effects of these massive gravitons being exchanged in fermion pair production in \\epem\\ annihilation and Drell-Yan production at hadron colliders. In the latter case, we examine a novel feature of this theory, which is the contribution of gluon gluon initiated processes to lepton pair production. We find that these processes provide strong bounds, up to several TeV, on the string scale which are essentially independent of the number of extra dimensions. In addition, we analyze the angular distributions for fermion pair production with spin-2 graviton exchanges and demonstrat...

  1. Indirect determinations of the top quark mass

    CERN Document Server

    Giudice, Gian F; Strumia, Alessandro

    2015-01-01

    We give a complete analysis of indirect determinations of the top quark mass in the Standard Model by introducing a systematic procedure to identify observables that receive quantum corrections enhanced by powers of $M_t$. We propose to use flavour physics as a tool to extract the top quark mass. Although present data give only a poor determination, we show how future theoretical and experimental progress in flavour physics can lead to an accuracy in $M_t$ well below 2 GeV. We revisit determinations of $M_t$ from electroweak data, showing how an improved measurement of the $W$ mass leads to an accuracy well below 1 GeV.

  2. Fishing top predators indirectly affects condition and reproduction in a reef-fish community.

    Science.gov (United States)

    Walsh, S M; Hamilton, S L; Ruttenberg, B I; Donovan, M K; Sandin, S A

    2012-03-01

    To examine the indirect effects of fishing on energy allocation in non-target prey species, condition and reproductive potential were measured for five representative species (two-spot red snapper Lutjanus bohar, arc-eye hawkfish Paracirrhites arcatus, blackbar devil Plectroglyphidodon dickii, bicolour chromis Chromis margaritifer and whitecheek surgeonfish Acanthurus nigricans) from three reef-fish communities with different levels of fishing and predator abundance in the northern Line Islands, central Pacific Ocean. Predator abundance differed by five to seven-fold among islands, and despite no clear differences in prey abundance, differences in prey condition and reproductive potential among islands were found. Body condition (mean body mass adjusted for length) was consistently lower at sites with higher predator abundance for three of the four prey species. Mean liver mass (adjusted for total body mass), an indicator of energy reserves, was also lower at sites with higher predator abundance for three of the prey species and the predator. Trends in reproductive potential were less clear. Mean gonad mass (adjusted for total body mass) was high where predator abundance was high for only one of the three species in which it was measured. Evidence of consistently low prey body condition and energy reserves in a diverse suite of species at reefs with high predator abundance suggests that fishing may indirectly affect non-target prey-fish populations through changes in predation and predation risk.

  3. Child adjustment in joint-custody versus sole-custody arrangements: a meta-analytic review.

    Science.gov (United States)

    Bauserman, Robert

    2002-03-01

    The author meta-analyzed studies comparing child adjustment in joint physical or joint legal custody with sole-custody settings, including comparisons with paternal custody and intact families where possible. Children in joint physical or legal custody were better adjusted than children in sole-custody settings, but no different from those in intact families. More positive adjustment of joint-custody children held for separate comparisons of general adjustment, family relationships, self-esteem, emotional and behavioral adjustment, and divorce-specific adjustment. Joint-custody parents reported less current and past conflict than did sole-custody parents, but this did not explain the better adjustment of joint-custody children. The results are consistent with the hypothesis that joint custody can be advantageous for children in some cases, possibly by facilitating ongoing positive involvement with both parents.

  4. NIA2: A fast indirect association mining algorithm

    Institute of Scientific and Technical Information of China (English)

    NI Min; XU Xiao-fei; DENG Sheng-chun; WEN Xiao-xian

    2005-01-01

    Indirect association is a high level relationship between items and frequent item sets in data. There are many potential applications for indirect associations, such as database marketing, intelligent data analysis,web - log analysis, recommended system, etc. Existing indirect association mining algorithms are mostly based on the notion of post - processing of discovery of frequent item sets. In the mining process, all frequent item sets need to be generated first, and then they are filtered and joined to form indirect associations. We have presented an indirect association mining algorithm (NIA) based on anti - monotonicity of indirect associations whereas k candidate indirect associations can be generated directly from k - 1 candidate indirect associations,without all frequent item sets generated. We also use the frequent itempair support matrix to reduce the time and memory space needed by the algorithm. In this paper, a novel algorithm (NIA2) is introduced based on the generation of indirect association patterns between itempairs through one item mediator sets from frequent itempair support matrix. A notion of mediator set support threshold is also presented. NIA2 mines indirect association patterns directly from the dataset, without generating all frequent item sets. The frequent itempair support matrix and the notion of using tm as the support threshold for mediator sets can significantly reduce the cost of joint operations and the search process compared with existing algorithms. Results of experiments on a realword web log dataset have proved NIA2 one order of magnitude faster than existing algorithms.

  5. Comparison of Three Comprehensive Adjustment Modes of Environment Factors in Modern Industrial Cultivation of Pleurotus eryngii%3种杏鲍菇工厂化栽培环境综合控制模式的比较

    Institute of Scientific and Technical Information of China (English)

    潘伟彬; 蔡跃庆

    2015-01-01

    通过对杏鲍菇工厂化栽培的主要环境因素(温度、湿度、光照强度、CO 2浓度)的综合调控,比较了3个不同调控模式在平均总产量、单袋产量、商品菇比例和生产稳定性、同步性方面的表现。结果表明,模式3(菌丝恢复期温度设置在16~19℃、CO 2浓度控制在2000~3000 mg/kg,原基形成期温度15~18℃、CO 2浓度2500~4000 mg/kg,菇蕾形成期温度14~17℃、CO 2浓度3500~5000 mg/kg,子实体生长期温度13~16℃、CO 2浓度4000~6000 mg/kg,子实体成熟期温度13~15℃、CO 2浓度4000~5000 mg/kg;原基形成期和菇蕾形成期前期光照强度500~600 lx;子实体生长期相对湿度控制在90%~95%,其余时期控制在80%~85%)的效果最优。%Three comprehensive adjustment modes were established in the industrial cultivation of P leurotus eryngii by regulating main environmental factors including temperature,humidity,light intensity and CO 2 concentration.Three regulation modes were compared in the average total yield,the yield per bag,the commercial mushroom proportion and the stability and synchronization of products. The results showed that the third mode has the best effect.(that is,in the recovery period of hyphae, the temperature was arranged between 1 6~1 9 ℃ with CO 2 concentration controlled between 2 000~3 000 mg/kg;in the period of primordium formation,the temperature was arranged between 15 ~18℃ with CO 2 concentration controlled between 2 500~4 000 mg/kg;in mushroom bud formation,the temperature was arranged between 14~17 ℃ with CO 2 concentration between 3 500~5 000 mg/kg;in fruit body growth,the temperature was controlled between 13~1 6 ℃ with CO 2 concentration be-tween 4 000~6 000 mg/kg;in fruit body maturity,the temperature was arranged between 13~15 ℃with CO 2 concentration between 4 000~5 000 mg/kg;in the period of primordium formation and the early stage of the mushroom bud formation,light intensity was arranged between 500~600 lx;in the

  6. Effect of direct and indirect face-bow transfer on the horizontal condylar guidance values: A pilot study

    Directory of Open Access Journals (Sweden)

    Aditi Mishra

    2014-01-01

    Full Text Available Aims and Objectives: This study aimed to evaluate the effect of direct and indirect face-bow transfer on the horizontal condylar guidance (HCG values obtained on the semi-adjustable articulator. Materials and Methods: A total of 15 subjects of age 20-30 years, of either sex were selected. Two sets of maxillary and mandibular casts were obtained. A single arbitrary face-bow record was used for mounting the maxillary casts by direct and indirect transfer for each subject. The mandibular casts were mounted using maximum intercuspation record. Protrusive records were made in Alu wax and used to program the directly and indirectly transferred casts. HCG values obtained from cephalometric records were taken as control. The data was subjected to ANOVA and Bonferroni post hoc test. Results: Mean values of HCG obtained in direct face-bow transfer were 24.93°, indirect transfer −27.66°, and cephalometric analysis −32.73°. One-way ANOVA test indicated that there was a significant difference between all the groups (P < 0.05. Tukey′s test with Bonferroni′s correction (P < 0.01 was significant for direct and indirect transfer (P = 0.008, and direct transfer and cephalometric readings (P = 0.0046. A nonsignificant difference was found between indirect transfer and cephalometric readings (P = 0.047. Conclusion : There is a statistically significant difference in HCG values obtained from direct and indirect face-bow transfer records. Lateral cephalograms gave higher mean HCG values than those obtained from protrusive records. Mean HCG values obtained from indirect face-bow transfers are significantly more than those obtained from direct transfers and are also closer to the values obtained from the lateral cephalograms.

  7. The role of parental and adolescent attributions in adjustment of adolescents with chronic illness.

    Science.gov (United States)

    Guion, Kimberly; Mrug, Sylvie

    2012-09-01

    Previous literature has demonstrated the separate contributions of parental attributions and adolescent attributions to psychosocial adjustment of adolescents with chronic illness. However, it is unknown whether parental attributions affect adolescents' mental health directly or indirectly by influencing the youths' attributional style. This study evaluated the direct and indirect (through adolescent attributions) effects of parental attributions on internalizing and externalizing problems of adolescents with chronic illness. Adolescents (N = 128; M = 14.7 years) diagnosed with cystic fibrosis or diabetes and their caregivers completed measures of attributional style and adolescent adjustment. Parents' optimistic attributions were associated with fewer adolescent internalizing and externalizing problems. These effects were partly mediated by adolescent attributions. These results suggest that targeting both adolescent and parent attributions may be important for improving adolescents' adjustment to a chronic illness.

  8. The indirect costs of multiple sclerosis: systematic review and meta-analysis.

    Science.gov (United States)

    Stawowczyk, Ewa; Malinowski, Krzysztof Piotr; Kawalec, Paweł; Moćko, Paweł

    2015-01-01

    The aim of this systematic review is to collect and summarize all current data on the indirect costs related to absenteeism and presenteeism associated with multiple sclerosis. Searches were conducted using Medline, Embase and Centre for Reviews and Dissemination databases. All collected costs were recalculated to average annual cost per patient, expressed in 2014 prices US$ using the consumer price index and purchasing power parity (scenario 1) and expressed as proportion of specific gross domestic product in current local currency unit to adjust for country's development (scenario 2). Identified studies were then analyzed in order to assess their possible inclusion in the meta-analysis. The authors identified 63 records, of which 23 were eligible for meta-analysis. Overall indirect cost per patient calculated in scenario 1 was as high as US$20,167 with US$22,197 in Europe, US$17,382 in North America and US$153 in Asia. Overall indirect cost per patient calculated in scenario 2 was equal to US$16,939, with US$19,612 in Europe, US$11,592 in North America and US$899 in Asia. Overall indirect costs varied from US$3726 for patients with EDSS score less than 3 to US$19,264 for patients with Expanded Disability Status Scale score grater that 7. This review revealed the great economic burden of multiple sclerosis on society. The authors observed a great variety of the considered components of indirect costs and their definitions. Costs were higher for Europe than for other continents and were also higher for patients with a higher Expanded Disability Status Scale score.

  9. Improved Conjugate Gradient Bundle Adjustment of Dunhuang Wall Painting Images

    Science.gov (United States)

    Hu, K.; Huang, X.; You, H.

    2017-09-01

    Bundle adjustment with additional parameters is identified as a critical step for precise orthoimage generation and 3D reconstruction of Dunhuang wall paintings. Due to the introduction of self-calibration parameters and quasi-planar constraints, the structure of coefficient matrix of the reduced normal equation is banded-bordered, making the solving process of bundle adjustment complex. In this paper, Conjugate Gradient Bundle Adjustment (CGBA) method is deduced by calculus of variations. A preconditioning method based on improved incomplete Cholesky factorization is adopt to reduce the condition number of coefficient matrix, as well as to accelerate the iteration rate of CGBA. Both theoretical analysis and experimental results comparison with conventional method indicate that, the proposed method can effectively conquer the ill-conditioned problem of normal equation and improve the calculation efficiency of bundle adjustment with additional parameters considerably, while maintaining the actual accuracy.

  10. IMPROVED CONJUGATE GRADIENT BUNDLE ADJUSTMENT OF DUNHUANG WALL PAINTING IMAGES

    Directory of Open Access Journals (Sweden)

    K. Hu

    2017-09-01

    Full Text Available Bundle adjustment with additional parameters is identified as a critical step for precise orthoimage generation and 3D reconstruction of Dunhuang wall paintings. Due to the introduction of self-calibration parameters and quasi-planar constraints, the structure of coefficient matrix of the reduced normal equation is banded-bordered, making the solving process of bundle adjustment complex. In this paper, Conjugate Gradient Bundle Adjustment (CGBA method is deduced by calculus of variations. A preconditioning method based on improved incomplete Cholesky factorization is adopt to reduce the condition number of coefficient matrix, as well as to accelerate the iteration rate of CGBA. Both theoretical analysis and experimental results comparison with conventional method indicate that, the proposed method can effectively conquer the ill-conditioned problem of normal equation and improve the calculation efficiency of bundle adjustment with additional parameters considerably, while maintaining the actual accuracy.

  11. Employee adjustment to stress: The role of coping resources, situational factors, and coping responses.

    Science.gov (United States)

    Terry, D J; Tonge, L; Callan, V J

    1995-01-01

    Abstract The present study was designed to examine further the stress-adjustment relationship in employees. Specifically, the relations among employees' coping resources (self-esteem, generalized control beliefs, neuroticism, and social support), their appraisals of a recent stressful event experienced at work (appraised stress, self-efficacy, and situational control beliefs), the coping strategies (problem- and emotion-focused coping) used to deal with the event, and levels of employee adjustment (psychological well-being and job satisfaction) were examined. Data were collected from 153 male and female employees in a public sector department, employed in a range of middle-management administrative activities. The data provided support for a modified version of a model that proposed that both situational appraisals and coping strategies are mediating processes in the stress-adjustment relationship. There was evidence that employees' coping responses to the recent stressful event experienced at work were related to concurrent levels of adjustment. As predicted, the use of problem-focused coping, in general, had positive relationships with the measures of adjustment, whereas the effects of emotion-focused coping were generally negative (there was, however, some evidence that the effects of coping were dependent on event controllability). There was also evidence that coping resources had both direct and indirect effects (via coping and via situational appraisals) on employee adjustment. The latter effects were most marked for generalized control beliefs and self-esteem. Situational appraisals (in particular, efficacy expectancies) also had indirect effects on employee adjustment, through their effects on coping responses.

  12. Indirect adaptive fuzzy control for a class of nonlinear discrete-time systems

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    An indirect adaptive fuzzy control scheme is developed for a class of nonlinear discrete-time systems. In this method, two fuzzy logic systems are used to approximate the unknown functions, and the parameters of membership functions in fuzzy logic systems are adjusted according to adaptive laws for the purpose of controlling the plant to track a reference trajectory. It is proved that the scheme can not only guarantee the boundedness of the input and output of the closed-loop system, but also make the tracking error converge to a small neighborhood of the origin. Simulation results indicate the effectiveness of this scheme.

