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Sample records for circumference cutoff values

  1. Optimal cut-off values and population means of waist circumference in different populations.

    Science.gov (United States)

    Wang, Zhiqiang; Ma, Jun; Si, Damin

    2010-12-01

    Abdominal obesity is a risk factor for cardiometabolic disease, and has become a major public health problem in the world. Waist circumference is generally used as a simple surrogate marker to define abdominal obesity for population screening. An increasing number of publications solely rely on the method that maximises sensitivity and specificity to define 'optimal' cut-off values. It is well documented that the optimal cut-off values of waist circumference vary across different ethnicities. However, it is not clear if the variation in cut-off values is a true biological phenomenon or an artifact of the method for identifying optimal cut-off points. The objective of the present review was to assess the relationship between optimal cut-offs and population waist circumference levels. Among sixty-one research papers, optimal cut-off values ranged from 65·5 to 101·2 cm for women and 72·5 to 103·0 cm for men. Reported optimal cut-off values were highly correlated with population means (correlation coefficient: 0·91 for men and 0·93 for women). Such a strong association was independent of waist circumference measurement techniques or the health outcomes (dyslipidaemia, hypertension or hyperglycaemia), and existed in some homogeneous populations such as the Chinese and Japanese. Our findings raised some concerns about applying the sensitivity and specificity approach to determine cut-off values. Further research is needed to understand whether the differences among populations in waist circumference were genetically or environmentally determined, and to understand whether using region-specific cut-off points can identify individuals with the same absolute risk levels of metabolic and cardiovascular outcomes among different populations.

  2. Cut-off values of blood mercury concentration in relation to increased body mass index and waist circumference in Koreans.

    Science.gov (United States)

    Bae, Suhyun; Park, Soo-Jung; Yeum, Kyung-Jin; Choi, Beomhee; Kim, Young-Sang; Joo, Nam-Seok

    2016-04-01

    Blood mercury (methyl-mercury) from environmental exposure may be related to inflammation in our body. We investigated the cut-off values of blood mercury concentration in relation to increased body mass index (BMI) and waist circumference. On the basis of data obtained from the Korea National Health and Nutrition Examination Survey (KNHANES, 2008-2012), 11,159 subjects (5543 males and 5616 females) were analyzed cross-sectionally. Partial correlation, linear regression, and analysis of covariance (according to the mercury quartile) tests were performed to evaluate the relationship between blood mercury and BMI or waist circumference. In addition, we determined the cut-off values of blood mercury concentration in relation to increased BMI and waist circumference in both genders. Mean values of blood mercury concentration were 5.07 ± 0.07 μg/L in males and 3.59 ± 0.04 μg/L in females. After log transformation of blood mercury, significant (p waist circumference. BMI and waist circumference showed a significant and gradual increase as mercury quartile increased in both genders. Blood mercury concentration was weakly but significantly (p waist circumference. Cut-off values of blood mercury concentration correlated with increased BMI and waist circumference were around 3.95 μg/L in males and 3.40 μg/L in females.

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

    OpenAIRE

    Xu Ying; Du Lin; Li Yanping; Hu Xiaoqi; Hills Andrew P; Liu Ailing; Byrne Nuala M; Ma Guansheng

    2010-01-01

    Abstract Background Waist circumference has been identified as a valuable predictor of cardiovascular risk in children. The development of waist circumference percentiles and cut-offs for various ethnic groups are necessary because of differences in body composition. The purpose of this study was to develop waist circumference percentiles for Chinese children and to explore optimal waist circumference cut-off values for predicting cardiovascular risk factors clustering in this population. Met...

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

    Institute of Scientific and Technical Information of China (English)

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

    2014-01-01

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

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

    Institute of Scientific and Technical Information of China (English)

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

    2014-01-01

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

  6. Predictive Values of Body Mass Index and Waist Circumference for Risk Factors of Certain Related Diseases in Chinese Adults - Study on Optimal Cut-off Points of Body Mass Index and Waist Circumference in Chinese Adults

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    For prevention of obesity in Chinese population, it is necessary to define the optimal range of healthy weight and the appropriate cut-off points of BMI and waist circumference for Chinese adults. The Working Group on Obesity in China under the support of International Life Sciences Institute Focal point in China organized a meta-analysis on the relation between BMI, waist circumference and risk factors of related chronic diseases (e. g.,high diabetes, diabetes mellitus, and lipoprotein disorders). Methods 13 population studies in all met the criteria for enrollment, with data of 239 972 adults (20-70 year) surveyed in the 1990s. Data on waist circumference was available for 111411 persons and data on serum lipids and glucose were available for more than 80 000. The study populations located in 21provinces, municipalities and autonomous regions in mainland China as well as in Taiwan. Each enrolled study provided data according to a common protocol and uniform format. The Center for data management in Department of Epidemiology, Fu Wai Hospital was responsible for statistical analysis. Results and conclusion The prevalence of hypertension, diabetes, dyslipidemia and clustering of risk factors all increased with increasing levels of BMI or waist circumference. BMI at 24 with best sensitivity and specificity for identification of the risk factors, was recommended as the cut-off point for overweight, BMI at 28 which may identify the risk factors with specificity around 90 % was recommended as the cut-off point for obesity. Waist circumference beyond 85 cm for men and beyond 80 cm for women were recommended as the cut-off points for central obesity.Analysis of population attributable risk percent illustrated that reducing BMI to normal range (<24) could prevent 45%-50% clustering of risk factors. Treatment of obese persons (BMI ≥ 28)with drugs could prevent 15%-17% clustering of risk factors. The waist circumference controlled under 85 cm for men and under 80 cm for

  7. Determining cut-off values for neck circumference as a measure of the metabolic syndrome amongst a South African cohort: the SABPA study

    OpenAIRE

    Hoebel, Svelka; Malan, Leone; Van Ridder, Johannes Hendrik

    2012-01-01

    The aim was to determine receiver operating characteristic (ROC) neck circumference (NC) cut offs best associated with the metabolic syndrome (MetS) in a South African cohort. We included 409 urban Africans and Caucasians and stratified them into gender and age groups (25–45 years; 45–65 years). Measurements included anthropometric, fasting overnight urine and biological markers for the MetS (systolic and diastolic blood pressure, glucose, triglycerides, and high density lipoprotein). ROC ana...

  8. Determining cut-off values for neck circumference as a measure of the metabolic syndrome amongst a South African cohort: the SABPA study.

    Science.gov (United States)

    Hoebel, S; Malan, L; de Ridder, J H

    2012-10-01

    The aim was to determine receiver operating characteristic (ROC) neck circumference (NC) cut offs best associated with the metabolic syndrome (MetS) in a South African cohort. We included 409 urban Africans and Caucasians and stratified them into gender and age groups (25-45 years; 45-65 years). Measurements included anthropometric, fasting overnight urine and biological markers for the MetS (systolic and diastolic blood pressure, glucose, triglycerides, and high density lipoprotein). ROC analysis determined pathological (NC) cut-points of 39 and 35 cm for young and older African men; 32 and 35 cm for young and old African women; 40 and 41 cm for Caucasian men; 34 and 33 cm for Caucasian women. Pathological NC cut-points significantly predicted MetS in all ethnic-gender-age groups except in African women (ORs 2.3-5.4; 95% CI 1.36-16.5). Multiple regression analyses revealed that MetS prevalence and ROC cut-points were not associated with renal impairment in any groups. ROC NC cut-points demonstrated that NC may be used as an additional anthropometric marker to predict the MetS in a South African cohort but not in African women.

  9. Waist circumference cutoff points for central obesity in the Korean elderly population.

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    So, Eun Sun; Yoo, Kwang Soo

    2015-02-01

    The aim is to determine the appropriate cutoff values of waist circumference (WC) for an increased risk of the metabolic syndrome in the Korean elderly population. We analyzed the WC cutoff values of four groups divided according to sex and age with a total of 2,224 elderly participants aged 65 years old and above from the Fourth Korean National Health and Nutrition Examination Survey using the receiver operating characteristic curve and multiple logistic regression. The WC cutoff values associated with an increased risk of metabolic syndrome were 89.6 cm for men and 90.5 cm for women for those who were 65 to 74 years old, and 89.9 cm for men and 87.9 cm for women for those who were 75 years old or older. WC cutoff points for estimating metabolic risk are similar in elderly men and women. Age-specific optimal WC cutoff points should be considered especially for elderly women in screening for metabolic syndrome.

  10. Waist circumference cutoff points for Chinese adults with metabolic syndrome defined by the International Diabetes Federation

    Institute of Scientific and Technical Information of China (English)

    Yanhui LU; Yuqing ZHANG; Changyu PAN; Juming LU; Shuyu WANG; Chunlin LI; Lisheng LIU; Runping ZHENG; Hui TIAN; Xianling WANG; Lijuan YANG

    2007-01-01

    Objective To investigate the appropriate waist circumference (WC) cutoff points for central obesity in the middle-aged and elderly Beijing residents by the metabolic syndrome definition of the International Diabetes Federation (IDF). Methods A total of 2,344Beijing residents aged ≥40 years were investigated. They answered questionnaires, received physical examinations, and underwent plasma glucose and lipid profile measurement. Those non-diabetic subjects underwent a 75g oral glucose tolerance test. All data were analyzed to calculate the appropriate WC cutoff points for central obesity reaching the diagonsis of MS. Results 1) Both in males and females, the triglyceride (TG), systolic blood pressure, diastolic blood pressure and fasting plasma glucose (FPG) increased linearly with WC, and the high density lipoprotein cholesterol (HDL-C) decreased linearly with WC (P<0.05). 2)The prevalence of elevated TG,reduced HDL-C, elevated blood pressure, elevated FBG, or ≥ 2 of these factors increased with WC (P<0.05). 3) Based on the receiver operating characteristic (ROC) curve analysis and Youden index, the WC values for central obesity and for detecting BMI ≥ 25 kg/m2were about 90 cm for men and 80 cm for women. 4) The odds ratio for the presence of two or more metabolic risk factors increased abruptly in men with WC ≥ 90 cm and in women with WC ≥ 80 cm. Conclusions The appropriate WC cutoff point for central obesity was determined to be 90 cm for men and 80 cm for women in the middle-aged and elderly Beijing residents by the metabolic syndrome definition of IDF.

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

    Science.gov (United States)

    Datta Banik, Sudip; Dickinson, Federico

    2015-01-01

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

  12. Sensitivity and Specificity Improvement in Abdominal Obesity Diagnosis Using Cluster Analysis during Waist Circumference Cut-Off Point Selection

    OpenAIRE

    Valmore Bermúdez; Joselyn Rojas; Juan Salazar; Roberto Añez; Alexandra Toledo; Luis Bello; Vanessa Apruzzese; Robys González; Maricarmen Chacín; Mayela Cabrera; Clímaco Cano; Manuel Velasco; José López-Miranda

    2015-01-01

    Introduction. The purpose of this study was to analyze the influence of metabolic phenotypes during the construction of ROC curves for waist circumference (WC) cutpoint selection. Materials and Methods. A total of 1,902 subjects of both genders were selected from the Maracaibo City Metabolic Syndrome Prevalence Study database. Two-Step Cluster Analysis (TSCA) was applied to select metabolically healthy and sick men and women. ROC curves were constructed to determine WC cutoff points by gender...

  13. Determining the optimal cutoff points for waist circumference and body mass index for identification of metabolic abnormalities and metabolic syndrome in urban Thai population.

    Science.gov (United States)

    Worachartcheewan, Apilak; Dansethakul, Prabhop; Nantasenamat, Chanin; Pidetcha, Phannee; Prachayasittikul, Virapong

    2012-11-01

    This study describes the prevalence and optimal waist circumference (WC) and body mass index (BMI) cutoff point for metabolic abnormalities and metabolic syndrome (MS) from urban Thai population. The optimal BMI/WC cutoff has been used for identifying and evaluating metabolic abnormalities for screening individuals having risk factor of MS.

  14. Prevalence of the metabolic syndrome in Spain using regional cutoff points for waist circumference: the di@bet.es study.

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    Marcuello, Clara; Calle-Pascual, Alfonso L; Fuentes, Manuel; Runkle, Isabelle; Rubio, Miguel A; Montañez, Carmen; Rojo-Martinez, Gemma; Soriguer, Federico; Bordiu, Elena; Goday, Albert; Bosch-Comas, Anna; Carmena, Rafael; Casamitjana, Roser; Castaño, Luis; Castell, Conxa; Catalá, Miguel; Delgado, Elias; Franch, Josep; Gaztambide, Sonia; Girbés, Juan; Gomis, Ramon; Urrutia, Ines; López-Alba, Alfonso; Martínez-Larrad, Maria T; Menéndez, Eldelmiro; Mora-Peces, Inmaculada; Ortega, Emilio; Pascual-Manich, Gemma; Serrano-Rios, Manuel; Valdés, Sergio; Vázquez, Jose A; Vendrell, Joan

    2013-08-01

    The aim of the study is to assess the prevalence of metabolic syndrome (MetS) in Spain using specific cutoff points for waist circumference (WC) (>94.5 cm for men and >89.5 cm for women) and evaluating the influence of several socio-demographic and economic factors. Data on MetS were obtained from a national study of 4,727 subjects from 18 to 90 years of age, conducted in Spain between 2009 and 2010 (The di@bet.es study). MetS was defined applying the new Harmonized definition (evaluating the use of abdominal obesity (AO) as a obligatory criterion for MetS or not) as well as with other widely used criteria. Results were then compared with data from previous studies. Multiple logistic regression models were used to evaluate the influence of different social factors. The age-standardized MetS prevalence was 38.37 % (CI 35.74-40.99) in men and 29.62 % (CI 27.56-31.69) in women, when AO was required as a diagnostic criterion; 42.13 % (CI 39.37-44.89) and 32.31 % (CI 30.15-34.47) in men and women, respectively, if AO was not considered mandatory. Prevalence of MetS increased with age (p < 0.001 for trend). Women with a lower educational level were more likely to have MetS (OR 4.4; 95 % CI: 2.84-6.7) as compared with those with a higher educational level. Subjects with MetS had a worse physical quality of life. The combination of AO, hypertension and carbohydrate alterations was the most common MetS' pattern. A high prevalence of MetS was detected in the Spanish population especially in men, the elderly and women with a low educational level.

  15. Hemoglobin cut-off values in healthy Turkish infants

    Institute of Scientific and Technical Information of China (English)

    Ahmet Arvas; Emel Gür; DurmuşDoğan

    2014-01-01

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

  16. Optimal waist circumference cutoff points for the determination of abdominal obesity and detection of cardiovascular risk factors among adult Egyptian population

    Directory of Open Access Journals (Sweden)

    Samir H Assaad-Khalil

    2015-01-01

    Full Text Available Objective: To determine the best anthropometric measurement of obesity, and its optimal cutoff, that best predicts the presence of cardiovascular risk factors among adult Egyptian population. Methods: This is a cross-sectional study including a representative randomly chosen sample of the adult Egyptian population from all Alexandria Districts (the second largest governorate in Egypt based on the multistage random technique. It included 3209 subjects (1567 men, 1642 women aged 18–80 years from urban and rural areas. The response rate was 80.2%. History, blood pressure, and anthropometric measurements were taken. Laboratory investigations included fasting lipid profile, fasting plasma glucose, and serum uric acid. Different criteria of metabolic syndrome were used and compared. Receiver operator characteristic curve and Youden index were used to determine predictability and cutoffs. Results: Waist circumference (WC is the best to predict at least two other components of the metabolic syndrome as defined by the International Diabetes Federation (IDF. The optimal WC cutoffs were 100.5 and 96.25 cm for Egyptian men and women, respectively. The Joint Interim Statement definition (JIS of metabolic syndrome was the best to predict cardiovascular disease in both genders and diabetes mellitus in women. The prevalence of metabolic syndrome and abdominal obesity was 42.5%, 61%, respectively (ATPIII definition; 43.8%, 61% (American Heart Association definition; 44.3%, 76.4% (IDF definition; 33.8%, 51.7% (IDF definition with Egyptian cutoffs; and 41.5%, 51.7% (JIS with Egyptian cutoffs. Conclusion: WC cutoffs in Egyptians differ from those currently recommended. Prevalence of metabolic syndrome and abdominal obesity is high in Egypt, despite being lower on using the Egyptian cutoffs.

  17. CPI distribution and cutoff values for duo kinship testing.

    Science.gov (United States)

    Pu, Chang-En; Linacre, Adrian

    2007-10-31

    DNA-based tests commonly use 13 STR (short tandem repeat) loci in human identification and paternity testing--the Combined DNA Index System or CODIS. Its average degree of accuracy of paternity identification is greater than 0.9999 under the circumstance of a mother, a child and a putative father. However, the possibility of false inclusions increases under circumstances such as [1] only two members of a family group are available--a duo case during determination of paternity or [2] identification of human remains while only one living relative is present. In Taiwan, the National Unidentified Human Remains Database uses the CODIS 13 STR for the identification of family members. Two or more reference samples in the DNA database have been found to share one allele at all loci tested. Then the Combined Paternity Index (CPI) is used to determine and provide an estimate of kinship in such cases. Combining 499,500 sets of DNA data for the 13 STR CODIS loci, totally 431 (0.086%) cases are false inclusions where all 13 loci shared at least one allele. Simulated partial DNA profiles (not all 13 loci yielded results) were created to mimic the mutation and degradation process. All 431 real duo cases were analyzed to evaluate sensitivity and specificity. This report provided four kinship-matching situations with CPI cutoff values when the number of allele-sharing loci exceeded 11. CPI values greater or lesser than the suggested cutoff point will provide a greater degree of confidence in determining whether two samples are derived from first-degree relatives.

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

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    Ana Paula Grotti Clemente

    2013-01-01

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

  19. The Optimal Ethnic-Specific Waist-Circumference Cut-Off Points of Metabolic Syndrome among Low-Income Rural Uyghur Adults in Far Western China and Implications in Preventive Public Health.

    Science.gov (United States)

    He, Jia; Ma, Rulin; Liu, Jiaming; Zhang, Mei; Ding, Yusong; Guo, Heng; Mu, Lati; Zhang, Jingyu; Wei, Bin; Yan, Yizhong; Ma, Jiaolong; Pang, Hongrui; Li, Shugang; Guo, Shuxia

    2017-02-08

    Background: Metabolic syndrome is pandemic; however, the cut-off values for waist circumference (WC) vary widely depending on the ethnic groups studied and the criteria applied for WC measurement. Previous studies for defining optimal WC cut-off points included high-income and urban settings, and did not cover low-income, rural settings, especially for ethnic minorities. This study aimed at defining optimal ethnic-specific WC cut-off points in a low-income, rural population comprising the largest inhabitant minority group residing in far Western China. Methods: Questionnaire-based surveys, physical examinations, and blood testing of 3542 individuals were conducted in 2010, using a stratified cluster random sampling method in rural Uyghur residents (≥18 years old) from 12 villages in Xinjiang, China, approximately 4407 km away from the capital city, Beijing. Metabolic syndrome was defined according to the International Diabetes Federation (IDF) criteria. Optimal, ethnic-specific WC cut-off values for diagnosing metabolic syndrome were determined using receiver operator characteristic (ROC) curve analysis. Results: As WC increased, there was a significant, increasing trend of detection and risk in rural Uyghur adults, regardless of the presence of ≥1 or ≥2 components of metabolic syndrome by IDF criteria. The optimal ethnic-specific WC cut-off point to predict the presence of metabolic syndrome was 85 cm for men and 82 cm for women. With these cut-off points, the prevalence rates of metabolic syndrome among men, women, and overall population in Uyghur adults were 19.5%, 23.0%, and 21.3%, respectively. Conclusions: We report a high prevalence of metabolic syndrome, especially in women, among rural Uyghurs in Western China. A WC cut-off of 85 cm in men and 82 cm in women was the best predictor of metabolic syndrome in this population. Because of the cost-effectiveness in measuring WC, we recommend that these WC cut-off points be integrated into local preventive

  20. The Optimal Ethnic-Specific Waist-Circumference Cut-Off Points of Metabolic Syndrome among Low-Income Rural Uyghur Adults in Far Western China and Implications in Preventive Public Health

    Directory of Open Access Journals (Sweden)

    Jia He

    2017-02-01

    Full Text Available Background: Metabolic syndrome is pandemic; however, the cut-off values for waist circumference (WC vary widely depending on the ethnic groups studied and the criteria applied for WC measurement. Previous studies for defining optimal WC cut-off points included high-income and urban settings, and did not cover low-income, rural settings, especially for ethnic minorities. This study aimed at defining optimal ethnic-specific WC cut-off points in a low-income, rural population comprising the largest inhabitant minority group residing in far Western China. Methods: Questionnaire-based surveys, physical examinations, and blood testing of 3542 individuals were conducted in 2010, using a stratified cluster random sampling method in rural Uyghur residents (≥18 years old from 12 villages in Xinjiang, China, approximately 4407 km away from the capital city, Beijing. Metabolic syndrome was defined according to the International Diabetes Federation (IDF criteria. Optimal, ethnic-specific WC cut-off values for diagnosing metabolic syndrome were determined using receiver operator characteristic (ROC curve analysis. Results: As WC increased, there was a significant, increasing trend of detection and risk in rural Uyghur adults, regardless of the presence of ≥1 or ≥2 components of metabolic syndrome by IDF criteria. The optimal ethnic-specific WC cut-off point to predict the presence of metabolic syndrome was 85 cm for men and 82 cm for women. With these cut-off points, the prevalence rates of metabolic syndrome among men, women, and overall population in Uyghur adults were 19.5%, 23.0%, and 21.3%, respectively. Conclusions: We report a high prevalence of metabolic syndrome, especially in women, among rural Uyghurs in Western China. A WC cut-off of 85 cm in men and 82 cm in women was the best predictor of metabolic syndrome in this population. Because of the cost-effectiveness in measuring WC, we recommend that these WC cut-off points be integrated into

  1. Anthropometric parameters’ cut-off points and predictive value for metabolic syndrome in women from Cartagena, Colombia

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    Gustavo José Mora-García

    2014-03-01

    Full Text Available Objective. To estimate anthropometric parameters’ (APs cut-off points and association for metabolic syndrome (MetS. Materials and methods. A cross-sectional study was carried out with a total of 434 adult women from Cartagena de Indias, Colombia, in 2012. APs measured were waist circumference (WC, body mass index (BMI, body adiposity index (BAI, waist-hip ratio (WHR and waist-height ratio (WHtR. Cut-off points were estimated by a receiver operating characteristic curve (ROC. Logistic regression was applied to estimate possible associations. Results. Cut-off points for WC, BMI, BAI, WHR and WHtR were 85 cm, 28 kg/m2, 39%, 0.80 and 56, respectively. Only WHtR was associated to MetS (OR=1.11, CI95% [1.07-1.15]. Conclusion. WC cut-off point was higher than those proposed for Latin-American women by the Joint Interim Statement (JIS. WHtR had a low predictive value for MetS.

  2. Transferring Cut-off Values between Assays for Cerebrospinal Fluid Alzheimer's Disease Biomarkers

    OpenAIRE

    Garcia Barrado, Leandro; Coart, Els; Vanderstichele, Hugo M. J.; Burzykowski, Tomasz

    2015-01-01

    Current technologies quantifying cerebrospinal fluid biomarkers to identify subjects with Alzheimer's disease pathology report different concentrations in function of technology and suffer from between-laboratory variability. Hence, lab- and technology-specific cut-off values are required. It is common practice to establish cut-off values on small datasets and, in the absence of well-characterized samples, to transfer the cut-offs to another assay format using 'side-by-side' testing of sample...

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

    DEFF Research Database (Denmark)

    Peschel, Anne O.; Grebitus, Carola; Colson, Gregory

    2016-01-01

    evidence on consumers’ heterogeneous use of attribute cut-offs with a unique focus on the relationship with consumer involvement, a key component in consumer choice theory. Behavioral data from an online choice experiment on beef steak employing shelf simulations are combined with questions defining...... respondents’ attribute cut-off values and their validated Personal Involvement Inventory (PII). Evidence from the analysis indicates that consumers who are highly involved are more likely to exhibit attribute cut-off values and are less likely to violate their cut-off values. Further investigation using...... a latent class model identifies several key consumer segments (e.g., a price sensitive group) based on their choice behavior and reveals that the relationship between involvement, cut-off use and cut-off violations is not uniform across consumer segments....

  4. Metabolic syndrome: no internationally defined standard cut-off value for waist circumference

    Institute of Scientific and Technical Information of China (English)

    Olabode Oladeinde

    2007-01-01

    @@ The metabolic syndrome (MS) is a cluster of interrelated risk factors of metabolic origin - metabolic risk factors that appear to directly promote the development of atherosclerotic cardiovascular disease and increase the risk of development of type 2 diabetes.

  5. Cut-off values of waist circumference to predict metabolic syndrome in obese adolescents.

    Science.gov (United States)

    Masquio, Deborah Cristina Landi; Ganen, Aline de Piano; Campos, Raquel Munhoz da Silveira; Sanches, Priscila de Lima; Corgosinho, Flávia Campos; Caranti, Danielle; Tock, Lian; de Mello, Marco Túlio; Tufik, Sergio; Dâmaso, Ana R

    2015-04-01

    Introducción: El síndrome metabólico es una constelación de alteraciones metabólicas relacionadas con la obesidad abdominal, la inflamación y la resistencia a la insulina, lo que aumenta las enfermedades cardiovasculares y la mortalidad. Los objetivos del presente estudio fueron determinar la prevalencia de comorbilidades y parámetros alterados en adolescentes obesos con y sin SM, y determinar los puntos de corte de la circunferencia de cintura para predecir SM. Métodos: 195 adolescentes obesos y se los dividió según síndrome metabólico diagnóstico basado en criterios de la IDF. Los análisis de sangre se midieron de glucosa, lípidos, enzimas hepáticas, la adiponectina y leptina. Resistencia a la insulina se evaluó mediante HOMA-IR, QUICKI y HOMA-AD. Se obtuvieron ecografía visceral, subcutánea y grasa hepática. La composición corporal se calcula por el sistema BOD POD. Resultados: Se observó una prevalencia del 25% de síndrome metabólico Mets (n = 50). El grupo grupo con síndrome metabólico presentó mayor masa corporal, índice de masa corporal, grasa corporal (kg), sin grasa masa significativa (kg), circunferencia de la cintura, la grasa visceral, la glucosa, la insulina, resistencia a la insulina, colesterol total, LDL-c, VLDL-c, triglicéridos, enzimas hepáticas, enfermedad no alcohólica del hígado graso (EHNA) y la presión arterial. Se observaron QUICKI significativamente menor y la adiponectina en el grupo con síndrome metabólico. El grupo con síndrome metabólico presentaron significativa proporción de leptina / adiponectina mayor en comparación con los que no tienen síndrome metabólico. Puntos de corte de 111,5 cm para los niños y 104,6 cm para las niñas de la circunferencia de cintura se sugirieron para predecir el síndrome metabólico. Además, la circunferencia de la cintura fue positivamente correlacionada con la grasa visceral y el número de parámetros del síndrome metabólico. Conclusión: El grupo con síndrome metabólico presentan alteraciones metabólicas significativas superiores e inflamación en comparación con el grupo sin síndrome metabólico. La circunferencia de cintura se considera un predictor medida antropométrica del síndrome metabólico en adolescentes obesos, siendo útil en la práctica clínica.

  6. Is the 90th Percentile Adequate? The Optimal Waist Circumference Cutoff Points for Predicting Cardiovascular Risks in 124,643 15-Year-Old Taiwanese Adolescents.

    Directory of Open Access Journals (Sweden)

    Jason Jiunshiou Lee

    Full Text Available Adolescent obesity has increased to alarming proportions globally. However, few studies have investigated the optimal waist circumference (WC of Asian adolescents. This study sought to establish the optimal WC cutoff points that identify a cluster of cardiovascular risk factors (CVRFs among 15-year-old ethnically Chinese adolescents. This study was a regional population-based study on the CVRFs among adolescents who enrolled in all the senior high schools in Taipei City, Taiwan, between 2011 and 2014. Four cross-sectional health examinations of first-year senior high school (grade 10 students were conducted from September to December of each year. A total of 124,643 adolescents aged 15 (boys: 63,654; girls: 60,989 were recruited. Participants who had at least three of five CVRFs were classified as the high-risk group. We used receiver-operating characteristic curves and the area under the curve (AUC to determine the optimal WC cutoff points and the accuracy of WC in predicting high cardiovascular risk. WC was a good predictor for high cardiovascular risk for both boys (AUC: 0.845, 95% confidence interval [CI]: 0.833-0.857 and girls (AUC: 0.763, 95% CI: 0.731-0.795. The optimal WC cutoff points were ≥78.9 cm for boys (77th percentile and ≥70.7 cm for girls (77th percentile. Adolescents with normal weight and an abnormal WC were more likely to be in the high cardiovascular risk group (odds ratio: 3.70, 95% CI: 2.65-5.17 compared to their peers with normal weight and normal WC. The optimal WC cutoff point of 15-year-old Taiwanese adolescents for identifying CVRFs should be the 77th percentile; the 90th percentile of the WC might be inadequate. The high WC criteria can help health professionals identify higher proportion of the adolescents with cardiovascular risks and refer them for further evaluations and interventions. Adolescents' height, weight and WC should be measured as a standard practice in routine health checkups.

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

    DEFF Research Database (Denmark)

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

    2016-01-01

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

  8. Plasma folic acid cutoff value, derived from its relationship with homocyst(e)ine

    NARCIS (Netherlands)

    Brouwer, D A; Welten, H T; Reijngoud, D J; van Doormaal, J J; Muskiet, F A

    1998-01-01

    We established the cutoff value for plasma folic acid, using plasma homocyst(e)ine as the functional marker. To do this, we investigated the relationship of the plasma folic acid of 103 apparently healthy adults with their fasting plasma homocyst(e)ine and with their plasma homocyst(e)ine 6 h after

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

    NARCIS (Netherlands)

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

    2012-01-01

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

  10. Defining the cutoff value of MGMT gene promoter methylation and its predictive capacity in glioblastoma.

    Science.gov (United States)

    Brigliadori, Giovanni; Foca, Flavia; Dall'Agata, Monia; Rengucci, Claudia; Melegari, Elisabetta; Cerasoli, Serenella; Amadori, Dino; Calistri, Daniele; Faedi, Marina

    2016-06-01

    Despite advances in the treatment of glioblastoma (GBM), median survival is 12-15 months. O6-methylguanine-DNA methyltransferase (MGMT) gene promoter methylation status is acknowledged as a predictive marker for temozolomide (TMZ) treatment. When MGMT promoter values fall into a "methylated" range, a better response to chemotherapy is expected. However, a cutoff that discriminates between "methylated" and "unmethylated" status has yet to be defined. We aimed to identify the best cutoff value and to find out whether variability in methylation profiles influences the predictive capacity of MGMT promoter methylation. Data from 105 GBM patients treated between 2008 and 2013 were analyzed. MGMT promoter methylation status was determined by analyzing 10 CpG islands by pyrosequencing. Patients were treated with radiotherapy followed by TMZ. MGMT promoter methylation status was classified into unmethylated 0-9 %, methylated 10-29 % and methylated 30-100 %. Statistical analysis showed that an assumed methylation cutoff of 9 % led to an overestimation of responders. All patients in the 10-29 % methylation group relapsed before the 18-month evaluation. Patients with a methylation status ≥30 % showed a median overall survival of 25.2 months compared to 15.2 months in all other patients, confirming this value as the best methylation cutoff. Despite wide variability among individual profiles, single CpG island analysis did not reveal any correlation between single CpG island methylation values and relapse or death. Specific CpG island methylation status did not influence the predictive value of MGMT. The predictive role of MGMT promoter methylation was maintained only with a cutoff value ≥30 %.

  11. 中国哈萨克族成人代谢综合征腰围适宜切点研究%The optimum cut-off points of waist circumference for identifying metabolic syndrome in Kazak adults

    Institute of Scientific and Technical Information of China (English)

    高静; 王宁; 王建疆; 娜孜姑丽; 谢自敬; 毛新民; 李琳琳

    2010-01-01

    探讨哈萨克族成人代谢综合征(MS)诊断的腰围适宜切点.选取2 052例哈萨克族成人,依据国际糖尿病联盟标准,检出两个以上MS组分的假阳性和假阴性率均较低的腰围切点为男性≥99 cm,女性≥88 cm.建议哈萨克族成人以此切点作为MS的检出标准.%The optimum cut-off point of waist circumference for identifying metabolic syndrome(MS)in Kazak was investigated.Based on Internationul Diabetes Eederation.2052 Kazak adults were analysed.At the cut-off point of waist circumference(≥199 cm for men,≥88 cm for women),the rates of false positive and negative for identifying MS were reduced to a minimum.The two cut-off points were possibly appropriate for identifying MS in Kazak.

  12. Neck circumference as an effective measure for identifying cardio-metabolic syndrome: a comparison with waist circumference.

    Science.gov (United States)

    Luo, Yuqi; Ma, Xiaojing; Shen, Yun; Xu, Yiting; Xiong, Qin; Zhang, Xueli; Xiao, Yunfeng; Bao, Yuqian; Jia, Weiping

    2017-03-01

    Neck circumference is a new anthropometric index for estimating obesity. We aimed to determine the relationship between neck circumference and body fat content and distribution as well as the efficacy of neck circumference for identifying visceral adiposity and metabolic disorders. A total of 1943 subjects (783 men, 1160 women) with a mean age of 58 ± 7 years were enrolled in this cross-sectional study. Metabolic syndrome was defined according to the standard in the 2013 China Guideline. Analyses were conducted to determine optimal neck circumference cutoff points for visceral adiposity quantified by magnetic resonance imaging, and to compare the performance of neck circumference with that of waist circumference in identifying abdominal obesity and metabolic disorders. Visceral fat content was independently correlated with neck circumference. Receiver operating characteristic curves showed that the area under the curve for the ability of neck circumference to determine visceral adiposity was 0.781 for men and 0.777 for women. Moreover, in men a neck circumference value of 38.5 cm had a sensitivity of 56.1 % and specificity of 83.5 %, and in women, a neck circumference value of 34.5 cm had a sensitivity of 58.1 % and specificity of 82.5 %. These values were the optimal cutoffs for identifying visceral obesity. There were no statistically significant differences between the proportions of metabolic syndrome and its components identified by an increased neck circumference and waist circumference. Neck circumference has the same power as waist circumference for identifying metabolic disorders in a Chinese population.

  13. Boundary value problem for the solution of magnetic cutoff rigidities and some special applications

    Science.gov (United States)

    Edmonds, Larry

    1987-01-01

    Since a planet's magnetic field can sometimes provide a spacecraft with some protection against cosmic ray and solar flare particles, it is important to be able to quantify this protection. This is done by calculating cutoff rigidities. An alternate to the conventional method (particle trajectory tracing) is introduced, which is to treat the problem as a boundary value problem. In this approach trajectory tracing is only needed to supply boundary conditions. In some special cases, trajectory tracing is not needed at all because the problem can be solved analytically. A differential equation governing cutoff rigidities is derived for static magnetic fields. The presense of solid objects, which can block a trajectory and other force fields are not included. A few qualititative comments, on existence and uniqueness of solutions, are made which may be useful when deciding how the boundary conditions should be set up. Also included are topics on axially symmetric fields.

  14. ASSOCIATION OF IDF CRITERIA OF WAIST CIRCUMFERENCE WITH DIABETES MELLITUS IN A RURAL DIABETIC POPULATION

    Directory of Open Access Journals (Sweden)

    Shuba Srinivasan

    2016-09-01

    Full Text Available INTRODUCTION IDF definition of metabolic syndrome uses waist circumference as the main criteria without which metabolic syndrome cannot be diagnosed. The IDF cut-offs for waist circumference is ethnicity specific, but there is a vast heterogeneity amongst South Asians and within the Indian subcontinent itself. MATERIALS AND METHODS This cross-sectional study was conducted on 100 consecutive cases of diabetes in a medical college catering to predominantly rural population who attended the Medicine Department OPD. Demographic data and anthropometric data with relevant biochemical values were collected with patient’s permission and the study was conducted. The IDF criterion of cut-off for waist circumference was solely used to identify the correlation between waist circumference and development of diabetes. RESULTS Study comprised of 55 males and 45 females with diabetes. 40% amongst males with diabetes had a waist circumference below the cut-off for metabolic syndrome. Amongst females, 8% did not fit into the IDF criteria of waist circumference for metabolic syndrome. CONCLUSION Many countries have proposed different cut-off values for waist circumference for diagnosis of metabolic syndrome. India being a heterogenous population requires region and population specific study to identify exact cut-off point. The authors believe 90 cm as waist circumference in males is too high and many metabolic syndrome cases are likely to be missed using this criteria.

  15. 蒙古族农牧民代谢综合征诊断的腰围切点观察%Observation of the cut-off point of waist circumference for diagnosing metabolic syndrome in Mongolian peasants and herdsmen

    Institute of Scientific and Technical Information of China (English)

    刘洋; 刘永跃; 王健; 阿尔斯楞; 李永山; 张永红; 佟伟军

    2011-01-01

    Objective To survey the cut-off point of waist circumference for diagnosing metabolic syndrome (MS) in Chinese Mongolian peasants and herdsmen. Methods Based on the IDF consensus worldwide definition of metabolic syndrome (2005), 2589 Mongolia adults aged over 20 years from agricultural and pastoral areas in Tongliao city were enrolled to analyze the Ors of the clustering of MS components at different sizes of waist circumference. The sensitivity , specificity and area under the ROC curve by different cut-off points of waist circumference for identifying at least two components of MS were estimated to find the cut-off points for men and women in Mongolia. Results The Ors of the clustering of MS components were increased significantly with the sizes of waist circumference. The waist circumference( ≥ 84cm for men, ≥81 cm for women) corresponded to the largest area under the ROC curve , namely, at these cut-off points, the rates of sensitivity and specificity for identifying MS were relatively high. Conclusion The cut-points of WC according to IDF criteria are high for men of Mongolia peasant and herdsmen. It should be lowered to 85cm for men and 80cm for women. This recommendation needs to be further confirmed by follow-up studies in Mongolian people.%目的 研究我国蒙古族农牧民代谢综合征(MS)诊断的腰围(WC)适宜切点. 方法 以内蒙古自治区通辽市科左后旗朝鲁吐苏木和奈曼旗固日班花苏木32个自然村2589名年龄大于20岁的蒙古族农牧民为研究对象,以国际糖尿病联盟(IDF) MS全球共识诊断标准为基础,分析蒙古族男女不同WC水平与MS其他组分聚集的关联,检出至少两个组分存在时灵敏度和特异度均较高的WC界限,作为诊断蒙古族农牧民MS的WC切点,并以此计算不同年龄组MS的检出率. 结果 随WC增大,MS组分聚集的OR值显著增高.当男性WC≥84 cm、女性WC≥81 cm时,ROC曲线下面积最大. 结论 IDF标准在蒙古族农牧民男性

  16. Estimation of Cutoff Values of Cotinine in Urine and Saliva for Pregnant Women in Poland

    Directory of Open Access Journals (Sweden)

    Joanna Stragierowicz

    2013-01-01

    Full Text Available Setting appropriate cutoff values and the use of a highly sensitive analytical method allow for correct classification of the smoking status. Urine-saliva pairs samples of pregnant women in the second and third trimester, and saliva only in the first trimester were collected. Offline SPE and LC-ESI-MS/MS method was developed in the broad concentration range (saliva 0.4–1000 ng/mL, urine 0.8–4000 ng/mL. The mean recoveries were 3.7±7.6% for urine and 99.1±2.6% for saliva. LOD for saliva was 0.12 ng/mL and for urine 0.05 ng/mL; LOQ was 0.4 ng/mL and 0.8 ng/mL, respectively. Intraday and interday precision equaled, respectively, 1.2% and 3.4% for urine, and 2.3% and 6.4% for saliva. There was a strong correlation between salivary cotinine and the uncorrected cotinine concentration in urine in the second and third trimesters of pregnancy. The cutoff values were established for saliva 12.9 ng/mL and urine 42.3 ng/mL or 53.1 μg/g creatinine with the ROC curve analysis. The developed analytical method was successfully applied to quantify cotinine, and a significant correlation between the urinary and salivary cotinine levels was found. The presented cut-off values for salivary and urinary cotinine ensure a categorization of the smoking status among pregnant women that is more accurate than self-reporting.