  13. Adjusting to Chronic Health Conditions.

    Science.gov (United States)

    Helgeson, Vicki S; Zajdel, Melissa

    2017-01-03

    Research on adjustment to chronic disease is critical in today's world, in which people are living longer lives, but lives are increasingly likely to be characterized by one or more chronic illnesses. Chronic illnesses may deteriorate, enter remission, or fluctuate, but their defining characteristic is that they persist. In this review, we first examine the effects of chronic disease on one's sense of self. Then we review categories of factors that influence how one adjusts to chronic illness, with particular emphasis on the impact of these factors on functional status and psychosocial adjustment. We begin with contextual factors, including demographic variables such as sex and race, as well as illness dimensions such as stigma and illness identity. We then examine a set of dispositional factors that influence chronic illness adjustment, organizing these into resilience and vulnerability factors. Resilience factors include cognitive adaptation indicators, personality variables, and benefit-finding. Vulnerability factors include a pessimistic attributional style, negative gender-related traits, and rumination. We then turn to social environmental variables, including both supportive and unsupportive interactions. Finally, we review chronic illness adjustment within the context of dyadic coping. We conclude by examining potential interactions among these classes of variables and outlining a set of directions for future research.

  14. The Muon-Induced Neutron Indirect Detection EXperiment, MINIDEX

    CERN Document Server

    Abt, I; Carissimo, C; Gooch, C; Kneissl, R; Langford, J; Liu, X; Majorovits, B; Palermo, M; Schulz, O; Vanhoefer, L

    2016-01-01

    A new experiment to quantitatively measure neutrons induced by cosmic-ray muons in selected high-Z materials is introduced. The design of the Muon-Induced Neutron Indirect Detection EXperiment, MINIDEX, and the results from its first data taking period are presented as well as future plans. Neutron production in high-Z materials is of particular interest as such materials are used for shielding in low-background experiments. The design of next-generation large-scale experiments searching for neutrinoless double beta decay or direct interactions of dark matter requires reliable Monte Carlo simulations of background induced by muon interactions. The first five months of operation already provided a valuable data set on neutron production and neutron transport in lead. A first round of comparisons between MINIDEX data and Monte Carlo predictions obtained with two GEANT4- based packages is presented. The rate of muon-induced events is overall a factor three to four higher in data than predicted by the Monte Carlo...

  15. Nonlinear indirect combustion noise for compact supercritical nozzle flows

    Science.gov (United States)

    Huet, M.

    2016-07-01

    In this paper, indirect combustion noise generated by the acceleration of entropy perturbations through a supercritical nozzle is investigated in the nonlinear regime and in the low-frequency limit (quasi-static hypothesis). This work completes the study of Huet and Giauque (Journal of Fluid Mechanics 733 (2013) 268-301) for nonlinear noise generation in nozzle flows without shock and particularly focuses on shocked flow regimes. It is based on the analytical model of Marble and Candel for compact nozzles (Journal of Sound and Vibration 55 (1977) 225-243), initially developed for excitations in the linear regime and rederived here for nonlinear perturbations. Full nonlinear analytical solutions are provided in the absence of shock as well as second-order analytical expressions when a shock is present in the diffuser. An analytical evaluation of the shock displacement inside the nozzle caused by the forcing is proposed and maximum possible forcings to avoid unchoke and 'over-choke' are discussed. The accuracy of the second-order model and the nonlinear contributions to the generated waves are then addressed. This model is found to be very accurate for the generated entropy wave with negligible nonlinear contributions. Nonlinearities are more visible, but still limited, for the downstream acoustic wave for large inlet Mach numbers. Analytical developments are validated thanks to comparisons with numerical simulations.

  16. Performance evaluation of indirect evaporative cooler using clay pot

    Science.gov (United States)

    Ramkumar, R.; Ragupathy, A.

    2016-05-01

    The aim of the experimental study is to investigate the performance of indirect evaporator cooler in hot and humid regions. A novel approach is implemented in the cooler using clay pot with different position (single, double and three pots) and different orientation as aligned and staggered position for potential and feasibility study. The clay pot is the ceramic material where the water filled inside the pot and due to the property of porosity, the water comes outer surface of the pot and contact with the air passing over the pot surface and air get cooled. A test rig was designed and fabricated to collect experimental data. The clay pots were arranged in aligned and staggered position. In our study heat transfer was analysed with various air velocity of 1m/s to 5m/s. The air temperature, relative humidity, pressure drop and effectiveness were measured and the performance of the evaporative cooler was evaluated. The analysis of the data indicated that cooling effectiveness improve with decrease of air velocity at staggered position. It was shown that staggered position has the higher performance (57%) at 1 m/s air velocity comparison with aligned position values at three pots position.

  17. Rational suicide, assisted suicide, and indirect legal paternalism.

    Science.gov (United States)

    Schramme, Thomas

    2013-01-01

    This article argues in favour of three related claims: First, suicide is not an immoral act. If people autonomously choose to kill themselves, this ought to be respected. Second, we can deem the desire to die comprehensible, and even rational, when the person contemplating suicide does not see a meaning in her life. This assessment is not based on a metaphysically dubious comparison between the actual life of a person and the supposed state of being dead. Third, from the first two theses it does not automatically follow that we should allow other people to help someone who autonomously and rationally chooses to die to pursue this plan. To argue against indirect legal paternalism, the practice of legally preventing someone else to assist a person to perform a suicide or to be killed on request, needs additional reasons. It is argued that assisted suicide and voluntary active euthanasia can indeed be justified by establishing a claim of persons who want to die but are not able to kill themselves. This mainly means that being really free to die should be interpreted as involving the means to fulfil one's desire to die.

  18. The muon-induced neutron indirect detection EXperiment, MINIDEX

    Science.gov (United States)

    Abt, I.; Caldwell, A.; Carissimo, C.; Gooch, C.; Kneißl, R.; Langford, J.; Liu, X.; Majorovits, B.; Palermo, M.; Schulz, O.; Vanhoefer, L.

    2017-04-01

    A new experiment to quantitatively measure neutrons induced by cosmic-ray muons in selected high-Z materials is introduced. The design of the Muon-Induced Neutron Indirect Detection EXperiment, MINIDEX, and the results from its first data taking period are presented as well as future plans. Neutron production in high-Z materials is of particular interest as such materials are used for shielding in low-background experiments. The design of next-generation large-scale experiments searching for neutrinoless double beta decay or direct interactions of dark matter requires reliable Monte Carlo simulations of background induced by muon interactions. The first five months of operation already provided a valuable data set on neutron production and neutron transport in lead. A first round of comparisons between MINIDEX data and Monte Carlo predictions obtained with a GEANT4-based package for two different sets of physics models of relevance for neutron production by muons is presented. The rate of muon-induced events is overall a factor three to four higher in data than predicted by the Monte Carlo packages. In addition, the time evolution of the muon-induced signal is not well described by the simulations.

  19. Improved hospital-level risk adjustment for surveillance of healthcare-associated bloodstream infections: a retrospective cohort study

    Directory of Open Access Journals (Sweden)

    Jones MA

    2009-09-01

    Full Text Available Abstract Background To allow direct comparison of bloodstream infection (BSI rates between hospitals for performance measurement, observed rates need to be risk adjusted according to the types of patients cared for by the hospital. However, attribute data on all individual patients are often unavailable and hospital-level risk adjustment needs to be done using indirect indicator variables of patient case mix, such as hospital level. We aimed to identify medical services associated with high or low BSI rates, and to evaluate the services provided by the hospital as indicators that can be used for more objective hospital-level risk adjustment. Methods From February 2001-December 2007, 1719 monthly BSI counts were available from 18 hospitals in Queensland, Australia. BSI outcomes were stratified into four groups: overall BSI (OBSI, Staphylococcus aureus BSI (STAPH, intravascular device-related S. aureus BSI (IVD-STAPH and methicillin-resistant S. aureus BSI (MRSA. Twelve services were considered as candidate risk-adjustment variables. For OBSI, STAPH and IVD-STAPH, we developed generalized estimating equation Poisson regression models that accounted for autocorrelation in longitudinal counts. Due to a lack of autocorrelation, a standard logistic regression model was specified for MRSA. Results Four risk services were identified for OBSI: AIDS (IRR 2.14, 95% CI 1.20 to 3.82, infectious diseases (IRR 2.72, 95% CI 1.97 to 3.76, oncology (IRR 1.60, 95% CI 1.29 to 1.98 and bone marrow transplants (IRR 1.52, 95% CI 1.14 to 2.03. Four protective services were also found. A similar but smaller group of risk and protective services were found for the other outcomes. Acceptable agreement between observed and fitted values was found for the OBSI and STAPH models but not for the IVD-STAPH and MRSA models. However, the IVD-STAPH and MRSA models successfully discriminated between hospitals with higher and lower BSI rates. Conclusion The high model goodness

  20. Body Segment Inertial Parameters of elite swimmers Using DXA and indirect Methods

    Directory of Open Access Journals (Sweden)

    Marcel ROSSI

    2013-12-01

    Full Text Available As accurate body segment inertial parameters (BSIPs are difficult to obtain in motion analysis, this study computed individual BSIPs from DXA scan images. Therefore, by co-registering areal density data with DXA grayscale image, the relationship between pixel color gradient and the mass within the pixel area could be established. Thus, one can calculate BSIPs, including segment mass, center of mass (COM and moment of inertia about the sagittal axis (Ixx. This technique calculated whole body mass very accurately (%RMSE of < 1.5% relatively to results of the generic DXA scanner software. The BSIPs of elite male and female swimmers, and young adult Caucasian males (n = 28, were computed using this DXA method and 5 other common indirect estimation methods. A 3D surface scan of each subject enabled mapping of key anthropometric variables required for the 5 indirect estimation methods. Mass, COM and Ixx were calculated for seven body segments (head, trunk, head + trunk, upper arm, forearm, thigh and shank. Between-group comparisons of BSIPs revealed that elite female swimmers had the lowest segment masses of the three groups (p < 0.05. Elite male swimmers recorded the greatest inertial parameters of the trunk and upper arms (p < 0.05. Using the DXA method as the criterion, the five indirect methods produced errors greater than 10% for at least one BSIP in all three populations. Therefore, caution is required when computing BSIPs for elite swimmers via these indirect methods, DXA accurately estimated BSIPs in the frontal plane.

  1. Direct and indirect detection of supersymmetric dark matter; Detection directe et indirecte de matiere sombre supersymetrique

    Energy Technology Data Exchange (ETDEWEB)

    Mayet, F

    2001-09-01

    A substantial body of astrophysical evidence supports the existence of non-baryonic dark matter in the universe. One of the leading dark matter candidates is the neutralino predicted by the supersymmetric extensions of the standard model of particle physics. Different detectors have been designed for the detection, either indirect or direct, of the neutralino. Related to indirect detection, the present work has been performed in the context of the AMS experiment. A precursor version of the spectrometer was flown on the space shuttle Discovery in June 1998. The detector included an Aerogel Threshold Cherenkov counter (ATC) to identify antiprotons, whose spectrum may be used to infer a neutralino signal. The analysis of the ATC data is presented including an evaluation of the flight performance and a description of the optimization of the antiproton selection. An antiproton analysis is also reported. A phenomenological study allows us to investigate the discovery potential of this indirect method. This thesis also includes the development of a new detector (MACHe3) designed for direct neutralino search using a superfluid {sup 3}He bolometer operated at ultra low temperatures. The data analysis of the prototype cell is presented. A Monte Carlo simulation has been developed, in order to optimize the detector design for direct neutralino search. These results are compared with theoretical predictions of supersymmetric models, thus highlighting the discovery potential of this detector and its complementarity with existing devices. (author)

  2. Direct and indirect punishment among strangers in the field.

    Science.gov (United States)

    Balafoutas, Loukas; Nikiforakis, Nikos; Rockenbach, Bettina

    2014-11-11

    Many interactions in modern human societies are among strangers. Explaining cooperation in such interactions is challenging. The two most prominent explanations critically depend on individuals' willingness to punish defectors: In models of direct punishment, individuals punish antisocial behavior at a personal cost, whereas in models of indirect reciprocity, they punish indirectly by withholding rewards. We investigate these competing explanations in a field experiment with real-life interactions among strangers. We find clear evidence of both direct and indirect punishment. Direct punishment is not rewarded by strangers and, in line with models of indirect reciprocity, is crowded out by indirect punishment opportunities. The existence of direct and indirect punishment in daily life indicates the importance of both means for understanding the evolution of cooperation.

  3. MCCB warm adjustment testing concept

    Science.gov (United States)

    Erdei, Z.; Horgos, M.; Grib, A.; Preradović, D. M.; Rodic, V.

    2016-08-01

    This paper presents an experimental investigation in to operating of thermal protection device behavior from an MCCB (Molded Case Circuit Breaker). One of the main functions of the circuit breaker is to assure protection for the circuits where mounted in for possible overloads of the circuit. The tripping mechanism for the overload protection is based on a bimetal movement during a specific time frame. This movement needs to be controlled and as a solution to control this movement we choose the warm adjustment concept. This concept is meant to improve process capability control and final output. The warm adjustment device design will create a unique adjustment of the bimetal position for each individual breaker, determined when the testing current will flow thru a phase which needs to trip in a certain amount of time. This time is predetermined due to scientific calculation for all standard types of amperages and complies with the IEC 60497 standard requirements.

  4. Indirect blood pressure measurement: a need to reassess.

    Science.gov (United States)

    Anderson, F D; Cunningham, S G; Maloney, J P

    1993-07-01

    Indirect blood pressure measurement is the assessment tool used most frequently in epidemiological studies and hypertension management in the population at large. To review indirect blood pressure measurement within the context of nursing practice. Nurses are not following recommended American Heart Association measurement guidelines. A national program of certification in indirect blood pressure measurement, similar to that of basic and advanced cardiac life support, is needed. An initial approach to evaluating present practice is also suggested.

  5. Bioelectrochemical Systems for Indirect Biohydrogen Production

    KAUST Repository

    Regan, John M.

    2014-01-01

    Bioelectrochemical systems involve the use of exoelectrogenic (i.e., anode-reducing) microbes to produce current in conjunction with the oxidation of reduced compounds. This current can be used directly for power in a microbial fuel cell, but there are alternate uses of this current. One such alternative is the production of hydrogen in a microbial electrolysis cell (MEC), which accomplishes cathodic proton reduction with a slight applied potential by exploiting the low redox potential produced by exoelectrogens at the anode. As an indirect approach to biohydrogen production, these systems are not subject to the hydrogen yield constraints of fermentative processes and have been proven to work with virtually any biodegradable organic substrate. With continued advancements in reactor design to reduce the system internal resistance, increase the specific surface area for anode biofilm development, and decrease the material costs, MECs may emerge as a viable alternative technology for biohydrogen production. Moreover, these systems can also incorporate other value-added functionalities for applications in waste treatment, desalination, and bioremediation.

  6. Spherical cows in dark matter indirect detection

    Science.gov (United States)

    Bernal, Nicolás; Necib, Lina; Slatyer, Tracy R.

    2016-12-01

    Dark matter (DM) halos have long been known to be triaxial, but in studies of possible annihilation and decay signals they are often treated as approximately spherical. In this work, we examine the asymmetry of potential indirect detection signals of DM annihilation and decay, exploiting the large statistics of the hydrodynamic simulation Illustris. We carefully investigate the effects of the baryons on the sphericity of annihilation and decay signals for both the case where the observer is at 8.5 kpc from the center of the halo (exemplified in the case of Milky Way-like halos), and for an observer situated well outside the halo. In the case of Galactic signals, we find that both annihilation and decay signals are expected to be quite symmetric, with axis ratios very different from 1 occurring rarely. In the case of extragalactic signals, while decay signals are still preferentially spherical, the axis ratio for annihilation signals has a much flatter distribution, with elongated profiles appearing frequently. Many of these elongated profiles are due to large subhalos and/or recent mergers. Comparing to gamma-ray emission from the Milky Way and X-ray maps of clusters, we find that the gamma-ray background appears less spherical/more elongated than the expected DM signal from the large majority of halos, and the Galactic gamma ray excess appears very spherical, while the X-ray data would be difficult to distinguish from a DM signal by elongation/sphericity measurements alone.

  7. Indirect land use change and biofuel policy

    Science.gov (United States)

    Kocoloski, Matthew; Griffin, W. Michael; Matthews, H. Scott

    2009-09-01

    Biofuel debates often focus heavily on carbon emissions, with parties arguing for (or against) biofuels solely on the basis of whether the greenhouse gas emissions of biofuels are less than (or greater than) those of gasoline. Recent studies argue that land use change leads to significant greenhouse gas emissions, making some biofuels more carbon intensive than gasoline. We argue that evaluating the suitability and utility of biofuels or any alternative energy source within the limited framework of plus and minus carbon emissions is too narrow an approach. Biofuels have numerous impacts, and policy makers should seek compromises rather than relying solely on carbon emissions to determine policy. Here, we estimate that cellulosic ethanol, despite having potentially higher life cycle CO2 emissions (including from land use) than gasoline, would still be cost-effective at a CO2 price of 80 per ton or less, well above estimated CO2 mitigation costs for many alternatives. As an example of the broader approach to biofuel policy, we suggest the possibility of using the potential cost reductions of cellulosic ethanol relative to gasoline to balance out additional carbon emissions resulting from indirect land use change as an example of ways in which policies could be used to arrive at workable solutions.

  8. Theoretical research on color indirect effects

    Science.gov (United States)

    Liu, T. C.; Liao, Changjun; Liu, Songhao

    1995-05-01

    Color indirect effects (CIE) means the physiological and psychological effects of color resulting from color vision. In this paper, we study CIE from the viewpoints of the integrated western and Chinese traditional medicine and the time quantum theory established by C. Y. Liu et al., respectively, and then put forward the color-automatic-nervous-subsystem model that could color excites parasympathetic subsystem and hot color excites sympathetic subsystem. Our theory is in agreement with modern color vision theory, and moreover, it leads to the resolution of the conflict between the color code theory and the time code theory oncolor vision. For the latitude phenomena on athlete stars number and the average lifespan, we also discuss the possibility of UV vision. The applications of our theory lead to our succeeding in explaining a number of physiological and psychological effects of color, in explaining the effects of age on color vision, and in explaining the Chinese chromophototherapy. We also discuss its application to neuroimmunology. This research provides the foundation of the clinical applications of chromophototherapy.

  9. An Automatic Indirect Immunofluorescence Cell Segmentation System

    Directory of Open Access Journals (Sweden)

    Yung-Kuan Chan

    2014-01-01

    Full Text Available Indirect immunofluorescence (IIF with HEp-2 cells has been used for the detection of antinuclear autoantibodies (ANA in systemic autoimmune diseases. The ANA testing allows us to scan a broad range of autoantibody entities and to describe them by distinct fluorescence patterns. Automatic inspection for fluorescence patterns in an IIF image can assist physicians, without relevant experience, in making correct diagnosis. How to segment the cells from an IIF image is essential in developing an automatic inspection system for ANA testing. This paper focuses on the cell detection and segmentation; an efficient method is proposed for automatically detecting the cells with fluorescence pattern in an IIF image. Cell culture is a process in which cells grow under control. Cell counting technology plays an important role in measuring the cell density in a culture tank. Moreover, assessing medium suitability, determining population doubling times, and monitoring cell growth in cultures all require a means of quantifying cell population. The proposed method also can be used to count the cells from an image taken under a fluorescence microscope.

  10. Establishment of indirect immunofluorescence assay for rotavirus.

    Science.gov (United States)

    Tao, J; Zhang, J; Liu, X; Jin, H; Jiang, C; Yin, Y

    2016-03-01

    Rotavirus infection is the most frequent cause of infantile gastroenteritis worldwide and a significant cause of death in infants and young children, following severe diarrhea and dehydration. Rotavirus vaccines are considered the most effective way to prevent rotavirus infections. In the process of developing rotavirus vaccines, it is crucial to establish a reliable and standardized method to determine vaccine titer. In this study, we developed an indirect immunofluorescence assay (IFA) to determine the infectious titer of Lanzhou lamb rotavirus (LLR) vaccine grown in MA104 cells. The activating concentration of trypsin was 1 µg/ml for healthy monolayers of MA104 cells at 100% confluence. After incubation for 18 hr, a rabbit anti-SA11 polyclonal antibody, diluted at 1:800 in PBS, was added to all wells, followed by an Alexa-488-conjugated secondary antibody diluted at 1:500 in PBS. Cells were examined with a fluorescence microscope. Our results show that IFA was more reproducible, more sensitive, simpler, and more rapid than the log 50% cell culture infectious dose-ELISA (lgCCID50-ELISA) in measuring the rotavirus vaccines. IFA provided a reliable basis for the qualitative and quantitative analysis of rotavirus, and the certification of rotavirus vaccine production.

  11. Tax Adjusted for Imported Equipment

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ Ministry of Finance, Central Administration of Customs, and State Administration of Taxation of P.R. of China jointly issued a "Notice on the Lists Related to the Interim Provisions on the Adjustment of Import Tax Policy on Major Technical Equipment" (the Notice) on April 13rd to adjust the list of equipment catalog and merchandise attached to the "Interim Provisions on the Import Tax Policy on Major Technical Equipment", as well as the preferential scope and extent of the import tax on a number of major technical equipment.

  12. Indirect Genetic Effects for group-housed animals

    DEFF Research Database (Denmark)

    Alemu, Setegn Worku

    This thesis investigated social interactions in group-housed animals. The main findings of this thesis: 1) Statistical methods to estimate indirect genetic effects when interactions differ between kin vs. non-kin were developed. 2) Indirect genetic effects contribute a substantial amount of herit......This thesis investigated social interactions in group-housed animals. The main findings of this thesis: 1) Statistical methods to estimate indirect genetic effects when interactions differ between kin vs. non-kin were developed. 2) Indirect genetic effects contribute a substantial amount...

  13. Indirect Coupling between Two Cavity Photon Systems via Ferromagnetic Resonance

    CERN Document Server

    Hyde, Paul; Harder, Michael; Match, Christophe; Hu, Can-Ming

    2016-01-01

    We experimentally realize indirect coupling between two cavity modes via strong coupling with the ferromagnetic resonance in Yttrium Iron Garnet (YIG). We find that some indirectly coupled modes of our system can have a higher microwave transmission than the individual uncoupled modes. Using a coupled harmonic oscillator model, the influence of the oscillation phase difference between the two cavity modes on the nature of the indirect coupling is revealed. These indirectly coupled microwave modes can be controlled using an external magnetic field or by tuning the cavity height. This work has potential for use in controllable optical devices and information processing technologies.

  14. Use of Local Dynamic Electricity Prices for Indirect Control of DER Power Units

    DEFF Research Database (Denmark)

    Nørgård, Per Bromand; Isleifsson, Fridrik Rafn

    2013-01-01

    The regulation capability that may be provided by the individual small-scale distributed energy resources (DER power units) may be insignificant. However, the aggregated response from a large number of DER power units can be significant and thereby provide valuable system services to the power...... wind power, solar power, flexible load and electrical storage. The local power price generation is based on the actual Nord Pool DK2 Spot prices on hourly basis as the quasi-stationary global electricity price, and the local SYSLAB's power exchange with the national grid as basis for the dynamic price...... electricity prices for indirect control of active power. The local, dynamic electricity prices are realised as dynamic adjustments of the quasi-stationary global power price. The aims of the dynamic price adjustments are to prevent overloading of the grid, to reduce the grid power losses and to regulate...

  15. Poor adjustment to college life mediates the relationship between drinking motives and alcohol consequences: a look at college adjustment, drinking motives, and drinking outcomes.

    Science.gov (United States)

    LaBrie, Joseph W; Ehret, Phillip J; Hummer, Justin F; Prenovost, Katherine

    2012-04-01

    The current study examined whether the relationship between drinking motives and alcohol-related outcomes was mediated by college adjustment. Participants (N=253) completed an online survey that assessed drinking motives, degree of both positive and negative college adjustment, typical weekly drinking, and past month negative alcohol-related consequences. Structural equation modeling examined negative alcohol consequences as a function of college adjustment, drinking motives, and weekly drinking behavior in college students. Negative college adjustment mediated the relationship between coping drinking motives and drinking consequences. Positive college adjustment was not related to alcohol consumption or consequences. Positive reinforcement drinking motives (i.e. social and enhancement) not only directly predicted consequences, but were partially mediated by weekly drinking and degree of negative college adjustment. Gender specific models revealed that males exhibited more variability in drinking and their positive reinforcement drinking motives were more strongly associated with weekly drinking. Uniquely for females, coping motives were directly and indirectly (via negative adjustment) related to consequences. These findings suggest that interventions which seek to decrease alcohol-related risk may wish to incorporate discussions about strategies for decreasing stress and increasing other factors associated with better college adjustment.

  16. 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...

  17. An adjustable contracted CI method

    Institute of Scientific and Technical Information of China (English)

    王育彬; 甘正汀; 苏克和; 文振翼

    1999-01-01

    A new contracted CI scheme——adjustable contracted CI scheme——is presented and programed. The efficiency of this scheme is tested by some example calculations. The result shows that the application of the new scheme is flexible and the correlation energy loss is lower than that of the original externally contracted CI method.

  18. Adjustment or updating of models

    Indian Academy of Sciences (India)

    D J Ewins

    2000-06-01

    In this paper, first a review of the terminology used in the model adjustment or updating is presented. This is followed by an outline of the major updating algorithms cuurently available, together with a discussion of the advantages and disadvantages of each, and the current state-of-the-art of this important application and part of optimum design technology.

  19. A literature review of indirect costs associated with stroke.

    Science.gov (United States)

    Joo, Heesoo; George, Mary G; Fang, Jing; Wang, Guijing

    2014-08-01

    Stroke is a leading cause of mortality and long-term disability. However, the indirect costs of stroke, such as productivity loss and costs of informal care, have not been well studied. To better understand this, we conducted a literature review of the indirect costs of stroke. A literature search using PubMed, MEDLINE, and EconLit, with the key words stroke, cerebrovascular disease, subarachnoid hemorrhage, intracerebral hemorrhage, cost-of-illness, productivity loss, indirect cost, economic burden, and informal caregiving was conducted. We identified original research articles published during 1990-2012 in English-language peer-reviewed journals. We summarized indirect costs by study type, cost categories, and study settings. We found 31 original research articles that investigated the indirect cost of stroke. Six of these investigated indirect costs only; the other 25 studies were cost-of-illness studies that included indirect costs as a component. Of the 31 articles, 6 examined indirect costs in the United States, with 2 of these focused solely on indirect costs. Because of diverse methods, kinds of data, and definitions of cost used in the studies, the literature indicated a very wide range internationally in the proportion of the total cost of stroke that is represented by indirect costs (from 3% to 71%). Most of the literature indicates that indirect costs account for a significant portion of the economic burden of stroke, and there is a pressing need to develop proper approaches to analyze these costs and to make better use of relevant data sources for such studies or establish new ones. Published by Elsevier Inc.

  20. Indirect ELISA with Recombinant GP5 for Detecting Antibodies to Porcine Reproductive and Respiratory Syndrome Virus

    Institute of Scientific and Technical Information of China (English)

    Yan Chen; Hong Tian; Jian-Hui He; Jin-Yin Wu; You-jun Shang; Xiang-tao Liu

    2011-01-01

    Porcine reproductive and respiratory syndrome is caused by the PRRS virus(PRRSV), which has six structural proteins(GP2, GP3, GP4, GP5, M and N). GP5 and N protein are important targets for serological detection by enzyme-linked immunosorbent assay(ELISA)and other methods. Toward this goal, we developed an indirect ELISA with recombinant GP5 antigens and this method was validated by comparison to the LSI PRRSV-Ab ELISA kit. The results indicated that the optimal concentration of coated recombinant antigen was 0.2 μg/well for a serum dilution of 1:40. The rate of agreement with the LSI PRRSV-Ab kit was 88.7%(266/300). These results support the potential use of recombinant GP5 as an antigen for indirect ELISA to detect PRRSV antibodies in pigs.

  1. Indirect method for wheel-rail force measurement and derailment evaluation

    Science.gov (United States)

    Wei, Lai; Zeng, Jing; Wu, Pingbo; Gao, Hao

    2014-12-01

    Wheel set flange derailment criteria for railway vehicles are derived and the influence of wheel-rail contact parameters is studied. An indirect method for wheel-rail force measurement based on these derailment evaluation criteria is proposed. Laboratory tests for the calibration of strain-force devices on the bearing box are carried out to determine the relationship between the applied force and the measured strain. The simulation package, SIMPACK, is used to develop a passenger car model to generate wheel-rail forces and vibration signals. Different cases are considered in this model to provide an accurate validation of the identified wheel-rail forces. A feasibility test is conducted in the Beijing Loop test line using a passenger car equipped with a set of strain gauges on the wheel set. The comparison of the force time history applied to the instrumented wheel set and that obtained using the indirect method is presented.

  2. Indirect searches for gravitino dark matter

    Energy Technology Data Exchange (ETDEWEB)

    Grefe, Michael [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Univ. Autonoma de Madrid (Spain). Dept. de Fisica Teorica and Inst. de Fisica Teorica UAM/CSIC

    2011-11-15

    The gravitino in models with a small violation of R-parity is a well-motivated decaying dark matter candidate that leads to a cosmological scenario that is consistent with big bang nucleosynthesis and thermal leptogenesis. The gravitino lifetime is cosmologically long-lived since its decays are suppressed by the Planck-scale as well as the small R-parity violating parameter. We discuss the signals in different cosmic-ray species coming from the decay of gravitino dark matter, namely gamma rays, positrons, antiprotons, antideuterons and neutrinos. Comparison to cosmic-ray data can be used to constrain the parameters of the model. (orig.)