  17. Measure Valued Solutions to the Spatially Homogeneous Boltzmann Equation Without Angular Cutoff

    Science.gov (United States)

    Morimoto, Yoshinori; Wang, Shuaikun; Yang, Tong

    2016-12-01

    A uniform approach is introduced to study the existence of measure valued solutions to the homogeneous Boltzmann equation for both hard potential with finite energy, and soft potential with finite or infinite energy, by using Toscani metric. Under the non-angular cutoff assumption on the cross-section, the solutions obtained are shown to be in the Schwartz space in the velocity variable as long as the initial data is not a single Dirac mass without any extra moment condition for hard potential, and with the boundedness on moments of any order for soft potential.

  18. Are there standardized cutoff values for neutrophil-lymphocyte ratios in bacteremia or sepsis?

    Science.gov (United States)

    Gürol, Gölnül; Çiftci, İhsan Hakki; Terizi, Huseyin Agah; Atasoy, Ali Rıza; Ozbek, Ahmet; Köroğlu, Mehmet

    2015-04-01

    Bacteremia and sepsis are common causes of morbidity and mortality worldwide, with incorrect or delayed diagnoses being associated with increased mortality. New tests or markers that allow a more rapid and less costly detection of bacteremia and sepsis have been investigated. The aim of this study was to clarify the cutoff value of the neutrophillymphocyte ratio (NLR) according to procalcitonin (PCT) level in the decision-making processes for bacteremia and sepsis. In addition, other white blood cell subgroup parameters, which are assessed in all hospitals, for bacteremia and sepsis were explored. This retrospective study included 1,468 patients with suspected bacteremia and sepsis. Patients were grouped according to the following PCT criteria: levels sepsis group), and >10 ng/ml (sepsis shock group). One important finding of this study, which will serve as a baseline to measure future progress, is the presence of many gaps in the information on pathogens that constitute a major health risk. In addition, clinical decisions are generally not coordinated, compromising the ability to assess and monitor a situation. This report represents the first study to determine the limits of the use of NLR in the diagnosis of infection or sepsis using a cutoff value of <5 when sufficient exclusion criteria are used.

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

    DEFF Research Database (Denmark)

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

    2011-01-01

    This study was conducted to elucidate the accuracy of the current streptomycin epidemiological cut-off value (ECOFF) for Escherichia coli and Salmonella spp. A total of 236 Salmonella enterica and 208 E. coli isolates exhibiting MICs between 4 and 32 mg/L were selected from 12 countries. Isolates...... were investigated by polymerase chain reaction for aadA, strA, and strB streptomycin resistance genes. Out of 236 Salmonella isolates, 32 (13.5%) yielded amplicons for aadA (n = 23), strA (n = 9), and strB (n = 11). None of the 60 Salmonella isolates exhibiting MIC 4 mg/L harbored resistance genes....... Of the Salmonella isolates exhibiting MICs 8 mg/L, 16 mg/L, and 32 mg/L, 1.6%, 15%, and 39%, respectively, tested positive for one or more genes. For most monitoring programs, the streptomycin ECOFF for Salmonella is wild type (WT) ≤32 or ≤16 mg/L. A cut-off value of WT ≤32 mg/L would have misclassified 13...

  20. Influence of Different Cut-Off Values on the Diagnosis of Mild Cognitive Impairment in Parkinson's Disease

    Directory of Open Access Journals (Sweden)

    Inga Liepelt-Scarfone

    2011-01-01

    Full Text Available Comparable to Alzheimer's disease, mild cognitive impairment in Parkinson's disease (PD-MCI is associated with an increased risk for dementia. However different definitions of PD-MCI may have varying predictive accuracy for dementia. In a cohort of 101 nondemented Parkinson patients who underwent neuropsychological testing, the frequency of PD-MCI subjects and PD-MCI subtypes (i.e., amnestic/nonamnestic was determined by use of varying healthy population-based cut-off values. We also investigated the association between defined PD-MCI groups and ADL scales. Varying cut-off values for the definition of PD-MCI were found to affect frequency of PD-MCI subjects (9.9%–92.1% and, maybe more important, lead to a “shift” of proportion of detected PD-MCI subtypes especially within the amnestic single-domain subtype. Models using a strict cut-off value were significantly associated with lower ADL scores. Thus, the use of defined cut-off values for the definition of PD-MCI is highly relevant for comparison purposes. Strict cut-off values may have a higher predictive value for dementia.

  1. The Cut-off Values of Triglycerides and Glucose Index for Metabolic Syndrome in American and Korean Adolescents.

    Science.gov (United States)

    Moon, Shinje; Park, Joon Sung; Ahn, Youhern

    2017-03-01

    The aim of this study was to establish ethnic- and gender-specific cut-off values of triglycerides and glucose index (TyG index) for clinical usefulness in a representative sample of Mexican American, Non-Hispanic White, Non-Hispanic Black, and Korean adolescents. The data were collected from datasets of the National Health and Nutrition Examination Survey between 1999 and 2012, and the Korean National Health and Nutrition Examination Survey between 2005 and 2013. Receiver operating characteristic curve analysis was used to find valid cut-off values of the TyG index for metabolic syndrome. The total number of eligible participants was 3,164 in the US and 4,873 in Korea. The optimal cut-off value with the Cook et al. definition revealed 8.55 in Mexican American, 8.55 in Non-Hispanic White, 8.35 in Non-Hispanic Black, and 8.45 in Korean, respectively. The cut-off value with the de Ferranti et al. definition was 8.45, 8.45, 8.15, and 8.35, and the cut-off value with the International Diabetes Federation definition was 8.65, 8.65, 8.15, and 8.55, respectively. These findings may be clinically useful for evaluating insulin resistance for determining metabolic abnormalities in adolescents.

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

    DEFF Research Database (Denmark)

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

    2016-01-01

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

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

    Science.gov (United States)

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

    2016-06-01

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

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

    Science.gov (United States)

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

    2014-02-01

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

  5. Value of waist circumference, body mass index and hyperinsulinaemia in identifying metabolic syndrome

    Institute of Scientific and Technical Information of China (English)

    Hui TIAN; Jingfang SUN; Changyu PAN; Juming LU; Jingtao DOU; Fangling MA; Xiaoman ZHOU; Fusheng FANG; Yinghong SHAO; Chunlin LI; Jian LI; Xiutang CAO; Shuangtong YAN; Wenwen ZHONG; Yanyan LI

    2008-01-01

    To investigate the significance of waist circum-ference (WC), body mass index (BMI) and hyperinsuli-naemia A (Hlns) in evaluating metabolic syndrome (MS). Clinical data from middle-aged and senile indivi-duals (middle-senile group) who received glucose tol-erance test after diabetes mellitus screening and a group of subjects who received annual oral glucose tolerance test (OGTT) for diabetes mellitus screening (adult group) were collected. Data were collected by use of special mes-sengers, input into a computer data base and analyzed using SAS 5.0 software by expert staff. Abnormal WC and BMI were determined according to International Diabetes Federation (IDF) and Chinese Diabetes Society (CDS) criteria. Hlns was ascertained if fasting insulin (Fins)≥15 mU/L, and/or 2-hour insulin after a glucose challenge was (2hPIns)≥80 mU/L. Abnorma-lities in WC, BMI and Hlns were all found to be risk factors for abnormal glucose metabolism, hypertension and dyslipidemia. In the middle-senile group, the abnor-mality rate of WC and Hlns as well as the overall insulin level were significantly higher than those in the adult group. The abnormality rate of BMI was higher in the adult group, and HIns was mostly seen in impaired glu-cose test (IGT) and normal glucose test (NGT). The con-cordance rate of WC and BMI diagnostic criteria for evaluating obesity in the middle-senile and adult groups were 77.5% and 74.3%, respectively. When only the WC criterion was used for evaluating the existence of insulin resistance, there was a 28.2% missed diagnosis rate for MS patients. WC, BMI and Hlns were all risk factors for abnormal glucose metabolism, hypertension and dyslipi-demia. There was differing prevalence in the different populations. The combination of WC, BMI and Hlnsmight be more helpful in identifying MS at early stage.

  6. Multilaboratory study of epidemiological cutoff values for detection of resistance in eight Candida species to fluconazole, posaconazole, and voriconazole

    NARCIS (Netherlands)

    Espinel-Ingroff, A.; Pfaller, M.A.; Bustamante, B.; Canton, E.; Fothergill, A.; Fuller, J.; Gonzalez, G.M.; Lass-Florl, C.; Lockhart, S.R.; Martin-Mazuelos, E.; Meis, J.F.G.M.; Melhem, M.S.; Ostrosky-Zeichner, L.; Pelaez, T.; Szeszs, M.W.; St-Germain, G.; Bonfietti, L.X.; Guarro, J.; Turnidge, J.

    2014-01-01

    Although epidemiological cutoff values (ECVs) have been established for Candida spp. and the triazoles, they are based on MIC data from a single laboratory. We have established ECVs for eight Candida species and fluconazole, posaconazole, and voriconazole based on wild-type (WT) MIC distributions fo

  7. Epidemiological cutoff values for azoles and Aspergillus fumigatus based on a novel mathematical approach incorporating cyp51A sequence analysis.

    NARCIS (Netherlands)

    Meletiadis, J.; Mavridou, E.; Melchers, W.J.G.; Mouton, J.W.; Verweij, P.E.

    2012-01-01

    Epidemiological cutoff values (ECV) are commonly used to separate wild-type isolates from isolates with reduced susceptibility to antifungal drugs, thus setting the foundation for establishing clinical breakpoints for Aspergillus fumigatus. However, ECVs are usually determined by eye, a method which

  8. The cutoff point of waist circumference in subjects with nonalcoholic fatty liver disease%腰围预测非酒精性脂肪性肝病的切点研究

    Institute of Scientific and Technical Information of China (English)

    罗海钊; 陈容平; 杨锐; 孙嘉; 张如意; 何芳; 蔡德鸿; 陈宏

    2013-01-01

    目的:研究腰围与非酒精性脂肪性肝病(NAFLD)的关系,寻找腰围预测NAFLD的最佳切点.方法:采用分层随机抽样法,对研究对象进行体格检查、空腹血糖、血脂、腹部超声检查,通过受试者工作特性(ROC)曲线分析得到腰围预测NAFLD的最佳切点.结果:1 535例研究对象中共检出375例NAFLD,总患病率为24.4%,其中男性患病率为41.2%,女性为10.2%.腰围是NAFLD的危险因素.在ROC曲线分析中,男性腰围预测NAFLD的曲线下面积(AUC)为0.905,女性为0.949.男性及女性腰围预测NAFLD的最佳切点值分别为88.3 cm(敏感度:86.4%,特异度:85.9%)和82.4 cm(敏感度:93.2%,特异度:89.9%).结论:腰围对NAFLD有良好的诊断效能.佛山地区人群腰围预测NAFLD的最佳切点值男性为88.3 cm,女性为82.4 cm.%Objective To investigate the relationship between waist circumference (WC) and nonalcoholic fatty liver disease (NAFLD), and to find the optimal cutoff point of WC to determine subjects with NAFLD. Methods A cross-sectional study with stratified and random samplings was performed. Physical examination, levels of fasting glucose and blood lipid, and abdominal ultrasound were conducted in all the subjects. Performance of WC for predicting NAFLD was undertaken using Receiver Operating Characteristic (ROC ) analysis. Results 375 of the 1535 subjects had NAFLD. The total prevalence was 24.4%, while the prevalence was 41.2% in males and 10.2% in females. WC was a risk factor of NAFLD. ROC analysis showed that the area under the curve (AUC) for WC and NAFLD was 0.905 for males and 0.949 for females. The optimal cutoff point of WC to determine subjects with NAFLD was 88.3 cm for males (86.4% for sensitivity and 85.9% for specificity) and 82.4 cm for females (93.2% and 89.9%) respectively. Conclusions WC has a good efficacy in diagnosing NAFLD. WC of 88.3 cm for males and 82.4 cm for females is the optimal cutoff point to determine people with NAFLD in

  9. {sup 3}He spectrum at small atmospheric depths for different geomagnetic cutoff values

    Energy Technology Data Exchange (ETDEWEB)

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

    1995-09-01

    It is carried out a calculation to determine the energy spectra of secondary {sup 3}He at small atmospheric depths. It is produced in the spallation reaction of primary helium and heavier nuclei in the overlying atmosphere. It is examined the effect of the geomagnetic cut-off on the spectral shape of the secondary {sup 3}He nuclei. The calculations are being carried out for both solar minimum and maximum periods. Results from these calculations will be presented at the Conference.

  10. Centile Curves and Reference Values for Height, Body Mass, Body Mass Index and Waist Circumference of Peruvian Children and Adolescents

    Directory of Open Access Journals (Sweden)

    Alcibíades Bustamante

    2015-03-01

    Full Text Available This study aimed to provide height, body mass, BMI and waist circumference (WC growth centile charts for school-children, aged 4–17 years, from central Peru, and to compare Peruvian data with North-American and Argentinean references. The sample consisted of 8753 children and adolescents (4130 boys and 4623 girls aged 4 to 17 years, from four Peruvian cities: Barranco, La Merced, San Ramón and Junín. Height, body mass and WC were measured according to standardized techniques. Centile curves for height, body mass, BMI and WC were obtained separately for boys and girls using the LMS method. Student t-tests were used to compare mean values. Overall boys have higher median heights than girls, and the 50th percentile for body mass increases curvilinearly from 4 years of age onwards. In boys, the BMI and WC 50th percentiles increase linearly and in girls, the increase presents a curvilinear pattern. Peruvian children are shorter, lighter and have higher BMI than their counterparts in the U.S. and Argentina; in contrast, age and sex-specific WC values are lower. Height, body mass and WC of Peruvian children increased with age and variability was higher at older ages. The growth patterns for height, body mass, BMI and WC among Peruvian children were similar to those observed in North-American and Argentinean peers.

  11. Value of neck circumference in diagnosis of metabolic syndrome%颈围测量对代谢综合征的诊断价值

    Institute of Scientific and Technical Information of China (English)

    洪真真; 李滢; 柯伟健; 何筱莹; 李延兵

    2016-01-01

    Objective To estimate the value of neck circumference in diagnosis of metabolic syndrome. Methods We analyzed the neck circumference of 523 volunteers and the occurrence of metabolic syndrome among them. Then we updated and revalued their data after follow-up for 1.5 years, meanwhile, we evaulated the value of Body Mass Index (BMI) and neck circumference in predicting metabolic syndrome. Results The increase of neck circumference was closely related to the occurrence of metabolic syndrome , and this tendency continued in the follow-up. Compared with BMI , neck circumference was sensitive in identifying the patients of metabolic syndrome. Conclusion Neck circumference has great value in diagnosis and treatment of metabolic syndrome.%目的:评价颈围在代谢综合征的诊断中的应用价值。方法:分析523例招募志愿者的颈围与代谢综合征发生情况的关系,并对其随访1.5年后重复评价,同时比较颈围与体质指数在预测代谢综合征中的价值。结果:颈围增大与代谢综合征的发病密切相关,且随访1.5年后颈围增大的人群代谢综合征发生率仍较高。与体质指数相比,颈围对代谢综合征有更高的检出率。结论:颈围增大与代谢综合征的发病密切相关,对代谢综合征的诊断及治疗都有一定的价值。

  12. Relationships between Head Circumference, Brain Volume and Cognition in Children with Prenatal Alcohol Exposure.

    Directory of Open Access Journals (Sweden)

    Sarah Treit

    Full Text Available Head circumference is used together with other measures as a proxy for central nervous system damage in the diagnosis of fetal alcohol spectrum disorders, yet the relationship between head circumference and brain volume has not been investigated in this population. The objective of this study is to characterize the relationship between head circumference, brain volume and cognitive performance in a large sample of children with prenatal alcohol exposure (n = 144 and healthy controls (n = 145, aged 5-19 years. All participants underwent magnetic resonance imaging to yield brain volumes and head circumference, normalized to control for age and sex. Mean head circumference, brain volume, and cognitive scores were significantly reduced in the prenatal alcohol exposure group relative to controls, albeit with considerable overlap between groups. Males with prenatal alcohol exposure had reductions in all three measures, whereas females with prenatal alcohol exposure had reduced brain volumes and cognitive scores, but no difference in head circumference relative to controls. Microcephaly (defined here as head circumference ≤ 3rd percentile occurred more often in prenatal alcohol exposed participants than controls, but 90% of the exposed sample had head circumferences above this clinical cutoff indicating that head circumference is not a sensitive marker of prenatal alcohol exposure. Normalized head circumference and brain volume were positively correlated in both groups, and subjects with very low head circumference typically had below-average brain volumes. Conversely, over half of the subjects with very low brain volumes had normal head circumferences, which may stem from differential effects of alcohol on the skeletal and nervous systems. There were no significant correlations between head circumference and any cognitive score. These findings confirm group-level reductions in head circumference and increased rates of microcephaly in children with

  13. Determination of a cutoff value for pelvic floor distensibility using the Epi-no balloon to predict perineal integrity in vaginal delivery: ROC curve analysis. Prospective observational single cohort study

    Directory of Open Access Journals (Sweden)

    Miriam Raquel Diniz Zanetti

    Full Text Available CONTEXT AND OBJECTIVE: Several risk factors are involved in perineal lacerations during vaginal delivery. However, little is known about the influence of perineal distensibility as a protective factor. The aim here was to determine a cutoff value for pelvic floor distensibility measured using the Epi-no balloon, which could be used as a predictive factor for perineal integrity in vaginal delivery. DESIGN AND SETTING: Prospective observational single cohort study conducted in a maternity hospital. METHODS: A convenience sample of 227 consecutive at-term parturients was used. All women had a single fetus in the vertex presentation, with up to 9.0 cm of dilation. The maximum dilation of the Epi-no balloon was measured using a tape measure after it had been inflated inside the vagina up to the parturients' maximum tolerance. The receiver operating characteristic (ROC curve was used to obtain the Epi-no circumference measurement with best sensitivity and specificity. RESULTS: Among the 161 patients who were included in the study, 50.9% underwent episiotomy, 21.8% presented lacerations and 27.3% retained an intact perineum. Age > 25.9 years; number of pregnancies > 3.4; number of deliveries > 2.2 and circumference measured by Epi-no > 21.4 cm were all directly correlated with an intact perineum. Circumference measurements using the Epi-no balloon that were greater than 20.8 cm showed sensitivity and specificity of 70.5% and 66.7% (area under curve = 0.713, respectively, as a predictive factor for an intact perineum in vaginal delivery. CONCLUSION: Circumferences greater than 20.8 cm achieved using the Epi-no balloon are a predictive factor for perineal integrity in parturients.

  14. Exploration of the optimal diameter cut-off value in patients with nonfunctional adrenal tumor suitable for surgery

    Directory of Open Access Journals (Sweden)

    Dan-dan LIU

    2016-12-01

    Full Text Available Objective  To analyze the pathology of the patients with nonfunctional adrenal tumor (NFA, and explore the optimal diameter cut-off value. Methods  The clinical data of 243 patients with NFA, evaluated in the Department of Endocrinology and operated in the Department of Urology of General Hospital of Chinese PLA from Feb. 1996 to Jan. 2016, were collected. The patients were divided into two groups according to pathology: those in real demand of surgery were classified to the surgery-need group (n=57, while the others were categorized as the surgery-unwanted group (n=186. The general situation, pathological type and tumor diameter of the two groups and the factors affecting the surgery were analyzed, and the ROC curve was used to explore the optimal surgery cut-off value, which represents the maximum value of the sum of sensitivity and specificity. Results  Of the 57 patients in surgery-need group (27 males and 30 females, the lesions were on the right in 31 cases, on the left in 25 cases, and on bilateral sides in 1 case; the median of lesion diameter was 4.5cm, and the average age was 41.5±12.1 years old. Of the 186 patients in surgery-unwanted group (87 males and 99 females, the lesions were on the right in 99 cases, on the left in 86 cases, and on bilateral sides in 1 case; the median of lesion diameter was 3.0cm, and the average age was 50.6±10.9 years old. Logistic regression revealed that lesion diameter might be a risk factor (OR=1.340, 95%CI 1.266-1.418, P=0.000 and age be a protective factor (OR=0.942, 95%CI 0.929-0.955, P=0.000 for real demand of surgery. The area under the ROC curve (AUC of lesion diameter was 0.757(95%CI 0.681-0.833. The optimal cut-off value was 4.1cm (sensitivity 60.7% and specificity 83.0%. Conclusions  Younger patients with bigger lesion diameter may have greater possibility for surgery. The optimal surgery cut-off value of the lesion diameter is 4.1cm. DOI: 10.11855/j.issn.0577-7402.2016.11.11

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

    Science.gov (United States)

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

    2015-09-01

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

  16. Bronchodilator response cut-off points and FEV 0.75 reference values for spirometry in preschoolers

    Science.gov (United States)

    Burity, Edjane Figueiredo; Pereira, Carlos Alberto de Castro; Jones, Marcus Herbert; Sayão, Larissa Bouwman; de Andrade, Armèle Dornelas; de Britto, Murilo Carlos Amorim

    2016-01-01

    ABSTRACT Objective: To determine the cut-off points for FEV1, FEV0.75, FEV0.5, and FEF25-75% bronchodilator responses in healthy preschool children and to generate reference values for FEV0.75. Methods: This was a cross-sectional community-based study involving children 3-5 years of age. Healthy preschool children were selected by a standardized questionnaire. Spirometry was performed before and after bronchodilator use. The cut-off point of the response was defined as the 95th percentile of the change in each parameter. Results: We recruited 266 children, 160 (60%) of whom were able to perform acceptable, reproducible expiratory maneuvers before and after bronchodilator use. The mean age and height were 57.78 ± 7.86 months and 106.56 ± 6.43 cm, respectively. The success rate for FEV0.5 was 35%, 68%, and 70% in the 3-, 4-, and 5-year-olds, respectively. The 95th percentile of the change in the percentage of the predicted value in response to bronchodilator use was 11.6%, 16.0%, 8.5%, and 35.5% for FEV1, FEV0.75, FEV0.5, and FEF25-75%, respectively. Conclusions: Our results provide cut-off points for bronchodilator responsiveness for FEV1, FEV0.75, FEV0.5, and FEF25-75% in healthy preschool children. In addition, we proposed gender-specific reference equations for FEV0.75. Our findings could improve the physiological assessment of respiratory function in preschool children. PMID:27812631

  17. Predicting Absolute Risk of Type 2 Diabetes Using Age and Waist Circumference Values in an Aboriginal Australian Community

    OpenAIRE

    Odewumi Adegbija; Wendy Hoy; Zhiqiang Wang

    2015-01-01

    Objectives To predict in an Australian Aboriginal community, the 10-year absolute risk of type 2 diabetes associated with waist circumference and age on baseline examination. Method A sample of 803 diabetes-free adults (82.3% of the age-eligible population) from baseline data of participants collected from 1992 to 1998 were followed-up for up to 20 years till 2012. The Cox-proportional hazard model was used to estimate the effects of waist circumference and other risk factors, including age, ...

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

    Science.gov (United States)

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

    2016-04-01

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

  19. Selection of a cutoff value for real-time polymerase chain reaction results to fit a diagnostic purpose: analytical and epidemiologic approaches.

    Science.gov (United States)

    Caraguel, Charles G B; Stryhn, Henrik; Gagné, Nellie; Dohoo, Ian R; Hammell, K Larry

    2011-01-01

    Diagnostic laboratories frequently select a subjective cutoff value for real-time amplification assays, above which a threshold cycle (Ct) value is deemed false. Commonly, higher Ct values are interpreted as amplification or fluorescence artifacts, or cross contaminations. Although the implementation of Ct cutoff might be reasonable, its justification and selection should be based on evidence. The current article reviewed evidence-based strategies to select Ct cutoffs grouped in analytical and epidemiologic approaches. Analytical strategies use criteria gathered during the assay development and include fluorescence threshold, reaction end-cycle, limit of detection, and artifact investigation. Variability in amplification efficacy across test runs may induce some instability in an intended Ct cutoff and requires some standardization or normalization procedures. Epidemiologic strategies use criteria based on either the probability or the cost of a false test result associated with a specified cutoff. Cutoffs, depending on the intended purpose of the test, can be selected graphically to minimize the probability of either false-positive or false-negative results by using two-graph receiver operating characteristics curves. The assay's diagnostic sensitivity and specificity may vary with the tested population, thus, the estimated two-graph receiver operating characteristics curve is population dependent and should be established for the targeted population. Although the selection of a cutoff based on misclassification cost depends on infection prevalence, the selection based on predictive values does not. To optimize the test average diagnostic performance, the Ct cutoff should be selected when diagnostic odds ratio is maximal. Epidemiologic approaches were illustrated by selecting Ct cutoffs for a real-time assay for Infectious salmon anemia virus.

  20. Different diagnostic cut-off values of urinary fractionated metanephrines according to sex for the diagnosis of pheochromocytoma in Korean subjects.

    Science.gov (United States)

    Sohn, Seo Young; Park, Hyung Doo; Lee, Soo Youn; Kim, Jung Han; Jung, Byong Chang; Kim, Hye Jeong; Jang, Hye Won; Kim, Kwang Won; Lee, Moon Kyu; Min, Yong Ki; Kim, Jae Hyeon

    2012-01-01

    The diagnosis of pheochromocytoma depends on the documentation of catecholamine overproduction. The use of urinary fractionated metanephrines has recently become common for the diagnosis of pheochromocytoma. In order to avoid false positive and false negative results, optimal cut-off levels are necessary; however, there have been few published reports on whether different cut-off levels are needed to diagnose pheochromocytoma according to sex. We reviewed the medical records of 815 subjects (including 103 pheochromocytoma patients) whose of 24-h urinary fractionated metanephrine was measured using high-performance liquid chromatography methods and adrenal imaging at Samsung Medical Center. Receiver operating characteristic (ROC) curves were used to determine cut-off values according to sex. The upper limit values of fractionated metanephrine in healthy volunteers and the control group were significantly higher in male subjects compared with females. When we applied cut-off values according to sex, the diagnostic efficacies (defining a positive test as either metanephrine or normetanephrine levels above the cut-off value) were a sensitivity of 96% in male subjects and 98.1% in female subjects and a specificity of 88.6% in male subjects and 94.1% in female subjects. However, when we applied cut-off values without considering sex, the specificity decreased from 88.6% to 77.8% in male subjects. In this study, urinary fractionated metanephrines had a high level of sensitivity and specificity for the diagnosis of pheochromocytoma. However, diagnostic cut-off values were higher in male subjects than in female subjects. Therefore, different cut-off values may be needed according to sex to diagnose pheochromocytoma in Koreans.

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

    Science.gov (United States)

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

    2016-01-01

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

  2. Amerindians normalized waist circumference and obesity diagnosis standarized by biochemical and HLA data.

    Science.gov (United States)

    Arnaiz-Villena, Antonio; Fernández-Honrado, Mercedes; Areces, Cristina; Arribas, Ignacio; Coca, Carmen; Enriquez-de-Salamanca, Mercedes; Parga-Lozano, Carlos; Abd-El-Fatah, Sedeka; Rey, Diego

    2012-04-01

    Metabolic syndrome (MS) and obesity are principal causes of morbidity all over the World, particularly for their association to cardiovascular risk. Amerindians are often living in countries and remote areas with unavailable sophisticated diagnoses methodologies. However, waist-circumference is a reliable and easy to record parameter of visceral obesity and MS. Waist circumference normal values are not yet established in Amerindians: South Asian and Japanese values have been recommended for Amerindian use. The purpose of this study is to objectively define for the first time the waist circumference measure cut-off points for Amerindians. A total of 303 unrelated Amerindian adults recently immigrated to Madrid were studied; they were healthy, since they were questioned and tested as appropriate for blood donation. Waist-circumference was measured in these voluntary blood donors after written consent. Chosen subjects for study had HLA quasi-specific Amerindian genes and not gained weight since their relatively short time living in Spain. Amerindians with Type I or II diabetes or family antecedents were removed from the study. The biochemical parameter used to define normality for MS was the reliable serum HDL-cholesterol levels, whose values are diet independent. A Receiver Operating Characteristic analysis was used to compare the predictive validity and to find out the optimal cut-off points of waist circumference normal values. Cut-off points were ≤88.5 cm in males and ≤82.5 cm in females; these values were close to the median values (88 and 82.2 cm, respectively). Obtained waist circumference values recorded here in normal Amerindians are different to those previously recommended indirectly (those of South Asian/Japanese populations). These parameters may be of great value for American countries health care in order to predict and control MS and its cardiovascular complications. Other countries having a heavy Amerindian immigration (i.e.: USA, Spain) may

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

    Science.gov (United States)

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

    2015-09-01

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

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

    Science.gov (United States)

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

    2016-09-01

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

  5. Waist circumference and insulin resistance: a community based cross sectional study on reproductive aged Iranian women

    Directory of Open Access Journals (Sweden)

    Zadeh-Vakili Azita

    2011-08-01

    Full Text Available Abstract Background Although the positive relationship between insulin resistance (IR and central obesity is well known, the direct relationship between waist circumference and IR is not clear yet and there is no consensus regarding the cut off value for waist circumference as a surrogate index for central obesity. The present study was aimed to determine the optimal cut-off value of waist circumference (WC for predicting IR in reproductive aged Iranian women. Methods Using the stratified, multistage probability cluster sampling method 1036 women were randomly selected from among reproductive aged women of different geographic regions of Iran. Following implementation of exclusion criteria, complete data for 907 women remained for analysis. Insulin resistance was evaluated by the homeostasis model assessment (HOMA-IR and its cut off value was defined as the 95th percentile of HOMA-IR value for 129 subjects, without any metabolic abnormality. The optimal cut-off of WC in relation to HOMA-IR was calculated based on the receiver operating characteristics (ROC curve analysis using the Youden index and the area under curve (AUC. Results The mean age of the total sample of 907 subjects was 34.4 ± 7.6 years (range, 18 - 45 years. After adjustment for age the odds ratios (OR of elevated HOMA-IR were progressively higher with increasing levels of waist circumference; the age adjusted OR of IR for women with WC > 95 cm in comparison to those subjects with WC Conclusions Waist circumference is directly related to insulin resistance and the optimal cut-off value for waist circumference reflecting insulin resistance is considered to be 88.5 cm for reproductive aged Iranian women.

  6. Cutoff value of thyroid uptake of (99m)Tc-pertechnetate to discriminate between Graves' disease and painless thyroiditis: a single center retrospective study.

    Science.gov (United States)

    Uchida, Toyoyoshi; Suzuki, Ruriko; Kasai, Takatoshi; Onose, Hiroyuki; Komiya, Koji; Goto, Hiromasa; Takeno, Kageumi; Ishii, Shinya; Sato, Junko; Honda, Akira; Kawano, Yui; Himuro, Miwa; Yamada, Emiko; Yamada, Tetsu; Watada, Hirotaka

    2016-01-01

    Thyroid uptake of (99m)Tc-pertechnetate is a useful way to determine the cause of thyrotoxicosis. In daily clinical practice, (99m)Tc-pertechnetate uptake is used to discriminate between Graves' disease and painless thyroiditis when clinical information is not enough to make the distinction. However, since the optimal cutoff value of (99m)Tc-pertechnetate uptake has not yet been elucidated, our aim was to determine this value. We recruited patients with thyrotoxicosis in whom (99m)Tc-pertechnetate uptake was measured in clinical settings between 2009 and 2013. Three experienced endocrinologists (who were blinded to the value of (99m)Tc-pertechnetate uptake and initial treatment) diagnosed the cause of thyrotoxicosis based on thyrotropin, free triiodothyronine, free thyroxine, and thyrotropin receptor antibody levels, and by ultrasound findings and using images of thyroid uptake of (99m)Tc-pertechnetate without the actual values. Ninety-four patients diagnosed as having Graves' disease or painless thyroiditis were finally included. According to the diagnosis, the optimal cutoff value of (99m)Tc-pertechnetate uptake was determined by receiver operating characteristics analysis. A cutoff value of 1.0% provided optimal sensitivity and specificity of 96.6% and 97.1%, respectively. Then, its validity was confirmed in 78 patients with confirmed Graves' disease or painless thyroiditis diagnosed at another institute. Applying this cutoff value to the patients with thyrotoxicosis revealed positive and negative predictive values for Graves' disease of 100% and 88.9%, respectively. In conclusion, a cutoff value for (99m)Tc-pertechnetate uptake of 1.0% was useful to discriminate between Graves' disease and painless thyroiditis.

  7. Epidemiological cutoff values for azoles and Aspergillus fumigatus based on a novel mathematical approach incorporating cyp51A sequence analysis.

    Science.gov (United States)

    Meletiadis, J; Mavridou, E; Melchers, W J G; Mouton, J W; Verweij, P E

    2012-05-01

    Epidemiological cutoff values (ECV) are commonly used to separate wild-type isolates from isolates with reduced susceptibility to antifungal drugs, thus setting the foundation for establishing clinical breakpoints for Aspergillus fumigatus. However, ECVs are usually determined by eye, a method which lacks objectivity, sensitivity, and statistical robustness and may be difficult, in particular, for extended and complex MIC distributions. We therefore describe and evaluate a statistical method of MIC distribution analysis for posaconazole, itraconazole, and voriconazole for 296 A. fumigatus isolates utilizing nonlinear regression analysis, the normal plot technique, and recursive partitioning analysis incorporating cyp51A sequence data. MICs were determined by using the CLSI M38-A2 protocol (CLSI, CLSI document M38-A2, 2008) after incubation of the isolates for 48 h and were transformed into log(2) MICs. We found a wide distribution of MICs of all azoles, some ranging from 0.02 to 128 mg/liter, with median MICs of 32 mg/liter for itraconazole, 4 mg/liter for voriconazole, and 0.5 mg/liter for posaconazole. Of the isolates, 65% (192 of 296) had mutations in the cyp51A gene, and the majority of the mutants (90%) harbored tandem repeats in the promoter region combined with mutations in the cyp51A coding region. MIC distributions deviated significantly from normal distribution (D'Agostino-Pearson omnibus normality test P value, Recursive partitioning analysis confirmed these ECVs, since the proportions of isolates harboring cyp51A mutations associated with azole resistance were less than 20%, 20 to 30%, and >70% when the MICs were lower than, equal to, and higher than the above-mentioned ECVs, respectively.

  8. GUIDANCE FOR STATISTICAL DETERMINATION OF APPROPRIATE PERCENT MINORITY AND PERCENT POVERTY DISTRIBUTIONAL CUTOFF VALUES USING CENSUS DATA FOR AND EPA REGION II ENVIRONMENTAL JUSTICE PROJECT

    Science.gov (United States)

    The purpose of this report is to assist Region H by providing a statistical analysis identifying the areas with minority and below poverty populations known as "Community of Concern" (COC). The aim was to find a cutoff value as a threshold to identify a COC using demographic data...

  9. Using an age-dependent D-dimer cut-off value increases the number of older patients in whom deep vein thrombosis can be safely excluded

    NARCIS (Netherlands)

    Douma, Renée A.; Tan, Melanie; Schutgens, Roger E.G.; Bates, Shannon M.; Perrier, Arnaud; Legnani, Cristina; Biesma, Douwe H.; Ginsberg, Jeffrey S.; Bounameaux, Henri; Palareti, Gualtiero; Carrier, Marc; Mol, Gerben C.; Le Gal, Grégoire; Kamphuisen, Pieter W.; Righini, Marc

    2012-01-01

    Background D-dimer testing to rule out deep vein thrombosis is less useful in older patients because of a lower specificity. An age-adjusted D-dimer cut-off value increased the proportion of older patients (>50 years) in whom pulmonary embolism could be excluded. We retrospectively validated the eff

  10. Cryptococcus neoformans-Cryptococcus gattii species complex: an international study of wild-type susceptibility endpoint distributions and epidemiological cutoff values for fluconazole, itraconazole, posaconazole, and voriconazole.

    NARCIS (Netherlands)

    Espinel-Ingroff, A.; Aller, A.I.; Canton, E.; Castanon-Olivares, L.R.; Chowdhary, A.; Cordoba, S.; Cuenca-Estrella, M.; Fothergill, A.; Fuller, J.; Govender, N.; Hagen, F.; Illnait-Zaragozi, M.T.; Johnson, E.; Kidd, S.; Lass-Florl, C.; Lockhart, S.R.; Martins, M.A.; Meis, J.F.G.M.; Melhem, M.S.; Ostrosky-Zeichner, L.; Pelaez, T.; Pfaller, M.A.; Schell, W.A.; St-Germain, G.; Trilles, L.; Turnidge, J.

    2012-01-01

    Epidemiological cutoff values (ECVs) for the Cryptococcus neoformans-Cryptococcus gattii species complex versus fluconazole, itraconazole, posaconazole, and voriconazole are not available. We established ECVs for these species and agents based on wild-type (WT) MIC distributions. A total of 2,985 to

  11. Cryptococcus neoformans-Cryptococcus gattii species complex: an international study of wild-type susceptibility endpoint distributions and epidemiological cutoff values for amphotericin B and flucytosine.

    NARCIS (Netherlands)

    Espinel-Ingroff, A.; Chowdhary, A.; Cuenca-Estrella, M.; Fothergill, A.; Fuller, J.; Hagen, F.; Govender, N.; Guarro, J.; Johnson, E.; Lass-Florl, C.; Lockhart, S.R.; Martins, M.A.; Meis, J.F.G.M.; Melhem, M.S.; Ostrosky-Zeichner, L.; Pelaez, T.; Pfaller, M.A.; Schell, W.A.; Trilles, L.; Kidd, S.; Turnidge, J.

    2012-01-01

    Clinical breakpoints (CBPs) are not available for the Cryptococcus neoformans-Cryptococcus gattii species complex. MIC distributions were constructed for the wild type (WT) to establish epidemiologic cutoff values (ECVs) for C. neoformans and C. gattii versus amphotericin B and flucytosine. A total

  12. Neck and waist circumference biomarkers of cardiovascular risk in a cohort of predominantly African-American college students: a preliminary study.