  3. Comparison of indirect ELISA based on recombinant protein NcSRS2 and IFAT for detection of Neospora caninum antibodies in sheep Comparação entre ELISA baseado no antígeno recombinante NcSRS2 e RIFI para detecção de anticorpos de Neospora caninum em ovinos

    Directory of Open Access Journals (Sweden)

    Renato Andreotti

    2009-06-01

    Full Text Available Neospora caninum, an Apicomplexan parasite that can causes abortion, is responsible for considerable economic and reproductive losses in livestock. The purpose of the present study was to determine whether recombinant NcSRS2 is a suitable indirect ELISA antigen for determining specific immune response to N. caninum in sheep. A total of 441 serum samples were subjected to IFAT and rNcSRS2 based-ELISA, with both tests performing similarly. The sensitivity and specificity of indirect ELISA were 98.6 and 98.3%, respectively. The kappa index shows 0.98 concordance between the two tests, which is considered excellent. Seroprevalences of 30.8 and 32.0% were detected by IFAT and indirect ELISA, respectively, showing these tests did not differ significantly on this measure (p > 0.05. Serological analysis showed that HisG tag was detected by Western Blotting recognizing rNcSRS2 protein. The potential value of rNcSRS2-based ELISA as a highly specific and sensitive tool for serological diagnosis is also supported by the strong agreement found between IFAT and ELISA. The results support the potential use of recombinant protein NcSRS2 as an antigen in indirect ELISA in sheep.Neospora caninum é um parasito Apicomplexa que pode causar abortos e é reconhecido como agente importante responsável por perdas econômicas e reprodutivas. Este estudo avaliou a proteína recombinante NcSRS2 como antígeno para ELISA indireto na determinação de resposta imune para N. caninum em ovinos. 441 amostras de soro foram analisadas por IFAT e ELISA indireto com rNcSRS2 e ambos os testes revelaram comportamento similar. A sensibilidade e especificidade de ELISA indireto foram 98,6 e 98,3%, respectivamente. O índice kappa mostrou uma concordância entre os dois testes com valor de 0,98, que é considerado excelente. Prevalências de 30,8 e 32,0% detectadas por IFAT e ELISA indireto, respectivamente, mostraram que os testes não diferiram significativamente nesse aspecto (P

  4. A Computational Approach to the Interpretation of Indirect Speech Acts

    NARCIS (Netherlands)

    Beun, R.J.; Eijk, R.M. van; Meyer, J-J.Ch.; Vergunst, N.L.

    2006-01-01

    An Indirect Speech Act (ISA) is an utterance that conveys a message that is different from its literal meaning, often for reasons of politeness or subtlety. The DenK-system provides us with a non-compositional way to look at Indirect Speech Acts that contain modal verbs. We can extract the non-liter

  5. Automobile Industry Retail Price Equivalent and Indirect Cost Multipliers

    Science.gov (United States)

    This report develops a modified multiplier, referred to as an indirect cost (IC) multiplier, which specifically evaluates the components of indirect costs that are likely to be affected by vehicle modifications associated with environmental regulation. A range of IC multipliers a...

  6. Direct and Indirect Cues to Knowledge States during Word Learning

    Science.gov (United States)

    Saylor, Megan M.; Carroll, C. Brooke

    2009-01-01

    The present study investigated three-year-olds' sensitivity to direct and indirect cues to others' knowledge states for word learning purposes. Children were given either direct, physical cues to knowledge or indirect, verbal cues to knowledge. Preschoolers revealed a better ability to learn words from a speaker following direct, physical cues to…

  7. Using HEC-FIA to identify Indirect Economic Losses

    Directory of Open Access Journals (Sweden)

    Lehman William

    2016-01-01

    This paper will describe how HEC-FIA can be utilized to help evaluate the indirect economic consequences for various alternatives within a floodplain. The computational methods for indirect economic losses utilize a Computable General Equilibrium model to describe the secondary and tertiary impacts of loss of service, loss of laborers, and reductions in demand for intermediary goods.

  8. Preliminary Study of Indirect Neutron Radiography Method at CARR

    Institute of Scientific and Technical Information of China (English)

    WEI; Guo-hai; HAN; Song-bai; WANG; Hong-li; HE; Lin-feng; WANG; Yu; WU; Mei-mei; LIU; Yun-tao; CHEN; Dong-feng

    2013-01-01

    The Indirect Neutron Radiography is a powerful technique for non-destructively measuring specimens with radioactivity in the nuclear industrial field.China Advanced Research Reactor(CARR)is an excellent platform for Indirect Neutron Radiography and the experimental conditions based on CARR,mainly the first and the second exposure time,have been calculated and analyzed by the Monte Carlo

  9. A Computational Approach to the Interpretation of Indirect Speech Acts

    NARCIS (Netherlands)

    Beun, R.J.; Eijk, R.M. van; Meyer, J-J.Ch.; Vergunst, N.L.

    2006-01-01

    An Indirect Speech Act (ISA) is an utterance that conveys a message that is different from its literal meaning, often for reasons of politeness or subtlety. The DenK-system provides us with a non-compositional way to look at Indirect Speech Acts that contain modal verbs. We can extract the non-liter

  10. Comprehension of Indirect Meaning in Spanish as a Foreign Language

    Science.gov (United States)

    Taguchi, Naoko; Gomez-Laich, Maria Pia; Arrufat-Marques, Maria-Jose

    2016-01-01

    This study investigated comprehension of indirect meaning among learners of L2 Spanish via an original computer-delivered multimedia listening test. The comprehension of implied speaker intention is a type of indirect communication that involves the ability to understand implied intention by using linguistic knowledge, contextual cues, and the…

  11. Use of surveillance data for prevention of healthcare-associated infection: risk adjustment and reporting dilemmas.

    LENUS (Irish Health Repository)

    O'Neill, Eoghan

    2009-08-01

    Healthcare-associated or nosocomial infection (HCAI) is of increasing importance to healthcare providers and the public. Surveillance is crucial but must be adjusted for risk, especially when used for interhospital comparisons or for public reporting.

  12. Adjustable wheelchair and method for adjusting said adjustable wheelchair, and wheelchair assembly

    NARCIS (Netherlands)

    Oosterhuis, D.S.

    2013-01-01

    The invention relates to an adjustable wheelchair comprising: -a carriage; -two rear wheels; -at least one front wheel; -at least one footrest; -a sub-frame; -a seat; and -a backrest; wherein the two rear wheels, the at least one front wheel and the at least one footrest are mounted to the carriage,

  13. Correlations between direct and indirect strength test methods

    Institute of Scientific and Technical Information of China (English)

    Kallu Raj; Roghanchi Pedram

    2015-01-01

    The difficulties associated with performing direct compression strength tests on rocks lead to the devel-opment of indirect test methods for the rock strength assessment. Indirect test methods are simple, more economical, less time-consuming, and easily adaptable to the field. The main aim of this study was to derive correlations between direct and indirect test methods for basalt and rhyolite rock types from Carlin trend deposits in Nevada. In the destructive methods, point load index, block punch index, and splitting tensile strength tests are performed. In the non-destructive methods, Schmidt hammer and ultrasonic pulse velocity tests are performed. Correlations between the direct and indirect compression strength tests are developed using linear and nonlinear regression analysis methods. The results show that the splitting tensile strength has the best correlation with the uniaxial compression strength. Furthermore, the Poisson’s ratio has no correlation with any of the direct and indirect test results.

  14. Forecasting of indirect consumables for a Job Shop

    Science.gov (United States)

    Shakeel, M.; Khan, S.; Khan, W. A.

    2016-08-01

    A job shop has an arrangement where similar machines (Direct consumables) are grouped together and use indirect consumables to produce a product. The indirect consumables include hack saw blades, emery paper, painting brush etc. The job shop is serving various orders at a particular time for the optimal operation of job shop. Forecasting is required to predict the demand of direct and indirect consumables in a job shop. Forecasting is also needed to manage lead time, optimize inventory cost and stock outs. The objective of this research is to obtain the forecast for indirect consumables. The paper shows how job shop can manage their indirect consumables more accurately by establishing a new technique of forecasting. This results in profitable use of job shop by multiple users.

  15. A Comparison of Methods of Least Squares Adjustment of Traverses.

    Science.gov (United States)

    1984-12-01

    TATP p BTp) (AX - B) = XT AT PA X -XT ATPB - BT P&X + BT PB = XT AT PAX -XTATPB - XTA TPB + BTPB = XT ATPA 2XTATPB + BTPB (3. 16) T =_[fLrom matrix...obtained: X = ( ATPA )1IATPB (3.18) For uncorrelated observations with equal precision, the weight matrix is an identity matrix, and eguation (3.18...by solving Equation (3.22), the result is 6 = + 2.69685 The values of ( ATpA ) - are 1.25178 0.22019 1.25575 0.10788 10-s 0.22019 0.13819 0.21810

  16. Marginal Adaptation of Indirect Composite, Glass-Ceramic Inlays and Direct Composite: An In Vitro Evaluation

    Directory of Open Access Journals (Sweden)

    F. Mahboub

    2010-06-01

    Full Text Available Objective: This experimental in vitro study compared marginal adaptation of indirect composite, glass-ceramic inlays and direct composite.Materials and Methods: Seventy-five recently extracted human molars were randomly divided into three groups (n=25 and mesio-occluso-distal cavities with the same dimensions were prepared in the teeth. Indirect composite and glass-ceramic inlays were fabricatedfollowing manufacturer's instructions and the marginal gap was measured by a stereomicroscope at magnification 40× before cementation. After cementation of inlays and restoring the third group by direct composite, all the specimens were thermocycled and the marginal gaps were measured exactly as previously described. Repeated measure ANOVA and post-hoc Tukey test were used for pairwise comparison of occlusal, proximal, and gingival marginal gaps in each group. One-way ANOVA and post-hoc Tukey test wereused for comparison of mean marginal gap in the three groups and for comparison of marginal gap before and after cementation in inlays, paired T-test was used.Results: The marginal gap of direct composite (19.96 μm was significantly lower than that of indirect composite inlay (48.47 μm, which in itself was significantly lower than that of glass-ceramic inlay (60.96 μm. In all the restorations, marginal gap in the gingival margin was significantly higher than occlusal and proximal margins. The marginal gap of inlays did not change after cementation and thermocycling.Conclusion: This study indicated that the marginal gaps of the evaluated restorations are less than 100 μm, which is clinically acceptable.

  17. The relationship between effectiveness and costs measured by a risk-adjusted case-mix system: multicentre study of Catalonian population data bases

    Directory of Open Access Journals (Sweden)

    Flor-Serra Ferran

    2009-06-01

    Full Text Available Abstract Background The main objective of this study is to measure the relationship between morbidity, direct health care costs and the degree of clinical effectiveness (resolution of health centres and health professionals by the retrospective application of Adjusted Clinical Groups in a Spanish population setting. The secondary objectives are to determine the factors determining inadequate correlations and the opinion of health professionals on these instruments. Methods/Design We will carry out a multi-centre, retrospective study using patient records from 15 primary health care centres and population data bases. The main measurements will be: general variables (age and sex, centre, service [family medicine, paediatrics], and medical unit, dependent variables (mean number of visits, episodes and direct costs, co-morbidity (Johns Hopkins University Adjusted Clinical Groups Case-Mix System and effectiveness. The totality of centres/patients will be considered as the standard for comparison. The efficiency index for visits, tests (laboratory, radiology, others, referrals, pharmaceutical prescriptions and total will be calculated as the ratio: observed variables/variables expected by indirect standardization. The model of cost/patient/year will differentiate fixed/semi-fixed (visits costs of the variables for each patient attended/year (N = 350,000 inhabitants. The mean relative weights of the cost of care will be obtained. The effectiveness will be measured using a set of 50 indicators of process, efficiency and/or health results, and an adjusted synthetic index will be constructed (method: percentile 50. The correlation between the efficiency (relative-weights and synthetic (by centre and physician indices will be established using the coefficient of determination. The opinion/degree of acceptance of physicians (N = 1,000 will be measured using a structured questionnaire including various dimensions. Statistical analysis: multiple regression

  18. Reconstructing direct and indirect interactions in networked public goods game

    Science.gov (United States)

    Han, Xiao; Shen, Zhesi; Wang, Wen-Xu; Lai, Ying-Cheng; Grebogi, Celso

    2016-07-01

    Network reconstruction is a fundamental problem for understanding many complex systems with unknown interaction structures. In many complex systems, there are indirect interactions between two individuals without immediate connection but with common neighbors. Despite recent advances in network reconstruction, we continue to lack an approach for reconstructing complex networks with indirect interactions. Here we introduce a two-step strategy to resolve the reconstruction problem, where in the first step, we recover both direct and indirect interactions by employing the Lasso to solve a sparse signal reconstruction problem, and in the second step, we use matrix transformation and optimization to distinguish between direct and indirect interactions. The network structure corresponding to direct interactions can be fully uncovered. We exploit the public goods game occurring on complex networks as a paradigm for characterizing indirect interactions and test our reconstruction approach. We find that high reconstruction accuracy can be achieved for both homogeneous and heterogeneous networks, and a number of empirical networks in spite of insufficient data measurement contaminated by noise. Although a general framework for reconstructing complex networks with arbitrary types of indirect interactions is yet lacking, our approach opens new routes to separate direct and indirect interactions in a representative complex system.

  19. Quantifying nonadditive selection caused by indirect ecological effects.

    Science.gov (United States)

    TerHorst, Casey P; Lau, Jennifer A; Cooper, Idelle A; Keller, Kane R; La Rosa, Raffica J; Royer, Anne M; Schultheis, Elizabeth H; Suwa, Tomomi; Conner, Jeffrey K

    2015-09-01

    In natural biological communities, species interact with many other species. Multiple species interactions can lead to indirect ecological effects that have important fitness consequences and can cause nonadditive patterns of natural selection. Given that indirect ecological effects are common in nature, nonadditive selection may also be quite common. As a result, quantifying nonadditive selection resulting from indirect ecological effects may be critical for understanding adaptation in natural communities composed of many interacting species. We describe how to quantify the relative strength of nonadditive selection resulting from indirect ecological effects compared to the strength of pairwise selection. We develop a clear method for testing for nonadditive selection caused by indirect ecological effects and consider how it might affect adaptation in multispecies communities. We use two case studies to illustrate how our method can be applied to empirical data sets. Our results suggest that nonadditive selection caused by indirect ecological effects may be common in nature. Our hope is that trait-based approaches, combined with multifactorial experiments, will result in more estimates of nonadditive selection that reveal the relative importance of indirect ecological effects for evolution in a community context.

  20. Reconstructing direct and indirect interactions in networked public goods game.

    Science.gov (United States)

    Han, Xiao; Shen, Zhesi; Wang, Wen-Xu; Lai, Ying-Cheng; Grebogi, Celso

    2016-07-22

    Network reconstruction is a fundamental problem for understanding many complex systems with unknown interaction structures. In many complex systems, there are indirect interactions between two individuals without immediate connection but with common neighbors. Despite recent advances in network reconstruction, we continue to lack an approach for reconstructing complex networks with indirect interactions. Here we introduce a two-step strategy to resolve the reconstruction problem, where in the first step, we recover both direct and indirect interactions by employing the Lasso to solve a sparse signal reconstruction problem, and in the second step, we use matrix transformation and optimization to distinguish between direct and indirect interactions. The network structure corresponding to direct interactions can be fully uncovered. We exploit the public goods game occurring on complex networks as a paradigm for characterizing indirect interactions and test our reconstruction approach. We find that high reconstruction accuracy can be achieved for both homogeneous and heterogeneous networks, and a number of empirical networks in spite of insufficient data measurement contaminated by noise. Although a general framework for reconstructing complex networks with arbitrary types of indirect interactions is yet lacking, our approach opens new routes to separate direct and indirect interactions in a representative complex system.

  1. Social Network Dynamics and Psychological Adjustment among University Students

    Directory of Open Access Journals (Sweden)

    Yasuyuki Fukukawa

    2013-04-01

    Full Text Available Abstract The present study investigated the social network structure in a university class and how it changed over time. In addition, student rankings of social status in the class based on different network centrality measures were compared, and associations between students’ social status and psychological adjustment were evaluated. One university seminar class in which ten juniors and ten seniors were enrolled was followed for six months. Although the class network consisted of some disconnected subgroups at baseline, it became a single group at followup. In addition to these structural changes, measures of network integration (density and transitivity also increased from baseline to follow-up. Comparisons of centrality measures indicated that the information centrality measure best captured the network infrastructure compared to the betweenness, closeness, and degree centrality measures. Furthermore, among the centrality measures, information centrality had the most stable positive association with psychological adjustment. Theoretical and practical implications of these peer network dynamics and adjustment issues are discussed.

  2. Predictors of negotiated NIH indirect rates at US institutions.

    Directory of Open Access Journals (Sweden)

    S Claiborne Johnston

    Full Text Available The United States (US Department of Health and Human Services and the Office of Naval Research negotiate institutional rates for payments of overhead costs associated with administration and space usage, commonly known as indirect rates. Such payments account for a large proportion of spending by the National Institutes of Health (NIH. Little has been published about differences in rates and their predictors.Negotiated indirect rates for on-campus research grants were requested from the Council on Governmental Relations for the 100 institutions with greatest NIH funding in 2010. NIH funding, cost of living (ACCRA Index for 2008, public vs. private status, negotiating governmental organization (Department of Health and Human Services or Office of Naval Research, US Census Region, and year were assessed as predictors of institutional indirect rates using generalized estimating equations with all variables included in the model.Overall, 72 institutions participated, with 207 reported indirect rates for the years 2006, 2008, and 2010. Indirect rates ranged from 36.3% to 78%, with an average of 54.5%. Mean rates increased from 53.6% in 2006 to 55.4% in 2010 (p<0.001. In multivariable models, private institutions had 6.2% (95% CI 3.7%-8.7%; p<0.001 higher indirect rates than public institutions. Rates in the Northeast were highest (Midwest 4.0% lower; West 4.9% lower; South 5.2% lower. Greater NIH funding (p = 0.025 and cost of living (p = 0.034 also predicted indirect rates while negotiating governmental organization did not (p = 0.414.Negotiated indirect rates for governmental research grants to academic centers vary widely. Although the association between indirect rates and cost of living may be justified, the cause of variation in rates by region, public-private status, and NIH funding levels is unclear.

  3. Indirect Control for Demand Side Management – A Conceptual Introduction

    DEFF Research Database (Denmark)

    Heussen, Kai; You, Shi; Biegel, Benjamin

    2012-01-01

    correct definition, either as a control or a market concept. This paper aims to provide a conceptual introduction to "indirect control" for management of small and distributed demand side resources. A review of control concepts and an analysis of "indirectness" features are provided to create a framework......The concept of “indirect control” has become a relevant discussion term in relation to activation distributed and small-scale demand and generation units to provide resources for power system balancing. The term and its association with price signals has, however caused some confusion as to its...

  4. Indirect Taxes in Romania – an Econometric Analysis

    Directory of Open Access Journals (Sweden)

    Daniela Penu

    2016-03-01

    Full Text Available Indirect taxes have a significant weight in the GDP. Statistical data reveals that the new states that joined the EU in its funding sources to the greatest extent through indirect taxes. They reveal, on the one hand, reducing the tax burden on the producer, and on the other hand, the difficulty faced by the country in direct tax collection, but also some problems of social nature. This article proposes an econometric analysis of the relationship between indirect taxes and household final consumption expenditure.

  5. Body Segment Inertial Parameters of elite swimmers Using DXA and indirect Methods.

    Science.gov (United States)

    Rossi, Marcel; Lyttle, Andrew; El-Sallam, Amar; Benjanuvatra, Nat; Blanksby, Brian

    2013-01-01

    As accurate body segment inertial parameters (BSIPs) are difficult to obtain in motion analysis, this study computed individual BSIPs from DXA scan images. Therefore, by co-registering areal density data with DXA grayscale image, the relationship between pixel color gradient and the mass within the pixel area could be established. Thus, one can calculate BSIPs, including segment mass, center of mass (COM) and moment of inertia about the sagittal axis (Ixx). This technique calculated whole body mass very accurately (%RMSE of variables required for the 5 indirect estimation methods. Mass, COM and Ixx were calculated for seven body segments (head, trunk, head + trunk, upper arm, forearm, thigh and shank). Between-group comparisons of BSIPs revealed that elite female swimmers had the lowest segment masses of the three groups (p segment inertial parameters than young adult Caucasian males.The errors computed from indirect BSIP estimation methods are large regardless whether applied to elite swimmers or young adult Caucasian males.No indirect estimation method consistently performed best.

  6. Parent-Adolescent Relationship Quality as a Moderator for the Influences of Parents' Religiousness on Adolescents' Religiousness and Adjustment

    Science.gov (United States)

    Kim-Spoon, Jungmeen; Longo, Gregory S.; McCullough, Michael E.

    2012-01-01

    Prior investigations have demonstrated that parents' religiousness is related inversely to adolescent maladjustment. However, research remains unclear about whether the link between parents' religiousness and adolescent adjustment outcomes--either directly or indirectly via adolescents' own religiousness--varies depending on relationship context…

  7. RESEMBLANCE OF INDIRECTNESS IN POLITENESS OF EFL LEARNERS’ REQUEST REALIZATIONS

    Directory of Open Access Journals (Sweden)

    Indawan Syahri

    2013-07-01

    Full Text Available Abstract: Politeness principles are universally utilized by the speakers of any language when realizing various speech acts. However, the speakers of particular languages relatively apply politeness due to the cultural norms embedded. The present study attempts to delineate how the Indonesian learners of English (ILE apply the politeness principles in request realizations. Specifically it devotes to the types of politeness strategies applied and resemblance of the indirectness in politeness strategies in requesting acts. The FTAs and indirectness are the theoretical bases used to trace the typologies of both politeness and request strategies. The data werere collected by means of certain elicitation techniques, i.e. DCTs and Role-plays. The analyses werere done through three stages; determining request strategies, politeness strategies, and resemblance of indirectness in politeness. The results show that the indirectness generally is parallel to politeness. Besides, some pragmatic transfers are found in terms of applying native-culture norms in realizing target speech acts.

  8. Indirect reciprocity and the evolution of "moral signals"

    Science.gov (United States)

    Smead, Rory

    2010-01-01

    Signals regarding the behavior of others are an essential element of human moral systems and there are important evolutionary connections between language and large-scale cooperation. In particular, social communication may be required for the reputation tracking needed to stabilize indirect reciprocity. Additionally, scholars have suggested that the benefits of indirect reciprocity may have been important for the evolution of language and that social signals may have coevolved with large-scale cooperation. This paper investigates the possibility of such a coevolution. Using the tools of evolutionary game theory, we present a model that incorporates primitive "moral signaling" into a simple setting of indirect reciprocity. This model reveals some potential difficulties for the evolution of "moral signals." We find that it is possible for "moral signals" to evolve alongside indirect reciprocity, but without some external pressure aiding the evolution of a signaling system, such a coevolution is unlikely.

  9. Indirect effects by meningococcal vaccines: herd protection versus herd immunity.

    Science.gov (United States)

    Bröker, Michael

    2011-08-01

    The term "herd immunity" for the indirect effect of meningococcal conjugate vaccines is inaccurate. A more appropriate term is "herd protection," because this term correctly describes the public effects imparted by vaccination campaigns against the meningococcus.

  10. Interim Brigade Combat Team: Indirect distributive fires concepts

    National Research Council Canada - National Science Library

    Gerard M Acosta; Christopher Menton

    2002-01-01

      The expectation that the Interim Brigade Combat Team will fight in a non-linear environment has forced units to develop new tactics to incorporate indirect fires to deliver rounds in a 360-degree zone...

  11. ABSOLUTE STABILITY OF GENERAL LURIE TYPE INDIRECT CONTROL SYSTEMS

    Institute of Scientific and Technical Information of China (English)

    甘作新; 葛渭高; 赵素霞; 仵永先

    2001-01-01

    In this paper, by introducing a new concept of absolute stability for a certain argument, necessary and sufficient conditions for absolute stability of general Lurie indirect control systems are obtained, and some practical sufficient conditions are also given.

  12. A study on consumable aided tungsten indirect arc welding

    Institute of Scientific and Technical Information of China (English)

    Wang Jun; Wang Yuxin; Feng Jicai

    2009-01-01

    A consumable aided tungsten indirect arc welding method has been studied. This method is different from the traditional TIG welding because it introduces an MIG welding torch into the traditional TIG welding system. An indirect arc is generated between the consumable electrode of the MIG welding torch and the tungsten electrode of the TIG welding torch, but not generated between the tungsten electrode of the welding torch and the base metal. Welding current flows from the consumable electrode to the tungsten electrode in the free-burning indirect arc. The consumable aided tungsten indirect arc welding not only rapidly melts the welding wire but also effectively restrains the excessive fusion of the base metal. The welding experiment and the theoretical analysis confirm that this method can obtain a high deposition rate and a low dilution ratio during the welding process.

  13. Separating astrophysical sources from indirect dark matter signals

    CERN Document Server

    Siegal-Gaskins, Jennifer M

    2013-01-01

    Indirect searches for products of dark matter annihilation and decay face the challenge of identifying an uncertain and subdominant signal in the presence of uncertain backgrounds. Two valuable approaches to this problem are (1) using analysis methods which take advantage of different features in the energy spectrum and angular distribution of the signal and backgrounds, and (2) more accurate characterization of backgrounds, which allows for more robust identification of possible signals. I review the status of indirect searches with gamma rays using two promising targets, the Inner Galaxy and the Isotropic Gamma-Ray Background. For both targets, uncertainties in the properties of backgrounds is a major limitation to the sensitivity of indirect searches. I then highlight approaches which can enhance the sensitivity of indirect searches using these targets.

  14. Direct and Indirect Phototransformation of Graphene Oxide in Sunlight

    Science.gov (United States)

    Direct and indirect (with added H202 that serves as OH precursor) photoreactions of grapheme oxide (GO) were examined under sunlight exposure. The results indicate that GO photoreacts under both conditions, leading to significant alterations in GO's physicochemical properties. In...

  15. Indirect Cost Recovery as an Issue of Science Policy.

    Science.gov (United States)

    Rosenzweig, Robert M.

    1987-01-01

    The history of the debate over federal efforts to reduce indirect cost recovery in federal research grants to universities is outlined and discussed by a former university administrator involved in the policy's formation. (MSE)

  16. Indirect Monetary Policy Reforms and Output Growth in Nigeria: An ...

    African Journals Online (AJOL)

    Indirect Monetary Policy Reforms and Output Growth in Nigeria: An Empirical ... changes (reforms) since the inception of the Central Bank of Nigeria (CBN). ... place when monetary management was largely based on direct controls and those ...

  17. Comparative analysis of direct and indirect property investment ...

    African Journals Online (AJOL)

    Comparative analysis of direct and indirect property investment returns in Abuja. ... The study utilized mean score, variance, standard deviation, coefficient of ... is more risky than commercial property due to the risk variation of 0.15605 that ...

  18. 3D Shape and Indirect Appearance by Structured Light Transport.

    Science.gov (United States)

    OToole, Matthew; Mather, John; Kutulakos, Kiriakos N

    2016-07-01

    We consider the problem of deliberately manipulating the direct and indirect light flowing through a time-varying, general scene in order to simplify its visual analysis. Our approach rests on a crucial link between stereo geometry and light transport: while direct light always obeys the epipolar geometry of a projector-camera pair, indirect light overwhelmingly does not. We show that it is possible to turn this observation into an imaging method that analyzes light transport in real time in the optical domain, prior to acquisition. This yields three key abilities that we demonstrate in an experimental camera prototype: (1) producing a live indirect-only video stream for any scene, regardless of geometric or photometric complexity; (2) capturing images that make existing structured-light shape recovery algorithms robust to indirect transport; and (3) turning them into one-shot methods for dynamic 3D shape capture.

  19. Theoretical and testing performance of an innovative indirect evaporative chiller

    Energy Technology Data Exchange (ETDEWEB)

    Jiang, Yi; Xie, Xiaoyun [Department of Building Science and Technology, Tsinghua University, Beijing (China)

    2010-12-15

    An indirect evaporative chiller is a device used to produce chilled water at a temperature between the wet bulb temperature and dew point of the outdoor air, which can be used in building HVAC systems. This article presents a theoretical analysis and practical performance of an innovative indirect evaporative chiller. First, the process of the indirect evaporative chiller is introduced; then, the matching characteristics of the process are presented and analyzed. It can be shown that the process that produces cold water by using dry air is a nearly-reversible process, so the ideal produced chilled water temperature of the indirect evaporative chiller can be set close to the dew point temperature of the chiller's inlet air. After the indirect evaporative chiller was designed, simulations were done to analyze the output water temperature, the cooling efficiency relative to the inlet dew point temperature, and the COP that the chiller can performance. The first installation of the indirect evaporative chiller of this kind has been run for 5 years in a building in the city of Shihezi. The tested output water temperature of the chiller is around 14-20 C, which is just in between of the outdoor wet bulb temperature and dew point. The tested COP{sub r,s} of the developed indirect evaporative chiller reaches 9.1. Compared with ordinary air conditioning systems, the indirect evaporative chiller can save more than 40% in energy consumption due to the fact that the only energy consumed is from pumps and fans. An added bonus is that the indirect evaporative chiller uses no CFCs that pollute to the aerosphere. The tested internal parameters, such as the water-air flow rate ratio and heat transfer area for each heat transfer process inside the chiller, were analyzed and compared with designed values. The tested indoor air conditions, with a room temperature of 23-27 C and relative humidity of 50-70%, proved that the developed practical indirect evaporative chiller

  20. Aerodynamics of indirect thrust measurement by the impulse method

    Institute of Scientific and Technical Information of China (English)

    Cheng-Kang Wu; Hai-Xing Wang; Xian Meng; Xi Chen; Wen-Xia Pan

    2011-01-01

    The aerodynamic aspects of indirect thrust measurement by the impulse method have been studied both experimentally and numerically.The underlying basic aerodynamic principle is outlined, the phenomena in subsonic,supersonic and arc-heated jets are explored, and factors affecting the accuracy of the method are studied and discussed.Results show that the impulse method is reliable for indirect thrust measurement if certain basic requirements are met,and a simple guideline for its proper application is given.