    Science.gov (United States)

    Arnold, Thaddeus J; Schweitzer, Amy; Hoffman, Heather J; Onyewu, Chiatogu; Hurtado, Maria Eugenia; Hoffman, Eric P; Klein, Catherine J

    2014-01-01

    Receiver operating characteristic curves were constructed to assess the value of measuring neck and waist circumference and waist-to-hip ratio (WHR) as biomarkers of metabolic syndrome in college students (18 to 25 years of age). Participants (n=109) were 92% black, 62.4% female, 45.9% overweight or obese, and 20.2% prehypertensive or hypertensive. Overall, 41 (37.6%) students had one or more risk factors for metabolic syndrome. Percent body fat, assessed using whole-body air-displacement plethysmography, was positively correlated (Pwaist circumference (as measured at the midpoint between the right lower rib and suprailiac crest; hereafter "midpoint"). Neck circumference correlated with low-density lipoprotein cholesterol (P ≤ 0.02) and both neck circumference and waist circumference-midpoint correlated with insulin (P ≤ 0.001) and triglycerides (P ≤ 0.002). The best-fit cutoffs were ≥ 83 cm waist circumference-midpoint and ≥ 88 cm waist circumference measured at the suprailiac crest for percent body fat in men and ≥ 75 cm waist circumference-midpoint for metabolic syndrome in women. The proportion of overweight and prehypertensive individuals among self-described healthy students underscores the need for screening tools that identify those who might benefit most from health interventions. Waist circumference-midpoint provides a simple yet sensitive method for the estimation of percent body fat and metabolic syndrome risk in primarily African-American college students. The novel use of neck circumference should be further investigated.

  13. Multilaboratory Study of Epidemiological Cutoff Values for Detection of Resistance in Eight Candida Species to Fluconazole, Posaconazole, and Voriconazole

    Science.gov (United States)

    Pfaller, M. A.; Bustamante, B.; Canton, E.; Fothergill, A.; Fuller, J.; Gonzalez, G. M.; Lass-Flörl, C.; Lockhart, S. R.; Martin-Mazuelos, E.; Meis, J. F.; Melhem, M. S. C.; Ostrosky-Zeichner, L.; Pelaez, T.; Szeszs, M. W.; St-Germain, G.; Bonfietti, L. X.; Guarro, J.; Turnidge, J.

    2014-01-01

    Although epidemiological cutoff values (ECVs) have been established for Candida spp. and the triazoles, they are based on MIC data from a single laboratory. We have established ECVs for eight Candida species and fluconazole, posaconazole, and voriconazole based on wild-type (WT) MIC distributions for isolates of C. albicans (n = 11,241 isolates), C. glabrata (7,538), C. parapsilosis (6,023), C. tropicalis (3,748), C. krusei (1,073), C. lusitaniae (574), C. guilliermondii (373), and C. dubliniensis (162). The 24-h CLSI broth microdilution MICs were collated from multiple laboratories (in Canada, Brazil, Europe, Mexico, Peru, and the United States). The ECVs for distributions originating from ≥6 laboratories, which included ≥95% of the modeled WT population, for fluconazole, posaconazole, and voriconazole were, respectively, 0.5, 0.06 and 0.03 μg/ml for C. albicans, 0.5, 0.25, and 0.03 μg/ml for C. dubliniensis, 8, 1, and 0.25 μg/ml for C. glabrata, 8, 0.5, and 0.12 μg/ml for C. guilliermondii, 32, 0.5, and 0.25 μg/ml for C. krusei, 1, 0.06, and 0.06 μg/ml for C. lusitaniae, 1, 0.25, and 0.03 μg/ml for C. parapsilosis, and 1, 0.12, and 0.06 μg/ml for C. tropicalis. The low number of MICs (<100) for other less prevalent species (C. famata, C. kefyr, C. orthopsilosis, C. rugosa) precluded ECV definition, but their MIC distributions are documented. Evaluation of our ECVs for some species/agent combinations using published individual MICs for 136 isolates (harboring mutations in or upregulation of ERG11, MDR1, CDR1, or CDR2) and 64 WT isolates indicated that our ECVs may be useful in distinguishing WT from non-WT isolates. PMID:24419346

  14. Cut-off value of red-blood-cell-bound IgG for the diagnosis of Coombs-negative autoimmune hemolytic anemia.

    Science.gov (United States)

    Kamesaki, Toyomi; Oyamada, Takashi; Omine, Mitsuhiro; Ozawa, Keiya; Kajii, Eiji

    2009-02-01

    Direct antiglobulin test (DAT)-negative autoimmune hemolytic anemia (Coombs-negative AIHA) is characterized by laboratory evidence of in vivo hemolysis, together with a negative DAT performed by conventional tube technique (CTT) in clinically suspected AIHA patients. The immunoradiometric assay (IRMA) for red-blood-cell-bound immunoglobulin G (RBC-IgG) can be used to diagnose patients in whom CTT does not detect low levels of red cell autoantibodies. We investigated the diagnostic cutoff value of the IRMA for RBC-IgG in Coombs-negative AIHA and calculated its sensitivity and specificity. Of the 140 patients with negative DAT by CTT referred to our laboratory with undiagnosed hemolytic anemia, AIHA was clinically diagnosed in 64 patients (Coombs-negative AIHA). The numbers of Coombs-negative AIHA and non-AIHA patients changed with age and gender. The cutoff values were determined from receiver operating characteristic (ROC) curve according to age and gender. The IRMA for RBC-IgG proved to be sensitive (71.4%) and specific (87.8%) when using these cutoffs. Using these cutoffs for 41 patients with negative DAT referred to our laboratory in 2006, all the pseudonegative cases were treated with steroids before the test. The 31 untreated cases could be grouped using one cutoff value of 78.5 and showed 100% sensitivity and 94% specificity, independent of gender and age. Results indicate that RBC-IgG could become a standard approach for the diagnosis of Coombs-negative AIHA, when measured before treatment.

  15. 绍兴地区汉族成人围度值年龄变化及城乡的比较%Age variation of circumference values and its comparison of urban and rural adults of Shaoxing Han nationality

    Institute of Scientific and Technical Information of China (English)

    旺庆; 李咏兰; 陆舜华; 郑连斌; 弓剑; 张瑜珂

    2013-01-01

    Objective:To study age variation of circumference values and its difference of urban and rural adults of Shaoxing Han in Zhejiang province.Methods:A random sampling method was used to measure the circumference values of 297 adults (144 males,153 females) including the 12 circumference values of the head,neck,chest,inspiratory chest circumference values,expiratory chest circumference values,and the circumference values of the abdomen,hip,thigh,calf,biceps,forearm and maximum biceps.The correlation analysis and variance analysis was performed to investigate the variation of the circumference values of different age groups,around circumference values of u-test; cluster analysis method was used to compare among 21 groups.Results:The neck and trunk circumference values had a significantly linear increase with age increasing,so did the upper limbs circumference values of urban males,urban females and rural females; while the calf circumference values did not change significantly.The upper limb circumference values of rural males had no linear correlation with age,and calf circumference values were decreased with age increasing.The circumference values of males in the 20-year group were significantly different from those of the other age groups; the circumference values of urban females in 20-,30-year groups were significantly different from those of the other age groups; and the circumference values of rural females were different from those in the other age groups.The difference in the circumference values of males and females were not statistically significant between urban and rural.Especially,the 12 circumference values of female were close.In addition,the circumference values of Shaoxing Han were close to those of the Northern Chinese population.And it is closest between urban and rural of Han.Conclusion:Majority circumference values of Shaoxing Han are increasing with age increasing,with no significant difference between urban and rural,which were close to those of

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

    Institute of Scientific and Technical Information of China (English)

    郭翔

    2014-01-01

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

  17. The predictive value of the ratio of neck circumference to thyromental distance in comparison with four predictive tests for difficult laryngoscopy in obstetric patients scheduled for caesarean delivery

    Directory of Open Access Journals (Sweden)

    Anahita Hirmanpour

    2014-01-01

    Full Text Available Background: Preoperative assessment of anatomical landmarks andclinical factors help detect potentially difficult laryngoscopies. The aim of the present study was to compare the ability to predict difficult visualization of the larynx from thefollowing preoperative airway predictive indices, in isolation and combination: Neck circumference to thyromental distance (NC/TMD, neck circumference (NC, modified Mallampatitest (MMT, the ratio of height to thyromental distance (RHTMD, and the upper-lip-bite test (ULBT. Materials and Methods: We collected data on657 consecutive patients scheduled for elective caesarean delivery under general anesthesia requiring endotracheal intubation and then evaluated all five factors before caesarean. An experienced anesthesiologist, not informed of the recorded preoperative airway evaluation, performed the laryngoscopy and grading (as per Cormack and Lehane′s classification. Sensitivity, specificity, and positive and negative predictive values for each airway predictor in isolation and in combination were determined. Results: Difficult laryngoscopy (Grade 3 or 4 occurred in 53 (8.06% patients. There were significant differences in thyromental distance (TMD, RHTMD, NC, and NC/TMD between difficult visualization of larynx and easy visualization of larynx patients (P < 0.05.The main end-point area under curve (AUC of the receiver-operating characteristic (ROC was lower for MMT (AUC = 0.497; 95% Confidence Interval = CI,0.045-0.536 and ULBT (AUC = 0.500, 95% CI, 0.461-0.539 compared to RHTMD, NC, TMD, and NC/TMD score ([AUC = 0.627, 95% CI, 0.589-0.664], [AUC = 0.691; 95% CI, 0.654-0.726], [AUC = 0.606; 95% CI, 0.567-0.643], [AUC = 0.689;95% CI, 0.625-0.724], respectively, and the differences of six ROC curves were statistically significant (P < 0.05. Conclusion: The NC/TM Discomparable with NC, RHTMD, and ULBT for the prediction of difficult laryngoscopy in caes are an delivery.

  18. Accuracy and cut-off values of pepsinogens I, II and gastrin 17 for diagnosis of gastric fundic atrophy: influence of gastritis.

    Directory of Open Access Journals (Sweden)

    Dariush Nasrollahzadeh

    Full Text Available BACKGROUND: To establish optimal cutoff values for serologic diagnosis of fundic atrophy in a high-risk area for oesophageal squamous cell carcinoma and gastric cancer with high prevalence of Helicobacter pylori (H. pylori in Northern Iran, we performed an endoscopy-room-based validation study. METHODS: We measured serum pepsinogens I (PGI and II (PGII, gastrin 17 (G-17, and antibodies against whole H. pylori, or cytotoxin-associated gene A (CagA antigen among 309 consecutive patients in two major endoscopy clinics in northeastern Iran. Updated Sydney System was used as histology gold standard. Areas under curves (AUCs, optimal cutoff and predictive values were calculated for serum biomarkers against the histology. RESULTS: 309 persons were recruited (mean age: 63.5 years old, 59.5% female. 84.5% were H. pylori positive and 77.5% were CagA positive. 21 fundic atrophy and 101 nonatrophic pangastritis were diagnosed. The best cutoff values in fundic atrophy assessment were calculated at PGI40 pmol/l was 81% sensitive and 73.3% specific for diagnosing fundic atrophy. At cutoff concentration of 11.8 µg/l, PGII showed 84.2% sensitivity and 45.4% specificity to distinguish nonatrophic pangastritis. Exclusion of nonatrophic pangastritis enhanced diagnostic ability of PGI/PGII ratio (from AUC = 0.66 to 0.90 but did not affect AUC of PGI. After restricting study samples to those with PGII<11.8, the sensitivity of using PGI<56 to define fundic atrophy increased to 83.3% (95%CI 51.6-97.9 and its specificity decreased to 88.8% (95%CI 80.8-94.3. CONCLUSIONS: Among endoscopy clinic patients, PGII is a sensitive marker for extension of nonatrophic gastritis toward the corpus. PGI is a stable biomarker in assessment of fundic atrophy and has similar accuracy to PGI/PGII ratio among populations with prevalent nonatrophic pangastritis.

  19. Association of neck circumference with waist circumference and body mass index in the elderly and its value in diagnosing obesity%老年人颈围与腰围体质指数相关性分析及对肥胖诊断的探讨

    Institute of Scientific and Technical Information of China (English)

    霍亚南; 章玉玲; 徐芳华; 王晨秀; 郑丽

    2016-01-01

    Enter method.An R()C curve analysis was employed to judge the tangent point of NC in central obesity.Results The height,weight and BMI were reduced along with age (all P<0.05),and the waist hip ratio(WHR) was increased along with age(P<0.01) in the elderly.The NC was decreased along with age in males(P<0.01),and the WC was increased along with age in females(Pt<0.01).The NC was longer in males than in females [(36.5±3.0) cm vs.(32.6±2.4) cm,P<0.01].The NC was increased along with body weight,WC and BMI in the elderly:with each 1 kg increase in body weight,the NC was increased by 0.079 cm in males and 0.139 cm in females;with each 1cm increase in WC,the NC increased by 0.073 cm in males and 0.040 cm in females;with each 1 kg/m2 increase in BMI,the NC increased by 0.121 cm in males and 0.065 cm in females;with 1 year increase in age,the NC was decreased by 0.033 cm in males(all P<0.05).when obesity was diagnosed according to both BMI and NC,the NC was longer in the obesity group than in the control group,(P < 0.01).The area under receiver operating characteristic(ROC) curve of NC for diagnosing central obesity showed that the area was 0.802 and 0.743 in males and females,and the optimal cut-off value of NC was 36.85 cm and 31.75 cm in males and females,respectively.Conclusions NC is increased along with the increases of body weight,WC and BMI in the elderly.NC is significantly associated with central obesity.NC is more predictive of the central obesity when the value >36.85 cm in males and >31.75 cm in females.

  20. Cut-off value of FEV1/FEV6 as a surrogate for FEV1/FVC for detecting airway obstruction in a Korean population

    Directory of Open Access Journals (Sweden)

    Chung KS

    2016-08-01

    Full Text Available Kyung Soo Chung,1,2 Ji Ye Jung,1,2 Moo Suk Park,1,2 Young Sam Kim,1,2 Se Kyu Kim,1,2 Joon Chang,1,2 Joo Han Song1,2 1Division of Pulmonology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea; 2Institute of Chest Disease, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea Background: Forced expiratory volume in 1 second (FEV1/forced expiratory volume in 6 seconds (FEV6 has been proposed as an alternative to FEV1/forced vital capacity (FVC for detecting airway obstruction. A fixed cut-off value for FEV1/FEV6 in a Korean population is lacking. We investigated a fixed cut-off for FEV1/FEV6 as a surrogate for FEV1/FVC for detecting airway obstruction.Materials and methods: We used data obtained in the 5 years of the Fifth and Sixth Korean National Health and Nutrition Examination Survey. A total of 14,978 participants aged ≥40 years who underwent spirometry adequately were the study cohort. “Airway obstruction” was a fixed cut-off FEV1/FVC <70% according to the Global Initiative for Chronic Obstructive Lung Disease guidelines. We also used European Respiratory Society/Global Lung Initiative 2012 equations for the FEV1/FVC lower limit of normal.Results: Among the 14,978 participants (43.5% male, 56.5% female; mean age: 56.9 years for men and 57.0 years for women, 14.0% had obstructive lung function according to a fixed cut-off FEV1/FVC <70%. Optimal FEV1/FEV6 cut-off for predicting FEV1/FVC <70% was 75% using receiver operating characteristic curve analyses (area under receiver operating characteristic curve =0.989, 95% confidence interval 0.987–0.990. This fixed cut-off of FEV1/FEV6 showed 93.8% sensitivity, 94.8% specificity, 74.7% positive predictive value, 98.9% negative predictive value, and 0.8 Cohen’s kappa coefficient. When compared with FEV1/FVC < lower limit of normal, FEV1/FEV6 <75% tended to over-diagnose airflow limitation (just like a fixed cut-off

  1. Using a 3% Proton Density Fat Fraction as a Cut-off Value Increases Sensitivity of Detection of Hepatic Steatosis, Based on Results from Histopathology Analysis.

    Science.gov (United States)

    Nasr, Patrik; Forsgren, Mikael F; Ignatova, Simone; Dahlström, Nils; Cedersund, Gunnar; Leinhard, Olof Dahlqvist; Norén, Bengt; Ekstedt, Mattias; Lundberg, Peter; Kechagias, Stergios

    2017-03-09

    It is possible to estimate hepatic triglyceride content by calculating the proton density fat fraction (PDFF), using proton magnetic resonance spectroscopy ((1)H-MRS), instead of collecting and analyzing liver biopsies to detect steatosis. However, the current PDFF cut-off value (5%) used to define steatosis by magnetic resonance was derived from studies that did not use histopathology as the reference standard. We performed a prospective study to determine the accuracy of (1)H-MRS PDFF in measurement of steatosis using histopathology analysis as the standard. We collected clinical, serologic, (1)H-MRS PDFF, and liver biopsy data from 94 adult patients with increased levels of liver enzymes (6 months or more) referred to the Department of Gastroenterology and Hepatology at Linköping University Hospital in Sweden from 2007 through 2014. Steatosis was graded using the conventional histopathology method and fat content was quantified in biopsy samples using stereological point counts (SPCs). We correlated (1)H-MRS PDFF findings with SPCs (r = 0.92; P <.001). (1)H-MRS PDFF results correlated with histopathology results (ρ = 0.87; P <.001), and SPCs correlated with histopathology results (ρ = 0.88; P <.001). All 25 subjects with PDFF values of 5.0% or more had steatosis based on histopathology findings (100% specificity for PDFF). However, of 69 subjects with PDFF values below 5.0% (negative result), 22 were determined to have steatosis based on histopathology findings (53% sensitivity for PDFF). Reducing the PDFF cut-off value to 3.0% identified patients with steatosis with 100% specificity and 79% sensitivity; a PDFF cut-off value of 2.0% identified patients with steatosis with 94% specificity and 87% sensitivity. These findings might be used to improve non-invasive detection of steatosis.

  2. Neck circumference as an anthropometric measure of obesity in diabetics

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    Jagadamba Aswathappa

    2013-01-01

    Full Text Available Background: Obesity is a risk factor for type 2 diabetes mellitus. Insulin resistance is associated with visceral subcutaneous fat content. Neck circumference (NC is a marker of upper body subcutaneous adipose tissue distribution. Aim: The aim of this study is to compare NC in diabetics and non-diabetics and to correlate NC with other anthropometric measures. Materials and Methods: A cross-sectional study was conducted in 350 type 2 diabetics and 350 non-diabetics of >30 years of age. Anthropometric parameters like body mass index (BMI, waist circumference (WC, hip circumference, and NC were measured. Independent t-test and Pearson′s correlation were the tests of significance done to analyze quantitative data. Results: There was positive correlation of NC, BMI, and index of central obesity. The NC in diabetics was significantly higher than in non-diabetics (P 36 cm in diabetics and >37 cm in non-diabetics was the best cutoff value to determine subjects with central obesity. Conclusion: The findings indicated that NC may be used both in clinical practice and in epidemiologic studies as a straightforward and reliable index. It is an economical easy to use test with less consumption of time and correlates well with other standard anthropometric parameters.

  3. 颈围预测代谢综合征的可行性及价值%A Study of Feasibility and Value of Neck Circumference in Predicting the Metabolic Syndrome

    Institute of Scientific and Technical Information of China (English)

    崔文丽; 秦秀娟; 任晓华; 孙婷

    2015-01-01

    目的:探讨颈围预测代谢综合征( metabolic syndrome, MS)的可行性及价值。方法选择2013年1月—2014年10月在石家庄市第一医院进行健康体检并符合排除标准的702例,测量颈围及腰围,检测血压、空腹血糖、甘油三酯及高密度脂蛋白胆固醇,并进行分析比较。结果本研究702例中男351例,女351例,颈围异常127例,颈围正常575例。统计学分析结果显示,腰围、空腹血糖、甘油三酯及高密度脂蛋白胆固醇颈围正常组和颈围异常组比较差异有统计学意义(P0.05)。本研究中共12例确诊为MS,占1.7%,颈围异常患MS的危险是颈围正常的1.4倍。结论随着颈围增大,MS相关指标异常的比例逐渐增高,颈围可作为预测MS的一个指标。%Objective To explore the feasibility and value of neck circumference in predicting the metabolic syn-drome ( MS) . Methods 702 selected cases were admitted to Shijiazhuang First Hospital during January 2013 and October 2014 and met the inclusion and exclusion criteria, and neck circumference and waist circumference, blood pressure, fasting blood glucose, triglycerides and high-density lipoprotein protein cholesterol were measured, analyzed and compared. Results Among 702 cases in this study, 351 cases were male and 351 were female, 127 cases were of abnormal neck circumference, and 575 cases were normal. Statistics showed that waist circumference, blood pressure, FBG, TG, HDL-C of comparison ab-normal neck circumference group and normal neck circumference group was statistically significant ( P0. 05). In this study, 12 cases of MS were confirmed, accounting for 1. 7%, risk of metabolic syndrome of abnormal neck circumference was 1. 4 times higher than that of the normal neck. Conclusion MS related indicators in-crease with increase of neck circumference, which can be a predictor of MS.

  4. Neck Circumference to Assess Obesity in Preschool Children

    Science.gov (United States)

    Kondolot, Meda; Horoz, Duygu; Poyrazoğlu, Serpil; Borlu, Arda; Öztürk, Ahmet; Kurtoğlu, Selim; Mazıcıoğlu, Mümtaz M.

    2017-01-01

    Objective: Limited information is available about the use of neck circumference (NC) to assess obesity in preschool children. This study aims to provide NC percentiles and determine the cut-off levels of NC as a measure to assess obesity in preschool children. Methods: The data were obtained from the Anthropometry of Turkish Children aged 0-6 years (ATCA-06) study database. A total of 21 family health centers were chosen and children aged 2-6 years old from all socioeconomic levels were randomly selected from the lists of district midwives; 1766 children (874 male and 892 female; 88.3% of sample size) were included in the study. The smoothed centile curves of NC were constructed by the LMS method. Receiver operating characteristic (ROC) analysis was performed to calculate cut-off points for NC using body mass index ≥95th percentile. Results: Mean NC was greater in males than females. Cut-off values for obesity were found to be statistically significant in both genders other than 3 years old boys. The NC percentiles of Turkish preschool children were slightly greater than those of other European preschool children in both genders. This difference disappeared around the adiposity rebound period. The 97th percentile values for Turkish preschool children continue to be greater in both genders. Conclusion: NC may be useful to define obesity in preschool children. Since ethnic and various other factors may have a role in incidence of obesity, local reference data are important in assessment of obesity. PMID:27660068

  5. Antimicrobial susceptibility testing of Clostridium difficile using EUCAST epidemiological cut-off values and disk diffusion correlates

    DEFF Research Database (Denmark)

    Erikstrup, L T; Hall, Vanessa Jane; Kahlmeter, G

    2012-01-01

    towards metronidazole, vancomycin and moxifloxacin on Brucella Blood Agar supplemented with hemin and vitamin K. We found an excellent agreement between inhibition zone diameter and MICs. For each MIC value, the inhibition zones varied from 0 to 8 mm, with 93% of values within 6 mm for metronidazole, 95...

  6. Raising cut-off value of prostate specific antigen (PSA for biopsy in symptomatic men in India to reduce unnecessary biopsy

    Directory of Open Access Journals (Sweden)

    Shalini Agnihotri

    2014-01-01

    Full Text Available Background & objectives: The characteristics of prostate specific antigen (PSA for trans-rectal ultrasonography guided prostate biopsy in men with lower urinary tract symptoms (LUTS are not well defined. This study was carried out to analyse the threshold of PSA for biopsy in symptomatic men in India. Methods: From January 2000 to June 2011, consecutive patients who had digital rectal examination (DRE and PSA testing done for LUTS were included in this study. PSA was done with ELISA technique. Patients with acute or chronic prostatitis, prostatic abscess, history of surgery on prostate within the previous three months and patients on 5α-reductase inhibitors or on urethral catheter were excluded. Results: Of the 4702 patients evaluated, 70.9 per cent had PSA of less than 4 ng/ml and 29.1 per cent had PSA of more than 4 ng/ml. Of these, 875 men with a mean age of 65.72±7.4 (range 50-75 yr had trans rectal ultrasonography (TRUS guided biopsy. Twenty five men had biopsy at PSA level of 20 ng/ml. Positive predictive value of PSA in ranges of 4.1-10, 10.1-20, >20 ng/ml was 15.2, 24 and 62.6 per cent, respectively with negative DRE. PSA cut-off to do biopsy was derived by ROC curve as 5.82 ng/ml for all the men. When the subjects were further stratified on the basis of DRE findings, a cut-off of 5.4 ng/ml was derived in men with normal DRE. Interpretation & conclusions: A cut-off for biopsy in symptomatic men with negative DRE could safely be raised to 5.4 ng/ml, which could avoid subjecting 10 per cent of men to undergo unnecessary biopsy.

  7. Reference intervals of complete blood count constituents are highly correlated to waist circumference: Should obese patients have their own "normal values?"

    NARCIS (Netherlands)

    Vuong, J.; Qiu, Y.; La, M.; Clarke, G.; Swinkels, D.W.; Cembrowski, G.

    2014-01-01

    Body mass index (BMI), the prevalent indicator of obesity, is not easily grasped by patients nor physicians. Waist circumference (WC) is correlated to obesity, is better understood and has a stronger relationship to the metabolic syndrome. We compiled WC, complete blood count (CBC) parameters as wel

  8. Pretreatment serum human chorionic gonadotropin cutoff value for medical treatment success with single-dose and multi-dose regimen of methotrexate in tubal ectopic pregnancy

    Science.gov (United States)

    Kim, Junhwan; Jung, Young Mi; Lee, Da Yong

    2017-01-01

    Objective To investigate individual pretreatment serum human chorionic gonadotropin (hCG) cutoff value for medical treatment success with single-dose and multi-dose regimen of methotrexate in tubal ectopic pregnancy. Methods Eighty-five women who received methotrexate for the treatment of tubal ectopic pregnancy during 2003 to 2015 were selected. Fifty-three women received a single-dose regimen and 32 women received a multi-dose regimen. Medical treatment failure was defined as necessity of surgical treatment. The medical treatment success rate was estimated in both regimens and the pretreatment serum hCG titer to predict the success was assessed by receiver operating characteristics curve analysis. Results Pretreatment clinical and laboratory parameters were similar between group of single-dose regimen and multi-dose regimen. Treatment success rate was 64.2% in the single-dose regimen group and 71.9% in the multi-dose regimen group (P>0.05). Pretreatment serum hCG titer was an independent prognostic factor for treatment success in each regimen. Serum hCG cutoff value to predict the treatment success was 3,026 IU/L in single-dose regimen group and 3,711 IU/L in multi-dose regimen group. Conclusion We recommend use of single-dose regimen when pretreatment serum hCG <3,026 IU/L but multi-dose regimen may be favored when initial serum hCG level between 3,026 and 3,711 IU/L. PMID:28217676

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

    Science.gov (United States)

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

    2015-01-01

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

  10. Revised cutoff values of ALT and HBV DNA level can better differentiate HBeAg (- chronic inactive HBV patients from active carriers

    Directory of Open Access Journals (Sweden)

    Gull Sana

    2011-02-01

    Full Text Available Abstract Background and Aims ELISA is still used as primary test for diagnosis HBV disease. However, ELISA-positive patients were marked as HBV inactive after confirmation with PCR and vice versa. Our aim was to assess the performance of new cut-off value of ALT, HBV DNA load and significance of AST as screening tool for HBeAg (- chronic active or inactive patients in Pakistani population. Materials and methods In a cross-sectional, cohort study, 567 HBeAg (- patients followed for one year were selected. Patients with persistent elevated ALT than normal and HBV DNA ≥ 100,000 copies/mL were taken as active chronic. Diagnostic values for ALT, AST and HBV DNA load in HBV HBeAg (- chronic active and inactive patients compared using receiver operation characteristic (ROC curves. Results Of 567 HBeAg (- patients, 228 were classified as chronic inactive and 339 as active. HBV infection was dominant in male. Serum ALT, AST and HBV DNA levels showed significant and high AUROC to differentiate chronic HBeAg (- inactive patients from active. AUROC for Serum ALT, AST and HBV DNA were observed 0.997, 0.969 and 1.000, respectively. For revised cut off value for ALT (30 IU/L for male and 19 IU/L for female and HBV DNA load ≥100,000 copies/mL, a PPV of 97%, NPV of 94%, a sensitivity of 98%, and a specificity of 92% was observed to discriminate active carriers from inactive carriers. We also observed 93.5% specificity, 83.1% sensitivity, 82% PPV and 89.5% NPV for AST ≤20 IU/L to differentiate inactive carriers from active ones in our study group. Conclusions Revised cut off value of ALT and NIH derived HBV DNA value can better discriminate between HBeAg (- chronic active and inactive patients.

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

    Directory of Open Access Journals (Sweden)

    Ian Morrissey

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

  12. Wild-Type MIC Distributions and Epidemiological Cutoff Values for Amphotericin B and Aspergillus spp. for the CLSI Broth Microdilution Method (M38-A2 Document)▿

    Science.gov (United States)

    Espinel-Ingroff, A.; Cuenca-Estrella, M.; Fothergill, A.; Fuller, J.; Ghannoum, M.; Johnson, E.; Pelaez, T.; Pfaller, M. A.; Turnidge, J.

    2011-01-01

    Although clinical breakpoints have not been established for mold testing, epidemiological cutoff values (ECVs) are available for Aspergillus spp. versus the triazoles and caspofungin. Wild-type (WT) MIC distributions (organisms in a species-drug combination with no acquired resistance mechanisms) were defined in order to establish ECVs for six Aspergillus spp. and amphotericin B. Two sets (CLSI/EUCAST broth microdilution) of available MICs were evaluated: those for A. fumigatus (3,988/833), A. flavus (793/194), A. nidulans (184/69), A. niger (673/140), A. terreus (545/266), and A. versicolor (135/22). Three sets of data were analyzed: (i) CLSI data gathered in eight independent laboratories in Canada, Europe, and the United States; (ii) EUCAST data from a single laboratory; and (iii) the combined CLSI and EUCAST data. ECVs, expressed in μg/ml, that captured 95%, 97.5%, and 99% of the modeled wild-type population (CLSI and combined data) were as follows: for A. fumigatus, 2, 2, and 4; for A. flavus, 2, 4, and 4; for A. nidulans, 4, 4, and 4; for A. niger, 2, 2, and 2; for A. terreus, 4, 4, and 8; and for A. versicolor, 2, 2, and 2. Similar to the case for the triazoles and caspofungin, amphotericin B ECVs may aid in the detection of strains with acquired mechanisms of resistance to this agent. PMID:21876047

  13. Wild-Type MIC Distributions and Epidemiological Cutoff Values for Caspofungin and Aspergillus spp. for the CLSI Broth Microdilution Method (M38-A2 Document)▿

    Science.gov (United States)

    Espinel-Ingroff, A.; Fothergill, A.; Fuller, J.; Johnson, E.; Pelaez, T.; Turnidge, J.

    2011-01-01

    Clinical breakpoints have not been established for mold testing. Epidemiologic cutoff values (ECVs) are available for six Aspergillus spp. and the triazoles, but not for caspofungin. Wild-type (WT) minimal effective concentration (MEC) distributions (organisms in a species-drug combination with no acquired resistance mechanisms) were defined in order to establish ECVs for six Aspergillus spp. and caspofungin. The number of available isolates was as follows: 1,691 A. fumigatus, 432 A. flavus, 192 A. nidulans, 440 A. niger, 385 A. terreus, and 75 A. versicolor isolates. CLSI broth microdilution MEC data gathered in five independent laboratories in Canada, Europe, and the United States were aggregated for the analyses. ECVs expressed in μg/ml that captured 95% and 99% of the modeled wild-type population were for A. fumigatus 0.5 and 1, A. flavus 0.25 and 0.5, A. nidulans 0.5 and 0.5, A. niger 0.25 and 0.25, A. terreus 0.25 and 0.5, and A. versicolor 0.25 and 0.5. Although caspofungin ECVs are not designed to predict the outcome of therapy, they may aid in the detection of strains with reduced antifungal susceptibility to this agent and acquired resistance mechanisms. PMID:21422219

  14. Wild-type MIC distributions and epidemiological cutoff values for amphotericin B and Aspergillus spp. for the CLSI broth microdilution method (M38-A2 document).

    Science.gov (United States)

    Espinel-Ingroff, A; Cuenca-Estrella, M; Fothergill, A; Fuller, J; Ghannoum, M; Johnson, E; Pelaez, T; Pfaller, M A; Turnidge, J

    2011-11-01

    Although clinical breakpoints have not been established for mold testing, epidemiological cutoff values (ECVs) are available for Aspergillus spp. versus the triazoles and caspofungin. Wild-type (WT) MIC distributions (organisms in a species-drug combination with no acquired resistance mechanisms) were defined in order to establish ECVs for six Aspergillus spp. and amphotericin B. Two sets (CLSI/EUCAST broth microdilution) of available MICs were evaluated: those for A. fumigatus (3,988/833), A. flavus (793/194), A. nidulans (184/69), A. niger (673/140), A. terreus (545/266), and A. versicolor (135/22). Three sets of data were analyzed: (i) CLSI data gathered in eight independent laboratories in Canada, Europe, and the United States; (ii) EUCAST data from a single laboratory; and (iii) the combined CLSI and EUCAST data. ECVs, expressed in μg/ml, that captured 95%, 97.5%, and 99% of the modeled wild-type population (CLSI and combined data) were as follows: for A. fumigatus, 2, 2, and 4; for A. flavus, 2, 4, and 4; for A. nidulans, 4, 4, and 4; for A. niger, 2, 2, and 2; for A. terreus, 4, 4, and 8; and for A. versicolor, 2, 2, and 2. Similar to the case for the triazoles and caspofungin, amphotericin B ECVs may aid in the detection of strains with acquired mechanisms of resistance to this agent.

  15. Multicenter study of isavuconazole MIC distributions and epidemiological cutoff values for Aspergillus spp. for the CLSI M38-A2 broth microdilution method.

    Science.gov (United States)

    Espinel-Ingroff, A; Chowdhary, A; Gonzalez, G M; Lass-Flörl, C; Martin-Mazuelos, E; Meis, J; Peláez, T; Pfaller, M A; Turnidge, J

    2013-08-01

    Epidemiological cutoff values (ECVs) were established for the new triazole isavuconazole and Aspergillus species wild-type (WT) MIC distributions (organisms in a species-drug combination with no detectable acquired resistance mechanisms) that were defined with 855 Aspergillus fumigatus, 444 A. flavus, 106 A. nidulans, 207 A. niger, 384 A. terreus, and 75 A. versicolor species complex isolates; 22 Aspergillus section Usti isolates were also included. CLSI broth microdilution MIC data gathered in Europe, India, Mexico, and the United States were aggregated to statistically define ECVs. ECVs were 1 μg/ml for the A. fumigatus species complex, 1 μg/ml for the A. flavus species complex, 0.25 μg/ml for the A. nidulans species complex, 4 μg/ml for the A. niger species complex, 1 μg/ml for the A. terreus species complex, and 1 μg/ml for the A. versicolor species complex; due to the small number of isolates, an ECV was not proposed for Aspergillus section Usti. These ECVs may aid in detecting non-WT isolates with reduced susceptibility to isavuconazole due to cyp51A (an A. fumigatus species complex resistance mechanism among the triazoles) or other mutations.

  16. Neck circumference as a predictor of metabolic syndrome, insulin resistance and low-grade systemic inflammation in children: the ACFIES study

    OpenAIRE

    Gomez-Arbelaez, Diego; Camacho, Paul Anthony; Cohen, Daniel Dylan; Saavedra-Cortes, Sandra; Lopez-Lopez, Cristina; Lopez-Jaramillo, Patricio

    2016-01-01

    Background The current study aims to evaluate the association between neck circumference (NC) and several cardio-metabolic risk factors, to compare it with well-established anthropometric indices, and to determine the cut-off point value of NC for predicting children at increased risk of metabolic syndrome, insulin resistance and low-grade systemic inflammation. Methods A total of 669 school children, aged 8–14, were recruited. Demographic, clinical, anthropometric and biochemical data from a...

  17. Waist circumference and insulin resistance: a cross-sectional study of Japanese men

    OpenAIRE

    Hamachi Tadamichi; Yoshimitsu Shinichiro; Tabata Shinji; Abe Hiroshi; Ohnaka Keizo; Kono Suminori

    2009-01-01

    Abstract Background Visceral obesity is positively related to insulin resistance. The nature of the relationship between waist circumference and insulin resistance has not been known in Japanese populations. This study examined the relationship between waist circumference and insulin resistance and evaluated the optimal cutoff point for waist circumference in relation to insulin resistance in middle-aged Japanese men. Methods Study subjects included 4800 Japanese men aged 39 to 60 years. Insu...

  18. Multicenter study of isavuconazole MIC distributions and epidemiological cutoff values for the Cryptococcus neoformans-Cryptococcus gattii species complex using the CLSI M27-A3 broth microdilution method

    NARCIS (Netherlands)

    Espinel-Ingroff, A.; Chowdhary, A.; Gonzalez, G.M.; Guinea, J.; Hagen, F.; Meis, J.F.G.M.; Thompson, G.R.; Turnidge, J.

    2015-01-01

    Epidemiological cutoff values (ECVs) of isavuconazole are not available for Cryptococcus spp. The isavuconazole ECVs based on wild-type (WT) MIC distributions for 438 Cryptococcus neoformans nongenotyped isolates, 870 isolates of genotype VNI, and 406 Cryptococcus gattii isolates from six laboratori

  19. Cutoff Values of Serum IgG4 and Histopathological IgG4+ Plasma Cells for Diagnosis of Patients with IgG4-Related Disease

    Directory of Open Access Journals (Sweden)

    Yasufumi Masaki

    2012-01-01

    Full Text Available IgG4-related disease is a new disease classification established in Japan in the 21st century. Patients with IgG4-related disease display hyper-IgG4-gammaglobulinemia, massive infiltration of IgG4+ plasma cells into tissue, and good response to glucocorticoids. Since IgG4 overexpression is also observed in other disorders, it is necessary to diagnose IgG4-related disease carefully and correctly. We therefore sought to determine cutoff values for serum IgG4 and IgG4/IgG and for IgG4+/IgG+ plasma cells in tissue diagnostic of IgG4-related disease. Patients and Methods. We retrospectively analyzed serum IgG4 concentrations and IgG4/IgG ratio and IgG4+/IgG+ plasma cell ratio in tissues of 132 patients with IgG4-related disease and 48 patients with other disorders. Result. Serum IgG4 >135  mg/dl demonstrated a sensitivity of 97.0% and a specificity of 79.6% in diagnosing IgG4-related disease, and serum IgG4/IgG ratios >8% had a sensitivity and specificity of 95.5% and 87.5%, respectively. IgG4+cell/IgG+ cell ratio in tissues >40% had a sensitivity and specificity of 94.4% and 85.7%, respectively. However, the number of IgG4+ cells was reduced in severely fibrotic parts of tissues. Conclusion. Although a recent unanimous consensus of all relevant researchers in Japan recently established the diagnostic criteria for IgG4-related disease, findings such as ours indicate that further discussion is needed.

  20. Isavuconazole and nine comparator antifungal susceptibility profiles for common and uncommon Candida species collected in 2012: application of new CLSI clinical breakpoints and epidemiological cutoff values.