  1. Synchronization of indirectly coupled Lorenz oscillators: An experimental study

    Indian Academy of Sciences (India)

    Amit Sharma; Manish Dev Shrimali

    2011-11-01

    The dynamics of indirectly coupled Lorenz circuits is investigated experimentally. The in-phase and anti-phase synchronization of indirectly coupled chaotic oscillators reported in Phys. Rev. E 81, 046216 (2010) is verified by physical experiments with electronic circuits. Two chaotic systems coupled through a common dynamic environment shows the verity of synchronization behaviours such as anti-phase synchronization, in-phase synchronization, identical synchronization, anti-synchronization, etc.

  2. Capturing the Future: Direct and Indirect Probes of Neutron Capture

    Energy Technology Data Exchange (ETDEWEB)

    Couture, Aaron Joseph [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-08-31

    This report documents aspects of direct and indirect neutron capture. The importance of neutron capture rates and methods to determine them are presented. The following conclusions are drawn: direct neutron capture measurements remain a backbone of experimental study; work is being done to take increased advantage of indirect methods for neutron capture; both instrumentation and facilities are making new measurements possible; more work is needed on the nuclear theory side to understand what is needed furthest from stability.

  3. Indirect dark matter searches in gamma and cosmic rays

    Science.gov (United States)

    Conrad, Jan; Reimer, Olaf

    2017-03-01

    Dark matter candidates such as weakly interacting massive particles are predicted to annihilate or decay into Standard Model particles, leaving behind distinctive signatures in gamma rays, neutrinos, positrons, antiprotons, or even antinuclei. Indirect dark matter searches, and in particular those based on gamma-ray observations and cosmic-ray measurements, could detect such signatures. Here we review the strengths and limitations of this approach and look into the future of indirect dark matter searches.

  4. ETHIC ASPECT OF INDIRECT-SPEECH ACTS IN OFFICIAL SPHERE

    Directory of Open Access Journals (Sweden)

    K. S. NEUSTROEV

    2016-01-01

    Full Text Available The article analyzes the ethic characteristics of indirect speech acts in official discourses. The social-ethic conception of A. Giddens is attracted for analysis. The concepts “act“, “reflexive consciousness“, “motivation“, “implication“ are connected. The intention for rational act is showed as support of whole representation about the motives of person acts. This conception is connected with traditional opinions about man as social phenomenon oriented for categories of kindness and evil, justice and injustice, biological and social. The man as a participant of speech act has all such characteristics. Ethic of social life, ethical relations and obligations, social context of deontology, of possibilities are relevant in this aspect. Specific relevance is a condition for interrelation between direct and indirect substance of speech act. In particular, strict direct presentation unites with imperative, this usage is systematic and effective, because it determined with speech variety, which naturally includes soft pragmatics, “indirect directness”. The attributes of imperative and indirect expressive strengthens organic essence of interrelation. The imperative is indirect, but it is fixed in these pragmatic subsystems. The ethical motivated unite of different devices serves to indirectness. The ethical base of official document get emotional sense and rejects the indirect character of expressive. The postulate of many-sided connections between speech act and ethic characteristics is founded by tendencies of official sphere. It is adequate modern field for interactions of direct and indirect pragmatic intentions. The socialethic specific explains these peculiarities. Such communicative sphere is possible to create corresponding image for social institutes and processes on base of relevant discourses.

  5. Invasive prey indirectly increase predation on their native competitors.

    Science.gov (United States)

    Castorani, Max C N; Hovel, Kevin A

    2015-07-01

    Ecological theory predicts that invasive prey can interact with native prey directly by competing for shared resources or indirectly by changing the abundance or behavior of shared native predators. However, both the study and management of invasive prey have historically overlooked indirect effects. In southern California estuaries, introduction of the Asian nest mussel Arcuatula senhousia has been linked to profound changes in native bivalve assemblages, but the mechanisms of these interactions remain unclear. We performed three field experiments to assess the mechanisms of competition between Arcuatula and native bivalves, and evaluated the potential for Arcuatula to indirectly mediate native predator-prey dynamics. We found that Arcuatula reduces the diversity, abundance, and size of native bivalve recruits by preemptively exploiting space in surface sediments. When paired with native shallow-dwelling clams (Chione undatella and Laevicardium substriatum), Arcuatula reduces adult survival through overgrowth competition. However, Arcuatula also attracts native predators, causing apparent competition by indirectly increasing predation of native clams, especially for poorly defended species. Therefore, invasive prey can indirectly increase predation rates on native competitors by changing the behavior of shared native predators, but the magnitude of apparent competition strongly depends on the vulnerability of natives to predation. Interestingly, our results indicate that the vulnerability of invasive prey to predation can greatly exacerbate impacts on their native competitors. Our findings suggest that consideration of both direct and indirect effects of invasive prey, as well as native predator-prey relationships, should lead to more effective invasive species management.

  6. Autogenic training as a therapy for adjustment disorder in adults

    Directory of Open Access Journals (Sweden)

    Jojić Boris R.

    2005-01-01

    Full Text Available Introduction. Autogenic training is a widely recognised psychotherapy technique. The British School of Autogenic Training cites a large list of disorders, states, and changes, where autogenic training may prove to be of help. We wanted to explore the application of autogenic training as a therapy for adjustment disorder in adults. Our sample consisted of a homogeneous group of 35 individuals, with an average age of 39.3±1.6 years, who were diagnosed with adjustment disorder, F 43.2, in accordance with ICD 10 search criteria. Aim. The aim of our study was to research the effectiveness of autogenic training as a therapy for adjustment disorder in adults, by checking the influence of autogenic training on the biophysical and biochemical indicators of adjustment disorder. Method. We measured the indicators of adjustment disorder and their changes in three phases: before the beginning, immediately after the beginning, and six months after the completion, of a practical course in autogenic training. We measured systolic and diastolic arterial blood pressure, brachial pulse rate as well as the levels of cortisol in plasma, of cholesterol in blood, and of glucose. During that period, autogenic training functioned as the sole therapy. Results. The study confirmed our preliminary assumptions. The measurements we performed demonstrated that arterial blood pressure, pulse rate, concentration of cholesterol and cortisol, after the application of autogenic training among the subjects suffering from adjustment disorder, were lower in comparison to the initial values. These values remained lower even six months after the completion of the practical course in autogenic training. Conclusion. Autogenic training significantly decreases the values of physiological indicators of adjustment disorder, diminishes the effects of stress in an individual, and helps adults to cope with stress, facilitating their recuperation.

  7. Research Design in Marital Adjustment Studies.

    Science.gov (United States)

    Croake, James W.; Lyon, Rebecca S.

    1978-01-01

    The numerous marital adjustment studies which exist in the literature are confounded by basic design problems. Marital stability should be the baseline for data. It is then possible to discuss "happiness,""success,""adjustment," and "satisfaction." (Author)

  8. First Year Adjustment in the Secondary School.

    Science.gov (United States)

    Loosemore, Jean Ann

    1978-01-01

    This study investigated the relationship between adjustment to secondary school and 17 cognitive and noncognitive variables, including intelligence (verbal and nonverbal reasoning), academic achievement, extraversion-introversion, stable/unstable, social adjustment, endeavor, age, sex, and school form. (CP)

  9. Theory of Work Adjustment Personality Constructs.

    Science.gov (United States)

    Lawson, Loralie

    1993-01-01

    To measure Theory of Work Adjustment personality and adjustment style dimensions, content-based scales were analyzed for homogeneity and successively reanalyzed for reliability improvement. Three sound scales were developed: inflexibility, activeness, and reactiveness. (SK)

  10. Indirect and Mixed Direct-Indirect Heat Integration of Batch Processes Based on Pinch Analysis

    Directory of Open Access Journals (Sweden)

    Daniel Favrat

    2001-09-01

    Full Text Available

    This paper introduces a methodology for the heat integration of industrial batch processes. Based on Pinch Analysis principles, this methodology resorts to intermediate heat storage to prevent adverse effects on the operating flexibility, which are often associated with direct heat exchange only. A systematic procedure, backed with a graphical representation, allows the determination of the minimum number of heat storage units assuming vertical heat transfer and their range of feasible operation as a function of the amount of heat recovery. Understanding the cause and the bottleneck effect of the socalled storage pinch, heuristic rules are proposed to screen major options corresponding to minimum cost solutions. For a given number of heat storage units, these rules could be automated to a large extent, making the procedure suitable for targeting purposes. The operating temperature of the heat storage units can be optimized with ease, while other continuous degrees of freedom are more difficult to address using the proposed methodology. Preliminary guidelines are proposed to extend the methodology to mixed direct-indirect heat integration.

    •  This paper was presented at the ECOS’00 Conference in Enschede, July 5-7, 2000 and revised

  11. The Muon-Induced Neutron Indirect-Detection EXperiment. MINIDEX

    Energy Technology Data Exchange (ETDEWEB)

    Palermo, Matteo

    2016-06-06

    A new experiment to measure muon-induced neutrons is introduced. The design of the Muon-Induced Neutron Indirect Detection EXperiment, MINIDEX, is presented and its installation and commissioning in the Tuebingen Shallow Underground Laboratory are described. Results from its first data taking period, run I, are presented. Muon-induced neutrons are not only an interesting physics topic by itself, but they are also an important source of background in searches for possible new rare phenomena like neutrinoless double beta decay or directly observable interactions of dark matter. These subjects are of great importance to understand the development of the early universe. Therefore, a new generation of ton-scale experiments which require extremely low background levels is under consideration. Reliable Monte Carlo simulations are needed to design such future experiments and estimate their background levels and sensitivities. The background due to muon-induced neutrons is hard to estimate, because of inconsistencies between different experimental results and discrepancies between measurements and Monte Carlo predictions. Especially for neutron production in high-Z materials, more experimental data and related simulation studies are clearly needed. MINIDEX addresses exactly this subject. Already the first five months of data taking provided valuable data on neutron production, propagation and interaction in lead. A first round of comparisons between MINIDEX data and Monte Carlo predictions are presented. In particular, the predictions of two Monte Carlo packages, based on GEANT4, are compared to the data. The data show an overall 70-100% higher rate of muon-induced events than predicted by the Monte Carlo packages. These packages also predict a faster time evolution of the muon-induced signal than observed in the data. Nevertheless, the time until the signal from the muon-induced events is completely collected was correctly predicted by the Monte Carlos. MINIDEX is foreseen

  12. Indirect Global Warming Potentials of Halons Using Atmospheric Models

    Science.gov (United States)

    Youn, D.; Patten, K. O.; Wuebbles, D. J.

    2007-05-01

    Emission of bromochlorofluorocarbons, or Halons, results in stratospheric ozone depletion. This leads to cooling of the climate system in the opposite direction to direct warming contribution of the Halons as greenhouse gases. This cooling is a key indirect effect of Halons on radiative forcing or climate. The Global Warming Potential (GWP) is a relative index used to compare the climate impact of an emitted greenhouse gas, relative to an equal amount of carbon dioxide. Until now, indirect GWPs have been calculated based on the concept of Equivalent Effective Stratospheric Chlorine (EESC), which oversimplifies the complex processes in the atmosphere. As a step towards obtaining indirect GWPs through a more robust approach, 2-D and 3-D global chemical transport models (CTM) were used as the computational tool to derive more realistic ozone changes caused by pulse perturbation of Halons at the surface. Indirect GWPs of Halon-1211 and -1301 for a 100-year time horizon were explicitly calculated based on the University of Illinois at Urbana-Champaign (UIUC) 2-D global CTM and radiative transport model (RTM) and the 3-D CTM, MOZART-3.1. The 2-D and 3-D model simulations show acceptable temporal variations in the atmosphere as well as derived lifetimes and direct GWP values of the Halons. The 2-D model-based indirect GWPs for a 100-year horizon are -16,294 for Halon-1211 and -33,648 for Halon-1301. 3-D indirect GWP for Halon-1211 is -18,216. The indirect GWPs for Halon-1211 presented here are much smaller than previous published results using the previous simplified appraoch.

  13. Work adjustments among the chronically ill.

    NARCIS (Netherlands)

    Baanders, A.N.; Andries, F.; Rijken, P.M.; Dekker, J.

    2001-01-01

    Work(place) adjustments can help the work capacity of persons with a chronic disease. This study aims to to quantify the presence of work adjustments among chronically ill workers in the Netherlands, and to investigate the extent to which the presence of work adjustments are related to the

  14. Do fair value adjustments influence dividend policy?

    NARCIS (Netherlands)

    Goncharov, I.; van Triest, S.

    2011-01-01

    We examine the impact of positive fair value adjustments on dividend policy. If fair value adjustments are transitory in nature and managers are able to assess their implications for future earnings, fair value adjustments in net income is expected to have no distribution consequences. However, posi

  15. Do fair value adjustments influence dividend policy?

    NARCIS (Netherlands)

    Goncharov, I.; van Triest, S.

    2011-01-01

    We examine the impact of positive fair value adjustments on dividend policy. If fair value adjustments are transitory in nature and managers are able to assess their implications for future earnings, fair value adjustments in net income is expected to have no distribution consequences. However,

  16. Capital adjustment patterns on Dutch pig farms

    NARCIS (Netherlands)

    Gardebroek, C.

    2004-01-01

    This paper develops a generalised adjustment cost framework that explicitly accounts for zero investments on Dutch pig farms. A farm-specific flexible adjustment cost function is used to account for differences in adjustment costs between farms. Using the Generalised Method of Moments the Euler equa

  17. Steps in the construction and verification of an explanatory model of psychosocial adjustment

    Directory of Open Access Journals (Sweden)

    Arantzazu Rodríguez-Fernández

    2016-06-01

    Full Text Available The aim of the present study was to empirically test an explanatory model of psychosocial adjustment during adolescence, with psychosocial adjustment during this stage being understood as a combination of school adjustment (or school engagement and subjective well-being. According to the hypothetic model, psychosocial adjustment depends on self-concept and resilience, which in turn act as mediators of the influence of perceived social support (from family, peers and teachers on this adjustment. Participants were 1250 secondary school students (638 girls and 612 boys aged between 12 and 15 years (Mean = 13.72; SD = 1.09. The results provided evidence of: (a the influence of all three types of perceived support on subject resilience and self-concept, with perceived family support being particularly important in this respect; (b the influence of the support received from teachers on school adjustment and support received from the family on psychological wellbeing; and (c the absence of any direct influence of peer support on psychosocial adjustment, although indirect influence was observed through the psychological variables studied. These results are discussed from an educational perspective and in terms of future research

  18. Rotor speed estimation for indirect stator flux oriented induction motor drive based on MRAS scheme

    Directory of Open Access Journals (Sweden)

    Youssef Agrebi

    2007-09-01

    Full Text Available In this paper, a conventional indirect stator flux oriented controlled (ISFOC induction motor drive is presented. In order to eliminate the speed sensor, an adaptation algorithm for tuning the rotor speed is proposed. Based on the model reference adaptive system (MRAS scheme, the rotor speed is tuned to obtain an exact ISFOC induction motor drive. The reference and adjustable models, developed in stationary stator reference frame, are used in the MRAS scheme to estimate induction rotor peed from measured terminal voltages and currents. The IP gains speed controller and PI gains current controller are calculated and tuned at each sampling time according to the new estimated rotor speed. The proposed algorithm has been tested by numerical simulation, showing the capability of driving active load; and stability is preserved. Experimental results obtained with a general-purpose 1-kW induction machine are presented showing the effectiveness of the proposed approach in terms of dynamic performance.

  19. Comparison of the serologic tests of Indirect Immunofluorescence, Rapid Conglutination, Indirect ELISA and Competition ELISA for detection of antibodies against Anaplasma marginale in cattle sera from different enzootic areas/ Comparação dos testes sorológicos de Imunofluorescência Indireta, Conglutinação Rápida, ELISA indireto e ELISA por competição para a detecção de anticorpos contra o Anaplasma marginale em soros de bovinos de diferentes áreas enzoóticas

    Directory of Open Access Journals (Sweden)

    João Luís Garcia

    2006-07-01

    Full Text Available The serological techniques Rapid Conglutination Test (RCT, Indirect ELISA (iELISA and Indirect Immunofluorescent Assay (IFA, using the competition ELISA (cELISA as gold test, were comparatively evaluated to detect antibodies against Anaplasma marginale. A total of 453 sera from vaccinated and non vaccinated cattle and, collected from enzootic stability and instability areas were tested. iELISA, IFA and TCR presented kappa index = 0.77 (substantial; 0.57 and 0.49 (moderate, sensibility of 90.6%; 90.2% and 73.7% and specificity of 86.6%; 62.8%, and 79.3%, respectively. Therefore, iELISA presented better specificity than IFA and RCT, and can be indicated for more detailed serological investigations, detection of persistently infected animals in cattle herds and for monitorating of vaccination programs. IFA and TCR can be used in prevalence studies and to monitor cattle movement between different geographical regions.Os testes sorológicos de Conglutinação Rápida (TCR Imunofluorescência Indireta (IFI e Imunoenzimáticos Indireto (iELISA utilizando ELISA por competição (cELISA, como padrão ouro, foram avaliados comparativamente para a detecção de anticorpos contra o Anaplasma marginale. Foram utilizadas 453 amostras de soros sangüíneos de bovinos vacinados e não-vacinados e de áreas de estabilidade e instabilidade enzoótica. O iELISA, IFI e TCR apresentaram respectivamente, índice kappa=0,77 (substancial, 0,57 e 0,49 (moderado, sensibilidade de 90,6%, 90,2% e 73,7% e especificidade de 86,6%, 62,8%, e 79,3%. O iELISA apresentou o melhor desempenho e maior especificidade, podendo ser indicado na avaliação do perfil sorológico de rebanhos, na detecção de animais persistentemente infectados e de animais submetidos a programas de vacinação. As técnicas de IFI e TCR, mesmo apresentando desempenho inferior, podem ser recomendadas para a realização de inquéritos epidemiológicos e para o monitoramento de animais em trânsito entre

  20. Circumventing resistance: using values to indirectly change attitudes.

    Science.gov (United States)

    Blankenship, Kevin L; Wegener, Duane T; Murray, Renee A

    2012-10-01

    Most research on persuasion examines messages that directly address the attitude of interest. However, especially when message recipients are inclined to resist change, indirect methods might be more effective. Because values are rarely attacked and defended, value change could serve as a useful indirect route for attitude change. Attitudes toward affirmative action changed more when the value of equality was attacked (indirect change) than when affirmative action was directly attacked using the same message (Experiments 1-2). Changes in confidence in the value were responsible for the indirect change when the value was attacked (controlling for changes in favorability toward the value), whereas direct counterarguments to the message were responsible for the relative lack of change when the attitude was attacked directly (Experiment 2). Attacking the value of equality influenced attitudes toward policies related to the value but left policy attitudes unrelated to the value unchanged (Experiment 3). Finally, a manipulation of value confidence that left attitudes toward the value intact demonstrated similar confidence-based influences on policies related to the value of freedom (Experiment 4). Undermined value confidence also resulted in less confidence in the resulting policy attitudes controlling for the changes in the policy attitudes themselves (Experiments 3 and 4). Therefore, indirect change through value attacks presented a double threat--to both the policy attitudes and the confidence with which those policy attitudes were held (potentially leaving them open to additional influence).

  1. Variance Analysis and Adaptive Sampling for Indirect Light Path Reuse

    Institute of Scientific and Technical Information of China (English)

    Hao Qin; Xin Sun; Jun Yan; Qi-Ming Hou; Zhong Ren; Kun Zhou

    2016-01-01

    In this paper, we study the estimation variance of a set of global illumination algorithms based on indirect light path reuse. These algorithms usually contain two passes — in the first pass, a small number of indirect light samples are generated and evaluated, and they are then reused by a large number of reconstruction samples in the second pass. Our analysis shows that the covariance of the reconstruction samples dominates the estimation variance under high reconstruction rates and increasing the reconstruction rate cannot effectively reduce the covariance. We also find that the covariance represents to what degree the indirect light samples are reused during reconstruction. This analysis motivates us to design a heuristic approximating the covariance as well as an adaptive sampling scheme based on this heuristic to reduce the rendering variance. We validate our analysis and adaptive sampling scheme in the indirect light field reconstruction algorithm and the axis-aligned filtering algorithm for indirect lighting. Experiments are in accordance with our analysis and show that rendering artifacts can be greatly reduced at a similar computational cost.

  2. Prokaryotic Expression and Applicability Comparison of FiveBrucella Proteins as Antigens in Indirect ELISAs%布鲁氏菌5种蛋白的原核表达及其作为间接ELISA检测用抗原的适用性比较

    Institute of Scientific and Technical Information of China (English)

    王勇; 南文龙; 巩明霞; 张悦勇; 彭大新; 陈义平

    2015-01-01

    In order to compare the applicability of different coating antigens in indirect-ELISA(iELISA)for detecting Brucella antibodies,BP26,OMP16,CP39,SP41and eryC ofBrucella were expressed with prokaryotic system,purified and used as coating antigens respectively in iELISA assays and their effects were compared. The results showed the expressed recombinant BP26,OMP16,CP39,SP41and eryC were about 38 ku,21ku,30ku,51ku and 38ku respectively, and all of them were recognized byBrucella positive serum. All the five iELISA assays had no cross-reactivity with bovine tuberculosis or bovine viral diarrhea sera. Detection of 28 reference serum samples showed that the iELISA with BP26 as coating antigen had the highest P/N value. A parallel detection of 48 clinical serum samples was carried out, and compared to the results of commercial kits(IDEXX),the agreements were 87.5 % for BP26-iELISA,87.5 % for OMP16-iELISA,89.6 % for CP39-iELISA,85.4 % for SP41-iELISA and 79.2 % for eryC-iELISA. In conclusion,the effect of BP26 used as antigen in iELISA was relatively ideal.%为比较布鲁氏菌蛋白BP26、OMP16、CP39、SP41、eryC作为间接ELISA检测用抗原的适用性,本研究原核表达并纯化了这5种蛋白,分别以其作为包被抗原,对反应条件进行优化,建立了布鲁氏菌病5种血清抗体间接ELISA检测方法。结果显示,重组蛋白BP26、OMP16、CP39、SP41、eryC大小分别约为32 ku、21 ku、30 ku、51 ku和38 ku,均可被布鲁氏菌阳性血清所识别,具有良好的免疫反应性。利用5种重组蛋白作为包被抗原建立的间接ELISA方法,与牛结核、牛病毒性腹泻等常见牛病阳性血清之间无交叉反应;对28份阴、阳性参考血清进行检测,以BP26作为包被抗原建立的间接ELISA P/N值最高。利用建立的方法和IDEXX试剂盒对48份临床血清样品进行平行检测,重组蛋白BP26、OMP16、CP39、SP41、eryC相应ELISA方法的符合率分别为87.5%、87.5%、89.6%

  3. Psychosocial adjustment to recurrent cancer.

    Science.gov (United States)

    Mahon, S M; Cella, D F; Donovan, M I

    1990-01-01

    This descriptive study of the perceptions and needs of people with recurrent malignancies asks three questions: How do patients describe the meaning of a recurrence of cancer? Do individuals perceive the diagnosis of recurrence and the initial diagnosis of cancer differently? What are the key psychosocial problems associated with recurrent cancer? The theoretical framework was based on Lazarus and Folkman's theory of stress, appraisal, and coping. Subjects completed the Impact of Event Scale (IES), the Psychosocial Adjustment to Illness Scale--Self-Report (PAIS), and a semistructured qualitative interview. The interview elicited perceptions of the event of recurrence and differences between the diagnosis of recurrence and the initial diagnosis. The convenience sample included 40 patients diagnosed with recurrent cancer within the last 30 days. Many subjects (78%) reported that the recurrence was more upsetting than the initial diagnosis. Scores on both the IES and the PAIS were high when compared to normative samples of patients with cancer suggesting that this sample of patients experienced a lot of psychological distress as well as problems at home, work, and in their social lives. These concerns often were unknown to caregivers. Although more research is needed, the authors propose that, with more accurate assessment, more effective intervention could be implemented and the quality of life improved for patients with recurrent cancer.

  4. Control of Adjustable Compliant Actuators

    Directory of Open Access Journals (Sweden)

    Berno J.E. Misgeld

    2014-05-01

    Full Text Available Adjustable compliance or variable stiffness actuators comprise an additional element to elastically decouple the actuator from the load and are increasingly applied to human-centered robotic systems. The advantages of such actuators are of paramount importance in rehabilitation robotics, where requirements demand safe interaction between the therapy system and the patient. Compliant actuator systems enable the minimization of large contact forces arising, for example, from muscular spasticity and have the ability to periodically store and release energy in cyclic movements. In order to overcome the loss of bandwidth introduced by the elastic element and to guarantee a higher range in force/torque generation, new actuator designs consider variable or nonlinear stiffness elements, respectively. These components cannot only be adapted to the walking speed or the patient condition, but also entail additional challenges for feedback control. This paper introduces a novel design method for an impedance-based controller that fulfills the control objectives and compares the performance and robustness to a classical cascaded control approach. The new procedure is developed using a non-standard positive-real Η2 controller design and is applied to a loop-shaping approach. Robust norm optimal controllers are designed with regard to the passivity of the actuator load-impedance transfer function and the servo control problem. Classical cascaded and positive-real Η2 controller designs are validated and compared in simulations and in a test bench using a passive elastic element of varying stiffness.

  5. Leg-adjustment strategies for stable running in three dimensions.

    Science.gov (United States)

    Peuker, Frank; Maufroy, Christophe; Seyfarth, André

    2012-09-01

    The dynamics of the center of mass (CoM) in the sagittal plane in humans and animals during running is well described by the spring-loaded inverted pendulum (SLIP). With appropriate parameters, SLIP running patterns are stable, and these models can recover from perturbations without the need for corrective strategies, such as the application of additional forces. Rather, it is sufficient to adjust the leg to a fixed angle relative to the ground. In this work, we consider the extension of the SLIP to three dimensions (3D SLIP) and investigate feed-forward strategies for leg adjustment during the flight phase. As in the SLIP model, the leg is placed at a fixed angle. We extend the scope of possible reference axes from only fixed horizontal and vertical axes to include the CoM velocity vector as a movement-related reference, resulting in six leg-adjustment strategies. Only leg-adjustment strategies that include the CoM velocity vector produced stable running and large parameter domains of stability. The ability of the model to recover from perturbations along the direction of motion (directional stability) depended on the strategy for lateral leg adjustment. Specifically, asymptotic and neutral directional stability was observed for strategies based on the global reference axis and the velocity vector, respectively. Additional features of velocity-based leg adjustment are running at arbitrary low speed (kinetic energy) and the emergence of large domains of stable 3D running that are smoothly transferred to 2D SLIP stability and even to 1D SLIP hopping. One of the additional leg-adjustment strategies represented a large convex region of parameters where stable and robust hopping and running patterns exist. Therefore, this strategy is a promising candidate for implementation into engineering applications, such as robots, for instance. In a preliminary comparison, the model predictions were in good agreement with the experimental data, suggesting that the 3D SLIP is an

  6. Predictors of sociocultural adjustment among sojourning Malaysian students in Britain.

    Science.gov (United States)

    Swami, Viren

    2009-08-01

    The process of cross-cultural migration may be particularly difficult for students travelling overseas for further or higher education, especially where qualitative differences exist between the home and host nations. The present study examined the sociocultural adjustment of sojourning Malaysian students in Britain. Eighty-one Malay and 110 Chinese students enrolled in various courses answered a self-report questionnaire that examined various aspects of sociocultural adjustment. A series of one-way analyses of variance showed that Malay participants experienced poorer sociocultural adjustment in comparison with their Chinese counterparts. They were also less likely than Chinese students to have contact with co-nationals and host nationals, more likely to perceive their actual experience in Britain as worse than they had expected, and more likely to perceive greater cultural distance and greater discrimination. The results of regression analyses showed that, for Malay participants, perceived discrimination accounted for the greatest proportion of variance in sociocultural adjustment (73%), followed by English language proficiency (10%) and contact with host nationals (4%). For Chinese participants, English language proficiency was the strongest predictor of sociocultural adjustment (54%), followed by expectations of life in Britain (18%) and contact with host nationals (3%). By contrast, participants' sex, age, and length of residence failed to emerge as significant predictors for either ethnic group. Possible explanations for this pattern of findings are discussed, including the effects of Islamophobia on Malay-Muslims in Britain, possible socioeconomic differences between Malay and Chinese students, and personality differences between the two ethnic groups. The results are further discussed in relation to practical steps that can be taken to improve the sociocultural adjustment of sojourning students in Britain.