    Science.gov (United States)

    Castanheira, Mariana; Messer, Shawn A; Rhomberg, Paul R; Dietrich, Rachel R; Jones, Ronald N; Pfaller, Michael A

    2014-08-01

    The in vitro activity of isavuconazole and nine antifungal comparator agents was assessed using reference broth microdilution methods against 1,421 common and uncommon species of Candida from a 2012 global survey. Isolates were identified using CHROMagar, biochemical methods and sequencing of ITS and/or 28S regions. Candida spp. were classified as either susceptible or resistant and as wild type (WT) or non-WT using CLSI clinical breakpoints or epidemiological cutoff values, respectively, for the antifungal agents. Isolates included 1,421 organisms from 21 different species of Candida. Among Candida spp., resistance to all 10 tested antifungal agents was low (0.0-7.9 %). The vast majority of each species of Candida, with the exception of Candida glabrata, Candida krusei, and Candida guilliermondii (modal MICs of 0.5 µg/ml), were inhibited by ≤0.12 µg/ml of isavuconazole (99.0 %; range 94.3 % [Candida tropicalis] to 100.0 % [Candida lusitaniae and Candida dubliniensis]). C. glabrata, C. krusei, and C. guilliermondii were largely inhibited by ≤1 µg/ml of isavuconazole (89.7, 96.9 and 92.8 %, respectively). Decreased susceptibility to isavuconazole was most prominent with C. glabrata where the modal MIC for isavuconazole was 0.5 µg/ml for those strains that were SDD to fluconazole or WT to voriconazole, and was 4 µg/ml for those that were either resistant or non-WT to fluconazole or voriconazole, respectively. In conclusion, these data document the activity of isavuconazole and generally the low resistance levels to the available antifungal agents in a large, contemporary (2012), global collection of molecularly characterized species of Candida.

  1. Multicenter study of anidulafungin and micafungin MIC distributions and epidemiological cutoff values for eight Candida species and the CLSI M27-A3 broth microdilution method.

    Science.gov (United States)

    Pfaller, M A; Espinel-Ingroff, A; Bustamante, B; Canton, E; Diekema, D J; Fothergill, A; Fuller, J; Gonzalez, G M; Guarro, J; Lass-Flörl, C; Lockhart, S R; Martin-Mazuelos, E; Meis, J F; Ostrosky-Zeichner, L; Pelaez, T; St-Germain, G; Turnidge, J

    2014-01-01

    Since epidemiological cutoff values (ECVs) using CLSI MICs from multiple laboratories are not available for Candida spp. and the echinocandins, we established ECVs for anidulafungin and micafungin on the basis of wild-type (WT) MIC distributions (for organisms in a species-drug combination with no detectable acquired resistance mechanisms) for 8,210 Candida albicans, 3,102 C. glabrata, 3,976 C. parapsilosis, 2,042 C. tropicalis, 617 C. krusei, 258 C. lusitaniae, 234 C. guilliermondii, and 131 C. dubliniensis isolates. CLSI broth microdilution MIC data gathered from 15 different laboratories in Canada, Europe, Mexico, Peru, and the United States were aggregated to statistically define ECVs. ECVs encompassing 97.5% of the statistically modeled population for anidulafungin and micafungin were, respectively, 0.12 and 0.03 μg/ml for C. albicans, 0.12 and 0.03 μg/ml for C. glabrata, 8 and 4 μg/ml for C. parapsilosis, 0.12 and 0.06 μg/ml for C. tropicalis, 0.25 and 0.25 μg/ml for C. krusei, 1 and 0.5 μg/ml for C. lusitaniae, 8 and 2 μg/ml for C. guilliermondii, and 0.12 and 0.12 μg/ml for C. dubliniensis. Previously reported single and multicenter ECVs defined in the present study were quite similar or within 1 2-fold dilution of each other. For a collection of 230 WT isolates (no fks mutations) and 51 isolates with fks mutations, the species-specific ECVs for anidulafungin and micafungin correctly classified 47 (92.2%) and 51 (100%) of the fks mutants, respectively, as non-WT strains. These ECVs may aid in detecting non-WT isolates with reduced susceptibility to anidulafungin and micafungin due to fks mutations.

  2. International Evaluation of MIC Distributions and Epidemiological Cutoff Value (ECV) Definitions for Fusarium Species Identified by Molecular Methods for the CLSI Broth Microdilution Method.

    Science.gov (United States)

    Espinel-Ingroff, A; Colombo, A L; Cordoba, S; Dufresne, P J; Fuller, J; Ghannoum, M; Gonzalez, G M; Guarro, J; Kidd, S E; Meis, J F; Melhem, T M S C; Pelaez, T; Pfaller, M A; Szeszs, M W; Takahaschi, J P; Tortorano, A M; Wiederhold, N P; Turnidge, J

    2016-02-01

    The CLSI epidemiological cutoff values (ECVs) of antifungal agents are available for various Candida spp., Aspergillus spp., and the Mucorales. However, those categorical endpoints have not been established for Fusarium spp., mostly due to the difficulties associated with collecting sufficient CLSI MICs for clinical isolates identified according to the currently recommended molecular DNA-PCR-based identification methodologies. CLSI MIC distributions were established for 53 Fusarium dimerum species complex (SC), 10 F. fujikuroi, 82 F. proliferatum, 20 F. incarnatum-F. equiseti SC, 226 F. oxysporum SC, 608 F. solani SC, and 151 F. verticillioides isolates originating in 17 laboratories (in Argentina, Australia, Brazil, Canada, Europe, Mexico, and the United States). According to the CLSI guidelines for ECV setting, ECVs encompassing ≥97.5% of pooled statistically modeled MIC distributions were as follows: for amphotericin B, 4 μg/ml (F. verticillioides) and 8 μg/ml (F. oxysporum SC and F. solani SC); for posaconazole, 2 μg/ml (F. verticillioides), 8 μg/ml (F. oxysporum SC), and 32 μg/ml (F. solani SC); for voriconazole, 4 μg/ml (F. verticillioides), 16 μg/ml (F. oxysporum SC), and 32 μg/ml (F. solani SC); and for itraconazole, 32 μg/ml (F. oxysporum SC and F. solani SC). Insufficient data precluded ECV definition for the other species. Although these ECVs could aid in detecting non-wild-type isolates with reduced susceptibility to the agents evaluated, the relationship between molecular mechanisms of resistance (gene mutations) and MICs still needs to be investigated for Fusarium spp.

  3. Establishment the cut-off value of congenital hypothyroidism on newborn in Guangzhou city%广州市新生儿先天性促甲状腺素筛查切值的建立和探讨

    Institute of Scientific and Technical Information of China (English)

    蒋翔; 江剑辉; 李蓓; 吴伽; 陈倩瑜; 曹伟锋; 贾雪芳; 李慧

    2013-01-01

    【Objective】 To get the distribution of thyroid stimulating hormone (TSH) and cut-off value in Guangzhou city. 【Method】 The results of 209 534 newborns were analysed from September 2011 to August 2012,which was described by percentiles and ROC curve,and determined the reasonable cut-off value combined with the actual screening results. 【Results】 The distribution of newborn screen was deflection,P99 was 9. 63 mU/L,the optimal cut-off value was 14 mU/L by ROC curve,the low cut-off value of our lab was 9 mU/L and the high cut-off value was 25 mU/L. 【Conclusion】 It is necessary to establish the reasonable cut-off value before earring out the neonatal screening. The determination of low and high cut-off value and establishment of recall-back methods are effective mode for neonatal screening.%[目的]探讨广州地区新生儿先天性促甲状腺素的水平分布并建立本地区的筛查实验切值. [方法]对广州市2011年9月-2012年8月间209 534例新生儿先天性甲状腺功能低下筛查的结果进行统计,使用百分位数法及ROC曲线计算促甲状腺素(thyroid stimulating hormone,TSH)参考切值,并结合实际筛查工作确定合理的切值. [结果]新生儿疾病筛查TSH水平呈偏态分布,TSH水平P99为9.63 mU/L,ROC曲线计算的最佳TSH值为14 mU/L,最终确定的TSH低切值为9 mU/L,高切值为25 mU/L. [结论]在开展筛查工作之前必须根据本地区的实际情况确立适宜的切值,确立高低两个切值并建立不同的召回方式对甲低筛查工作是合理有效的模式.

  4. Reference intervals of complete blood count constituents are highly correlated to waist circumference: should obese patients have their own "normal values?".

    Science.gov (United States)

    Vuong, Jennifer; Qiu, Yuelin; La, Myanh; Clarke, Gwen; Swinkels, Dorine W; Cembrowski, George

    2014-07-01

    Body mass index (BMI), the prevalent indicator of obesity, is not easily grasped by patients nor physicians. Waist circumference (WC) is correlated to obesity, is better understood and has a stronger relationship to the metabolic syndrome. We compiled WC, complete blood count (CBC) parameters as well as other pertinent data of 6766 25-55-year-old US volunteers sampled in the US National Health and Nutrition Examination Survey, in the years 2005-2010. To determine reference intervals of typical US patients visiting their clinician, we used minimal exclusion criteria. We compiled hemoglobin, red blood cell count, hematocrit, mean corpuscular volume (MCV), mean corpuscular hemoglobin concentration, mean cell hemoglobin (MCH), red cell distribution width (RDW), platelet count, mean platelet volume, and counts of white blood cells (WBC), neutrophils, lymphocytes, monocytes, eosinophils, and basophils. In addition, we also compiled serum C reactive protein and serum iron. The three major US races were studied and reference interval diagrams were constructed for each CBC parameter plotted against WC. WBC count, RDW, lymphocyte, neutrophil, and red blood cell count increase with WC. Conversely, serum iron and MCH and MCV decrease. These relationships may be related to insulin resistance and chronic activation of the immune system and the resulting low-grade inflammatory state. WC is a strong predictor for many CBC parameters, suggesting that WC should be taken into account when evaluating blood count results. Clinicians who take care of obese patients should be aware of altered hematology and investigate and treat accordingly.

  5. Should waist circumference be replaced by index of central obesity (ICO) in definition of metabolic syndrome?

    Science.gov (United States)

    Parikh, R; Mohan, V; Joshi, S

    2012-01-01

    Waist circumference has been widely used as the parameter of central obesity in defining metabolic syndrome. Global consensus definition of metabolic syndrome has suggested various race- and gender-specific cutoffs of waist circumference for quantifying central obesity. We have earlier proposed that using index of central obesity (ICO), the need for race- and gender-specific cutoffs may be obviated. We propose that waist circumference be supplanted with index of central obesity in all definitions of metabolic syndrome. Using index of central obesity a common cutoff of 0.5 applicable across races and genders might be obtained. Moreover, it will enhance the sensitivity of definition by diagnosing subjects who are shorter than general population. Among 258 male and 242 female diabetic patients, subjects with metabolic syndrome (defined as per gender-specific waist circumference cutoffs), were found to have a common lower range of index of central obesity suggesting that a common cutoff of waist circumference may be obtained. In another study from National Health and Nutrition Examination Survey database, replacing index of central obesity with waist circumference was found to enhance the specificity and sensitivity of definition of metabolic syndrome.

  6. Antimicrobial Susceptibility of Flavobacterium psychrophilum from Chilean Salmon Farms and their Epidemiological Cut-off Values using Agar Dilution and Disk Diffusion Methods

    Directory of Open Access Journals (Sweden)

    Claudio D Miranda

    2016-11-01

    Full Text Available Flavobacterium psychrophilum is the most important bacterial pathogen for freshwater farmed salmonids in Chile. The aims of this study were to determine the susceptibility to antimicrobials used in fish farming of Chilean isolates and to calculate their epidemiological cut-off (COWT values. A number of 125 Chilean isolates of F. psychrophilum were isolated from reared salmonids presenting clinical symptoms indicative of flavobacteriosis and their identities were confirmed by 16S rRNA polymerase chain reaction. Susceptibility to antibacterials was tested on diluted Mueller-Hinton by using an agar dilution MIC method and a disk diffusion method. The COWT values calculated by Normalised Resistance Interpretation (NRI analysis allow isolates to be categorized either as wild-type fully susceptible (WT or as manifesting reduced susceptibility (NWT. When MIC data was used, NRI analysis calculated a COWT of ≤ 0.125 μg mL-1, ≤ 2 μg mL-1 and ≤ 0.5 μg mL-1 for amoxicillin, florfenicol and oxytetracycline, respectively. For the quinolones, the COWT were ≤1 μg mL-1, ≤ 0.5 μg mL-1 and ≤ 0.125 μg mL-1 for oxolinic acid, flumequine and enrofloxacin respectively. The disc diffusion data sets obtained in this work were extremely diverse and were spread over a wide range. For the quinolones there was a close agreement between the frequencies of NWT isolates calculated using MIC and disc data. For oxolinic acid, flumequine and enrofloxacin the frequencies were 45, 39 and 38% using MIC data, and 42, 41 and 44%, when disc data were used. There was less agreement with the other antimicrobials, because NWT frequencies obtained using MIC and disc data respectively, were 24% and 10% for amoxicillin, 8% and 2% for florfenicol and 70% and 64% for oxytetracycline. Considering that the MIC data was more precise than the disc diffusion data, MIC determination would be the preferred method for susceptibility testing for this species and the NWT frequencies

  7. Wild-type MIC distributions and epidemiological cutoff values for amphotericin B, flucytosine, and itraconazole and Candida spp. as determined by CLSI broth microdilution.

    Science.gov (United States)

    Pfaller, M A; Espinel-Ingroff, A; Canton, E; Castanheira, M; Cuenca-Estrella, M; Diekema, D J; Fothergill, A; Fuller, J; Ghannoum, M; Jones, R N; Lockhart, S R; Martin-Mazuelos, E; Melhem, M S C; Ostrosky-Zeichner, L; Pappas, P; Pelaez, T; Peman, J; Rex, J; Szeszs, M W

    2012-06-01

    Clinical breakpoints (CBPs) and epidemiological cutoff values (ECVs) have been established for several Candida spp. and the newer triazoles and echinocandins but are not yet available for older antifungal agents, such as amphotericin B, flucytosine, or itraconazole. We determined species-specific ECVs for amphotericin B (AMB), flucytosine (FC) and itraconazole (ITR) for eight Candida spp. (30,221 strains) using isolates from 16 different laboratories in Brazil, Canada, Europe, and the United States, all tested by the CLSI reference microdilution method. The calculated 24- and 48-h ECVs expressed in μg/ml (and the percentages of isolates that had MICs less than or equal to the ECV) for AMB, FC, and ITR, respectively, were 2 (99.8)/2 (99.2), 0.5 (94.2)/1 (91.4), and 0.12 (95.0)/0.12 (92.9) for C. albicans; 2 (99.6)/2 (98.7), 0.5 (98.0)/0.5 (97.5), and 2 (95.2)/4 (93.5) for C. glabrata; 2 (99.7)/2 (97.3), 0.5 (98.7)/0.5 (97.8), and 05. (99.7)/0.5 (98.5) for C. parapsilosis; 2 (99.8)/2 (99.2), 0.5 (93.0)/1 (90.5), and 0.5 (97.8)/0.5 (93.9) for C. tropicalis; 2 (99.3)/4 (100.0), 32 (99.4)/32 (99.3), and 1 (99.0)/2 (100.0) for C. krusei; 2 (100.0)/4 (100.0), 0.5 (95.3)/1 (92.9), and 0.5 (95.8)/0.5 (98.1) for C. lusitaniae; -/2 (100.0), 0.5 (98.8)/0.5 (97.7), and 0.25 (97.6)/0.25 (96.9) for C. dubliniensis; and 2 (100.0)/2 (100.0), 1 (92.7)/-, and 1 (100.0)/2 (100.0) for C. guilliermondii. In the absence of species-specific CBP values, these wild-type (WT) MIC distributions and ECVs will be useful for monitoring the emergence of reduced susceptibility to these well-established antifungal agents.

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

    Directory of Open Access Journals (Sweden)

    Patrycja Anna Naesgaard

    2016-02-01

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

  9. Waist circumference reference values for screening cardiovascular risk factors in Chinese children and adolescents aged 7-18 years%中国7~18岁学龄儿童青少年腰围界值点研究

    Institute of Scientific and Technical Information of China (English)

    马冠生; 杜松明; 房红芸; 蒋竞雄; 季成叶; 马军; 米杰; 宋银子; 熊丰; 严卫丽; 胡小琪; 李艳平

    2010-01-01

    目的 根据儿童不同腰围水平罹患心血管疾病的危险,研究中同学龄儿童青少年腰围的适宜界值点.方法 利用受试者工作特征曲线(ROC)法分析从全国汇总的65 898名7~18岁学龄儿童青少年腰围及其相关代谢指征数据,探索预测心血管疾病的腰围最佳界值点.结果 儿童青少年腰围值小于第75百分位数(P75)时,收缩压、舒张压、血糖、总胆固醇、甘油三酯和低密度脂蛋白胆固醇水平以及血压升高率、血糖升高率、血脂异常率随腰围变化趋势不明显,当腰围大于P75后,上述指标逐渐增加,从P90开始,增加趋势明显,高密度脂蛋白胆固醇的变化趋势相反.ROC曲线结果表明,预测血压增加的腰围最佳界值点为P75;预测至少两项心血管疾病危险因素聚集的最佳界值点为P90.与腰围低于P75,的儿童青少年相比,在腰围处于P75~P90者中至少聚集两项心血管疾病危险因素的比例增加了1倍,腰围大于P90者中该比例则增加了5倍.按体重指数分类标准分层后,儿童青少年血压升高率仍然随腰围增加而显著增加.结论 建议将中国儿童青少年腰围的年龄别性别P7,和P90作为儿童青少年心血管病危险开始增加和明显增加的界值点.%Objective To explore the optimal threshold values of waist circumference (WC) in detecting the risk on cardiovascular (CV) among the Chinese children and adolescents. Methods Association of WC and CV risk factors were studied among 65 898 children and adolescents aged 7-18 years whose data were pooled from nine studies carried out in China. Receive-operating characteristic analysis (ROC) and logistic regression were employed to derive optimal age- and sex-specific waist circumference references for predicting the CV risk factors. Results A slight increasing trend of CV risk factors was observed starting from the 75th percentile of waist circumference in the study population, while a remarkable

  10. Multicenter Study of Epidemiological Cutoff Values and Detection of Resistance in Candida spp. to Anidulafungin, Caspofungin, and Micafungin Using the Sensititre YeastOne Colorimetric Method

    Science.gov (United States)

    Alvarez-Fernandez, M.; Cantón, E.; Carver, P. L.; Chen, S. C.-A.; Eschenauer, G.; Getsinger, D. L.; Gonzalez, G. M.; Grancini, A.; Hanson, K. E.; Kidd, S. E.; Klinker, K.; Kubin, C. J.; Kus, J. V.; Lockhart, S. R.; Meletiadis, J.; Morris, A. J.; Pelaez, T.; Rodriguez-Iglesias, M.; Sánchez-Reus, F.; Shoham, S.; Wengenack, N. L.; Borrell Solé, N.; Echeverria, J.; Esperalba, J.; Gómez-G. de la Pedrosa, E.; García García, I.; Linares, M. J.; Marco, F.; Merino, P.; Pemán, J.; Pérez del Molino, L.; Roselló Mayans, E.; Rubio Calvo, C.; Ruiz Pérez de Pipaon, M.; Yagüe, G.; Garcia-Effron, G.; Perlin, D. S.; Sanguinetti, M.; Shields, R.; Turnidge, J.

    2015-01-01

    Neither breakpoints (BPs) nor epidemiological cutoff values (ECVs) have been established for Candida spp. with anidulafungin, caspofungin, and micafungin when using the Sensititre YeastOne (SYO) broth dilution colorimetric method. In addition, reference caspofungin MICs have so far proven to be unreliable. Candida species wild-type (WT) MIC distributions (for microorganisms in a species/drug combination with no detectable phenotypic resistance) were established for 6,007 Candida albicans, 186 C. dubliniensis, 3,188 C. glabrata complex, 119 C. guilliermondii, 493 C. krusei, 205 C. lusitaniae, 3,136 C. parapsilosis complex, and 1,016 C. tropicalis isolates. SYO MIC data gathered from 38 laboratories in Australia, Canada, Europe, Mexico, New Zealand, South Africa, and the United States were pooled to statistically define SYO ECVs. ECVs for anidulafungin, caspofungin, and micafungin encompassing ≥97.5% of the statistically modeled population were, respectively, 0.12, 0.25, and 0.06 μg/ml for C. albicans, 0.12, 0.25, and 0.03 μg/ml for C. glabrata complex, 4, 2, and 4 μg/ml for C. parapsilosis complex, 0.5, 0.25, and 0.06 μg/ml for C. tropicalis, 0.25, 1, and 0.25 μg/ml for C. krusei, 0.25, 1, and 0.12 μg/ml for C. lusitaniae, 4, 2, and 2 μg/ml for C. guilliermondii, and 0.25, 0.25, and 0.12 μg/ml for C. dubliniensis. Species-specific SYO ECVs for anidulafungin, caspofungin, and micafungin correctly classified 72 (88.9%), 74 (91.4%), 76 (93.8%), respectively, of 81 Candida isolates with identified fks mutations. SYO ECVs may aid in detecting non-WT isolates with reduced susceptibility to anidulafungin, micafungin, and especially caspofungin, since testing the susceptibilities of Candida spp. to caspofungin by reference methodologies is not recommended. PMID:26282428

  11. Multicenter study of epidemiological cutoff values and detection of resistance in Candida spp. to anidulafungin, caspofungin, and micafungin using the Sensititre YeastOne colorimetric method.

    Science.gov (United States)

    Espinel-Ingroff, A; Alvarez-Fernandez, M; Cantón, E; Carver, P L; Chen, S C-A; Eschenauer, G; Getsinger, D L; Gonzalez, G M; Govender, N P; Grancini, A; Hanson, K E; Kidd, S E; Klinker, K; Kubin, C J; Kus, J V; Lockhart, S R; Meletiadis, J; Morris, A J; Pelaez, T; Quindós, G; Rodriguez-Iglesias, M; Sánchez-Reus, F; Shoham, S; Wengenack, N L; Borrell Solé, N; Echeverria, J; Esperalba, J; Gómez-G de la Pedrosa, E; García García, I; Linares, M J; Marco, F; Merino, P; Pemán, J; Pérez Del Molino, L; Roselló Mayans, E; Rubio Calvo, C; Ruiz Pérez de Pipaon, M; Yagüe, G; Garcia-Effron, G; Guinea, J; Perlin, D S; Sanguinetti, M; Shields, R; Turnidge, J

    2015-11-01

    Neither breakpoints (BPs) nor epidemiological cutoff values (ECVs) have been established for Candida spp. with anidulafungin, caspofungin, and micafungin when using the Sensititre YeastOne (SYO) broth dilution colorimetric method. In addition, reference caspofungin MICs have so far proven to be unreliable. Candida species wild-type (WT) MIC distributions (for microorganisms in a species/drug combination with no detectable phenotypic resistance) were established for 6,007 Candida albicans, 186 C. dubliniensis, 3,188 C. glabrata complex, 119 C. guilliermondii, 493 C. krusei, 205 C. lusitaniae, 3,136 C. parapsilosis complex, and 1,016 C. tropicalis isolates. SYO MIC data gathered from 38 laboratories in Australia, Canada, Europe, Mexico, New Zealand, South Africa, and the United States were pooled to statistically define SYO ECVs. ECVs for anidulafungin, caspofungin, and micafungin encompassing ≥97.5% of the statistically modeled population were, respectively, 0.12, 0.25, and 0.06 μg/ml for C. albicans, 0.12, 0.25, and 0.03 μg/ml for C. glabrata complex, 4, 2, and 4 μg/ml for C. parapsilosis complex, 0.5, 0.25, and 0.06 μg/ml for C. tropicalis, 0.25, 1, and 0.25 μg/ml for C. krusei, 0.25, 1, and 0.12 μg/ml for C. lusitaniae, 4, 2, and 2 μg/ml for C. guilliermondii, and 0.25, 0.25, and 0.12 μg/ml for C. dubliniensis. Species-specific SYO ECVs for anidulafungin, caspofungin, and micafungin correctly classified 72 (88.9%), 74 (91.4%), 76 (93.8%), respectively, of 81 Candida isolates with identified fks mutations. SYO ECVs may aid in detecting non-WT isolates with reduced susceptibility to anidulafungin, micafungin, and especially caspofungin, since testing the susceptibilities of Candida spp. to caspofungin by reference methodologies is not recommended.

  12. Wild-type MIC distributions and epidemiologic cutoff values for fluconazole, posaconazole, and voriconazole when testing Cryptococcus neoformans as determined by the CLSI broth microdilution method.

    Science.gov (United States)

    Pfaller, Michael A; Castanheira, Mariana; Diekema, Daniel J; Messer, Shawn A; Jones, Ronald N

    2011-11-01

    When clinical susceptibility breakpoints (CBPs) are absent, establishing wild-type (WT) MIC distributions and epidemiologic cutoff values (ECVs) provides a sensitive means for detecting emerging resistance to antimicrobials. We determined species-specific ECVs for fluconazole (FLC), posaconazole (PSC), and voriconazole (VRC) using a large global collection of Cryptococcus neoformans (CNEO) isolates obtained from the ARTEMIS and SENTRY Antimicrobial Surveillance Programs. From 2006 to 2009, 285 invasive clinical isolates of CNEO were collected from 61 centers worldwide (178 isolates from ARTEMIS and 107 from SENTRY) and susceptibility testing was performed against FLC, PSC, and VRC using Clinical and Laboratory Standards Institute M27-A3 broth microdilution method (72 h of incubation). The ARTEMIS isolates were tested at the University of Iowa and the SENTRY Program isolates were tested at JMI Laboratories, and the results were combined for analysis. An additional collection of 986 isolates tested against FLC between 1996 and 2008 were used to assess temporal trends in the frequency of non-WT isolates. The modal MICs (mg/L) for FLC, PSC, and VRC were 4, 0.12, and 0.06, respectively. The ECVs expressed as milligrams per liter (% of isolates that had MIC ≤ECV) for FLC, PSC, and VRC were 8 (96.9), 0.25 (96.5), and 0.12 (95.1), respectively. Temporal trends in the emergence of non-WT strains (% of isolate MICs >ECV) for the time periods 1996-2000, 2001-2004, and 2005-2008 for FLC were 4.2, 3.8, and 0.5, respectively. In the absence of CBPs for FLC, PSC, and VRC, these WT MIC distributions and ECVs will be useful in surveillance for detection of emergence of azole reduced susceptibility among CNEO. Application of the FLC ECV to a large collection of CNEO tested over time (1996-2008) revealed a decrease in the frequency of non-WT strains. These findings are consistent with those of more limited surveys in developed countries, suggesting that CNEO susceptibility to FLC

  13. Measuring chest circumference change during respiration with an electromagnetic biosensor.

    Science.gov (United States)

    Padasdao, Bryson; Shahhaidar, Ehsaneh; Boric-Lubecke, Olga

    2013-01-01

    In this paper, an off-the-shelf DC motor is modified into a chest belt and used to successfully measure circumference change on a mechanical chest model, while simultaneously harvesting significant power. Chest circumference change can provide information on tidal volume, which is vital in assessing lung function. The chest circumference change is calculated from the motor's voltage output. Calculated values are within 0.95mm of measured circumference changes, with a standard deviation of 0.37mm. The wearable motor can also harvest at least 29.4µW during normal breathing.

  14. Multicenter study of isavuconazole MIC distributions and epidemiological cutoff values for the Cryptococcus neoformans-Cryptococcus gattii species complex using the CLSI M27-A3 broth microdilution method.

    Science.gov (United States)

    Espinel-Ingroff, A; Chowdhary, A; Gonzalez, G M; Guinea, J; Hagen, F; Meis, J F; Thompson, G R; Turnidge, J

    2015-01-01

    Epidemiological cutoff values (ECVs) of isavuconazole are not available for Cryptococcus spp. The isavuconazole ECVs based on wild-type (WT) MIC distributions for 438 Cryptococcus neoformans nongenotyped isolates, 870 isolates of genotype VNI, and 406 Cryptococcus gattii isolates from six laboratories and different geographical areas were 0.06, 0.12, and 0.25 μg/ml, respectively. These ECVs may aid in detecting non-WT isolates with reduced susceptibilities to isavuconazole.

  15. Wild-Type MIC Distributions and Epidemiological Cutoff Values for Posaconazole and Voriconazole and Candida spp. as Determined by 24-Hour CLSI Broth Microdilution▿

    Science.gov (United States)

    Pfaller, M. A.; Boyken, L.; Hollis, R. J.; Kroeger, J.; Messer, S. A.; Tendolkar, S.; Diekema, D. J.

    2011-01-01

    We tested 16,191 strains of Candida against posaconazole and voriconazole, using the CLSI M27-A3 broth microdilution (BMD) method (24-h incubation), in order to define wild-type (WT) populations and epidemiological cutoff values (ECVs). From 2001 to 2009, 8,619 isolates of Candida albicans, 2,415 isolates of C. glabrata, 2,278 isolates of C. parapsilosis, 1,895 isolates of C. tropicalis, 508 isolates of C. krusei, 205 isolates of C. lusitaniae, 177 isolates of C. guilliermondii, and 93 isolates of C. kefyr were obtained from over 100 centers worldwide. The modal MICs (μg/ml) for posaconazole and voriconazole, respectively, were as follows: for C. albicans, 0.016 and 0.007; for C. glabrata, 0.5 and 0.06; for C. parapsilosis, 0.06 and 0.007; for C. tropicalis, 0.03 and 0.015; for C. krusei, 0.25 and 0.12; for C. lusitaniae, 0.03 and 0.007; for C. guilliermondii, 0.12 and 0.03; and for C. kefyr, 0.06 and 0.007. The ECVs (μg/ml [% of isolates that had MICs equal to or less than the ECV]) for posaconazole and voriconazole, respectively, were as follows: 0.06 (98.5) and 0.03 (98.9) for C. albicans, 2 (96.2) and 0.5 (90.4%) for C. glabrata, 0.25 (99.3) and 0.12 (97.9) for C. parapsilosis, 0.12 (97.6) and 0.06 (97.2) for C. tropicalis, 0.5 (99.8) and 0.5 (99.4) for C. krusei, 0.12 (95.6) and 0.03 (96.6) for C. lusitaniae, 0.5 (98.9) and 0.25 (98.3) for C. guilliermondii, and 0.25 (100.0) and 0.015 (100.0) for C. kefyr. In the absence of clinical breakpoints (CBPs) for posaconazole, these WT distributions and ECVs will be useful in surveillance for emergence of reduced susceptibility to posaconazole among Candida spp. Whereas a CBP for susceptibility of ≤1 μg/ml has been established for voriconazole and all species of Candida, it is notable that ECVs for this agent range from 10- to >100-fold lower than the CBP, depending on the species of Candida. The CBP is inadequate in detecting the emergence of voriconazole resistance among most Candida species encountered

  16. [Antifungal susceptibility profiles of Candida species to triazole: application of new CLSI species-specific clinical breakpoints and epidemiological cutoff values for characterization of antifungal resistance].

    Science.gov (United States)

    Karabıçak, Nilgün; Alem, Nihal

    2016-01-01

    The Clinical and Laboratory Standards Institute (CLSI) Subcommittee on Antifungal Susceptibility Testing has newly introduced species-specific clinical breakpoints (CBPs) for fluconazole and voriconazole. When CBPs can not be determined, wild-type minimal inhibitory concentration (MIC) distributions are detected and epidemiological cutoff values (ECVs) provide valuable means for the detection of emerging resistance. The aim of this study is to determine triazole resistance patterns in Candida species by the recently revised CLSI CBPs. A total of 140 Candida strains isolated from blood cultures of patients with invasive candidiasis hospitalized in various intensive care units in Turkey and sent to our reference laboratory between 2011-2012, were included in the study. The isolates were identified by conventional methods, and susceptibility testing was performed against fluconazole, itraconazole and voriconazole, by the 24-h CLSI broth microdilution (BMD) method. Azole resistance rates for all Candida species were determined using the new species-specific CLSI CBPs and ECVs criteria, when appropriate. The species distribution of the isolates were as follows; C.parapsilosis (n= 31 ), C.tropicalis (n= 26 ), C.glabrata (n= 21), C.albicans (n= 18), C.lusitaniae (n= 16), C.krusei (n= 16), C.kefyr (n= 9), C.guilliermondii (n= 2), and C.dubliniensis (n= 1). According to the newly determined CLSI CBPs for fluconazole and C.albicans, C.parapsilosis, C.tropicalis [susceptible (S), ≤ 2 µg/ml; dose-dependent susceptible (SDD), 4 µg/ml; resistant (R), ≥ 8 µg/ml], and C.glabrata (SDD, ≤ 32 µg/ml; R≥ 64 µg/ml) and for voriconazole and C.albicans, C.parapsilosis, C.tropicalis (S, ≤ 0.12 µg/ml; SDD, 0.25-0.5 µg/ml; R, ≥ 1 µg/ml), and C.krusei (S, ≤ 0.5 µg/ml; SDD, 1 µg/ml; R, ≥ 2 µg/ml), it was found that three of C.albicans, one of C.parapsilosis and one of C.glabrata isolates were resistant to fluconazole, while two of C.albicans and two of C

  17. ASSOCIATION OF IDF CRITERIA OF WAIST CIRCUMFERENCE WITH DIABETES MELLITUS IN A RURAL DIABETIC POPULATION

    OpenAIRE

    Shuba Srinivasan; Jyothi B. Lingegowda; Ramkumar Kurpad R

    2016-01-01

    INTRODUCTION IDF definition of metabolic syndrome uses waist circumference as the main criteria without which metabolic syndrome cannot be diagnosed. The IDF cut-offs for waist circumference is ethnicity specific, but there is a vast heterogeneity amongst South Asians and within the Indian subcontinent itself. MATERIALS AND METHODS This cross-sectional study was conducted on 100 consecutive cases of diabetes in a medical college catering to predominantly rural population who...

  18. Usage of neck circumference as novel indicator of erectile dysfunction: a pilot study in Turkish population.

    Science.gov (United States)

    Akin, Y; Gulmez, H; Bozkurt, A; Nuhoglu, B; Usta, M F

    2014-01-01

    Erectile dysfunction (ED) is the most common male sexual problem worldwide. The association between ED and components of metabolic syndrome (MtS) is well established. This study examined neck circumference (NC) as a possible indicator of MtS and also of ED. Ninety-two patients were included and divided into two groups. Group 1 consisted of 47 patients with ED and Group 2 consisted of 45 healthy volunteers. Questionnaires, differences in anthropometric and laboratory measurements between patients with ED and the control group, and a cut-off value for NC were investigated. The mean NC in ED patients was higher in Group 1 than in Group 2 (P = 0.001), and Group 1 also demonstrated more MtS criteria than Group 2 (P circumference for ED and MtS were 105.5 and 102.5 cm respectively. In the light of these findings, NC may be a new component of MtS in ED patients. Additionally, NC may be a novel indicator of central obesity and ED. We suggest that NC values of 35 cm and over may predict ED in patients with MtS.

  19. Preliminary assessment of neck circumference in benign prostatic hyperplasia in patients with metabolic syndrome

    Science.gov (United States)

    Akin, Yigit; Gulmez, Hakan; Ates, Erhan; Gulum, Mehmet; Savas, Murat

    2017-01-01

    ABSTRACT Objectives To investigate the impact of neck circumference (NC) in the treatment of bening prostatic hyperplasia (BPH) patients with metabolic syndrome (MtS). Additionally, we determined dose response to alpha-blockers and cut-off values for NC and waist circumference (WC), in these patients. Materials and Methods Non-randomized, open-labelled, and multi-centre study was conducted between March 2014 and September 2015. The BPH patients were enrolled and were divided into 2 groups: with MtS (Group 1; n=94) and without MtS (Group 2; n=103). Demographic data, anthropometric measurements, blood analyses, uroflowmetric parameters, post voiding residual urine (PVR), prostate volume, quality of life (QoL) index, NC and WC were recorded. Both groups were administered oral alpha-blockers and response to treatment was evaluated. Receiver-operating characteristic (ROC) curves were obtained and significant p was p<0.05 . Results In total, 197 patients were enrolled with mean age of 60.5±8.1 years. Mean NC and WC were higher in MtS patients (p<0.001). Uroflowmetry parameters and QoL indexes were comparable between groups before treatment. International prostate symptom score, uroflowmetry parameters, and QoL significant improved in Group 2 than Group 1, at 1 st and 6 th months of treatment with alpha-blockers. Success rate of treatment was significant higher in Group 2 than Group 1 (p<0.001). Cut-off values were 42.5cm and 113.5cm for NC and WC respectively, for response to alpha-blockers in BPH patients with MtS. Conclusions MtS can be related with BPH and can negatively affect the response to alpha-blocker treatment. NC can be used for predicting response to alpha-blocker treatment in BPH patients with MtS.

  20. Diagnostic and prognostic value of brain natriuretic peptide (BNP) concentrations in very elderly heart disease patients: specific geriatric cut-off and impacts of age, gender, renal dysfunction, and nutritional status.

    Science.gov (United States)

    Blondé-Cynober, F; Morineau, G; Estrugo, B; Fillie, E; Aussel, C; Vincent, J-P

    2011-01-01

    Confirming the presence of heart failure (HF) in geriatric patients is made difficult by the overlapping symptoms with other diseases and by limited access to investigative techniques such as echography, and the clinical signs are either non-constant or difficult to interpret. In this context, BNP measurement could prove highly useful. We determined a cut-off value of BNP for diagnosing HF in geriatric patients and gauged its predictive power in terms of cardiovascular events, dependence and death within a 6-month timeframe. This clinical and biological study was performed in patients, 44 women and 20 men, age>65 years with suspected HF hospitalized in the geriatric unit at Emile-Roux hospital. Echography was performed at baseline examination. BNP concentrations were determined at baseline examination and at 2 and 6 months later. Renal function was assessed via the Cockroft-Gault formula. Nutritional status was assessed using the geriatric nutritional risk index (GNRI). Final reference diagnosis was established by both cardiologist and geriatrician. The diagnostic value of BNP was assessed by area under the ROC curve. The average age of the 64 patients was 84.3±7.4 years. The final diagnosis was HF in 26 patients (41%). A BNPvalue of 90% (accuracy 80%) for excluding the diagnosis of HF. BNP values were predictive of cardiovascular events over a 2-month timeframe in patients with HF and over a 6-month timeframe in the global population. BNP values were not predictive of mortality in patients with or without HF. BNP testing should help to differentiate pulmonary from cardiac etiologies of dyspnea, but a specific cut-off point has to be used in geriatric settings, mainly for patients presenting nutritional and renal dysfunctions.

  1. Utility and Cutoff Value of Hair Nicotine as a Biomarker of Long-Term Tobacco Smoke Exposure, Compared to Salivary Cotinine

    Directory of Open Access Journals (Sweden)

    Sungroul Kim

    2014-08-01

    Full Text Available While hair samples are easier to collect and less expensive to store and transport than biological fluids, and hair nicotine characterizes tobacco exposure over a longer time period than blood or urine cotinine, information on its utility, compared with salivary cotinine, is still limited. We conducted a cross-sectional study with 289 participants (107 active smokers, 105 passive smokers with self-reported secondhand smoke (SHS exposure, and 77 non-smokers with no SHS exposure in Baltimore (Maryland, USA. A subset of the study participants (n = 52 were followed longitudinally over a two-month interval.  Median baseline hair nicotine concentrations for active, passive and non-smokers were 16.2, 0.36, and 0.23 ng/mg, respectively, while those for salivary cotinine were 181.0, 0.27, and 0.27 ng/mL, respectively. Hair nicotine concentrations for 10% of passive or non-smokers were higher than the 25th percentile value for active smokers while all corresponding salivary cotinine concentrations for them were lower than the value for active smokers. This study showed that hair nicotine concentration values could be used to distinguish active or heavy passive adult smokers from non-SHS exposed non-smokers. Our results indicate that hair nicotine is a useful biomarker for the assessment of long-term exposure to tobacco smoke.