  7. Case-mix adjustment for diabetes indicators: a systematic review.

    Science.gov (United States)

    Calsbeek, Hiske; Markhorst, Joekle G M; Voerman, Gerlienke E; Braspenning, Jozé C C

    2016-02-01

    Case-mix adjustment is generally considered indispensable for fair comparison of healthcare performance. Inaccurate results are also unfair to patients as they are ineffective for improving quality. However, little is known about what factors should be adjusted for. We reviewed case-mix factors included in adjustment models for key diabetes indicators, the rationale for their inclusion, and their impact on performance. Systematic review. This systematic review included studies published up to June 2013 addressing case-mix factors for 6 key diabetes indicators: 2 outcomes and 2 process indicators for glycated hemoglobin (A1C), low-density lipoprotein cholesterol, and blood pressure. Factors were categorized as demographic, diabetes-related, comorbidity, generic health, geographic, or care-seeking, and were evaluated on the rationale for inclusion in the adjustment models, as well as their impact on indicator scores and ranking. Thirteen studies were included, mainly addressing A1C value and measurement. Twenty-three different case-mix factors, mostly demographic and diabetes-related, were identified, and varied from 1 to 14 per adjustment model. Six studies provided selection motives for the inclusion of case-mix factors. Marital status and body mass index showed a significant impact on A1C value. For the other factors, either no or conflicting associations were reported, or too few studies (n ≤ 2) investigated this association. Scientific knowledge about the relative importance of case-mix factors for diabetes indicators is emerging, especially for demographic and diabetes-related factors and indicators on A1C, but is still limited. Because arbitrary adjustment potentially results in inaccurate quality information, meaningful stratification that demonstrates inequity in care might be a better guide, as it can be a driver for quality improvement.

  8. Co-adjustment of yolk antioxidants and androgens in birds.

    Science.gov (United States)

    Giraudeau, Mathieu; Ducatez, Simon

    2016-11-01

    Mothers can shape the developmental trajectory of their offspring through the transmission of resources such as hormones, antioxidants or immunoglobulins. Over the last two decades, an abundant literature on maternal effects in birds has shown that several of these compounds (i.e. androgens, glucocorticoids and antioxidants) often influence the same offspring phenotypic traits (i.e. growth, immunity or oxidative stress levels), making interaction effects between egg components a likely scenario. However, the potential interactive effects of maternally transmitted compounds on offspring development and potential co-adjustment of these compounds within an egg are still poorly understood. Here, we report the results of an interspecific comparative analysis on birds' egg yolk composition (i.e. androgens and antioxidants) where we found that yolk carotenoid and vitamin E concentrations are positively associated, supporting the hypothesis that these two antioxidants act in synergy. The concentrations of vitamin E also increased with increasing concentrations of testosterone. This last result confirms the emerging idea that androgens and antioxidants are co-adjusted within eggs and that maternally transmitted antioxidants might limit the potential direct and indirect effects of prenatal exposure to high testosterone levels on oxidative stress. © 2016 The Author(s).

  9. A Simple Illustration for the Need of Multiple Comparison Procedures

    Science.gov (United States)

    Carter, Rickey E.

    2010-01-01

    Statistical adjustments to accommodate multiple comparisons are routinely covered in introductory statistical courses. The fundamental rationale for such adjustments, however, may not be readily understood. This article presents a simple illustration to help remedy this.

  10. Retroperitoneal hematoma after manual reduction of indirect inguinal hernia.

    Science.gov (United States)

    Xu, Xiequn; Hong, Tao; Li, Binglu; Liu, Wei; Zheng, Chaoji; He, Xiaodong

    2013-07-01

    This report presents the case of a 59-year-old man with sudden severe pain in the right lower abdomen after manually reducing the right indirect inguinal hernia who had bilateral indirect inguinal hernia for 5 years. A subsequent contrast computed tomography scan with contrast of the abdomen and pelvis revealed a significant extensive retroperitoneal hematoma at the abdomen and pelvis of the right side. There was contrast leaked out, which was suspected from inferior epigastric artery. He underwent successful laparotomy. The bleeding ruptured inferior epigastric artery at the interior side of the deep inguinal ring was found, the deep inguinal ring was avulsed, ligature of the inferior epigastric artery and removal of the retroperitoneal hematoma were done, and the patient was discharged from hospital on the seventh postoperative day. This is the first report in the literature on retroperitoneal hematoma caused by manual reduction of indirect inguinal hernia.

  11. Indirect control of flexible demand for power system applications

    DEFF Research Database (Denmark)

    Sossan, Fabrizio

    demand is addressed. We investigate the subject considering both how to achieve a shift in the consumption of the single DSRs, and how to generate the indirect control signal for a population of DSRs in order to support the operation of the grid. In the former case, we develop algorithms that achieve...... a shift in the consumption according to an indirect control signal. We present from simple control algorithms with a few requirements up to model predictive control strategies. The performance of the indirect control algorithms are compared by means of hardware-in-the-loop simulations using Power...... Flexhouse, a facility of DTU Elektro for testing demand side management strategies, as experimental site. In the latter case, we develop four applications where flexible demand is required to support power system operations. The applications are: integration of the operation of flexible demand...

  12. Generation of indirect combustion noise by compositional inhomogeneities

    Science.gov (United States)

    Magri, Luca; O'Brien, Jeff; Ihme, Matthias

    2016-11-01

    The generation of indirect combustion noise in nozzles and turbine stages is commonly attributed to temperature inhomogeneities and vorticity fluctuations. Here, compositional inhomogeneities in a multi-component gas mixture are shown to produce indirect noise both theoretically and numerically. The chemical potential function is introduced as an additional acoustic source mechanism. The contribution of the compositional noise is compared to the entropy noise and direct noise by considering subsonic, supersonic and shocked nozzles downstream of the combustor exit. It is shown that the compositional noise is dependent on the local mixture composition and can exceed entropy noise for fuel-lean conditions and supersonic/shocked nozzle flows. This suggests that compositional indirect combustion noise may require consideration with the implementation of advanced combustion concepts in gas turbines, including low-emissions combustors, high-power-density engine cores, or compact burners.

  13. An improved recommendation algorithm via weakening indirect linkage effect

    Science.gov (United States)

    Chen, Guang; Qiu, Tian; Shen, Xiao-Quan

    2015-07-01

    We propose an indirect-link-weakened mass diffusion method (IMD), by considering the indirect linkage and the source object heterogeneity effect in the mass diffusion (MD) recommendation method. Experimental results on the MovieLens, Netflix, and RYM datasets show that, the IMD method greatly improves both the recommendation accuracy and diversity, compared with a heterogeneity-weakened MD method (HMD), which only considers the source object heterogeneity. Moreover, the recommendation accuracy of the cold objects is also better elevated in the IMD than the HMD method. It suggests that eliminating the redundancy induced by the indirect linkages could have a prominent effect on the recommendation efficiency in the MD method. Project supported by the National Natural Science Foundation of China (Grant No. 11175079) and the Young Scientist Training Project of Jiangxi Province, China (Grant No. 20133BCB23017).

  14. The evolution of conditional moral assessment in indirect reciprocity

    CERN Document Server

    Sasaki, Tatsuya; Nakai, Yutaka

    2016-01-01

    Indirect reciprocity is a major mechanism in the maintenance of cooperation among unfamiliar individuals. Indirect reciprocity leads to conditional cooperation according to social norms that discriminate the good (those who deserve to be rewarded with help) and the bad (those who should be punished by refusal of help). Despite intensive research, however, there is no definitive consensus on what social norms best promote cooperation through indirect reciprocity, and it remains unclear even how those who refuse help to the bad should be assessed. Here we propose a new simple norm called 'Staying' that prescribes to abstain from assessment, with the focal individual's image remaining unchanged, if its opponent has a bad image. We fully analyse the Staying norm in terms of evolutionary game theory and unveil that Staying is most effective in establishing cooperation, compared to the prevailing social norms which rely on constant monitoring and unconditional assessment. The excellence of Staying suggests the limi...

  15. [Direct and indirect somatic embryogenesis in Freesia refracta].

    Science.gov (United States)

    Wang, L; Duan, X G; Hao, S

    1999-06-01

    Somatic embryogenesis can be induced in tissue cultures of Freesia refracta either directly from the epidermal cells of explant, or indirectly via intervening callus. In direct pathway, somatic embryos were in contact with maternal tissue in a suspensor-like structure. In indirect pathway, the explants first proliferacted to give rise to calluses before embryoids were induced. The two sorts of calluses were defined to embryogenic callus and non-embryogenic callus according to producing of somatic embryos. An indirect somatic embryo is developed from a pre-embryogenically determined cell. This kind of somatic embryo has no suspensor structure instead of a complex with maternal tissue. Somatic embryos have their own vascular tissues, and can develop new plantlets independently.

  16. Stability Concerns for Indirect Consumer Control in Smart Grids

    DEFF Research Database (Denmark)

    Juelsgaard, Morten; Andersen, Palle; Wisniewski, Rafal

    2013-01-01

    by an external third party, and indirect consumer control through incentives and price signals. In this work we present a simple formulation of indirect control, where the behavior of each consumer, is governed by local optimization of energy consumption. The local optimization accounts for both cost of energy...... and distribution losses, as well as any discomfort incurred by consumers from any shift in energy consumption. Our work will illustrate that in the simplest formulation of indirect control, the stability is greatly affected of both the behavior of consumers, and the number of consumers to include. We will show how......Demand side management will be an important tool for maintaining a balanced electrical grid in the future, when the penetration of volatile resources, such as wind and solar energy increases. Recent research focuses on two different management approaches, namely direct consumer control...

  17. Direct and indirect urban water footprints of the United States

    Science.gov (United States)

    Chini, Christopher M.; Konar, Megan; Stillwell, Ashlynn S.

    2017-01-01

    The water footprint of the urban environment is not limited to direct water consumption (i.e., municipal supplies); embedded water in imported resources, or virtual water transfers, provides an additional component of the urban water footprint. Using empirical data, our analysis extends traditional urban water footprinting analysis to quantify both direct and indirect urban resources for the United States. We determine direct water volumes and their embedded energy through open records requests of water utilities. The indirect component of the urban water footprint includes water indirectly consumed through energy and food, relating to the food-energy-water nexus. We comprehensively quantify the indirect water footprint for 74 metropolitan statistical areas through the combination of various databases, including the Commodity Flow Survey of the U.S. Census Bureau, the U.S. Department of Agriculture, the Water Footprint Network, and the Energy Information Administration. We then analyze spatial heterogeneity in both direct and indirect water footprints, determining the average urban water footprint in the United States to be 1.64 million gallons of water per person per year [6200 m3/person/yr or 17,000 L/person/d], dominated by indirect water. Additionally, our study of the urban water cycle extends beyond considering only water resources to include embedded energy and equivalent carbon dioxide emissions. The inclusion of multiple sectors of the urban water cycle and their underlying processes provides important insights to the overall urban environment, the interdependencies of the food-energy-water nexus, and water resource sustainability. Our results provide opportunities for benchmarking the urban energy-water nexus, water footprints, and climate change potential.

  18. Bias Adjusted Precipitation Threat Scores

    Directory of Open Access Journals (Sweden)

    F. Mesinger

    2008-04-01

    Full Text Available Among the wide variety of performance measures available for the assessment of skill of deterministic precipitation forecasts, the equitable threat score (ETS might well be the one used most frequently. It is typically used in conjunction with the bias score. However, apart from its mathematical definition the meaning of the ETS is not clear. It has been pointed out (Mason, 1989; Hamill, 1999 that forecasts with a larger bias tend to have a higher ETS. Even so, the present author has not seen this having been accounted for in any of numerous papers that in recent years have used the ETS along with bias "as a measure of forecast accuracy".

    A method to adjust the threat score (TS or the ETS so as to arrive at their values that correspond to unit bias in order to show the model's or forecaster's accuracy in extit{placing} precipitation has been proposed earlier by the present author (Mesinger and Brill, the so-called dH/dF method. A serious deficiency however has since been noted with the dH/dF method in that the hypothetical function that it arrives at to interpolate or extrapolate the observed value of hits to unit bias can have values of hits greater than forecast when the forecast area tends to zero. Another method is proposed here based on the assumption that the increase in hits per unit increase in false alarms is proportional to the yet unhit area. This new method removes the deficiency of the dH/dF method. Examples of its performance for 12 months of forecasts by three NCEP operational models are given.

  19. Efficient Adjustable Reflectivity Smart Window

    Energy Technology Data Exchange (ETDEWEB)

    D. Morgan Tench

    2005-12-01

    This project addressed the key technical issues for development of an efficient smart window based on reversible electrochemical transfer of silver between a mirror electrode and a localized counter electrode. Effort to provide uniform switching over large areas focused on use of a resistive transparent electrode innerlayer to increase the interelectrode resistance. An effective edge seal was developed in collaboration with adhesive suppliers and an electrochromic device manufacturer. Work to provide a manufacturable counter electrode focused on fabricating a dot matrix electrode without photolithography by electrodeposition of Pt nuclei on inherent active sites on a transparent oxide conductor. An alternative counter electrode based on a conducting polymer and an ionic liquid electrolyte was also investigated. Work in all of these areas was successful. Sputtered large-bandgap oxide innerlayers sandwiched between conductive indium tin oxide (ITO) layers were shown to provide sufficient cross-layer resistance (>300 ohm/cm{sup 2}) without significantly affecting the electrochemical properties of the ITO overlayer. Two edge seal epoxies, one procured from an epoxy manufacturer and one provided by an electrochromic device manufacturer in finished seals, were shown to be effective barriers against oxygen intrusion up to 80 C. The optimum density of nuclei for the dot matrix counter electrode was attained without use of photolithography by electrodeposition from a commercial alkaline platinum plating bath. Silver loss issues for cells with dot matrix electrodes were successfully addressed by purifying the electrolyte and adjusting the cell cycling parameters. More than 30K cycles were demonstrated for a REM cell (30-cm square) with a dot matrix counter electrode. Larger cells (30-cm square) were successfully fabricated but could not be cycled since the nucleation layers (provided by an outside supplier) were defective so that mirror deposits could not be produced.

  20. Reflux Laryngitis: Correlation between the Symptoms Findings and Indirect Laryngoscopy.

    Science.gov (United States)

    Silva, Carlos Eduardo Dilen da; Niedermeier, Bruno Taccola; Portinho, Fernando

    2015-07-01

    Introduction The indirect laryngoscopy has an important role in the characterization of reflux laryngitis. Although many findings are nonspecific, some strongly suggest that the inflammation is the cause of reflux. Objective The aim of this study was to evaluate the correlation between reflux symptoms and the findings of indirect laryngoscopy. Methods We evaluated 27 patients with symptoms of pharyngolaryngeal reflux disease. Results Laryngoscopy demonstrated in all patients the presence of hypertrophy of the posterior commissure and laryngeal edema. The most frequent symptoms were the presence of dry cough and foreign body sensation. Conclusion There was a correlation between the findings at laryngoscopy and symptoms of reflux.