  2. Validation of 24-Hour Posaconazole and Voriconazole MIC Readings versus the CLSI 48-Hour Broth Microdilution Reference Method: Application of Epidemiological Cutoff Values to Results from a Global Candida Antifungal Surveillance Program▿

    Science.gov (United States)

    Pfaller, M. A.; Boyken, L. B.; Hollis, R. J.; Kroeger, J.; Messer, S. A.; Tendolkar, S.; Diekema, D. J.

    2011-01-01

    We performed 24- and 48-h MIC determinations of posaconazole and voriconazole against more than 16,000 clinical isolates of Candida species. By using the 24- and 48-h epidemiological cutoff values (ECVs), the categorical agreement between the 24-h and reference 48-h broth microdilution results ranged from 97.1% (C. parapsilosis and voriconazole) to 99.8% (C. krusei and voriconazole), with 0.0 to 2.9% very major discrepancies (VMD). The essential agreement (within 2 log2 dilutions) between the 24- and 48-h results was 99.6% for both posaconazole and voriconazole. The MIC results obtained for both posaconazole and voriconazole after only 24 h of incubation may be used to determine the susceptibilities of Candida spp. to these important antifungal agents. The applications of ECVs to this large collection of Candida isolates suggests the potential to develop 24-h species-specific clinical breakpoints for both posaconazole and voriconazole. PMID:21289155

  3. Neck circumference as a potential marker of metabolic syndrome among college students1

    Science.gov (United States)

    Pereira, Dayse Christina Rodrigues; de Araújo, Márcio Flávio Moura; de Freitas, Roberto Wagner Júnior Freire; Teixeira, Carla Regina de Souza; Zanetti, Maria Lúcia; Damasceno, Marta Maria Coelho

    2014-01-01

    OBJECTIVE: to relate neck circumference with metabolic syndrome and its criteria among college students. METHOD: cross-sectional study conducted with 702 college students in Fortaleza, CE, Brazil from September 2010 to June 2011. Socio-demographic data, waist circumference and neck circumference were collected together with blood pressure, fasting blood sugar, triglyceride levels, and HDL-C. RESULTS: 1.7% of the studied sample presented metabolic syndrome. Of these, 58.3% presented altered neck circumference (p<0.006). As neck circumference decreases, pressure levels improve (p<0.001). Additionally, college students with high fasting blood sugar (p=0.003) and high triglyceride levels (p<0.001) presented higher values of neck circumference. CONCLUSION: neck circumference is a potential predictive marker in the detection of metabolic syndrome and its components among college students. PMID:25591092

  4. Neck circumference as a potential marker of metabolic syndrome among college students

    Directory of Open Access Journals (Sweden)

    Dayse Christina Rodrigues Pereira

    2014-12-01

    Full Text Available OBJECTIVE: to relate neck circumference with metabolic syndrome and its criteria among college students.METHOD: cross-sectional study conducted with 702 college students in Fortaleza, CE, Brazil from September 2010 to June 2011. Socio-demographic data, waist circumference and neck circumference were collected together with blood pressure, fasting blood sugar, triglyceride levels, and HDL-C.RESULTS: 1.7% of the studied sample presented metabolic syndrome. Of these, 58.3% presented altered neck circumference (p<0.006. As neck circumference decreases, pressure levels improve (p<0.001. Additionally, college students with high fasting blood sugar (p=0.003 and high triglyceride levels (p<0.001 presented higher values of neck circumference.CONCLUSION: neck circumference is a potential predictive marker in the detection of metabolic syndrome and its components among college students.

  5. Neck Circumference and Cardio- Metabolic Syndrome

    OpenAIRE

    Kumar, Nagendran Vijaya; Ismail, Mohammed H.; P, Mahesha; M, Girish; Tripathy, Monica

    2014-01-01

    Background: Only few studies about neck circumference (NC) as a measure of cardio metabolic syndrome available from India. Study was conducted to establish an association between neck circumference and cardio metabolic syndrome.

  6. Roc curve analysisia of optimal cutoff value of SASRQ for screening acute stress disorder after earthquake%地震后斯坦福急性应激反应问卷最佳筛查阈值ROC分析

    Institute of Scientific and Technical Information of China (English)

    温盛霖; 陶炯; 王相兰; 郑俩荣; 李雷俊; 甘照宇; 单鸿; 张晋碚

    2011-01-01

    Objective: To assess acute stress disoder (ASD) symptoms and study the optimal cutoff value of Stanford acute stress reaction questionnaire ( SASRQ) among victims of earthquake in temporary settlements. Methods; Two hundred and twenty-three victims were randomly chosen and measured by SASRQ. Then data were analyzed according to symptom criteria of DSM-IV ASD , and the result of symptomatology analysis was taken as actual state variable of ROC curve and total score of SASRQ as the test variable. The point on ROC curve having the highest Youden Index was considered as the optimal cutoff value. Results: Sixteen cases (7. 2% ) of victims met symptom criteria of DSM-IV ASD among victims. There were 69 cases (30. 9% ) with dissociative symptoms, 98 cases (44. 0% ) with re-experiencing trauma, 70 cases (31. 4% ) with avoidance and 117cases (52. 5% ) with arousal or anxiety. Area under the curve (AUC) of ROC was 0. 907 ±0. 021 (95%CI: 0.865-0.939), P< 0. 01. The point of 40 had the highest Youden Index of 0. 771, and had a sensitivity of 0. 938 and specificity of 0. 773. Conclusion; ASD symptoms are common among victims in temporary settlements still the second week after Wenchuan Earthquake, and 40 may be the optimal cutoff value of SASRQ for screening ASD symptoms.%目的:评估地震后第2周转移安置点灾民的急性应激障碍(ASD).探讨斯坦福急性应激反应问卷(SASRQ)的最佳筛查阈值.方法:利用SASRQ对灾民223人进行评估,根据美国精神障碍诊断和统计手册第4版(DSM-IV)症状标准进行症状学分析,以此结果为状态变量,以SASRQ量表总分为检测变量得到ROC曲线,以曲线上约登指数最大点为SASRQ最佳筛查阈值.结果:16人(7.2%)符合DSM-IV的ASD症状学诊断标准.有分离症状69人(30.9%),创伤再体验症状98人(44.0%),回避症状70人(31.4%),焦虑或醒觉性增高症状117人(52.5%).ROC曲线下面积0.907 ±0.021 (95%CI:0.865 ~0.939),P<O.01.以SASRQ总分40分

  7. Waist Circumferences of Chilean Students: Comparison of the CDC-2012 Standard and Proposed Percentile Curves

    Science.gov (United States)

    Gómez-Campos, Rossana; Lee Andruske, Cinthya; Hespanhol, Jefferson; Sulla Torres, Jose; Arruda, Miguel; Luarte-Rocha, Cristian; Cossio-Bolaños, Marco Antonio

    2015-01-01

    The measurement of waist circumference (WC) is considered to be an important means to control overweight and obesity in children and adolescents. The objectives of the study were to (a) compare the WC measurements of Chilean students with the international CDC-2012 standard and other international standards, and (b) propose a specific measurement value for the WC of Chilean students based on age and sex. A total of 3892 students (6 to 18 years old) were assessed. Weight, height, body mass index (BMI), and WC were measured. WC was compared with the CDC-2012 international standard. Percentiles were constructed based on the LMS method. Chilean males had a greater WC during infancy. Subsequently, in late adolescence, males showed values lower than those of the international standards. Chilean females demonstrated values similar to the standards until the age of 12. Subsequently, females showed lower values. The 85th and 95th percentiles were adopted as cutoff points for evaluating overweight and obesity based on age and sex. The WC of Chilean students differs from the CDC-2012 curves. The regional norms proposed are a means to identify children and adolescents with a high risk of suffering from overweight and obesity disorders. PMID:26184250

  8. Waist Circumferences of Chilean Students: Comparison of the CDC-2012 Standard and Proposed Percentile Curves

    Directory of Open Access Journals (Sweden)

    Rossana Gómez-Campos

    2015-07-01

    Full Text Available The measurement of waist circumference (WC is considered to be an important means to control overweight and obesity in children and adolescents. The objectives of the study were to (a compare the WC measurements of Chilean students with the international CDC-2012 standard and other international standards, and (b propose a specific measurement value for the WC of Chilean students based on age and sex. A total of 3892 students (6 to 18 years old were assessed. Weight, height, body mass index (BMI, and WC were measured. WC was compared with the CDC-2012 international standard. Percentiles were constructed based on the LMS method. Chilean males had a greater WC during infancy. Subsequently, in late adolescence, males showed values lower than those of the international standards. Chilean females demonstrated values similar to the standards until the age of 12. Subsequently, females showed lower values. The 85th and 95th percentiles were adopted as cutoff points for evaluating overweight and obesity based on age and sex. The WC of Chilean students differs from the CDC-2012 curves. The regional norms proposed are a means to identify children and adolescents with a high risk of suffering from overweight and obesity disorders.

  9. ROC curve establish to cut-off value of hematologic indicators for thalassemia screening%ROC曲线确立血液学各指标在地贫筛查中的CUT-OFF值

    Institute of Scientific and Technical Information of China (English)

    张强; 何升; 阙婷; 唐燕青

    2013-01-01

    Objective: Establish to cut - off value of hematologic indicators for thalassemia screening. Methods: Use SYSMEX he- matology analyzer to detect MCV, MCH, RDW - CV, Hb RBC, use HPLC analyzer HBA2. All of examples carry out thalassemia gene test which apply gap - per and RDB principle. Result: MCV MCH are better than other hematologic indicators. In thalassemia screening. MCV is higher than MCH RDW - CV HBA2 showed value for β thalassemia screening. RBC and HB have screening of limited value. Conclusion; Laboratory should establish; to suit cutoff value in order to ruduse missed diagnosis and Diagnostic Errors.%目的 用ROC曲线(受试者工作特征曲线)确立各血液学指标在地贫筛查中的切值.方法 以SYSMEX五分类血细胞分析仪进行全血细胞计数,记录RBC,HB,MCH,MCV,RDW-CV的数值.用伯乐HPLC进行血红蛋白电泳分析记录HBA2值.所有标本进行地中海贫血基因检测.采用gap-pcr及RDB(反向点杂交)原理对筛查结果进行验证.结果 在地贫筛查中MCV和MCH比较有价值,MCV的价值略大于MCH,RDW-CV,和HBA2对β地贫的筛查价值更加的显著,而RBC及HB在地贫筛查中价值不大.结论 为减少漏诊及误诊,实验室应该建立合适的切值

  10. Silverman Anderson评分预测早产儿呼吸衰竭的诊断界值%The diagnostic cutoff value of Silverman Anderson predicting preterm children with respiratory failure

    Institute of Scientific and Technical Information of China (English)

    郭浩伟; 胡金绘; 朱红利; 吕艳关; 查丽; 武荣

    2014-01-01

    Objective To explore the diagnostic cutoff value of the Silverman Anderson score(SA) predict to preterm infant with respiratory failure(RF).Methods From January 2013 to December 2013,160 cases of the preterm infants with RF who needed for oxygen therapy were randomly selected from the Huaian Maternity and Child Healthcare Hospital.SA scores of all preterm infants at admission were respectively recorded,while extracting radial arterial for blood gas analysis.The diagnosis of RF were determined by comprehensive analysis.The diagnostic cutoff of the SA predicting preterm RF were confirmed by receiver operating characteristic (ROC)curve.Results RF rate was 63.8%.SA score was 5.24 ±1.22.The area under the ROC curve was 0.91,area of the standard error was 0.023.95% confidence interval area was 0.866-0.955.There was statistically significance in SA value for the diagnosis of preterm RF(P=0.000). The higher value of SA was,the greater the likelihood of preterm RF was.When the dangers of missed diagnosis rate is equal to that of misdiagnosis rate,the optimal SA diagnostic cutoff value was 5 .5 ,the sensitivity was 67.6%,misdiagnosis rate was 3.4%and missed diagnosis rate was 37.1%.When sensitivity and misdiagnosis were rate dominant,the optimal SA diagnostic cutoff value was 4.5,the sensitivity was 93.1%,misdiagnosis rate was 31.0% and missed diagnosis rate was 14.9%.Conclusions The SA score can early predict preterm RF.It might help the clinicians to rapidly assess the severity extent of preterm infants with RF and give appropriate measures to the preterm infants at the bedside.Therefore,it might improve the quality of treatment of the preterm infants with RF.%目的:探讨Silverman Anderson(SA)评分预测早产儿呼吸衰竭的诊断界值。方法选取2013年1-12月入住淮安市妇幼保健院新生儿医学中心的胎龄小于37周、吸入空气下、脉搏氧饱和度小于85.0%、需要氧疗的新生儿160例,分别在入院时进行SA评分,

  11. 18F-FDG PET/CT诊断非小细胞肺癌中最大标准摄值法适宜诊断界值的研究%Optimized Cutoff Value of Maximum Standardized Uptake Value for Diagnosing Non-Small Cell Lung Cancer Using 18F-FDG PET/CT

    Institute of Scientific and Technical Information of China (English)

    童瑶; 高琴; 谢和宾; 曹霞; 李晓翠; 王乐三

    2012-01-01

    目的 探讨18F-FDG PET/CT最大标准摄取值(SUVmax)在非小细胞肺癌(NSCLC)中的适宜诊断界值.资料与方法 102例行胸部或全身PET/CT检查并经支气管内镜病理、肿块穿刺细胞学检查、术后病理确诊证实的肺部良、恶性病变患者,根据Youden指数最大原则、误诊率与漏诊率同等重要原则、正确率最大原则寻找18F-FDG PET/CT SUVmax鉴别NSCLC与肺良性病变的适宜诊断标准.结果 18F-FDG PET/CT诊断NSCLC与肺良性病变时,Youden指数最大原则下的适宜诊断界值为S UVmax=2.8,误诊率与漏诊率同等重要原则下的适宜诊断界值为SUVmax=5.45,正确率最大原则下的适宜诊断界值为SUVmax=2.8.结论 SUVmax鉴别NSCLC与肺良性病变的适宜诊断标准为2.8.%Purpose To investigate the suitable cutoff value of maximum standardized uptake value (SUVmax) for diagnosing non-small cell lung cancer (NSCLC) using 18F-FDG PET/CT. Materials and Methods 102 patients with malignant or benign pulmonary lesions proved by pathology underwent PET/CT The suitable cutoff value of SUVmax for 18F-FDG PET/CT was determined to differentiate NSCLC from pulmonary benign lesions based on Youden's index maximum, rate of equal false positive and false negative and accuracy maximum principle. Results The optimal cutoff values of SUVmax were 2.8, 5,45 and 2.8, respectively according to the rule of Youden's index maximum, rate of equal false positive and false negative, and the accuracy maximum. Conclusion The optimal cutoff value of SUVmax to differentiate NSCLC from pulmonary benign lesions is 2.8.

  12. Screening value of neck circumference for obstructive sleep apnea in patients with atrial fibrillation%颈围在心房颤动患者合并阻塞性睡眠呼吸暂停初筛中的意义

    Institute of Scientific and Technical Information of China (English)

    汤日波; 史力生; 何华; 刘双; 马长生; 丁少芳; 王丽; 刘红艳; 董建增; 刘兴鹏; 刘小慧

    2009-01-01

    Objective To investigate the screening value of neck circumference(NC)and adjusted neck circumference(ANC)for obstructive sleep apnea(OSA)in patients with atrial fibrillation(AF).Methods NC and ANC were measured in 50 patients with AF who underwent polysomnography.ANC=NC+4.0 cm(if hypertension exists)+3.0 am(if habitual snore exists)+3.0 cm(if choke or gasp exists at most night).Correlation analysis and receiver operating characteristic curve(ROC)were performed to evaluate the accuracy of NC and ANC for screening OSA.Results 36 patients had OSA by polysomnography.The NC and ANC were significantly higher in the OSA group than in the no-OSA group,with the mean value of 42.3±3.3 cm VS 39.9±2.6 cm (t=2.411,P=0.020)and 49.6±4.4 cm VS 45.2±4.5 cm(t=3.168,P=0.003),respectively.NC and ANC were correlated to the severity of OSA with the r valaes of 0.566(P<0.01)and 0.629(P<0.01),respectively.There was no significant difference between the area under the ROC of NC and ANC(0.729 VS 0.746,P=0.545).At a cutoff point of 41.2 cm and 47.0 cm,the sensitivity,specificity of NC for diagnosis of OSA were 74.3%,71.4% and 71.4%.71.4%respectively.Conclusion Both NC and ANC are simple and valid indices for screening OSA in patients with AF.%目的 探讨颈围、校正颈围筛查心房颤动(房颤)患者合并阻塞性睡眠呼吸暂停(OSA)的准确性.方法 入选行睡眠呼吸监测的房颤患者50例,测量颈围,计算校正颈围[校正颈围(cm)=实际颈围(cm)+4.0 cm(如果患者有高血压)+3.0 cm(如果患者有习惯性打鼾)+3.0 cm(如果患者夜间睡眠有憋气/窒息)].颈围、校正颈围与OSA严重程度行相关分析,通过受试者工作特征曲线评价颈围、校正颈围诊断OSA的正确性.以睡眠呼吸监测为金标准确定颈围、校正颈围诊断OSA的敏感性和特异性.结果 36例(72%)房颤患者有OSA,OSA组颈围显著大于非OSA组[(42.3±3.3)cm与(39.9±2.6)cm,t=2.411,P=0.020],OSA组校正颈围与非OSA组

  13. Comparison of VerifyNow-P2Y12 test and Flow Cytometry for monitoring individual platelet response to clopidogrel. What is the cut-off value for identifying patients who are low responders to clopidogrel therapy?

    Directory of Open Access Journals (Sweden)

    Castelli Alfredo

    2009-05-01

    Full Text Available Abstract Background Dual anti-platelet therapy with aspirin and a thienopyridine (DAT is used to prevent stent thrombosis after percutaneous coronary intervention (PCI. Low response to clopidogrel therapy (LR occurs, but laboratory tests have a controversial role in the identification of this condition. Methods We studied LR in patients with stable angina undergoing elective PCI, all on DAT for at least 7 days, by comparing: 1 Flow cytometry (FC to measure platelet membrane expression of P-selectin (CD62P and PAC-1 binding following double stimulation with ADP and collagen type I either in the presence of prostaglandin (PG E1; 2 VerifyNow-P2Y12 test, in which results are reported as absolute P2Y12-Reaction-Units (PRU or % of inhibition (% inhibition. Results Thirty controls and 52 patients were analyzed. The median percentage of platelets exhibiting CD62P expression and PAC-1 binding by FC evaluation after stimulation in the presence of PG E1 was 25.4% (IQR: 21.4–33.1% and 3.5% (1.7–9.4%, respectively. Only 6 patients receiving DAT (11.5% had both values above the 1st quartile of controls, and were defined as LR. Evaluation of the same patients with the VerifyNow-P2Y12 test revealed that the area under the receiver-operating-characteristic (ROC curve was 0.94 (95% CI: 0.84–0.98, p 213 PRU gave the maximum accuracy for the detection of patients defined as having LR by FC. Conclusion In conclusion our findings show that a cut-off value of ≤ 15% inhibition or > 213 PRU in the VerifyNow-P2Y12 test may provide the best accuracy for the identification of patients with LR.

  14. Three-dimensional US assessment of hepatic volume, head circumference, and abdominal circumference in healthy and growth-restricted fetuses

    NARCIS (Netherlands)

    S.M. Boito; J.A.M. Laudij (Jacqueline); P.C. Struijk (Pieter); Th. Stijnen (Theo); J.W. Wladimiroff (Juriy)

    2002-01-01

    textabstractPURPOSE: To establish reproducibility and normal values for fetal hepatic volume and its significance in identification of fetal growth restriction relative to head and upper abdominal circumferences according to a cross-sectional study design. MATERIALS AND METHODS: Pr

  15. Measurement of Gastric Circumference in Foetuses with Oesophageal Atresia.

    Science.gov (United States)

    Hoopmann, M; Kagan, K O; Borgmeier, F; Seitz, G; Arand, J; Wagner, P

    2015-11-01

    Background: The specific recognition of oesophageal atresia (OA) with or without a tracheal fistula in a foetus is a diagnostic challenge for prenatal medicine. The aim of the present work is to analyse the value of the measurement of gastric size in the diagnosis of this significant malformation. Materials and Methods: Altogether, the examinations of 433 pregnancies between the 18.4 and 39.1 weeks of gestation were retrospectively analysed. 59 of these foetuses exhibited an OA. By means of a linear regression analysis with normal foetuses, significant parameters influencing gastric size were examined. Subsequently the gastric sizes were transformed into z values and a comparison was made between OA with and without fistulae with the help of t tests. Results: In the normal foetuses there was a significant association between the gastric circumference and the abdominal circumference (circumference = 6.809 + 0.179 × abdominal circumference, r = 0.686, p values in the normal group and in the groups of OA with fistula and without fistula amounted to 0.0 (SD 1.0), -1.3 (SD 2.2) and -4.5 (SD 1.0). Conclusion: Measurements of the gastric circumference below the 5th percentile should lead to further diagnostic measures, especially when associated with polyhydramnios. Although OA without a fistula is always conspicuous, only about one in three OAs with fistula are associated with a significantly smaller stomach.

  16. Wild-Type MIC Distributions and Epidemiological Cutoff Values for the Triazoles and Six Aspergillus spp. for the CLSI Broth Microdilution Method (M38-A2 Document)▿

    Science.gov (United States)

    Espinel-Ingroff, A.; Diekema, D. J.; Fothergill, A.; Johnson, E.; Pelaez, T.; Pfaller, M. A.; Rinaldi, M. G.; Canton, E.; Turnidge, J.

    2010-01-01

    Clinical breakpoints have not been established for mold testing. Wild-type (WT) MIC distributions (organisms in a species/drug combination with no detectable acquired resistance mechanisms) were defined in order to establish epidemiologic cutoff values (ECVs) for five Aspergillus spp. and itraconazole, posaconazole, and voriconazole. Also, we have expanded prior ECV data for Aspergillus fumigatus. The number of available isolates varied according to the species/triazole combination as follows: 1,684 to 2,815 for A. fumigatus, 323 to 592 for A. flavus, 131 to 143 for A. nidulans, 366 to 520 for A. niger, 330 to 462 for A. terreus, and 45 to 84 for A. versicolor. CLSI broth microdilution MIC data gathered in five independent laboratories in Europe and the United States were aggregated for the analyses. ECVs expressed in μg/ml were as follows (percentages of isolates for which MICs were equal to or less than the ECV are in parentheses): A. fumigatus, itraconazole, 1 (98.8%); posaconazole, 0.5 (99.2%); voriconazole, 1 (97.7%); A. flavus, itraconazole, 1 (99.6%); posaconazole, 0.25 (95%); voriconazole, 1 (98.1%); A. nidulans, itraconazole, 1 (95%); posaconazole, 1 (97.7%); voriconazole, 2 (99.3%); A. niger, itraconazole, 2 (100%); posaconazole, 0.5 (96.9%); voriconazole, 2 (99.4%); A. terreus, itraconazole, 1 (100%); posaconazole, 0.5 (99.7%); voriconazole, 1 (99.1%); A. versicolor, itraconazole, 2 (100%); posaconazole, 1 (not applicable); voriconazole, 2 (97.5%). Although ECVs do not predict therapy outcome as clinical breakpoints do, they may aid in detection of azole resistance (non-WT MIC) due to cyp51A mutations, a resistance mechanism in some Aspergillus spp. These ECVs should be considered for inclusion in the future CLSI M38-A2 document revision. PMID:20592159

  17. Prevalence of abdominal obesity in Spanish children and adolescents. Do we need waist circumference measurements in pediatric practice?

    Directory of Open Access Journals (Sweden)

    Helmut Schröder

    Full Text Available BACKGROUND: Evidence indicates that central adiposity has increased to a higher degree than general adiposity in children and adolescents in recent decades. However, waist circumference is not a routine measurement in clinical practice. OBJECTIVE: This study aimed to determine the prevalence of abdominal obesity based on waist circumferences (WC and waist to height ratio (WHtR in Spanish children and adolescents aged 6 to 17 years. Further, the prevalence of abdominal obesity (AO among normal and overweight individuals was analyzed. DESIGN: Data were obtained from a study conducted from 1998 to 2000 in a representative national sample of 1521 children and adolescents aged 6 to 17 years (50.0% female in Spain. WC and WHtR measurements were obtained in addition to BMI. AO was defined as WHtR ≥0.50 (WHtR-AO, sex and age specific WC≥90(th percentile (WC-AO1, and sex and age specific WC cut-off values associated with high trunk fat measured by by dual-energy X-ray absorptiometry (WC-AO2. RESULTS: IOTF- based overweight and obsity prevalence was 21.5% and 6.6% in children and 17.4% and 5.2% in adolescents, respectively. Abdominal obesity (AO was defined as WHtR≥0.50 (WHtR-AO, sex- and age-specific WC≥90th percentile (WC-AO1, and sex- and age-specific WC cut-off values associated with high trunk fat measured by dual-energy X-ray absorptiometry (WC-AO2. The respective prevalence of WHtR-AO, WC-AO1, and WC-AO2 was 21.3% (24.6% boys; 17.9% girls, 9.4% (9.1% boys; 9.7% girls, and 26.8% (30.6% boys;22.9% girls in children and 14.3% (20.0% boys; 8.7% girls, 9.6% (9.8% boys; 9.5% girls, and 21.1% (28.8% boys; 13.7% girls in adolescents. CONCLUSION: The prevalence of AO in Spanish children and adolescents is of concern. The high proportion of AO observed in young patients who are normal weight or overweight indicates a need to include waist circumference measurements in routine clinical practice.

  18. Head circumference in Iranian infants

    Directory of Open Access Journals (Sweden)

    Mohammad Esmaeili

    2015-03-01

    Full Text Available Introduction: Head circumference (HC measurement is one of the important parameter for diagnosis of neurological, developmental disorders and dysmorphic syndromes. Recognition of different disorders requires an understanding of normal variation for HC size, in particular, in infancy period with most rapid growth of the brain. Because of international and interracial standard chart differences about anthropometric indices, some differences from local to local, generation to generation and changes in ethnic mix of population and socioeconomic factors, periodic revolution of HC size is suggested. The aims of our study were presenting local HC standard for an Iranian infant population and comparison with the American national center of health statistics (NCHS charts accepted by WHO. Methods: 1003 subjects aged from birth to 24 months apparently healthy normal children enrolled randomly in this cross sectional study. HC size were measured and recorded. Tables and graphs were depicted by Excel Microsoft Office 2007. We use two tailed t-student test for statistical analysis. Results: The mean of HC size in boys was larger than girls. The curves were followed a similar pattern to NCHS based on a visual comparison. Overall our subjects in both sexes at birth time had smaller HC size than NCHS. In other ages our children had larger HC size than those of NCHS. Conclusion: Because of international and interracial difference of HC size. We recommend in each area of the world, local anthropometric indices are constructed and used clinically. In addition more extensive and longitudinally design comprehensive studies is suggested.

  19. Maternal Obesity and Neck Circumference.

    Science.gov (United States)

    Anglim, B; O'Higgins, A; Daly, N; Farren, M; Turner, M J

    2015-06-01

    Obese women are more likely to require general anaesthesia for an obstetric intervention than non-obese. Difficult tracheal intubation and oxygen desaturation is more common in pregnancy. Failed tracheal intubation has been associated with an increase in neck circumference (NC). We studied the relationship between maternal obesity and NC as pregnancy advanced in women attending a standard antenatal clinic. Of the 96 women recruited, 13.5% were obese. The mean NC was 36.8cm (SD 1.9) in the obese women compared with 31.5cm (SD 1.6) in women with a normal BMI (p < 0.001) at 18-22 weeks gestation. In the obese women it increased on average by 1.5cm by 36-40 weeks compared with an increase of 1.6 cm in women with a normal BMI. The antenatal measurement of NC is a simple, inexpensive tool that is potentially useful for screening obese women who may benefit from an antenatal anaesthetic assessment.

  20. Cutoff lensing: predicting catalytic sites in enzymes

    Science.gov (United States)

    Aubailly, Simon; Piazza, Francesco

    2015-10-01

    Predicting function-related amino acids in proteins with unknown function or unknown allosteric binding sites in drug-targeted proteins is a task of paramount importance in molecular biomedicine. In this paper we introduce a simple, light and computationally inexpensive structure-based method to identify catalytic sites in enzymes. Our method, termed cutoff lensing, is a general procedure consisting in letting the cutoff used to build an elastic network model increase to large values. A validation of our method against a large database of annotated enzymes shows that optimal values of the cutoff exist such that three different structure-based indicators allow one to recover a maximum of the known catalytic sites. Interestingly, we find that the larger the structures the greater the predictive power afforded by our method. Possible ways to combine the three indicators into a single figure of merit and into a specific sequential analysis are suggested and discussed with reference to the classic case of HIV-protease. Our method could be used as a complement to other sequence- and/or structure-based methods to narrow the results of large-scale screenings.

  1. Comparison of the Sensititre YeastOne colorimetric antifungal panel with CLSI microdilution for antifungal susceptibility testing of the echinocandins against Candida spp., using new clinical breakpoints and epidemiological cutoff values.

    Science.gov (United States)

    Pfaller, M A; Chaturvedi, V; Diekema, D J; Ghannoum, M A; Holliday, N M; Killian, S B; Knapp, C C; Messer, S A; Miskou, A; Ramani, R

    2012-08-01

    A commercially prepared dried colorimetric microdilution panel (Sensititre Yeast One, TREK Diagnostic Systems, Cleveland, OH, USA) was compared in 3 different laboratories with the Clinical and Laboratory Standards Institute (CLSI) reference microdilution method by testing 2 quality control strains, 25 reproducibility strains, and 404 isolates of Candida spp. against anidulafungin, caspofungin, and micafungin. Reference CLSI BMD MIC end points and YeastOne colorimetric end points were read after 24 h of incubation. Excellent (100%) essential agreement (within 2 dilutions) between the reference and colorimetric MICs was observed. Categorical agreement (CA) between the 2 methods was assessed using the new species-specific clinical breakpoints (CBPs): susceptible (S), ≤0.25 μg/mL; intermediate (I), 0.5 μg/mL; and resistant (R), ≥1 μg/mL, for C. albicans, C. tropicalis, and C. krusei, and ≤2 μg/mL (S), 4 μg/mL (I), and ≥8 μg/mL (R) for C. parapsilosis and all 3 echinocandins. The new CBPs for anidulafungin and caspofungin and C. glabrata are ≤0.12 μg/mL (S), 0.25 μg/mL (I), and ≥0.5 μg/mL (R), whereas those for micafungin are ≤0.06 μg/mL (S), 0.12 μg/mL (I), and ≥0.25 μg/mL (R). Due to the lack of CBPs for any of the echinocandins and C. lusitaniae, the epidemiological cutoff values (ECVs) were used for this species to categorize the isolates as wild-type (WT; MIC ≤ECV) and non-WT (MIC >ECV), respectively, for anidulafungin (≤2 μg/mL/>2 μg/mL), caspofungin (≤1 μg/mL/>1 μg/mL), and micafungin (≤0.5 μg/mL/>0.5 μg/mL). CA ranged from 93.6% (caspofungin) to 99.6% (micafungin) with less than 1% very major or major errors. The YeastOne colorimetric method remains comparable to the CLSI BMD reference method for testing the susceptibility of Candida spp. to the echinocandins when using the new (lower) CBPs and ECVs. Further study using defined fks mutant strains of Candida is warranted.

  2. Echinocandin and triazole antifungal susceptibility profiles for clinical opportunistic yeast and mold isolates collected from 2010 to 2011: application of new CLSI clinical breakpoints and epidemiological cutoff values for characterization of geographic and temporal trends of antifungal resistance.

    Science.gov (United States)

    Pfaller, Michael A; Messer, Shawn A; Woosley, Leah N; Jones, Ronald N; Castanheira, Mariana

    2013-08-01

    The SENTRY Antimicrobial Surveillance Program monitors global susceptibility and resistance rates of newer and established antifungal agents. We report the echinocandin and triazole antifungal susceptibility patterns for 3,418 contemporary clinical isolates of yeasts and molds. The isolates were obtained from 98 laboratories in 34 countries during 2010 and 2011. Yeasts not presumptively identified by CHROMagar, the trehalose test, or growth at 42°C and all molds were sequence identified using internal transcribed spacer (ITS) and 28S (yeasts) or ITS, translation elongation factor (TEF), and 28S (molds) genes. Susceptibility testing was performed against 7 antifungals (anidulafungin, caspofungin, micafungin, fluconazole, itraconazole, posaconazole, and voriconazole) using CLSI methods. Rates of resistance to all agents were determined using the new CLSI clinical breakpoints and epidemiological cutoff value criteria, as appropriate. Sequencing of fks hot spots was performed for echinocandin non-wild-type (WT) strains. Isolates included 3,107 from 21 Candida spp., 146 from 9 Aspergillus spp., 84 from Cryptococcus neoformans, 40 from 23 other mold species, and 41 from 9 other yeast species. Among Candida spp., resistance to the echinocandins was low (0.0 to 1.7%). Candida albicans and Candida glabrata that were resistant to anidulafungin, caspofungin, or micafungin were shown to have fks mutations. Resistance to fluconazole was low among the isolates of C. albicans (0.4%), Candida tropicalis (1.3%), and Candida parapsilosis (2.1%); however, 8.8% of C. glabrata isolates were resistant to fluconazole. Among echinocandin-resistant C. glabrata isolates from 2011, 38% were fluconazole resistant. Voriconazole was active against all Candida spp. except C. glabrata (10.5% non-WT), whereas posaconazole showed decreased activity against C. albicans (4.4%) and Candida krusei (15.2% non-WT). All agents except for the echinocandins were active against C. neoformans, and the

  3. EFFECT OF KAPALBHATI PRANAYAMA ON WAIST AND HIP CIRCUMFERENCE

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    Dinkar

    2013-03-01

    Full Text Available ABSTRACT: CONTEXT (BACKGROUND AND AIMS: Rapid industrialization, environmental pollution, overcrowding, sedentary lifestyle and var ious stress factors are responsible for the deterioration of the physical health of a person. Als o, prevalence of obesity in developing countries is believed to be on the rise. This requi res special and specific techniques to transcend the limits of our physical and mental abilities exper ienced in everyday life. Hence, in the present study beneficial effect of Kapalbhati pranayama on wa ist circumference and hip circumference was studied in overweight individuals. METHODS AND MATERIALS: This study was conducted in a well-known tertiary hospital in Mumbai after th e institutional ethical clearance and written consent from each participant. A total of 60 overweig ht resident doctors were recruited in this study. The participants were divided into study and c ontrol groups, each group containing 30 subjects of both sexes. The study group was asked to perform Kapalbhati pranayama. The duration of the study was eight weeks. Waist circum ference and hip circumference were assessed in both the groups. STATISTICAL ANALYSIS: Paired t- test was applied for statistical analysis and p value <0.05 was considered the level of significance. RESULTS AND CONCLUSION: In study group, waist circumference and hip circumfe rence decreased significantly as compared to that of control group. T his shows that Kapalbhati pranayama has reducing impact on waist circumference and hip circum ference in overweight individuals. The neuroendocrine and autonomic nervous system mechani sms might be involved in the effects of Kapalbhati pranayama, which need further study.

  4. Relationship between Waist Circumference and Elevation of Carotid Intima-media Thickness in Newly-diagnosed Diabetic Patients

    Institute of Scientific and Technical Information of China (English)

    ZHANG Lei; JIA Wei Ping; SHEN Yun; ZHOU Jian; PAN Jie Min; YU Hao Yong; CHEN Hai Bing; LI Qing; LI Ming; BAO Yu Qian

    2014-01-01

    Objective Waist circumference, as a brief indicator of visceral obesity, is associated with multi-metabolic disorders and cardiovascular diseases. The present study was aimed to find out the relationship between waist circumference and carotid intima media thickness (C-IMT), as well as the best waist circumference cutoff for identifying C-IMT elevation in Chinese male patients with newly-diagnosed diabetes. Methods Five hundred and seventy-eight patients from Department of Endocrinology and Metabolism in Shanghai Sixth People’s Hospital affiliated to Shanghai Jiao Tong University were enrolled. Both physical examination (for measurement of waist circumference) and carotid ultrasonography (for measurement of C-IMT) were performed. Results After grouping according to the quartiles of C-IMT, the waist circumference increased across all its quartiles. The waist circumference in 3rd and 4th quartiles (90.7±9.8 cm and 90.8±9.6 cm) was significant higher than in 1st and 2nd quartiles (P Conclusion Among newly-diagnosed diabetic male patients, waist circumference over 90 cm not only reflects sub-clinical atherosclerosis in early stage, but also predicts the progression of atherosclerosis.

  5. Sensory cut-off point obtained from survival analysis statistics

    OpenAIRE

    Garitta, Lorena; Langohr, Klaus; Gómez Melis, Guadalupe; Hough, Guillermo; Beeren, Cindy

    2015-01-01

    In the present work we applied interval-censored survival analysis techniques to estimate sensory cut-off points based on consumer’s decision to accept or reject food products taking into account the inherent variability in sensory measurements. We compared the values obtained using this survival analysis methodology with those obtained by applying a previous regression based method. Cut-off point (COP) estimations were made for acid flavor in yogurt, strawberry flavor in a strawberry flav...

  6. 腰围与体重指数诊断儿童青少年代谢综合征临床价值比较%Comparison of the value of waist circumference with that of body mass index in diagnosing metabolic syndrome in children and adolescents

    Institute of Scientific and Technical Information of China (English)

    罗静思; 陈少科; 范歆; 唐睛; 冯莹

    2012-01-01

    Objective To evaluate the practical value of waist circumference and body mass index (BMI) in diagnosing metabolic syndrome (MS) in children and adolescents. Methods A random sampling method was used to select 7893 children and adolescents aged 6 to 18 years from 14 schools in Nanning City from June 2009 to October 2010.They were surveyed to analyze the correlation among waist circumference, BMI and MS detection indicators. Based on MS diagnostic criteria proposed by CDS and IDF(2007) ,receiver operating characteristic curve(ROC)was used to compare waist circumference's area under ROC curve and body mass index(BMI) 's for reflecting the accuracy of diagnosis of MS. Results (l)Average value of MS detection indicators,except for fasting blood glucose(FBG)and aspartate aminotransfer-ase(AST) ,was significantly different among the three groups, except that the mean of HDL-C decreased with the increase of obesity .These indexes in obesity group were higher than other two groups (P< 0.05). (2) Waist circumference and BMI were positively correlated with hip, waist-hip ratio, SBP, DBP, FBG.TG, LDL-C, FINS and HOMA-IR, but were negatively correlated with HDL-C. (3) Waist circumference predicted each component of MS more sensitively than BMI. In addition, waist circumference positive predictive value (except for HDL-C) was relatively better than BMI. (4) According to standard CDS, the area under ROC curve of waist circumference and BMI were 0.949 and 0.951,respective- ly. According to IDF (2007) , their area were 0.941 and 0.921. Conclusion Waist circumference has more diagnostic value than BMI in children and adolescents with MS. The waist measurement may be helpful for MS screening in children and adolescents.%目的 比较儿童青少年腰围与体重指数(BMI)在代谢综合征(MS)诊断中的实用价值.方法 采用随机抽样的方法于2009年6月至2010年10月从南宁市14所中小学中抽取6~18岁儿童青少年7893人,分析腰围、BMI与MS各检测指

  7. Prognostic value of Ki67 and p53 in patients with estrogen receptor-positive and human epidermal growth factor receptor 2-negative breast cancer: Validation of the cut-off value of the Ki67 labeling index as a predictive factor

    Science.gov (United States)

    OHARA, MASAHIRO; MATSUURA, KAZUO; AKIMOTO, ETSUSHI; NOMA, MIDORI; DOI, MIHOKO; NISHIZAKA, TAKASHI; KAGAWA, NAOKI; ITAMOTO, TOSHIYUKI

    2016-01-01

    The aim of this study was to evaluate the significance of the Ki67 labeling index and p53 status as prognostic and predictive indicators of operable estrogen receptor (ER)-positive and human epidermal growth factor receptor 2 (HER2)-negative breast cancer. Among 697 consecutive patients with primary breast cancer who underwent curative surgery between 2002 and 2013, 308 patients with ER-positive and HER2-negative breast cancer were assessed. The results of the multivariate Cox analysis demonstrated that a high Ki67 labeling index was significantly associated with a short recurrence-free interval (RFI) (p=0.004) and was marginally associated with a worse overall survival (p=0.074). A positive p53 status was not associated with worse outcomes. To validate the cut-off values of the Ki67 labeling index for identifying patients who may benefit from additional chemotherapy, prognostic factors were investigated in breast cancer patients treated postoperatively with endocrine therapy alone. Analysis of receiver operating characteristic curves demonstrated that a Ki67 labeling index cut-off of 20.0% was optimal for predicting recurrence among patients who did not receive adjuvant chemotherapy. The 5-year RFIs for patients with Ki67 <20 and ≥20% were 97.2 and 86.6%, respectively (p=0.0244). A high Ki67 labeling index (≥20%) was significantly associated with large tumors (p<0.01), lymph node metastasis (p=0.0236) and positive p53 status (p<0.001). The univariate analysis demonstrated that Ki67 labeling index ≥20%, lymph node metastasis and progesterone receptor negativity were significant worse prognostic factors for RFI (p=0.0333, 0.0116 and 0.0573, respectively). The Ki67 labeling index was found to be a useful prognostic factor in patients with ER-positive and HER2-negative breast cancer and the cut-off values of the Ki67 labeling index for making a decision regarding adjuvant treatment were validated. PMID:27073684

  8. Comparison of the Vitek 2 yeast susceptibility system with CLSI microdilution for antifungal susceptibility testing of fluconazole and voriconazole against Candida spp., using new clinical breakpoints and epidemiological cutoff values.

    Science.gov (United States)

    Pfaller, Michael A; Diekema, Daniel J; Procop, Gary W; Rinaldi, Michael G

    2013-09-01

    A commercially available, fully automated yeast susceptibility test system (Vitek 2; bioMérieux, Marcy d'Etoile, France) was compared in 3 different laboratories with the Clinical and Laboratory Standards Institute (CLSI) reference microdilution (BMD) method by testing 2 quality control strains, 10 reproducibility strains, and 425 isolates of Candida spp. against fluconazole and voriconazole. Reference CLSI BMD MIC endpoints and Vitek 2 MIC endpoints were read after 24 hours and 9.1-27.1 hours incubation, respectively. Excellent essential agreement (within 2 dilutions) between the reference and Vitek 2 MICs was observed for fluconazole (97.9%) and voriconazole (96.7%). Categorical agreement (CA) between the 2 methods was assessed using the new species-specific clinical breakpoints (CBPs): susceptible (S) ≤2 μg/mL, susceptible dose-dependent (SDD) 4 μg/mL, and resistant (R) ≥8 μg/mL for fluconazole and Candida albicans, Candida tropicalis, and Candida parapsilosis and ≤32 μg/mL (SDD), ≥64 μg/mL (R) for Candida glabrata; S ≤0.12 μg/mL, SDD 0.25-0.5 μg/mL, R ≥1 μg/mL for voriconazole and C. albicans, C. tropicalis, and C. parapsilosis, and ≤0.5 μg/mL (S), 1 μg/mL (SDD), ≥2 μg/mL (R) for Candida krusei. The epidemiological cutoff value (ECV) of 0.5 μg/mL for voriconazole and C. glabrata was used to differentiate wild-type (WT; MIC ≤ ECV) from non-WT (MIC > ECV) strains of this species. Due to the lack of CBPs for the less common species, the ECVs for fluconazole and voriconazole, respectively, were used for Candida lusitaniae (2 μg/mL and 0.03 μg/mL), Candida dubliniensis (0.5 μg/mL and 0.03 μg/mL), Candida guilliermondii (8 μg/mL and 0.25 μg/mL), and Candida pelliculosa (4 μg/mL and 0.25 μg/mL) to categorize isolates of these species as WT and non-WT. CA between the 2 methods was 96.8% for fluconazole and 96.5% for voriconazole with less than 1% very major errors and 1.3-3.0% major errors. The Vitek 2 yeast susceptibility system

  9. WAIST CIRCUMFERENCE AS INDICATOR COMPONENTS OF METABOLIC SYNDROME IN THE SIBERIAN POPULATION

    Directory of Open Access Journals (Sweden)

    G. I. Simonova

    2014-01-01

    Full Text Available Object of research: to determine the cut-off point of waist circumference (WC identify the components of metabolic syndrome (MS in a large industrial center of Western Siberia.In the period from 2003 to 2005 in the screening population surveyed 9362 people, including 4268 men (45.6% and 5094 women (54.4%.The response rate was 61%. The study protocol included a sociodemographic data, measurement of blood pressure (BP, anthropometry (height, weight, WC, the definition of biochemical parameters. Statistical analysis was performed using the package SPSS. To determine the cut-off points of the used ROC model.In the group with ≥2 components of MS cut-off point WC from the men was 93.3 cm (sensitivity 72%, specificity 83%, women – 90.2 cm (sensitivity 72%, specificity 62%.The lowest cut-off point WC marked BP ≥ 130/85 mm Hg for men – 90 cm (sensitivity 66.8%, specificity 58.1%, for women – 86.5 cm (sensitivity 71.0%, specificity 55.7%. The highest cut-off point from the defined patients with diabetes for men was 99.0 cm (sensitivity 61%, specificity 70.2%, for women – cm (sensitivity 64.1%, specificity 65.9%.Conclusions: Cut-off point from the persons with the presence of ≥2 MS components in Siberian population 45–69 years, in accordance with the ROC analysis are 93.3 cm for men and 90.2 cm for women. The lowest cut-off point WC marked BP ≥ 130/85 mm Hg for men – 90 cm, for women – 86.5 cm. The highest cut-off point from the defined patients with diabetes for men was 99.0 cm, for women – 95 cm.

  10. Waist circumference percentiles among Turkish children under the age of 6 years.

    Science.gov (United States)

    Hatipoglu, Nihal; Mazicioglu, M Mumtaz; Poyrazoglu, Serpil; Borlu, Arda; Horoz, Duygu; Kurtoglu, Selim

    2013-01-01

    Waist circumference, a proxy measure of abdominal obesity, is associated with cardio-metabolic risk factors in childhood and adolescence. Although there are numerous studies about waist circumference percentiles in children, only a few studies cover preschool children. The aim of this study was to develop age- and gender-specific waist circumference smoothed reference curves in Turkish preschool children to determine abdominal obesity prevalence and to compare them with reference curves obtained from different countries. The design of the study was cross-sectional. A total of 2,947 children (1,471 boys and 1,476 girls) aged 0-6 years were included in the study. The subjects were divided according to their gender. Waist circumference was measured by using a standardized procedure. The age- and gender-specific waist circumference reference curves were constructed and smoothed with LMS method. The reference values of waist circumference, including 3rd, 10th 25th, 50th, 75th, 90th, and 97th percentiles, and standard deviations were given for preschool children. Waist circumference values increased with age, and there were differences between genders. The prevalence of abdominal obesity was calculated as 10.1 % for boys and 10.7 % for girls. Having compared our data with two other countries' data, we found that our waist circumference data were significantly lower. This is the first cross-sectional study for age- and gender-specific references of 0- to 6-year-old Turkish children. The gender- and age-specific waist circumference percentiles can be used to determine the risk of central obesity.

  11. An approach for the delineation of a generic cut-off value for local respiratory tract irritation by irritating or corrosive substances as a pragmatic tool to fulfill REACH requirements.

    Science.gov (United States)

    Messinger, H

    2014-04-01

    Under the current European legislation for the Registration, Evaluation, Authorisation and restriction of Chemicals (REACHs) a Derived No Effect Level (DNEL) has to be delineated for acute and chronic inhalation effects. The majority of available experimental studies are performed by the oral route of exposure. Route to route extrapolation poses particular problems for irritating or corrosive substances but the necessity for additional animal studies with inhalation exposure needs to be balanced with the regulatory information requirements. Existing occupational exposure limits (OEL) as surrogate for cut-off limits representing safe exposure under working conditions were grouped under certain criteria for substances that are legally classified in Europe as irritating or corrosive. As a result, it was shown that the OEL for irritating substances in this dataset is not lower than 10mg/m(3) and for corrosives not lower than 1mg/m(3). Under certain conditions these generic limits could be applied as a pragmatic, but still sufficiently reliable and protective upper cut-off limit approach to avoid additional animal tests with irritating or corrosive chemicals. The respective systemic toxicity profiles and physical-chemical properties need to be considered. Specific exclusion criteria for the discussed concept apply.

  12. A Cutoff for Blackbody Radiation

    Science.gov (United States)

    Cahill, M.

    2000-05-01

    An analysis of the statistical mechanics of spherical star clusters and the simpler case of monatomic ideal gases is known to reveal that the Michie-King globular cluster energy cutoff can be written as \\varepsilonc ln ( N ) /line\\varepsilon where \\varepsilonc is the cutoff energy, /line=\\varepsilon is the average energy, the masses are assumed identical and where the number of cluster stars or gas particles, N, is large. The statistical methods leading to this result are shown to work for a photon gas. The usual method of dividing phase space into cells each with Λ quantum compartments to which Bose-Einstein statistics apply is used. The resulting distribution law is D (Λ -1+Λ ρ ) -D ( Λ ρ ) =\\varepsilon/ \\varepsilono where D is the logarithmic derivative of the factorial function, \\varepsilon and \\varepsilon o are respectively the energy variable and an energy constant characterising the distribution and where ρ is the quantum compartment particle number density ρ =h3dn/dω , with\\ dω being the phase space volume element. The distributions ρ ( \\varepsilon /\\varrepsilono, Λ ) are shown to be a one parameter family of distributions which approach the Planck law as Λ approaches ∞ . For large Λ , the photon density falls to 0, where it is cut off, at \\varepsilon = \\varepsilonc ln ( Λ ) /line\\varrepsilon. If the energy of a photon gas is finite, there must be a frequency cutoff since photon energy is proportional to frequency. It follows that Λ is finite, it is shown that Λ N, and that the Planck law is an excellent approximation for its distribution except in the tail region. Also the last 2 equations imply equation 1 holds for the photon gas.

  13. Cutoff-cladding waveguides: Subdiffraction guided modes near cutoff

    CERN Document Server

    Gan, C H

    2014-01-01

    We propose a class of waveguides operating near cutoff such that electromagnetic energy is mainly bound to the cladding rather than the dielectric core to achieve subdiffraction confinement of light. The cladding incorporates an alternating stack of thin films that exhibit uniaxial form birefringence with a high contrast between the effective principal dielectric constants. In contrast to conventional dielectric waveguides, the effective modal length for the fundamental mode of the proposed waveguide diverges at a much slower rate for core thicknesses less than a twentieth of the illumination wavelength, and is comparable to that attainable for plasmonic waveguides. The proposed waveguide can be exploited for important applications such as optoelectronic integration, and the fundamental mode exhibits a near-uniform spatial field distribution potentially allowing for position-independent spontaneous emission enhancement effects.

  14. Relationship between Mid-Upper Arm Circumference and Body Mass Index in Inpatients

    Science.gov (United States)

    Benítez Brito, Néstor; Suárez Llanos, José Pablo; Fuentes Ferrer, Manuel; Oliva García, Jose Gregorio; Delgado Brito, Irina; Pereyra-García Castro, Francisca; Caracena Castellanos, Nieves; Acevedo Rodríguez, Candelaria Xiomara; Palacio Abizanda, Enrique

    2016-01-01

    Introduction Nutritional screening is a fundamental aspect of the initial evaluation of the hospitalised patient. Body Mass Index (BMI) in association with other parameters is a good marker of malnutrition (<18.5 kg/m2), but it presents the handicap that the great majority of patients cannot be weighed and measured. For this reason it is necessary to find other indicators that can be measured in these patients. Objectives 1) Analyse the relationship between BMI and Mid-Upper Arm Circumference (MUAC); 2) establish a cut-off point of MUAC equivalent to BMI <18.5 kg/m2. Materials and Methods The anthropometric data of patients hospitalised over the period 2004–2013 were retrospectively revised. The following variables were collected: weight, height, BMI, MUAC, sex and age. Results 1373 patients were evaluated, who presented a mean weight of: 65.04±15.51 kg; height: 1.66±0.09 m; BMI: 23.48±5.03 kg/m2; MUAC: 26.95±4.50 cm; age: 56.24±16.77. MUAC correlates suitably to BMI by means of the following equation (simple linear regression): BMI = − 0.042 + 0.873 x MUAC (cm) (R2 = 0.609), with a Pearson r value of 0.78 (p<0.001). The area under the curve of MUAC for the diagnosis of malnutrition was 0.92 (95% CI: 0.90–0.94; p<0.001). The MUAC value ≤22.5 cm presented a sensitivity of 67.7%, specificity of 94.5%, and a correct classification of 90%. No significant statistical differences were found in the cut-off point of MUAC for the diagnosis of malnutrition based on sex (p = 0.115) and age (p = 0.694). Conclusions 1) MUAC correlates positively and significantly with BMI. 2) MUAC ≤ 22.5 cm correlates properly with a BMI of <18.5 kg/m2, independent of the age or sex of the patient, although there are other alternatives. MUAC constitutes a useful tool as a marker of malnutrition, fundamentally in patients for whom weight and height cannot be determined. PMID:27494612

  15. Measuring Waist Circumference in Disabled Adults

    Science.gov (United States)

    Waninge, A.; Ligthart, K. A. M.; Kramer, J.; Hoeve, S.; van der Schans, C. P.; Haisma, H. H.

    2010-01-01

    To date, it is unknown whether waist circumference can be measured validly and reliably when a subject is in a supine position. This issue is relevant when international standards for healthy participants are applied to persons with severe intellectual, sensory, and motor disabilities. Thus, the aims of our study were (1) to determine the validity…

  16. Measuring waist circumference in disabled adults

    NARCIS (Netherlands)

    Waninge, A.; Ligthart, K. A. M.; Kramer, J.; Hoeve, S.; van der Schans, C. P.; Haisma, H. H.

    2010-01-01

    To date, it is unknown whether waist circumference can be measured validly and reliably when a subject is in a supine position. This issue is relevant when international standards for healthy participants are applied to persons with severe intellectual, sensory, and motor disabilities. Thus, the aim

  17. Predictors of Metabolic Syndrome in the Iranian Population: Waist Circumference, Body Mass Index, or Waist to Hip Ratio?

    OpenAIRE

    Mojgan Gharipour; Nizal Sarrafzadegan; Masoumeh Sadeghi; Elham Andalib; Mohammad Talaie; Davood Shafie; Esmaiel Aghababaie

    2013-01-01

    This study aimed to investigate whether body mass index (BMI), waist circumference (WC), or waist to hip ratio (WHR) could be a better predictor of metabolic syndrome and, if so, what would be the cutoff points for these surrogates to appropriately differentiate metabolic syndrome in different age and sex subgroups. Methods. The present cross-sectional study was conducted on a sample of Isfahan Cohort Study (ICS). In total, 468 individuals (194 with and 274 subjects without metabolic syndrome...

  18. Contractility studies on isolated bovine choroidal small arteries: determination of the active and passive wall tension-internal circumference relation.

    Science.gov (United States)

    Delaey, C; Boussery, K; Van de Voorde, J

    2002-09-01

    Studies on isolated choroidal arteries could help to understand the regulatory mechanisms in the choroidal circulation. The aim of the present study was therefore to assess whether contractility studies on isolated choroidal arteries were feasible and to determine the active and passive wall tension-internal circumference relation of these arteries. This relation is essential for reliable further pharmacodynamic studies on these vessels. Isolated choroidal arteries were mounted on a wire myograph for isometric tension recording. After the vessel was mounted, the L(100) (the circumference of the vessel at a transmural pressure of 100 mmHg) was determined. Then the passive and active wall tension-internal circumference relation of the choroidal vessels was obtained by stepwise increasing the internal circumference. The changes in the internal circumference were expressed as a percentage of L(100). After each increase in circumference, the passive tone (in a calcium free medium), the spontaneous tone (in a Krebs--Ringer bicarbonate solution) and the active tone (in a solution containing K(+) 120 mM and prostaglandin F(2 alpha) 30 microM) was measured. The passive tone of the vessel increased exponentially with the circumference of the vessel. Both the spontaneous tone and the active tone also increased when the vessel was stretched. They peaked when the internal circumference approached 90% of the L(100) and diminished again when the circumference was further increased. The peak value of the active tension curve averaged 2.24+/-0.47 Nm(-1) (n=10). The passive tension was 0.57+/-0.08 Nm(-1) (n=10) at this circumference. The peak value of the spontaneous tension curve averaged 0.37+/-0.08 Nm(-1) (n=10). It can be concluded that in vitro contractility studies on isolated choroidal arteries are feasible. The optimal length or preload of the choroidal arteries is attained when the internal circumference of the artery is set to 90% of the L(100).

  19. Distribution of waist circumference and waist-to-height ratio and their values in obesity screening among 3-9 years old Han and Uygur ethnic children in Xinjiang Uygur Autonomous Region of China%新疆维吾尔自治区3~9岁汉、维吾尔族儿童腰围和腰围身高比分布特征及其作为肥胖筛查指标的探讨

    Institute of Scientific and Technical Information of China (English)

    窦亚兰; 阿达力别克; 孙翠英; 姜袁; 代丽黎; 吴洁; 张昭; 张慧; 戴江红

    2016-01-01

    Objective To understand the distributions of waist circumference and waist-toheight ratio (WHtR) in Han and Uygur ethnic children aged 3-9 years in Xinjiang Uygur Autonomous Region (Xinjiang) and discuss their values in obesity screening in children.Methods Stratified cluster random sampling was conducted to select Han and Uygur ethnic children from kindergartens and primary schools in four areas of Xinjiang in April 2014.The children' s standing height,body weight and waist circumference were measured by trained investigators according to standard protocol.WC ≥P80 and WHtR≥ 0.48 were used as the cutoff value for abdominal obesity screening in children with normal BMI.The association between overweight/obese prevalence rate and obesity related indicators,such as BMI,WC,WHtR,were analyzed.Results A total of 4 024 Han and Uygur ethnic children were investigated,in which 2 461 were in Han ethnic group,1 563 were in Uygur ethnic group.The WC and WHtR at Ps0 and P80 were similar in two groups,but WC and WHtR at P50 were differed significantly.In both Han and Uygur ethnic groups,there were some children with WC≥P80 or WHtR≥0.48,although they had normal BMI.This proportion decreased with age.Conclusions The WC and WHtR are similar in Han and Uygur ethnic children aged 3-9 years.WC and WHtR have values in obesity screening for children with normal BMI which suggested to use it as the supplementation of BMI in obesity screening in preschool aged children.%目的 了解新疆维吾尔自治区(新疆)汉、维吾尔(维)族3~9岁儿童腰围(WC)和腰围身高比(WHtR)分布特征,探讨其作为儿童肥胖筛查指标的价值.方法 采用分层整群随机抽样方法,于2014年4月抽取新疆四地区幼儿园和小学一、二年级汉、维族儿童,测量身高、体重及WC;以WC的性别年龄别第80百分位值(P80)以及WHtR≥0.48为参考值,在BMI正常儿童中筛查可能患有腹型肥胖的儿童.结果 共测量3~9岁儿童4 024

  20. Identificação de ponto de corte no nível sérico da alanina aminotransferase para rastreamento da hepatite C em pacientes com insuficiência renal crônica em hemodiálise Identification of the cutoff value for serum alanine aminotransferase in hepatitis C screening of patients with chronic renal failure on hemodialysis

    Directory of Open Access Journals (Sweden)

    Ericson Cavalcanti Gouveia

    2004-02-01

    Full Text Available Pacientes com insuficiência renal crônica em hemodiálise apresentam níveis séricos mais baixos de alanina aminotransferase. Para estabelecer melhor ponto de corte nos níveis de ALT, no diagnóstico da hepatite C, avaliaram-se mensalmente, durante 6 meses os níveis desta enzima em 235 pacientes em hemodiálise, sendo excluídos aqueles que apresentassem média acima do limite superior da normalidade. O ponto de corte foi identificado através da construção de curva ROC. Entre 202 pacientes, 15 (7,4% apresentavam anti-VHC positivo e 187 (92,6% negativo, com média de ALT de 0,7 e de 0,5 do limite superior (p The patients with chronic renal failure in hemodialysis present low levels of serum alanine aminotransferases. In order to establish a better cutoff value for ALT in hepatitis C screening of hemodialysis patients, the ALT levels were measured monthly in 235 patients, being excluded those that presented average above the upper limit of normality. The cutoff value was identified by construction of a ROC curve (receiver operating characteristic. Among 202 patients, 15 (7.4% presented antibodies to hepatitis C virus (anti-HCV and 187 (92.6% were anti-HCV negative , with an ALT average of 0.7 and of 0.5 from ULN (p <0.0001, respectively. The better cutoff value for ALT was at 0.6 from ULN, with sensitivity of 67% and specificity of 75% in anti-HCV screening. These results suggest that ULN of ALT could be reduced for 60% from conventional limit, when we are evaluating patients with CRF in hemodialysis.

  1. Suburban Legend: School Cutoff Dates and the Timing of Births

    Science.gov (United States)

    Dickert-Conlin, Stacy; Elder, Todd

    2010-01-01

    Many states require children to reach age 5 by a specified date in the calendar year in order to begin kindergarten. We use birth certificate records from 1999 to 2004 to assess whether parents systematically time childbirth before these eligibility cutoff dates to capture the option value of sending their child to school at a relatively young…

  2. On the temperature dependence of the lower wavelength cutoff of a series of Schott glass filters

    OpenAIRE

    Hickey, J. R.; BRETT, D.A.; Drummond, A J

    2011-01-01

    The authors have extended the work of Ångström & Drummond concerning the temperature dependence of the three meteorological standard filters (Schott OG 1, RG 2 and RG 8) and here give values of the temperature coefficient of the center of lower cutoff for seven other Schott sharp cutoff filters. The results demonstrate that there is a definite relationship between the normalized cutoff wavelength and this coefficient, the coefficient increasing semi-logarithmically with wavelength over th...

  3. 皮肤点刺试验阳性界值与sIgE对间歇性变应性鼻炎的诊断价值%Diagnostic value of positive cut-off values in skin prick test and sIgE for intermittent allergic rhinitis

    Institute of Scientific and Technical Information of China (English)

    石晓; 魏利召; 王东; 刘一

    2014-01-01

    Objective To explore the influence of different positive cut-off values of skin prick test(SPT) in the evaluation of serum specific IgE(sIgE) in the diagnosis of allergic rhinitis(AR) soldiers in Inner Mongolia,and to evaluate the diagnostic consistency between SPT and serum sIgE.Methods66 soldiers in a station of Inner Mongolia who had positive clinical symptoms and signs of AR were accepted SPT with 23 kinds of inhalant allergens, then 31 intermittent AR soldiers were selected, who had no less than 4 positive SPT and higher level of positve results. According to SPT, aforementioned 31 soldiers underwent detection of Artemisia vulgaris, Artemisia absinthium, Ambrosia trifida, Humulus scandens, Ulmus americana, Salix caprea, Betula verrucosa and taraxaci sIgE that was performed, using UniCAP100 system. The reference standard of AR was established according to the clinical symptoms, signs and positive SPT. The influence of diagnostic value of sIgE was evaluated based on“+”and“++”positive cut-off value of SPT, respectively. The diagnostic indexes includes sensitivity, specificity, positive predictive value, negative predictive value and concordance rate. And the diagnostic consistency between SPT and serum sIgE was also evaluated.Results ①Artemisia pollen was the major allergen among intermittent AR soldiers at this station and its SPT positive rate was more than 60%, followed by Sunflower, Humulus scandens, ragweed, Betula alba, Ulmus americana and Salix caprea in turns, with the SPT positive rate being more than 30%.②Based on“+” positive cut-off value of SPT, the sensitivity of serum sIgE ranged from 0.500(Humulus scandens) to 0.982(Artemisia), the specificity ranged from 0.500(ragweed, Ulmus americana, Betula verrucosa) to 1.000(Artemisia), and the concordance rate ranged from 0.581(Humulus scandens) to 0.984(Artemisia). When adjusting the cut-off value to“++”, the sensitivity of serum sIgE ranged from 0.524(Humulus scandens) to 0.982(Artemisia

  4. Waist circumference as a vital sign in cardiology 20 years after its initial publication in the American Journal of Cardiology.

    Science.gov (United States)

    Després, Jean-Pierre

    2014-07-15

    In 1994, we reported in The American Journal of Cardiology that a simple anthropometric measurement, waist circumference, was related to the amount of abdominal visceral adipose tissue measured by computed tomography. An elevated waist circumference was also found to be associated with several features of the cardiometabolic risk profile such as glucose intolerance, hyperinsulinemia, and an atherogenic dyslipidemic profile that included hypertriglyceridemia and reduced high-density lipoprotein cholesterol levels. Although a linear relation was found between waist circumference and these metabolic alterations, we reported that a waist circumference value of about 100 cm was associated with a high probability of finding diabetogenic and atherogenic abnormalities. The present short report provides a brief update of issues that have been raised regarding the measurement of waist circumference and its clinical use over a period of 20 years since the original publication.

  5. Waist circumference, waist/height ratio, and neck circumference as parameters of central obesity assessment in children☆

    OpenAIRE

    Magalhães,Elma Izze da Silva; Sant'Ana, Luciana Ferreira da Rocha; Priore, Silvia Eloiza; Sylvia do Carmo Castro FRANCESCHINI

    2014-01-01

    Objective: To analyze studies that assessed the anthropometric parameters waist circumference (WC), waist-to-height ratio (WHR) and neck circumference (NC) as indicators of central obesity in children. Data sources: We searched PubMed and SciELO databases using the combined descriptors: "Waist circumference", "Waist-to-height ratio", "Neck circumference", "Children" and "Abdominal fat" in Portuguese, English and Spanish. Inclusion criteria were original articles with information about the WC,...

  6. Body composition-derived BMI cut-offs for overweight and obesity in Indians and Creoles of Mauritius: comparison with Caucasians

    Science.gov (United States)

    Hunma, S; Ramuth, H; Miles-Chan, J L; Schutz, Y; Montani, J-P; Joonas, N; Dulloo, A G

    2016-01-01

    Background and Aims: Global estimates of overweight and obesity prevalence are based on the World Health Organisation (WHO) body mass index (BMI) cut-off values of 25 and 30 kg m−2, respectively. To validate these BMI cut-offs for adiposity in the island population of Mauritius, we assessed the relationship between BMI and measured body fat mass in this population according to gender and ethnicity. Methods: In 175 young adult Mauritians (age 20-42 years) belonging to the two main ethnic groups—Indians (South Asian descent) and Creoles (African/Malagasy descent), body weight, height and waist circumference (WC) were measured, total body fat assessed by deuterium oxide (D2O) dilution and trunk (abdominal) fat by segmental bioimpedance analysis. Results: Compared to body fat% predicted from BMI using Caucasian-based equations, body fat% assessed by D2O dilution in Mauritians was higher by 3–5 units in Indian men and women as well as in Creole women, but not in Creole men. This gender-specific ethnic difference in body composition between Indians and Creoles is reflected in their BMI–Fat% relationships, as well as in their WC–Trunk Fat% relationships. Overall, WHO BMI cut-offs of 25 and 30 kg m−2 for overweight and obesity, respectively, seem valid only for Creole men (~24 and 29.5, respectively), but not for Creole women whose BMI cut-offs are 2–4 units lower (21–22 for overweight; 27–28 for obese) nor for Indian men and women whose BMI cut-offs are 3–4 units lower (21–22 for overweight; 26–27 for obese). Conclusions: The use of BMI cut-off points for classifying overweight and obesity need to take into account both ethnicity and gender to avoid gross adiposity status misclassification in this population known to be at high risk for type-2 diabetes and cardiovascular diseases. This is particularly of importance in obesity prevention strategies both in clinical medicine and public health. PMID:27698347

  7. Validity of the Brunet-Derrida formula for the speed of pulled fronts with a cutoff

    OpenAIRE

    2007-01-01

    We establish rigorous upper and lower bounds for the speed of pulled fronts with a cutoff. We show that the Brunet-Derrida formula corresponds to the leading order expansion in the cut-off parameter of both the upper and lower bounds. For sufficiently large cut-off parameter the Brunet-Derrida formula lies outside the allowed band determined from the bounds. If nonlinearities are neglected the upper and lower bounds coincide and are the exact linear speed for all values of the cut-off parameter.

  8. Ultraviolet cutoffs and the photon mass

    CERN Document Server

    Chankowski, Piotr H; Meissner, Krzysztof A

    2016-01-01

    The momentum UV cutoff in Quantum Field Theory is usually treated as an auxiliary device allowing to obtain finite amplitudes satisfying all physical requirements. It is even absent (not explicit) in the most popular approach - the dimensional regularization. We point out that the momentum cutoff treated as a bona fide physical scale, presumably equal or related to the Planck scale, would lead to unacceptable predictions. One of the dangers is a non-zero mass of the photon. In the naive approach, even with the cutoff equal to the Planck scale, this mass would grossly exceed the existing experimental bounds. We present the actual calculation using a concrete realization of the physical cutoff and speculate about the way to restore gauge symmetry order by order in the inverse powers of the cutoff scale.

  9. Optimal Cutoff Points of Anthropometric Parameters to Identify High Coronary Heart Disease Risk in Korean Adults.

    Science.gov (United States)

    Kim, Sang Hyuck; Choi, Hyunrim; Won, Chang Won; Kim, Byung-Sung

    2016-01-01

    Several published studies have reported the need to change the cutoff points of anthropometric indices for obesity. We therefore conducted a cross-sectional study to estimate anthropometric cutoff points predicting high coronary heart disease (CHD) risk in Korean adults. We analyzed the Korean National Health and Nutrition Examination Survey data from 2007 to 2010. A total of 21,399 subjects aged 20 to 79 yr were included in this study (9,204 men and 12,195 women). We calculated the 10-yr Framingham coronary heart disease risk score for all individuals. We then estimated receiver-operating characteristic (ROC) curves for body mass index (BMI), waist circumference, and waist-to-height ratio to predict a 10-yr CHD risk of 20% or more. For sensitivity analysis, we conducted the same analysis for a 10-yr CHD risk of 10% or more. For a CHD risk of 20% or more, the area under the curve of waist-to-height ratio was the highest, followed by waist circumference and BMI. The optimal cutoff points in men and women were 22.7 kg/m(2) and 23.3 kg/m(2) for BMI, 83.2 cm and 79.7 cm for waist circumference, and 0.50 and 0.52 for waist-to-height ratio, respectively. In sensitivity analysis, the results were the same as those reported above except for BMI in women. Our results support the re-classification of anthropometric indices and suggest the clinical use of waist-to-height ratio as a marker for obesity in Korean adults.

  10. Lower waist circumference in mildly-stunted adolescents is associated with elevated insulin concentration

    Directory of Open Access Journals (Sweden)

    Ana Paula Grotti Clemente

    2014-09-01

    Full Text Available Objective: Augmented waist circumference (WC is associated with non-communicable diseases and could represent a valuable marker in screening for metabolic dysfunctions in subjects with insufficient linear growth. The objective of the present study was to determine whether bio-chemical and hemodynamic parameters and waist circumference vary between mildly-stunted and non-stunted adolescents from impoverished communities of São Paulo, Brazil. Methods: The cross-sectional study involved 206 subjects, aged between 9 and 19 years and living in impoverished areas of São Paulo, Brazil. The sample population was divided according to height-for-age Z-score (HAZ into stunted (−1 > HAZ ≥ −2 and non-stunted (HAZ ≥ −1 groups, and was sub-divided according to gender. Logistic regression analysis was employed to compare individuals with elevated (> 75th percentile insulin concentrations. The receiver operating characteristic curves were constructed to determine WC cut-off points that could be used to identify stunted and non-stunted individuals with elevated insulin concentrations. Results: WC cut-off points of 58.25 cm and 67.2 cm allowed for correct classification of 90.7% of stunted and 88.7% of non-stunted individuals in the studied population. While the sensitivity of the model was high for stunted and non-stunted subjects (98.8% and 97.2%, respectively, the specificity was modest (57.1% and 41.2%, respectively. Conclusion: The results presented herein suggest that an increase in plasma insulin is one of the primary metabolic modifications in stunted individuals, and that this alteration could be identified at a lower WC cut-off point than in non-stunted counterparts.

  11. On Saturnian cosmic ray cutoff rigidities

    Science.gov (United States)

    Sauer, H. H.

    1980-03-01

    It has been determined that Saturn possesses a relatively pure dipolar magnetic field through magnetometer measurements made by Ness et al. (1979, private comm.) and Smith et al. (1979). The paper briefly outlines the dipole geomagnetic cutoff theory and demonstrates the scaling required for its applicability to energetic particle measurements in the vicinity of Saturn. Since the cutoff rigidity is a function of viewing direction, the effective cutoff rigidity must be determined as an integration over the finite viewing angle of a physical detector.

  12. Mid-upper-arm-circumference and mid-upper-arm circumference z-score

    DEFF Research Database (Denmark)

    Rasmussen, J; Andersen, A; Fisker, A B;

    2012-01-01

    Mid-upper-arm circumference (MUAC) is a simple method of assessing nutritional status in children above 6 months of age. In 2007 World Health Organization (WHO) introduced a MUAC z-score for children above 3 months of age. We evaluated whether MUAC or MUAC z-score had the best ability to identify...

  13. Circumference estimation using 3D-whole body scanners and shadow scanner

    NARCIS (Netherlands)

    Daanen, H.A.M.

    1998-01-01

    Clothing designers and manufacturers use traditional body dimensions as their basis. When 3D-whole body scanners are introduced to determine the body dimensions, a conversion has to be made, since scan determined circumference measures are slightly larger than the traditional values. This pilot stud

  14. From Dimensional to Cut-Off Regularization

    CERN Document Server

    Dillig, M

    2006-01-01

    We extent the standard approach of dimensional regularization of Feynman diagrams: we replace the transition to lower dimensions by a 'natural' cut-off regulator. Introducing an external regulator of mass Lambda^(2e), we regain in the limit e -> 0 and e > 0 the results of dimensional and cut-off regularization, respectively. We demonstrate the versatility and adequacy of the different regularization schemes for practical examples (such as non covariant regularization, the axial anomaly or regularization in effective field theories).

  15. Waist circumference reference values in Beijing versus the national values in detecting cardiovascular risk factors in 7-18 years old children%北京与全国7~18岁儿童青少年腰围适宜界值对心血管危险因素筛查效度的对比分析

    Institute of Scientific and Technical Information of China (English)

    孟玲慧; 罗纳; 程红; 侯冬青; 赵小元; 米杰

    2011-01-01

    目的 比较北京与全国7~18岁儿童青少年腰围(WC)适宜界值对心血管危险因素的筛查效度和预测价值.方法 采用LMS曲线拟合法拟合北京市21 787名3~18岁儿童青少年WC百分位曲线,以性别、年龄别第75百分位数(P75)及第90百分位数(P90)作为北京市7~18岁儿童青少年WC适宜界值.在4927名7~18岁儿童青少年组成的验证人群中,比较北京和全国7~18岁儿童青少年WC适宜界值对高血压、脂代谢紊乱、糖耐量受损及非酒精性脂肪肝(NAFLD)等心血管危险因素诊断的特异度和灵敏度,通过回归分析比较该2个界值对心血管危险因素的预测价值.结果 北京市3~18岁儿童青少年WC适宜界值分别为:男童:P75为51.8~78.2 cm,P90为54.0~86.0 cm;女童:P75为50.8~72.1 cm,P90为53.3~77.3 cm.北京与全国界值筛查心血管危险因素的灵敏度分别为:高血压:男童分别为0.74和0.82,女童分别为0.68和0.73;低高密度脂蛋白胆固醇:男童分别为0.69和0.80,女童分别为0.64和0.71;NAFLD:男童分别为0.98和1.00,女童均为0.93.北京与全国界值筛查心血管危险因素的特异度分别为:高血压:男童分别为0.62和0.53,女童分别为0.68和0.63;低高密度脂蛋白胆固醇:男童分别为0.59和0.50,女童分别为0.66和0.61;NAFLD:男童分别为0.60和0.50,女童分别为0.56和0.51.北京和全国7~18岁儿童青少年WC的P90适宜界值预测心血管危险因素的OR(95%CI)值分别为:高血压分别为6.3(5.2~7.7)和6.0(4.9~7.4);空腹血糖受损均为1.3(1.1~1.5);脂代谢紊乱均为2.9(2.5~3.4);NAFLD分别为49.1(12.0~201.6)和69.8(9.7~504.2).结论 北京市7~18岁儿童青少年WC适宜界值可提高对心血管危险因素筛查的特异度;除对NAFLD预测价值低于全国界值外,北京界值对其他心血管危险因素的预测价值与全国界值没有明显差别.%Objective To compare the optimal references of waist circumference (WC) between

  16. Decreasing "circumference" for increasing "radius" in axially symmetric gravitating systems

    CERN Document Server

    Lubo, M

    2001-01-01

    Apart from the flat space with an angular deficit, Einstein general relativity possesses another cylindrically symmetric solution. Because this configuration displays circles whose "circumferences" tend to zero when their "radius" go to infinity, it has not received much attention in the past. We propose a geometric interpretation of this feature and find that it implies field boundary conditions different from the ones found in the literature if one considers a source consisting of the scalar and the vector fields of a U(1) system . To obtain a non increasing energy density the gauge symmetry must be unbroken . For the Higgs potential this is achieved only with a vanishing vacuum expectation value but then the solution has a null scalar field. A non trivial scalar behaviour is exhibited for a potential of sixth order. The trajectories of test particles in this geometry are studied, its causal structure discussed. We find that this bosonic background can support a normalizable fermionic condensate but not suc...

  17. Stressful life events in pregnancy and head circumference at birth

    DEFF Research Database (Denmark)

    Obel, Carsten; Hedegaard, Morten; Henriksen, Tine Brink;

    2003-01-01

    pregnancy and head circumference measured shortly after birth following standard procedures. No association was found between experienced or perceived stress as a result of life events during pregnancy and head circumference in the infants. In conclusion, stress in pregnancy may influence foetal brain...... development in many ways, but we found no support for an effect on the size of the brain as measured by head circumference at birth. Udgivelsesdato: 2003-Dec...

  18. Growth standardized values and curves based on weight, length/height and head circumference for Chinese children under 7 years of age%中国七岁以下儿童体重、身长/身高和头围的生长标准值及标准化生长曲线

    Institute of Scientific and Technical Information of China (English)

    首都儿科研究所; 九市儿童体格发育调查协作组

    2009-01-01

    Objective To construct the growth standardized data and curves based on weight, length/height, heed circumference for Chinese children under 7 years of age. Methods Random cluster sampling was used. The fourth national growth survey of children under 7 years in the nine cities(Beijing, Harbin, Xi'an, Shanghai, Nanjing, Wuhan, Fuzhou, Guangzbou and Kunming)of China was performed in 2005 and from this survey, data of 69 760 urban healthy boys and girls were used to set up the database for weight-for-age, height-for-age (length was measured for children under 3 years) and head circumference-for-age. Anthropometric data were ascribed to rigorous methods of data collection and standardized procedures across study sites. LMS method based on BOX-COX normal transformation and cubic splines smoothing technique was chosen for fitting the raw data according to study design and data features, and standardized values of any percentile and standard deviation were obtained by the special formulation of L, M and S parameters. Length-for-age and height-for-age standards were constructed by fitting the same model but the final curves reflected the 0.7 cm average difference between these two measurements. A set of systematic diagnostic tools was used to detect possible biases in estimated percentiles or standard deviation curves, including χ2 test, which was used for reference to evaluate to the goodness of fit. Results The 3rd , 10th , 25th, 50th, 75th, 90th ,97th smoothed percentiles and -3, -2, -1,0, +1, +2, +3 SD values and curves of weight-for-age, length/height-for-age and head circumference-for-age for boys and girls aged 0-7 years were made out respectively. The Chinese child growth charts was slightly higher than the WHO child growth standards. Conclusion The newly established growth charts represented the growth level of healthy and well-nourished Chinese children. The sample size was very large and national, the data were high-quality and the smoothing method was

  19. Usefulness of the Waist Circumference-to-Height Ratio in Screening for Obesity and Metabolic Syndrome among Korean Children and Adolescents: Korea National Health and Nutrition Examination Survey, 2010-2014.

    Science.gov (United States)

    Choi, Dong-Hyun; Hur, Yang-Im; Kang, Jae-Heon; Kim, Kyoungwoo; Cho, Young Gyu; Hong, Soo-Min; Cho, Eun Byul

    2017-03-10

    The aims of this study were to assess the diagnostic value of the weight-to-height ratio (WHtR) for the detection of obesity and metabolic syndrome (MS) in Korean children and adolescents, and to determine the advantages of WHtR as a population-based screening tool in comparison with other obesity indicators, such as body mass index (BMI) and waist circumference (WC). We performed a cross-sectional analysis of data from 3057 children and adolescents (1625 boys, 1332 girls) aged 10-19 years who were included in the fifth Korean National Health and Nutrition Examination Survey (KNHANES, 2010-2012) up to the second year of the sixth KNHANES (2013-2014). Receiver operation characteristic (ROC) curves were generated to determine the optimal cutoff value and accuracy of WHtR for predicting individual obesity indicators or more than two non-WC components of MS. The area under the ROC curve (AUC) is a measure of the diagnostic power of a test. A perfect test will have an AUC of 1.0, and an AUC equal to 0.5 means that the test performs no better than chance. The optimal WHtR cutoff for the evaluation of general obesity and central obesity was 0.50 in boys and 0.47-0.48 in girls, and the AUC was 0.9. Regarding the assessment of each MS risk factor, the optimal WHtR cutoff was 0.43-0.50 in boys and 0.43-0.49 in girls, and these cutoffs were statistically significant only for the detection of high triglyceride and low High-density lipoprotein (HDL) cholesterol levels. When a pairwise comparison of the AUCs was conducted between WHtR and BMI/WC percentiles to quantify the differences in power for MS screening, the WHtR AUC values (boys, 0.691; girls, 0.684) were higher than those of other indices; however, these differences were not statistically significant (boys, p = 0.467; girls, p = 0.51). The WHtR cutoff value was 0.44 (sensitivity, 67.7%; specificity, 64.6%) for boys and 0.43 (sensitivity, 66.4%; specificity, 66.9%) for girls. There was no significant difference between

  20. Usefulness of the Waist Circumference-to-Height Ratio in Screening for Obesity and Metabolic Syndrome among Korean Children and Adolescents: Korea National Health and Nutrition Examination Survey, 2010–2014

    Science.gov (United States)

    Choi, Dong-Hyun; Hur, Yang-Im; Kang, Jae-Heon; Kim, Kyoungwoo; Cho, Young Gyu; Hong, Soo-Min; Cho, Eun Byul

    2017-01-01

    The aims of this study were to assess the diagnostic value of the weight-to-height ratio (WHtR) for the detection of obesity and metabolic syndrome (MS) in Korean children and adolescents, and to determine the advantages of WHtR as a population-based screening tool in comparison with other obesity indicators, such as body mass index (BMI) and waist circumference (WC). We performed a cross-sectional analysis of data from 3057 children and adolescents (1625 boys, 1332 girls) aged 10–19 years who were included in the fifth Korean National Health and Nutrition Examination Survey (KNHANES, 2010–2012) up to the second year of the sixth KNHANES (2013–2014). Receiver operation characteristic (ROC) curves were generated to determine the optimal cutoff value and accuracy of WHtR for predicting individual obesity indicators or more than two non-WC components of MS. The area under the ROC curve (AUC) is a measure of the diagnostic power of a test. A perfect test will have an AUC of 1.0, and an AUC equal to 0.5 means that the test performs no better than chance. The optimal WHtR cutoff for the evaluation of general obesity and central obesity was 0.50 in boys and 0.47–0.48 in girls, and the AUC was 0.9. Regarding the assessment of each MS risk factor, the optimal WHtR cutoff was 0.43–0.50 in boys and 0.43–0.49 in girls, and these cutoffs were statistically significant only for the detection of high triglyceride and low High-density lipoprotein (HDL) cholesterol levels. When a pairwise comparison of the AUCs was conducted between WHtR and BMI/WC percentiles to quantify the differences in power for MS screening, the WHtR AUC values (boys, 0.691; girls, 0.684) were higher than those of other indices; however, these differences were not statistically significant (boys, p = 0.467; girls, p = 0.51). The WHtR cutoff value was 0.44 (sensitivity, 67.7%; specificity, 64.6%) for boys and 0.43 (sensitivity, 66.4%; specificity, 66.9%) for girls. There was no significant

  1. Reliability, validity and cut-off value of the childhood autism spectrum test%儿童孤独症谱系测验量表的信度、效度及临界值

    Institute of Scientific and Technical Information of China (English)

    关智勇; 龚建华; 陈艳琳; 周首俊; 李丽

    2016-01-01

    Objective To explore the applicability of the childhood autism spectrum test (CAST) of children in Mainland China according to autism screening,in order to provide the effective reference for the identification and diagnosis of autism spectrum disorders of children.Methods Two hundreds and fifty-two typical developing children,and 61 autistic children who were confirmed by psychological clinic of Child Healthcare Clinic,Shenzhen Luohu District Maternal and Child Health Care Hospital who were conformed with diagnosis standards of Diagnostic and Statistical Manual of Mental Disorders Fifth Edition(DSM-5) by using CAST Chinese version were assessed,and the reliability and validity analysis were made on the CAST scale.The receiver operating characteristic curve was drew to determine the optimal threshold value,and the sensitivity,specificity and positive predictive value were calculated.Results CAST Chinese version had good reliability,Cronbach's α was 0.880.Split-half reliability coefficient r was 0.821,and the whole scale calibration reliability coefficient was 0.902.There was statistically significant difference between items and the total score(P<0.05).The consistency between the CAST ≥4 years old children and diagnosis standards of DSM-5 reached 0.884(P=0.000).The consistency 3-<4 years old children and diagnosis standards of DSM-5 reached 0.867 (P=0.000).Among the screening of the children who were ≥4 years old,the cut off was 15 scores that the sensitivity and specificity were best.With the children of 3-<4 years old,a designated cut-point should be 17 scores.Conclusions There are good reliability and validity of CAST,which can be used to mainland China,as well as to screen autistic children more than 3 years old.%目的 探讨儿童孤独症谱系测验(CAST)量表在中国大陆儿童孤独症筛查的适用性,为儿童孤独症谱系障碍的识别与诊断提供有效参考.方法 采用CAST量表对252例健康儿童及深圳市罗湖区妇幼

  2. Predictors of metabolic syndrome in the Iranian population: waist circumference, body mass index, or waist to hip ratio?

    Science.gov (United States)

    Gharipour, Mojgan; Sarrafzadegan, Nizal; Sadeghi, Masoumeh; Andalib, Elham; Talaie, Mohammad; Shafie, Davood; Aghababaie, Esmaiel

    2013-01-01

    This study aimed to investigate whether body mass index (BMI), waist circumference (WC), or waist to hip ratio (WHR) could be a better predictor of metabolic syndrome and, if so, what would be the cutoff points for these surrogates to appropriately differentiate metabolic syndrome in different age and sex subgroups. Methods. The present cross-sectional study was conducted on a sample of Isfahan Cohort Study (ICS). In total, 468 individuals (194 with and 274 subjects without metabolic syndrome) according to the National Cholesterol Education Program's Adult Treatment Panel III (ATP-III) criteria were selected. Anthropometric indices were measured and plotted using receiver-operating characteristic (ROC) curves. Results. According to ROC curve analysis, WC and WHR parameters were better indicators of metabolic syndrome compared to BMI in women, whereas in men WHR had a lower discriminating value compared to the other two parameters. Among these three anthropometric parameters, BMI had a lower sensitivity and WC and WHR both had a higher sensitivity for predicting metabolic syndrome in women compared with in men. The cut points for WC were nearly equal in men and women, 90.3 versus 90.0, respectively. Women had higher cut points for BMI (28.5 kg/m(2)) compared to men (26.0 kg/m(2)). Our results showed the highest sensitivity and specificity for WC cut points specially in women. To predict metabolic syndrome, we looked into optimal age-specific cut points for BMI, WC, and WHR. The results indicated that WC had the highest discriminating value compared to other indicators in the different age subgroups. The optimal cut points for all three parameters gradually increased with age. Conclusion. Our results demonstrated that regardless of gender and age variables, WC could be a preferred parameter for predicting metabolic syndrome compared to BMI and WHR in Iranian population.

  3. Neck circumference, along with other anthropometric indices, has an independent and additional contribution in predicting fatty liver disease.

    Directory of Open Access Journals (Sweden)

    Bi-xia Huang

    Full Text Available Previous studies have indicated that neck circumference is a valuable predictor for obesity and metabolic syndrome, but little evidence is available for fatty liver disease. We examined the association of neck circumference with fatty liver disease and evaluated its predictive value in Chinese adults.This cross-sectional study comprised 4053 participants (1617 women and 2436 men, aged 20-88 recruited from the Health Examination Center in Guangzhou, China between May 2009 and April 2010. Anthropometric measurements were taken, abdominal ultrasonography was conducted and blood biochemical parameters were measured. Covariance, logistic regression and receiver operating characteristic curve analyses were employed.The mean neck circumference was greater in subjects with fatty liver disease than those without the disease in both women and men after adjusting for age (P<0.001. Logistic regression analysis showed that the age-adjusted ORs (95% CI of fatty liver disease for quartile 4 (vs. quartile 1 of neck circumference were 7.70 (4.95-11.99 for women and 12.42 (9.22-16.74 for men. After further adjusting for other anthropometric indices, both individually and combined, the corresponding ORs remained significant (all P-trends<0.05 but were attenuated to 1.94-2.53 for women and 1.45-2.08 for men. An additive interaction existed between neck circumference and the other anthropometric measures (all P<0.05. A high neck circumference value was associated with a much greater prevalence of fatty liver disease in participants with both high and normal BMI, waist circumference and waist-to-hip ratio values.Neck circumference was an independent predictor for fatty liver disease and provided an additional contribution when applied with other anthropometric measures.

  4. PAMELA's measurements of geomagnetic cutoff variations during solar energetic particle events

    CERN Document Server

    Bruno, A; Barbarino, G C; Bazilevskaya, G A; Bellotti, R; Boezio, M; Bogomolov, E A; Bongi, M; Bonvicini, V; Bottai, S; Bravar, U; Cafagna, F; Campana, D; Carbone, R; Carlson, P; Casolino, M; Castellini, G; Christian, E C; De Donato, C; de Nolfo, G A; De Santis, C; De Simone, N; Di Felice, V; Formato, V; Galper, A M; Karelin, A V; Koldashov, S V; Koldobskiy, S; Krutkov, S Y; Kvashnin, A N; Lee, M; Leonov, A; Malakhov, V; Marcelli, L; Martucci, M; Mayorov, A G; Menn, W; Mergè, M; Mikhailov, V V; Mocchiutti, E; Monaco, A; Mori, N; Munini, R; Osteria, G; Palma, F; Panico, B; Papini, P; Pearce, M; Picozza, P; Ricci, M; Ricciarini, S B; Ryan, J M; Sarkar, R; Scotti, V; Simon, M; Sparvoli, R; Spillantini, P; Stochaj, S; Stozhkov, Y I; Vacchi, A; Vannuccini, E; Vasilyev, G I; Voronov, S A; Yurkin, Y T; Zampa, G; Zampa, N; Zverev, V G

    2015-01-01

    Data from the PAMELA satellite experiment were used to measure the geomagnetic cutoff for high-energy ($\\gtrsim$ 80 MeV) protons during the solar particle events on 2006 December 13 and 14. The variations of the cutoff latitude as a function of rigidity were studied on relatively short timescales, corresponding to single spacecraft orbits (about 94 minutes). Estimated cutoff values were cross-checked with those obtained by means of a trajectory tracing approach based on dynamical empirical modeling of the Earth's magnetosphere. We find significant variations in the cutoff latitude, with a maximum suppression of about 6 deg for $\\sim$80 MeV protons during the main phase of the storm. The observed reduction in the geomagnetic shielding and its temporal evolution were compared with the changes in the magnetosphere configuration, investigating the role of IMF, solar wind and geomagnetic (Kp, Dst and Sym-H indexes) variables and their correlation with PAMELA cutoff results.

  5. Conflicting effects of BMI and waist circumference on iron status.

    Science.gov (United States)

    Choma, Solomon Simon Ramphai; Alberts, Marianne; Modjadji, Sewela Elizabeth Perpetua

    2015-10-01

    The association between obesity and iron status has a long history and is still receiving attention. However comparative analysis of the association between general obesity (BMI) and visceral obesity (waist circumference) with iron status has not been extensively researched. The aim of the present study is thus to determine if body mass index and waist circumference have the same correlation with iron status. One thousand one hundred and thirty people (225 men and 905 women) aged 30 years and above participated in this study. Anthropometric parameters, haemoglobin, iron and total iron binding capacity concentrations were measured using standard methods. Percentage transferrin saturation was calculated and ferritin concentrations were measured using an enzyme linked immunosorbent assay. Obese or overweight women had significantly lower iron and transferrin saturation concentration when compared to non-obese women. In contrast, women with high waist circumference had comparable plasma iron and transferrin saturation to women with normal waist circumference. Partial correlation analysis and linear regression analysis showed that BMI is negatively and significantly associated with plasma iron, transferrin saturation, Hb and ferritin concentration, whilst waist circumference is positively but insignificantly associated with plasma iron, transferrin saturation, Hb and ferritin concentration. Binary regression analysis showed that obese or overweight people are more likely to have iron deficiency, whilst those with raised waist circumference are more likely to have iron overload. Multivariate analysis showed that body mass index is negatively and significantly associated with low iron status, while waist circumference is positively and insignificantly associated with iron status. This is supported by a comparison of plasma iron, transferrin saturation and ferritin concentrations in participants with high body mass index and normal waist circumference and participants with

  6. A CORRELATION BETWEEN HEAD CIRCUMFERENCE AND CHEST, WAIST AND HIP CIRCUMFERENCES IN YOUNG POPULATION OF KERALA

    Directory of Open Access Journals (Sweden)

    Suchitra S

    2015-01-01

    Full Text Available INTRODUCTION: The head and body measurements in human body vary because of differences in anatomical features which may be influenced by environmental or geographical factors. This also brings about differences in their bony structure and fat distribution. OBJECTIVES: The purpose of this study was to find the correlation between the Head circumference and Chest, Waist & Hip circumferences. METHODS: Head, Chest, Waist, and Hip circumferences were taken for 347 subjects. Then the subjects were classified as Total sample, Males and Females. Data was tabulated and statistical analysis (unpaired t test was carried out to find if any statistical significance between Cephalometric and Anthropometric measurements existed. The correlation co - efficient between head measurement and body measurements was determined using Karl Pearson’s formula. RESULTS: Statistically significant difference was observed for all parameters. Statistically significant correlations were observed in Total sample, Males and Females. CONCLUSION: These measurements will serve as a future frame work for comparing the craniofacial dimensions for differentiation of other racial groups. These are also useful in, anthropometric studies, cosmetology, and reconstructive surgery as well as garment industries. This is also an attempt to help a forensic scientist to identify the individual from dismembered and mutilated body parts in forensic examinations.

  7. Waist circumference and body composition in relation to all-cause mortality in middle-aged men and women

    DEFF Research Database (Denmark)

    Bigaard, J; Frederiksen, K; Tjønneland, A

    2005-01-01

    OBJECTIVE: Waist circumference is directly related to all-cause mortality when adjusted for body mass index (BMI). Body fat and fat-free body mass, when mutually adjusted, show with increasing values an increasing and decreasing relation to all-cause mortality. We investigated the association...... of waist circumference and body composition (body fat and fat-free mass), mutually adjusted, to all-cause mortality. DESIGN: A Danish prospective cohort study with a median follow-up period of 5.8 y. SUBJECTS: In all, 27 178 men and 29 875 women, born in Denmark, aged 50-64 y, and without diagnosis...... of cancer at the time of invitation. MEASUREMENTS: Waist circumference and body composition estimated from impedance measurements. Cox's regression models were used to estimate the mortality rate ratios (RR). RESULTS: Waist circumference was strongly associated with all-cause mortality after adjustment...

  8. O(a^2) cutoff effects in Wilson fermion simulations

    CERN Document Server

    Frezzotti, R

    2007-01-01

    We show that the size of the O(a^2) flavour violating cutoff artifacts that have been found to affect the value of the neutral pion mass in simulations with maximally twisted Wilson fermions is controlled by a continuum QCD quantity that is fairly large and is determined by the dynamical mechanism of spontaneous chiral symmetry breaking. One can argue that the neutral pion mass is the only physical quantity blurred by such cutoff effects. O(a^2) corrections of this kind are also present in standard Wilson fermion simulations, but they can either affect the determination of the pion mass or be shifted from the latter to other observables, depending on the way the critical mass is evaluated.

  9. Circumference character of adults of Barag Mongolian❋%巴尔虎蒙古族成人围度特征

    Institute of Scientific and Technical Information of China (English)

    张君瑞; 李咏兰; 郑连斌; 李鹏飞; 冯晨露

    2015-01-01

    目的::研究巴尔虎蒙古族的围度特征。方法:对内蒙古自治区呼伦贝尔市新巴尔虎左旗巴尔虎蒙古族400例(男性196例,女性204例)成人进行了身体围度的测量。对年龄组间围度值进行方差分析,对年龄与围度进行相关分析。与我国其他18个族群的围度值进行 u 检验与聚类分析。结果:男性腰围、腹围年龄组间的差异具有统计学意义;女性除头围外的12项围度值在不同年龄组间差异均有统计学意义。女性围度值各年龄组间的差异比男性更加明显。直线相关分析,男性呼气围、腰围、腹围和臀围均与年龄呈正相关,女性颈围、躯干各部分围度和上肢围度均与年龄呈正相关。巴尔虎蒙古族在19个族群中头围、胸围、腹围、臀围、大腿围和小腿围6项围度值均处于较高水平。聚类分析显示,巴尔虎蒙古族男性围度值与我国俄罗斯族、塔塔尔族距离最近,女性与俄罗斯族、布里亚特人、塔塔尔族等最近。结论:巴尔虎蒙古族身体围度值较大,具有北亚类型族群的围度特征。%Obj ective:To study the circumference character of adults of Barag Mongolians.Methods :Based on the measurement of the circumferences of 400 adults (1 9 6 male,204 female)of Barags nationality from Hulunbeier,the circumference values were analyzed between age groups and circumference for age and correlation analysis.Meanwhile u test and cluster analys is of the circumference values of Barags adults with other 1 8 nationalities were performed.Results :ANOVA results showed that there were significant differences between the waist and abdominal circumference of male and female 1 2 circumference (exception of the head circumference)among age groups.Linear correlation analysis showed that breath circumference,waist circumference, abdominal circumference and hip circumference of males were positively correlated with age,female neck,torso and

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

    DEFF Research Database (Denmark)

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

    2007-01-01

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

  11. Tentative Colistin Epidemiological Cut-Off Value for Salmonella spp

    DEFF Research Database (Denmark)

    Agersø, Yvonne; Torpdahl, Mia; Zachariasen, Camilla

    2012-01-01

    The objective of this research was to determine minimal inhibitory concentration (MIC) population distributions for colistin for Salmonella on subtype level. Furthermore, we wanted to determine if differences in MIC for colistin could be explained by mutations in pmrA or pmrB encoding proteins...... involved in processes that influence the binding of colistin to the cell membrane. During 2008–2011, 6,583 Salmonella enterica subsp. enterica isolates of human origin and 1931 isolates of animal/meat origin were collected. The isolates were serotyped, and susceptibility was tested towards colistin (range...... 1–16 mg/L). Moreover, 37 isolates were tested for mutations in pmrA and pmrB by polymerase chain reaction (PCR) and DNA sequencing. MIC distribution for colistin at serotype level showed that Salmonella Dublin (n=198) followed by Salmonella Enteritidis (n=1247) were less susceptible than “other...

  12. Enhanced interpretation of newborn screening results without analyte cutoff values

    NARCIS (Netherlands)

    Marquardt, Gregg; Currier, Robert; McHugh, David M. S.; Gavrilov, Dimitar; Magera, Mark J.; Matern, Dietrich; Oglesbee, Devin; Raymond, Kimiyo; Rinaldo, Piero; Smith, Emily H.; Tortorelli, Silvia; Turgeon, Coleman T.; Lorey, Fred; Wilcken, Bridget; Wiley, Veronica; Greed, Lawrence C.; Lewis, Barry; Boemer, Francois; Schoos, Roland; Marie, Sandrine; Vincent, Marie-Francoise; Sica, Yuri Cleverthon; Domingos, Mouseline Torquado; Al-Thihli, Khalid; Sinclair, Graham; Al-Dirbashi, Osama Y.; Chakraborty, Pranesh; Dymerski, Mark; Porter, Cory; Manning, Adrienne; Seashore, Margretta R.; Quesada, Jonessy; Reuben, Alejandra; Chrastina, Petr; Hornik, Petr; Mandour, Iman Atef; Sharaf, Sahar Abdel Atty; Bodamer, Olaf; Dy, Bonifacio; Torres, Jasmin; Zori, Roberto; Cheillan, David; Vianey-Saban, Christine; Ludvigson, David; Stembridge, Adrya; Bonham, Jim; Downing, Melanie; Dotsikas, Yannis; Loukas, Yannis L.; Papakonstantinou, Vagelis; Zacharioudakis, Georgios S. A.; Barath, Akos; Karg, Eszter; Franzson, Leifur; Jonsson, Jon J.; Breen, Nancy N.; Lesko, Barbara G.; Berberich, Stanton L.; Turner, Kimberley; Ruoppolo, Margherita; Scolamiero, Emanuela; Antonozzi, Italo; Carducci, Claudia; Caruso, Ubaldo; Cassanello, Michela; la Marca, Giancarlo; Pasquini, Elisabetta; Di Gangi, Iole Maria; Giordano, Giuseppe; Camilot, Marta; Teofoli, Francesca; Manos, Shawn M.; Peterson, Colleen K.; Gibson, Stephanie K. Mayfield; Sevier, Darrin W.; Lee, Soo-Youn; Park, Hyung-Doo; Khneisser, Issam; Browning, Phaidra; Gulamali-Majid, Fizza; Watson, Michael S.; Eaton, Roger B.; Sahai, Inderneel; Ruiz, Consuelo; Torres, Rosario; Seeterlin, Mary A.; Stanley, Eleanor L.; Hietala, Amy; McCann, Mark; Campbell, Carlene; Hopkins, Patrick V.; de Sain-Van der Velden, Monique G.; Elvers, Bert; Morrissey, Mark A.; Sunny, Sherlykutty; Knoll, Detlef; Webster, Dianne; Frazier, Dianne M.; McClure, Julie D.; Sesser, David E.; Willis, Sharon A.; Rocha, Hugo; Vilarinho, Laura; John, Catharine; Lim, James; Caldwell, S. Graham; Tomashitis, Kathy; Castineiras Ramos, Daisy E.; Cocho de Juan, Jose Angel; Fernandez, Inmaculada Rueda; Yahyaoui Macias, Raquel; Maria Egea-Mellado, Jose; Gonzalez-Gallego, Inmaculada; Delgado Pecellin, Carmen; Garcia-Valdecasas Bermejo, Maria Sierra; Chien, Yin-Hsiu; Hwu, Wuh-Liang; Childs, Thomas; McKeever, Christine D.; Tanyalcin, Tijen; Abdulrahman, Mahera; Queijo, Cecilia; Lemes, Aida; Davis, Tim; Hoffman, William; Baker, Mei; Hoffman, Gary L.

    2012-01-01

    Purpose: To improve quality of newborn screening by tandem mass spectrometry with a novel approach made possible by the collaboration of 154 laboratories in 49 countries. Methods: A database of 767,464 results from 12,721 cases affected with 60 conditions was used to build multivariate pattern recog

  13. Optimal Cutoffs of Obesity Measures in Relation to Cancer Risk in Postmenopausal Women in the Women's Health Initiative Study

    Science.gov (United States)

    Kabat, Geoffrey C.; Strickler, Howard D.; Lin, Juan; Hou, Lifang; Stefanick, Marcia L.; Anderson, Garnet L.; Rohan, Thomas E.

    2015-01-01

    Abstract Background: Obesity is a risk factor for several cancers in postmenopausal women. We attempted to determine cutoffs of adiposity measures in relation to risk of obesity-related cancers among postmenopausal women and to examine the effects of hormone therapy (HT) use on the cutoffs, neither of which has been broadly studied. Methods: We used data from the Women's Health Initiative cohort (n=144,701) and applied Cox-proportional hazards regressions to each combination of 17 cancer types and 6 anthropometric measures (weight, body mass index [BMI], weight to height ratio, waist circumference, waist to hip ratio [WHR], and waist to height ratio). Interactions between the anthropometric measures and HT use were also examined. Cutoffs were determined by applying a grid search followed by a two-fold cross validation method. Survival ROC analysis of 5- and 10-year incidence followed. Results: Breast, colorectal, colon, endometrium, kidney, and all cancers combined were significantly positively associated with all six anthropometric measures, whereas lung cancer among ever smokers was significantly inversely associated with all measures except WHR. The derived cutoffs of each obesity measure varied across cancers (e.g., BMI cutoffs for breast and endometrium cancers were 30 kg/m2 and 34 kg/m2, respectively), and also depended on HT use. The Youden indices of the cutoffs for predicting 5- and 10-year cancer incidence were higher among HT never users. Conclusion: Using a panel of different anthropometric measures, we derived optimal cut-offs categorizing populations into high- and low-risk groups, which differed by cancer type and HT use. Although the discrimination abilities of these risk categories were generally poor, the results of this study could serve as a starting point from which to determine adiposity cutoffs for inclusion in risk prediction models for specific cancer types. PMID:25587642

  14. Fetal Biometry of Head Circumference for Malaysian Pregnant Women

    Science.gov (United States)

    Ramli, Remsen Maizan; Jaafar, M. S.; Ismail, N. E.; Saltani, Hend A. A.; Ahmad, A. L.; Bermakai, M. Yahaya

    2010-07-01

    The purpose of this research is to study the fetal head circumference (HC) biometry for local population. Retrospective study was selected, done at Hospital Pulau Pinang and 5551 files of pregnant women were collected. The HC mean values of this study (HCmean) was compared with other published studies to see whether there was any difference between the various populations in the world. Comparison of means, regression analysis and paired sample t-test in SPSS software version 11.5 were used in the analysis. A total of 9874 HC data (mm) were recorded for gestational age (GA) of 12 to 41 weeks. The HC growth rate in second trimester (11.32 mm/week) has decreased to nearly half than in third trimester (5.53 mm/week). The HCmean was found to be highly significant difference (SD) than other 9 studies and only lower than HC values of USA, UK and Zimbabwe populations. The HC values of German show close similarity with HCmean. From 45 comparisons done, more than three-quarter of the comparisons resulted as SD (37) compared to insignificant differences (8). Consequently, each country should have their own standard HC of fetus biometry of the various gestations for their own population.

  15. A comparison of the clinical usefulness of neck circumference and waist circumference in individuals with severe obesity.

    Science.gov (United States)

    Assyov, Yavor; Gateva, Antoaneta; Tsakova, Adelina; Kamenov, Zdravko

    2017-02-01

    Purpose/Aim: Neck circumference (NC) is an emerging anthropometric parameter that has been proposed to reflect metabolic health. The aim of the current study was to compare its clinical usefulness to waist circumference (WC) in the assessment of individuals with severe obesity.

  16. Neck circumference as a screening measure of overweight/obesity among Indian adults

    Directory of Open Access Journals (Sweden)

    Mondal Nitish

    2016-09-01

    Full Text Available Neck circumference (NC is an anthropometric measurement of differentiating body fat distributions and a marker of upper subcutaneous adiposity. The present study highlights the association and importance of NC as a suitable proxy screening measure of overweight/obesity as compared to the conventional anthropometric variables used among Indian adults. The present community based cross-sectional study was undertaken among 1169 Karbi adults (males: 625; females: 544 residing in Karbi Anglong district of Assam, Northeast India, who were selected through a multistage stratified random sampling method. Height, weight, waist circumference (WC, hip circumference (HC and NC were recorded using standard procedures. The body mass index (BMI was calculated and prevalence of overweight/obesity was assessed using standard cut-offs. The prevalence of obesity using BMI (≥25.00 kg m-2 was 15.52% and 15.26% among males and females, respectively (p≥0.05.The prevalence of obesity using NC was observed to be significantly higher among males (48.80% than females (19.12% (p<0.01. The binary logistic regression analysis showed that NC predicted obesity over the conventional anthropometric variables with reasonable accuracy (p<0.01. The ROC-AUC analysis showed a relatively greater significant association between BMI, WC and HC and NC for obesity (p<0.01. Thus, NC appears to be a potentially simple, easyto- use screening measure for predicting obesity among adults. Further studies are required to validate its use for screening of obesity among other ethnic populations in India.

  17. Does the relationship between waist circumference, morbidity and mortality depend on measurement protocol for waist circumference?

    DEFF Research Database (Denmark)

    Ross, R; Berentzen, T; Bradshaw, A J

    2008-01-01

    There is currently no consensus regarding the optimal protocol for measurement of waist circumference (WC), and no scientific rationale is provided for any of the WC protocols recommended by leading health authorities. A panel of experts conducted a systematic review of 120 studies (236 samples...... WC protocols performed measurement at the minimal waist (33%), midpoint (26%) and umbilicus (27%). Non-significant associations were reported for 27% (64) of the samples. Most of these protocols measured WC at the midpoint (36%), umbilicus (28%) or minimal waist (25%). Significant associations were...

  18. Waist circumference as a predictor for blood glucose levels in adults

    Directory of Open Access Journals (Sweden)

    Shinta L Hardiman

    2016-02-01

    Full Text Available Anthropometric indexes such as body mass index (BMI, waist circumference (WC, hip ciucumference (HC, and waist–hip ratio (WHR, are all useful anthropometric measurements to provide important information on blood glucose concentrations. The aim of this study was to determine different anthropometric measurements, in particular BMI, waist circumference, hip circumference and waist-to-hip ratio, in their ability to predict the blood glucose levels in men and women 40 to 60. A cross-sectional study was conducted on a sample of 44 men and 127 women aged 40 to 50 who lived in Cipete Selatan subdistrict, South Jakarta. Blood glucose levels was assessed and anthropometric measurements comprising BMI, WC, HC, WHR were collected. Multiple linear regression analysis was used to determine the best predictor for blood glucose levels. The study showed that the prevalence of DM type 2 was 25.7% and the prevalence was higher in men (40.9% compared to women (23.5%. The significant predictive variables in the simple regression analysis were age and waist circumference. Multiple linear regression showed that after adjustment for age, WC was positively associated with blood glucose levels. Standardized a value was 0.172 (p=0.026. WC predict blood glucose levels, beyond that explained by traditional diabetic risk factors and BMI. These findings provide support for the recommendation that WC be a routine measure for identification of diabetes mellitus type 2 in men and women aged 40 to 60 years.

  19. Abdominal circumference contributes to absence of wasting in Brazilian children.

    Science.gov (United States)

    César, J A; Victora, C G; Morris, S S; Post, C A

    1996-11-01

    A number of population groups in Latin America show high prevalences of stunting (low height-for-age) despite very low rates of wasting (weight-for-height deficits). One possible explanation for this phenomenon is an increase in abdominal circumference, which would affect children's weights but not their heights. This study was designed to describe the abdominal circumferences of a group of poor children from Northeast Brazil, and to relate these to their weight-for-weight z-score. Children (n = 252) participating in a government growth monitoring program were studied. The prevalence of stunting (below -2 SD) was 26.2%, but only 1.2% were wasted. Abdominal circumferences increased with age up to 36 mo, followed by a slight decline after 48 mo. Abdominal circumference was the anthropometric measurement most closely associated with weight-for-height, with a coefficient of determination of 41%. Even after adjusting for arm circumference, abdominal circumference continued to explain 16% of the variation in weight-for-height. Despite slight differences in measurement techniques, the study children had consistently larger abdominal girths than a sample of North American children. These findings must be verified by replication but highlight a possible contribution of abdominal circumference in the determination of levels of wasting.

  20. Fetal weight estimation by ultrasonic measurement of abdominal circumference.

    Science.gov (United States)

    Kearney, K; Vigneron, N; Frischman, P; Johnson, J W

    1978-02-01

    The purpose of this study was to compare ultrasonic measurements of fetal abdominal circumference to ultrasonic measurements of fetal biparietal diameter, as a means of estimating fetal body weight. Of 58 fetuses who had abdominal circumferences measured, 48 (82%) of the predicted weights were within 15% of the actual birth weights. Forty-four of the same 58 fetuses had satisfactory biparietal diameter measurements, but only 21 (48%) of the predicted weights were within 15% of the actual birthweights. Ultrasonic measurement of abdominal circumference appears to be a more reliable index of fetal body weight than other currently available techniques.

  1. Spin Cut-off Parameter of Nuclear Level Density and Effective Moment of Inertia

    Institute of Scientific and Technical Information of China (English)

    A.N. Behkami; M. Soltani

    2005-01-01

    The spin cut-off parameter of the nuclear level density and effective moment of inertia for a large number of nuclei have been determined from analysis of the experimental data on S-wave neutron resonances and spins of lowlying levels. Contrary to claims made before, it is shown the spin cut-off parameter differs considerably from their corresponding rigid body values, and the energy dependence of the effective moment of inertia confirms the interacting fermion model prediction.

  2. Thigh circumference and risk of heart disease and premature death

    DEFF Research Database (Denmark)

    Heitmann, Berit L; Frederiksen, Peder

    2009-01-01

    in Denmark. PARTICIPANTS: 1436 men and 1380 women participating in the Danish MONICA project, examined in 1987-8 for height, weight, and thigh, hip, and waist circumference, and body composition by impedance. MAIN OUTCOME MEASURES: 10 year incidence of cardiovascular and coronary heart disease and 12.5 years......OBJECTIVE: To examine associations between thigh circumference and incident cardiovascular disease and coronary heart disease and total mortality. DESIGN: Prospective observational cohort study with Cox proportional hazards model and restricted cubic splines. SETTING: Random subset of adults...... of follow-up for total death. RESULTS: A small thigh circumference was associated with an increased risk of cardiovascular and coronary heart diseases and total mortality in both men and women. A threshold effect for thigh circumference was evident, with greatly increased risk of premature death below...

  3. Dietary predictors of 5-year changes in waist circumference

    DEFF Research Database (Denmark)

    Halkjaer, Jytte; Tjønneland, Anne; Overvad, Kim

    2009-01-01

    the association between intake from 21 food and beverage groups and the subsequent 5-year difference in waist circumference. METHODS: The study population consisted of 22,570 women and 20,126 men, aged 50 to 64 years at baseline, with complete data on baseline and follow-up waist circumference, baseline diet (192...... items food frequency questionnaire), body mass index, and selected potential confounders (eg, smoking status, sport activities, and intake of alcoholic beverages). Multiple linear regression analyses were performed. RESULTS: For women, 5-year difference in waist circumference was inversely related...... to intake from red meat, vegetables, fruit, butter, and high-fat dairy products, whereas intake from potatoes, processed meat, poultry, and snack foods was positively associated. For men, red meat and fruit intakes were inversely associated with 5-year difference in waist circumference, whereas snack foods...

  4. CMEs and frequency cutoff of solar bursts

    Science.gov (United States)

    Stanislavsky, Al.; Konovalenko, Al.; Koval, Ar.; Volvach, Y.; Zarka, P.

    2016-05-01

    Radio observations of solar bursts with high-frequency cutoff by the radio telescope UTR-2 (near Kharkiv, Ukraine) at 8-33 MHz on 17-19 August 2012 are presented. Such cutoff may be attributed to the emergence of the burst sources behind limb of the Sun with respect to an observer on the Earth. The events are strongly associated with solar eruptions occurred in a new active region. Ray tracing simulations show that the CMEs play a constructive role for the behind-limb bursts to be detected in ground-based observations. Likely, due to tunnel-like cavities with low density in CMEs, the radio emission of behind-limb solar bursts can be directed towards the Earth.

  5. Waist and hip circumferences and all-cause mortality

    DEFF Research Database (Denmark)

    Bigaard, J; Frederiksen, K; Tjønneland, A

    2004-01-01

    OBJECTIVE: To investigate whether waist and hip circumferences, in addition to body mass index (BMI), are related to all-cause mortality. We studied these associations and tested the usefulness of the waist-to-hip ratio for mortality prediction. DESIGN: A Danish prospective cohort study with data...... collected between 1993 and 1997. SUBJECTS: A total of 27 179 men and 29 875 women born in Denmark and aged 50-64 years were followed for a median of 6.8 years. MEASUREMENTS: BMI, waist and hip circumferences at baseline. RESULTS: The associations between hip circumference and all-cause mortality were...... inverse for both men and women, but only after adjustment for waist circumference, or BMI, or both. The mortality rate ratios of mutually adjusted waist and hip circumferences were 0.63 (95% CI: 0.56, 0.71), and 0.70 (95% CI: 0.63, 0.79) times higher per 10% larger hip circumference in men and women...

  6. Change in neck circumference after shoulder arthroscopy: An observational study

    Directory of Open Access Journals (Sweden)

    Shrividya Chellam

    2015-01-01

    Full Text Available Background and Aims: Shoulder arthroscopy requires fluid irrigation, which causes soft-tissue oedema around chest, neck, and arm intraoperatively, leading to postoperative airway complications. We decided to study the incidence of increase in the neck circumference in shoulder arthroscopy and its effects on the airway. Methods: We studied 32 cases of shoulder arthroscopies over a period of 1-year, performed under general anaesthesia with interscalene block. The neck circumference of patients before and after the procedure was measured along with other parameters. The endotracheal tube cuff was deflated at the end of surgery to determine air leak around the tube. The negative leak test suggested airway oedema. Results: Thirty out of 32 patients showed positive air leak test. The average change in neck circumference was 1.17 ± 1.16 cm and all could be extubated uneventfully. Two showed negative leak test with an increase in neck circumference by 4.5 and 6.4 cm and were not extubated. Multiple regression analysis for risk factors showed intraoperative hypertension as a single predictor for an increase in neck circumference. Conclusion: Change in the neck circumference beyond 4 cm may suggest airway compromise and below 4 cm, airway compromise is unlikely even in the presence of extensive soft-tissue oedema around the shoulder, upper arm and chest.

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

    CERN Document Server

    Jimenez, A; Palle, P L

    2011-01-01

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

  8. PAMELA's measurements of geomagnetic cutoff variations during the 14 December 2006 storm

    CERN Document Server

    Adriani, O; Bazilevskaya, G A; Bellotti, R; Boezio, M; Bogomolov, E A; Bongi, M; Bonvicini, V; Bottai, S; Bruno, A; Cafagna, F; Campana, D; Carlson, P; Casolino, M; Castellini, G; De Donato, C; de Nolfo, G A; De Santis, C; De Simone, N; Di Felice, V; Galper, A M; Karelin, A V; Koldashov, S V; Koldobskiy, S; Krutkov, S Y; Kvashnin, A N; Leonov, A; Malakhov, V; Marcelli, L; Martucci, M; Mayorov, A G; Menn, W; Mikhailov, M Mergé V V; Mocchiutti, E; Monaco, A; Mori, N; Munini, R; Osteria, G; Palma, F; Panico, B; Papini, P; Pearce, M; Picozza, P; Ricci, M; Ricciarini, S B; Sarkar, R; Scotti, V; Simon, M; Sparvoli, R; Spillantini, P; Stozhkov, Y I; Vacchi, A; Vannuccini, E; Vasilyev, G I; Voronov, S A; Yurkin, Y T; Zampa, G; Zampa, N

    2016-01-01

    Data from the Payload for Antimatter Matter Exploration and Light-nuclei Astrophysics (PAMELA) satellite experiment were used to measure the geomagnetic cutoff for high-energy (>80 MeV) protons during the 14 December 2006 geomagnetic storm. The variations of the cutoff latitude as a function of rigidity were studied on relatively short timescales, corresponding to spacecraft orbital periods (94 min). Estimated cutoff values were compared with those obtained by means of a trajectory tracing approach based on a dynamical empirical modeling of the Earth's magnetosphere. We found significant variations in the cutoff latitude, with a maximum suppression of about 7 deg at lowest rigidities during the main phase of the storm. The observed reduction in the geomagnetic shielding and its temporal evolution were related to the changes in the magnetospheric configuration, investigating the role of interplanetary magnetic field, solar wind and geomagnetic parameters. PAMELA's results represent the first direct measurement...

  9. Adapting the D-dimer cutoff for thrombosis detection in elderly outpatients.

    Science.gov (United States)

    Andro, Marion; Righini, Marc; Le Gal, Grégoire

    2013-06-01

    D-dimer measurement is an important step in diagnostic strategies for venous thromboembolism. It allows the safe ruling out of the diagnosis with no need for imaging tests in approximately 30% of outpatients. However, the usefulness of d-dimer is limited in elderly patients; the likelihood of a negative d-dimer strongly decreases with age, making physicians reluctant to order the test. Several attempts to improve the performance of D-dimer in elderly patients have been pursued. Recently, an age-adjusted cutoff was derived; the optimal cutoff value (in µg/l) appears to be equal to the patient's age (in years) multiplied by ten in patients over 50 years of age with a low pretest clinical risk of venous thromboembolism. This age-adjusted cutoff value has been extensively and externally validated in retrospective studies that included mostly outpatients with suspected deep vein thrombosis or pulmonary embolism and used various quantitative D-dimer assays. All available studies confirmed the increased usefulness and similar safety of the age-adjusted cutoff compared with the conventional cutoff, the most important benefit being obtained in elderly patients. However, before any recommendation for clinical practice can be made, a prospective diagnostic management outcome study is lacking, in which all low clinical risk patients with D-dimer levels below their age-adjusted cutoff would be left untreated with no further diagnostic testing.

  10. Change in waist circumference over 11 years and current waist circumference independently predict elevated CRP in Filipino women

    OpenAIRE

    Rutherford, J.N.; McDade, T.W.; Lee, N. R.; Adair, L; Kuzawa, C.

    2010-01-01

    C-reactive protein, a marker of chronic, low-grade inflammation, is strongly associated with current central adiposity, and has been linked to elevated risk of cardiovascular disease. Less is known about the contribution of longitudinal change in waist circumference to current inflammation. We evaluated the extent to which current waist circumference and change over an 11-year interval contribute independently to low-grade systemic inflammation measured in a group of 1,294 women, 35–69 years,...

  11. Body circumferences: clinical implications emerging from a new geometric model

    Directory of Open Access Journals (Sweden)

    Gallagher Dympna

    2008-10-01

    Full Text Available Abstract Background Body volume expands with the positive energy balance associated with the development of adult human obesity and this "growth" is captured by two widely used clinical metrics, waist circumference and body mass index (BMI. Empirical correlations between circumferences, BMI, and related body compartments are frequently reported but fail to provide an important common conceptual foundation that can be related to key clinical observations. A two-phase program was designed to fill this important gap: a geometric model linking body volume with circumferences and BMI was developed and validated in cross-sectional cohorts; and the model was applied to the evaluation of longitudinally monitored subjects during periods of voluntary weight loss. Concepts emerging from the developed model were then used to examine the relations between the evaluated clinical measures and body composition. Methods Two groups of healthy adults (n = 494 and 1499 were included in the cross-sectional model development/testing phase and subjects in two previous weight loss studies were included in the longitudinal model evaluation phase. Five circumferences (arm, waist, hip, thigh, and calf; average of sum, C, height (H, BMI, body volume (V; underwater weighing, and the volumes of major body compartments (whole-body magnetic resonance imaging were measured. Results The evaluation of a humanoid geometric model based a cylinder confirmed that V derived from C and H was highly correlated with measured V [R2 both males and females, 0.97; p 0.5. The scaling of individual circumferences to V/H varied, with waist the highest (V/H~0.6 and calf the lowest (V/H~0.3, indicating that the largest and smallest between-subject "growth" with greater body volume occurs in the abdominal area and lower extremities, respectively. A stepwise linear regression model including all five circumferences2 showed that each contributed independently to V/H. These cross

  12. Waist circumference is the best index for obesity-related cardiovascular disease risk in individuals with spinal cord injury.

    Science.gov (United States)

    Ravensbergen, Henrike Rianne Joanna Cornelie; Lear, Scott Alexander; Claydon, Victoria Elizabeth

    2014-02-01

    Obesity is an important identifier of cardiovascular disease (CVD) risk, but is challenging to determine accurately in individuals with spinal cord injury (SCI). Body mass index (BMI) is used worldwide as a simple indicator of obesity, but is difficult to measure in individuals with SCI. Furthermore, standard BMI cutoffs underestimate obesity in this population. Therefore, we aimed to identify the best marker of obesity in individuals with SCI, considering both practicality, and ability to detect adiposity and CVD risk. Five anthropometric measures were evaluated: BMI; waist circumference (WC); waist-to-height ratio (WHtR); waist-to-hip ratio; and neck circumference. We evaluated relationships between these measures and abdominal and total body-fat percentage, seven cardiovascular metabolic risk factors (fasting insulin, glucose, glucose tolerance, triglycerides, high-density lipoprotein, low-density lipoprotein, and total cholesterol), and the Framingham risk score. BMI, WC, and WHtR were correlated with abdominal fat percentage. WC and WHtR were correlated with five metabolic risk factors as well as the Framingham risk score. WC is a more practical measure for an SCI population. The optimal cutoff for identifying adverse CVD risk in individuals with SCI was identified as WC ≥94 cm, with 100% sensitivity and 79% specificity. We propose that WC is a simple, more sensitive alternative to BMI in this population that is easy to use in multiple settings. The cutoff provides a simple tool to predict adverse CVD risk profiles that can be used to guide risk management, as well as as a practical aid for individuals with SCI to maintain a healthy body composition.

  13. Circumference and its variation with age of rural adults of Xiang dialect group%湘语族群乡村成人围度值年龄组间比较

    Institute of Scientific and Technical Information of China (English)

    李咏兰; 陆舜华; 郑连斌; 李传刚; 李永霞; 孔祥薇; 傅媛

    2012-01-01

    Objective To study the circumference and its variation with age of rural adults in Xiang dialect group. Methods Using random sampling method to measure the circumference values of Xiang dialect group with 410 adults (196 males,214 females ), including the circumference values of head, neck, chest, inspiratory chest circumference values, expiratory chest circumference values, and the circumference values of abdomen, hip, thigh, calf, biceps, fore-arm, Maximum biceps. To analysis the changes of circumference values of different age groups, and then make a comparison of the circumference values of 19 nationalities in China using method of cluster analysis. Results The result of variance analysis showed that there were significant differences between the male and female 11 circumference values ( exception of the head circumference ) , among age groups. A linear correlation analysis showed, male chest circumference, expiratory chest circumference, abdominal circumference were positively associated with age. , while head, neck, thigh, calf circumference were negatively associated with age. Female chest circumference, inspiration chest circumference, expiration chest circumference, abdomen circumference, and biceps circumference, were positively associated with age. Abdomen, hip, thigh circumference values did not show any significant difference between sex. There was a significant difference among the remaining 9 circumference values in gender, and male' s was significantly higher than that of female. Conclusion Circumference values of rural adult in Xiang dialect group have a significant difference in both of different age groups and gender.%目的 探讨湘语族群乡村成人围度值及其年龄变化特点.方法 采用随机抽样方法,测量湖南410名(男196名,女214名)湘语族群乡村成人的头围、颈围、胸围、吸气胸围、呼气胸围、腹围、臀围、大腿围、小腿围、上臂围、前臂围、上臂最大围12

  14. Cutoff regulators in chiral nuclear effective field theory

    CERN Document Server

    Long, Bingwei

    2016-01-01

    Three-dimensional cutoff regulators are frequently employed in multi-nucleon calculations, but they violate chiral symmetry and Lorentz invariance. A cutoff regularization scheme is proposed to compensate systematically at subleading orders for these symmetry violations caused by regulator artifacts. This is especially helpful when a soft momentum cutoff has to be used for technical reasons. It is also shown that dimensional regularization can still be used for some Feynman (sub)diagrams while cutoff regulators are used for the rest.

  15. Caregiver's Feeding Styles Questionnaire. Establishing cutoff points.

    Science.gov (United States)

    Hughes, Sheryl O; Cross, Matthew B; Hennessy, Erin; Tovar, Alison; Economos, Christina D; Power, Thomas G

    2012-02-01

    Researchers use the Caregiver's Feeding Styles Questionnaire (CFSQ) to categorize parent feeding into authoritative, authoritarian, indulgent, and uninvolved styles. The CFSQ assesses self-reported feeding and classifies parents using median splits which are used in a substantial body of parenting literature and allow for direct comparison across studies on dimensions of demandingness and responsiveness. No national norms currently exist for the CFSQ. This paper establishes and recommends cutoff points most relevant for low-income, minority US samples that researchers and clinicians can use to assign parents to feeding styles. Median scores for five studies are examined and the average across these studies reported.

  16. Optimal waist-to-height ratio values for cardiometabolic risk screening in an ethnically diverse sample of South African urban and rural school boys and girls.

    Directory of Open Access Journals (Sweden)

    Tandi E Matsha

    Full Text Available BACKGROUND: The proposed waist-to-height ratio (WHtR cut-off of 0.5 is less optimal for cardiometabolic risk screening in children in many settings. The purpose of this study was to determine the optimal WHtR for children from South Africa, and investigate variations by gender, ethnicity and residence in the achieved value. METHODS: Metabolic syndrome (MetS components were measured in 1272 randomly selected learners, aged 10-16 years, comprising of 446 black Africans, 696 mixed-ancestry and 130 Caucasians. The Youden's index and the closest-top-left (CTL point approaches were used to derive WHtR cut-offs for diagnosing any two MetS components, excluding the waist circumference. RESULTS: The two approaches yielded similar cut-off in girls, 0.465 (sensitivity 50.0, specificity 69.5, but two different values in boys, 0.455 (42.9, 88.4 and 0.425 (60.3, 67.7 based on the Youden's index and the CTL point, respectively. Furthermore, WHtR cut-off values derived differed substantially amongst the regions and ethnic groups investigated, whereby the highest cut-off was observed in semi-rural and white children, respectively, Youden's index0.505 (31.6, 87.1 and CTL point 0.475 (44.4, 75.9. CONCLUSION: The WHtR cut-off of 0.5 is less accurate for screening cardiovascular risk in South African children. The optimal value in this setting is likely gender and ethnicity-specific and sensitive to urbanization.

  17. 46 CFR 109.333 - Fire main cutoff valves.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Fire main cutoff valves. 109.333 Section 109.333... OPERATIONS Operation and Stowage of Safety Equipment § 109.333 Fire main cutoff valves. The master or person in charge shall insure that each fire main cutoff valve is open and sealed to prevent closing,...

  18. Learning circumference concepts from the didactical situations theory perspective

    Directory of Open Access Journals (Sweden)

    Valdir de Sousa Cavalcanti

    2013-08-01

    Full Text Available The circumference study, as its importance, it is one of the most relevant contents in the Analytical Geometry curriculum. However, the complexity of related concepts to this theme linked to the content fragmentation, it difficulties the students thinking of transforming geometrical problems into equations solution, systems or inequations. Within, in this article we present a partial report of a master research work, of qualitative mode, which aimed to develop and to evaluate an alternative methodology by using musical parody composition to the teaching of Mathematics in trying to contribute to the circumference concepts learning process. For that, we carried out a case study with 36 third year high school students of a public school from the city of Campina Grande, Paraíba. The research work was based and discussed on Brousseau Didactical Situation Theory. It was chosen triangulation technique for the data analyses, collected from interviews, questionnaires and a list of mathematical exercises. We concluded that the parody composition resource allowed the students better understand the concepts of center, ratio, cord and the definition of the general circumference equation, as they were capable to identify the relative positions which a circumference assumes in relation to an equation of a straight line and between two circumferences in the various concepts that differentiated them. Thus, we can state that the musical parody composition as a didactical resource can contribute to the learning of mathematical contents.

  19. Cut-off wavenumber of Alfven waves in partially ionized plasmas of the solar atmosphere

    CERN Document Server

    Zaqarashvili, T V; Ballester, J L; Khodachenko, M L

    2012-01-01

    Alfven wave dynamics in partially ionized plasmas of the solar atmosphere shows that there is indeed a cut-off wavenumber, i.e. the Alfven waves with wavenumbers higher than the cut-off value are evanescent. The cut-off wavenumber appears in single-fluid magnetohydrodynamic (MHD) approximation but it is absent in a multi-fluid approach. Up to now, an explanation for the existence of the cut-off wavenumber is still missing. The aim of this paper is to point out the reason for the appearance of a cut-off wavenumber in single-fluid MHD. Beginning with three-fluid equations (with electrons, protons and neutral hydrogen atoms), we performed consecutive approximations until we obtained the usual single-fluid description is obtained. We solved the dispersion relation of linear Alfven waves at each step and sought the approximation responsible of the cut-off wavenumber appearance. We have found that neglecting inertial terms significantly reduces the real part of the Alfven frequency although it never becomes zero. T...

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

    Institute of Scientific and Technical Information of China (English)

    AFSHIN AKBARI; ESMAEIL RAHIMI

    2016-01-01

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

  1. Avaliação do desempenho diagnóstico e do valor de corte para o índice de respiração rápida e superficial na predição do insucesso da extubação Evaluation of the diagnostic performance and cut-off value for the rapid shallow breathing index in predicting extubation failure

    Directory of Open Access Journals (Sweden)

    Aline Roberta Danaga

    2009-06-01

    Full Text Available OBJETIVO: Avaliar o desempenho diagnóstico do índice de respiração rápida e superficial (IRRS na predição do insucesso da extubação de pacientes adultos em terapia intensiva e verificar a adequação do valor de corte clássico para esse índice. MÉTODOS: Estudo prospectivo realizado na unidade de terapia intensiva de adultos do Hospital das Clínicas da Faculdade de Medicina de Botucatu, através da avaliação do IRRS em 73 pacientes consecutivos considerados clinicamente prontos para extubação. RESULTADOS: O IRRS com valor de corte clássico (105 ciclos/min/L apresentou sensibilidade de 20% e especificidade de 95% (soma = 115%. A análise da curva receiver operator characteristic (ROC demonstrou melhor valor de corte (76,5 ciclos/min/L, o qual forneceu sensibilidade de 66% e especificidade de 74% (soma = 140%, e a área sob a curva ROC para o IRRS foi de 0,78. CONCLUSÕES: O valor de corte clássico do IRRS se mostrou inadequado nesta casuística, prevendo apenas 20% dos pacientes com falha na extubação. A obtenção do novo valor de corte permitiu um acréscimo substancial de sensibilidade, com aceitável redução da especificidade. O valor da área sob a curva ROC indicou satisfatório poder discriminativo do índice, justificando a validação de sua aplicação.OBJECTIVE: To evaluate the diagnostic performance of the rapid shallow breathing index (RSBI in predicting extubation failure among adult patients in the intensive care unit and to determine the appropriateness of the classical RSBI cut-off value. METHODS: This was a prospective study conducted in the adult intensive care unit of the Botucatu School of Medicine Hospital das Clínicas. The RSBI was evaluated in 73 consecutive patients considered clinically ready for extubation. RESULTS: The classical RSBI cut-off value (105 breaths/min/L presented a sensitivity of 20% and a specificity of 95% (sum = 115%. Analysis of the receiver operator characteristic (ROC curve

  2. Microcephaly in Pernambuco State, Brazil: epidemiological characteristics and evaluation of the diagnostic accuracy of cutoff points for reporting suspected cases.

    Science.gov (United States)

    Souza, Wayner Vieira de; Araújo, Thalia Velho Barreto de; Albuquerque, Maria de Fátima P Militão; Braga, Maria Cynthia; Ximenes, Ricardo Arraes de Alencar; Miranda-Filho, Demócrito de Barros; Bezerra, Luciana Caroline Albuquerque; Dimech, George Santiago; Carvalho, Patrícia Ismael de; Assunção, Romildo Siqueira de; Santos, Roselene Hans; Oliveira, Wanderson Kleber de; Rodrigues, Laura Cunha; Martelli, Celina Maria Turchi

    2016-01-01

    The increase in the number of reported cases of microcephaly in Pernambuco State, and Northeast Brazil, characterized an epidemic that led the Brazilian Ministry of Health to declare a national public health emergency. The Brazilian Ministry of Health initially defined suspected cases as newborns with gestational age (GA) ≥ 37 weeks and head circumference (HC) ≤ 33cm, but in December 2015 this cutoff was lowered to 32cm. The current study aimed to estimate the accuracy, sensitivity, and specificity of different cutoff points for HC, using ROC curves, with the Fenton and Intergrowth (2014) curves as the gold standard. The study described cases reported in Pernambuco from August 8 to November 28, 2015, according to sex and GA categories. The Fenton and Intergrowth methods provide HC growth curves according to GA and sex, and microcephaly is defined as a newborn with HC below the 3rd percentile in these distributions. Of the 684 reported cases, 599 were term or post-term neonates. For these, the analyses with ROC curves show that according to the Fenton criterion the cutoff point with the largest area under the ROC curve, with sensitivity greater than specificity, is 32cm for both sexes. Using the Intergrowth method and following the same criteria, the cutoff points are 32cm and 31.5cm for males and females, respectively. The cutoff point identified by the Fenton method (32cm) coincided with the Brazilian Ministry of Health recommendation. Adopting Intergrowth as the standard, the choice would be 32cm for males and 31.5cm for females. The study identified the need to conduct critical and on-going analyses to evaluate cutoff points, including other characteristics for microcephaly case definition.

  3. Cutoff-Free Traveling Wave NMR

    CERN Document Server

    Tang, Joel A; Sodickson, Daniel K; Jerschow, Alexej

    2011-01-01

    Recently, the concept of traveling-wave NMR/MRI was introduced by Brunner et al. (Nature 457, 994-992 (2009)), who demonstrated MR images acquired using radio frequency (RF) waves propagating down the bore of an MR scanner. One of the significant limitations of this approach is that each bore has a specific cutoff frequency, which can be higher than most Larmor frequencies of at the magnetic field strengths commonly in use for MR imaging and spectroscopy today. We overcome this limitation by using a central conductor in the waveguide and thereby converting it to a transmission line (TL), which has no cutoff frequency. Broadband propagation of waves through the sample thus becomes possible. NMR spectra and images with such an arrangement are presented and genuine traveling wave behavior is demonstrated. In addition to facilitating NMR spectroscopy and imaging in smaller bores via traveling waves, this approach also allows one to perform multinuclear traveling wave experiments (an example of which is shown), an...

  4. Anthropometry of height, weight, arm, wrist, abdominal circumference and body mass index, for Bolivian adolescents 12 to 18 years: Bolivian adolescent percentile values from the MESA study Referencias antropométricas de los adolescentes bolivianos de 12 a 18 años: estatura, peso, circunferencia del brazo, muñeca y abdominal, índice de masa corporal: Percentiles de adolescentes bolivianos (PAB del estudio MESA

    Directory of Open Access Journals (Sweden)

    A. Baya Botti

    2009-06-01

    Full Text Available Anthropometry is important as clinical tool for individual follow-up as well as for planning and health policymaking at population level. Recent references of Bolivian Adolescents are not available. The aim of this cross sectional study was to provide age and sex specific centile values and charts of Body Mass Index, height, weight, arm, wrist and abdominal circumference from Bolivian Adolescents. Data from the MEtabolic Syndrome in Adolescents (MESA study was used. Thirty-two Bolivian clusters from urban and rural areas were selected randomly considering population proportions, 3445 school going adolescents, 12 to 18 y, 45% males; 55% females underwent anthropometric evaluation by trained personnel using standardized protocols for all interviews and examinations. Weight, height, wrist, arm and abdominal circumference data were collected. Body Mass Index was calculated. Smoothed age- and gender specific 3rd, 5th, 10th, 25th, 50th, 75th, 85th, 90th, 95th and 97th Bolivian adolescent percentiles(BAP and Charts(BAC where derived using LMS regression. Percentile-based reference data for the antropometrics of for Bolivian Adolescents are presented for the first time.La antropometría es una herramienta clínica importante para el seguimiento individual de los pacientes así como para la planificación de políticas públicas. En Bolivia no existen referencias antropométricas nacionales para adolescentes. El objetivo de este estudio transversal fue de desarrollar percentiles y diagramas de crecimiento para peso, talla, índice de masa corporal, presión arterial sistólica y diastólica, circunferencia de muñeca, brazo y abdominal de adolescentes bolivianos. Los datos antropométricos en el estudio MESA (Síndrome metabólico en adolescentes bolivianos fueron obtenidos a partir de 32 unidades muestrales, considerando proporcionalidad muestral con reposición. Fueron evaluados 3445 adolescentes de 12 a 18, 45% hombres; 55% mujeres, de colegios de

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

    DEFF Research Database (Denmark)

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

    2011-01-01

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

  6. BODY MASS INDEX AND WAIST CIRCUMFERENCE IN GREEK ADULTS

    Directory of Open Access Journals (Sweden)

    Mavrovounioti, Chr.

    2009-03-01

    Full Text Available The aim of the present study was to investigate overweight and obesity, in Greek adults. In the presentstudy, 110 men and women, 19- to 60 years old, took part. Measurements of subject’s height, body weight, andwaist circumference (WC were performed. BMI was used for the evaluation of the degree of overweight andobesity and WC for the evaluation of the degree of central obesity, according to the values for adults set byWorld Health Organisation (WHO. For the statistical analysis the statistic packet SPSS/PC version 12.0 forwindows was used. From data statistical analysis, it was found out that men had BMI 24.94+3.22 kg/m2 and WC90.78+13.24cm, while women had BMI 22.99+4.75 kg/m2 and WC 80.64+11.19cm. T-tests showed that theobserved differences between men and women in both BMI and WC were significant (t=2.51, p<0.05 andt=4.34, p<0.001, respectively. Additionally, it was found out that more than half of the men were overweightand/or obese (51.9%, while approximately the 1/5th of women were overweight and/or obese (21.5%. Chisquaretest showed that sex affects significantly the degree of overweight and obesity (x2=18.14, p<0.001.Moreover, men presented central obesity to a percentage of 11.1%, while women presented central obesity to a smaller percentage (3.60%. Consequently, in the present study, there were observed high percentages of overweight and obesity, as well as of central obesity, especially on men. Thus, a combination of an exercise program with a balanced diet is suggested in order to lead to a normal body weight and normal abdominal fat quantity for an enhanced quality of life without health disorders due to obesity.

  7. Relationship of age, body mass index, wrist and waist circumferences to carpal tunnel syndrome severity.

    Science.gov (United States)

    Komurcu, Hatice Ferhan; Kilic, Selim; Anlar, Omer

    2014-01-01

    Carpal tunnel syndrome (CTS) has a multifactorial etiology involving systemic, anatomical, idiopathic, and ergonomic characteristics. In this study, an investigation of the relationship between the CTS degree established by electrophysiological measurements in patients with clinical CTS prediagnosis, and age, gender, body mass index (BMI), hand wrist circumference, and waist circumference measurements has been done. On 547 patients included in the study, motor and sensory conduction examinations of the median and ulnar nerve were done on one or two upper extremities thought to have CTS. In terms of CTS severity, the patients were divided into four groups (normal, mild, medium, and severe CTS). A total of 843 electrophysiological examinations were done consisting of 424 on the right hand wrist and 419 on the left hand wrist. When the age group of 18-35 years is taken as the reference group, the CTS development risk independent of BMI has been found to have increased by a factor of 1.86 for ages 36-64 years, and by 4.17 for ages 65 years and higher after adjustment for BMI. With respect to normal degree CTS group, the BMI were significantly different in groups with mild, medium, and severe CTS. The waist circumferences of groups with mild, medium, and severe CTS severity were found to be significantly higher in comparison to the normal reference group. When this value was corrected with BMI and re-examined the statistically significant differences persisted. The study identified a significant relationship between the CTS severity and age, BMI, waist circumference.

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2015-07-15

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

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

    CERN Document Server

    Baran, Á; Salamon, P; Vertse, T

    2015-01-01

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

  10. CT-angiography-based evaluation of the aortic annulus for prosthesis sizing in transcatheter aortic valve implantation (TAVI-predictive value and optimal thresholds for major anatomic parameters.

    Directory of Open Access Journals (Sweden)

    Florian Schwarz

    Full Text Available BACKGROUND/OBJECTIVES: To evaluate the predictive value of CT-derived measurements of the aortic annulus for prosthesis sizing in transcatheter aortic valve implantation (TAVI and to calculate optimal cutoff values for the selection of various prosthesis sizes. METHODS: The local IRB waived approval for this single-center retrospective analysis. Of 441 consecutive TAVI-patients, 90 were excluded (death within 30 days: 13; more than mild aortic regurgitation: 10; other reasons: 67. In the remaining 351 patients, the CoreValve (Medtronic and the Edwards Sapien XT valve (Edwards Lifesciences were implanted in 235 and 116 patients. Optimal prosthesis size was determined during TAVI by inflation of a balloon catheter at the aortic annulus. All patients had undergone CT-angiography of the heart or body trunk prior to TAVI. Using these datasets, the diameter of the long and short axis as well as the circumference and the area of the aortic annulus were measured. Multi-Class Receiver-Operator-Curve analyses were used to determine the predictive value of all variables and to define optimal cutoff-values. RESULTS: Differences between patients who underwent implantation of the small, medium or large prosthesis were significant for all except the large vs. medium CoreValve (all p's<0.05. Furthermore, mean diameter, annulus area and circumference had equally high predictive value for prosthesis size for both manufacturers (multi-class AUC's: 0.80, 0.88, 0.91, 0.88, 0.88, 0.89. Using the calculated optimal cutoff-values, prosthesis size is predicted correctly in 85% of cases. CONCLUSION: CT-based aortic root measurements permit excellent prediction of the prosthesis size considered optimal during TAVI.

  11. Measurement error of waist circumference: gaps in knowledge.

    NARCIS (Netherlands)

    Verweij, L.M.; Terwee, C.B.; Proper, K.I.; Hulshof, C.T.J.; Mechelen, W. van

    2013-01-01

    Objective: It is not clear whether measuring waist circumference in clinical practice is problematic because the measurement error is unclear, as well as what constitutes a clinically relevant change. The present study aimed to summarize what is known from state-of-the-art research. Design: To ident

  12. Measurement error of waist circumference: Gaps in knowledge

    NARCIS (Netherlands)

    Verweij, L.M.; Terwee, C.B.; Proper, K.I.; Hulshof, C.T.; Mechelen, W.V. van

    2013-01-01

    Objective It is not clear whether measuring waist circumference in clinical practice is problematic because the measurement error is unclear, as well as what constitutes a clinically relevant change. The present study aimed to summarize what is known from state-of-the-art research. Design To identif

  13. Head Circumference in Autism, Asperger Syndrome and ADHD

    Directory of Open Access Journals (Sweden)

    J Gordon Millichap

    2002-06-01

    Full Text Available Occipitofrontal circumference (OFC, measured at birth and after 16 months of age, was compared in 50 consecutive patients with Asperger syndrome, 50 diagnosed with autistic disorder, and 50 with ADHD and followed at the Department of Child and Adolescent Psychiatry, Goteborg University, Sweden.

  14. Association Between Increased Waist Circumference and Depression and Anxiety Trend

    Directory of Open Access Journals (Sweden)

    Elena Bocicor Andreea

    2015-06-01

    Full Text Available Introduction: Abdominal adiposity assessed by increased waist circumference and depression have both a high incidence and prevalence and are associated with increased general mortality and cardiovascular risk. Several studies showed a significant association between abdominal obesity, metabolic syndrome and depression. Early detection of these associations is important for for prevention and treatment of this disease.

  15. Head Circumferences in Twins with and without Autism Spectrum Disorders

    Science.gov (United States)

    Froehlich, Wendy; Cleveland, Sue; Torres, Andrea; Phillips, Jennifer; Cohen, Brianne; Torigoe, Tiffany; Miller, Janet; Fedele, Angie; Collins, Jack; Smith, Karen; Lotspeich, Linda; Croen, Lisa A.; Ozonoff, Sally; Lajonchere, Clara; Grether, Judith K.; Hallmayer, Joachim

    2013-01-01

    To determine the genetic relationship between head circumference (HC) and Autism Spectrum Disorders (ASDs). Twin pairs with at least one twin with an ASD were assessed. HCs in affected and unaffected individuals were compared, as were HC correlations in monozygotic and dizygotic pairs. 404 subjects, ages 4-18, were included. 20% of males and 27%…

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

    CERN Document Server

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

    2014-01-01

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

  17. Methodology for adjusting scrotal circumference to 365 or 452 days of age and correlations of scrotal circumference with growth traits in beef bulls.

    Science.gov (United States)

    Bell, D J; Spitzer, J C; Bridges, W C; Olson, L W

    1996-09-01

    A retrospective analysis was conducted on data collected from 1983 through 1991, where weight and hip height were measured at start of test and every 28 d on 604 bulls completing a 224-d forage-based gain test. Scrotal circumference (SC) was measured at start of test, and at either end of test or end of the weigh period after individual bulls reached 365 d of age. Over 3 yr of this study, SC was additionally measured every 28 d. Bulls were representatives of 5 breed groups: Angus, Santa Gertrudis, Simmental, Continental (predominantly Charolais), and Zebu (predominantly Simbrah). Adjusted 365-d SC and adjusted 452-d SC were calculated by regression analysis and from formulas based on SC growth of individuals to 140 and 224 d on test, respectively. Breed group differences were observed for age of dam, birth weight, hip height, weight per day of age, average daily gain and SC at start of test, 140 d, and end of test (224 d). Scrotal circumference was positively correlated with all growth traits. Scrotal circumference was related to breed group, age, weight, hip height, average daily gain, weight per day of age, age by year, and age-by-breed group (P<0.05), as determined by regression analysis. However, omitting weight, hip height, average daily gain, and weight per day of age from the regression model did not significantly affect R2 value. Scrotal circumference growth was linear to 140 d on test; however, SC growth to 224 d on test was curvilinear. The 365-d SC predicted from the formula and from regression analysis differed for Simmental and Zebu by 0.3 and 0.4 cm, respectively (P<0.05). The 452-d SC differed for Santa Gertrudis and Zebu by 0.5 and 0.6 cm, respectively (P<0.05). Formulas based on SC growth of individuals are reasonably accurate predictors of SC at 365 and 452 d of age, when compared with more complex regression analysis. Basing SC adjustments on individual growth appears to account for variables known to affect yearling SC.

  18. Acurácia da circunferência da cintura e da relação cintura/quadril como preditores de dislipidemias em estudo transversal de doadores de sangue de Cuiabá, Mato Grosso, Brasil Accuracy of waist circumference and waist-to-hip ratio as predictors of dyslipidemia in a cross-sectional study among blood donors in Cuiabá, Mato Grosso State, Brazil

    Directory of Open Access Journals (Sweden)

    Márcia Gonçalves Ferreira

    2006-02-01

    area under the ROC curve between waist circumference and high cholesterol/HDL relation included the 0.50 value, so waist circumference could not be considered a predictor of dyslipidemia. The best sensitivity and specificity were in the youngest group. Waist-to-hip ratio was a better predictor of dyslipidemia than waist circumference, although the latter showed better discriminating power to detect hypertriglyceridemia. The most accurate cut-off points were lower those set by the World Health Organization.

  19. 困难气道危险因素Logistic回归分析及身高甲颏距离比最佳临界点%Logistic regression analysis of the risk factors for difficult airway and the cut-off value of height-to-thyromental distance ratio

    Institute of Scientific and Technical Information of China (English)

    靳皓; 陈萍

    2015-01-01

    Objective To analyze the risk factors for difficult airway in laryngoscopy and mask ventilation. Methods A total of 300 patients receiving general anesthesia with tracheal intubation were examined preoperatively for height, thyromental and sternomental distance (TMD), range of neck movement, inter-incisor distance, and modified Mallampati class. Intubation Difficult Score was used to identify a difficult laryngoscopy. Difficult airway was defined as either difficult laryngoscopy or difficult mask ventilation. The association between the airway characteristics and difficult airway was analyzed by logistic regression analysis, and the cut-off values for the height-to-TMD ratio was determined by the ROC curve. Results and Conclusion Eight airway characteristics were identified to contribute to a difficult airway, including (OR [95%CI]) the height-to-TMD ratio (3.58[1.95-8.46]), modified Mallampati class (3.34 [1.82-7.14]), BMI (3.07 [1.64-6.69]), history of a previous difficult airway (2.79 [1.28-5.25]), a thick neck (2.15 [1.04-4.37]), range of neck movement (1.98 [0.96-3.89]), sternomental and angulus mandibulae distance (1.46 [0.67-3.04]), and inter-incisor distance (1.01 [0.49-2.54]). The optimal cut-off value for the height-to-TMD ratio was 22.8 for predicting a difficult airway.%目的:根据常用气道评估指标探究困难气道的危险因素。方法选择300例拟行气管插管全麻的患者,术前测量身高、甲颏距离、颈部后仰度、张口度、改良Mallampati分级等气道评估指标。以困难插管评分>5分为困难气管插管,结合困难面罩通气共同定义困难气道。通过logistic回归分析评估各项指标与困难气道相关性,并通过ROC曲线计算受试人群身高甲颏距离比最佳临界点。结果共8项相关因素按相对危险度估计值(OR)由大到小依次为:身高甲颏距离比3.58(1.95~8.46)、改良Mallampati分级3.34(1.82~7.14)、体质量指数3.07(1.64~6.69

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

    NARCIS (Netherlands)

    Bakker, Stephan J L

    2013-01-01

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

  1. Atmospheric structure and acoustic cut-off frequency of roAp stars

    CERN Document Server

    Audard, N; Morel, P; Provost, J P; Weiss, W W

    1998-01-01

    Some of the rapidly oscillating (CP2) stars, have frequencies which are larger than the theoretical acoustic cut-off frequency. As the cut-off frequency depends on the T(tau) relation in the atmosphere, we have computed models and adiabatic frequencies for pulsating Ap stars with T(tau) laws based on Kurucz model atmospheres and on Hopf's purely radiative relation. The frequency-dependent treatment of radiative transfer as well as an improved calculation of the radiative pressure in Kurucz model atmospheres increase the theoretical acoustic cut-off frequency by about 200 microHz, which is closer to the observations. For alpha Cir we find models with Kurucz atmospheres which have indeed a cut-off frequency beyond the largest observed frequency and which are well within the Teff - L error box. For HD 24712 only models which are hotter by about 100 K and less luminous by nearly 10% than what is actually the most probable value would have an acoustic cut-off frequency large enough. One may thus speculate that the...

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

    DEFF Research Database (Denmark)

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

    2007-01-01

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

  3. On the Lower Energy Cutoff of Nonthermal Electrons in Solar Flares

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    A quantitative method to determine the lower energy cutoff (Ec) ofpower-law electron beams is established. We apply this method to the 54 hardX-ray events observed with BATSE/Compton Gamma Ray Observatory (CGRO).The results show that about 75% of the observed broken double power-law spectra of hard X-rays can be explained by a lower energy cutoff in the power-law electronbeams. The values of Ec, varying among the flares, are all greater than the usuallyaccepted 20 keV! On average, Ec is about 69 keV. So high a lower energy cutoff of nonthermal electrons implies that nonthermal electrons might not be as important inpowering solar flares as was previously thought. Further significance of this finding is discussed.

  4. Testing the spin-cutoff parameterization with shell-model calculations

    CERN Document Server

    Spinella, William M

    2013-01-01

    The nuclear level density, an important input to Hauser-Feshbach calculations, depends not only on excitation energy but also on angular momentum J. The J-dependence of the level density at fixed excitation energy E_x is usually parameterized via the spin-cutoff factor sigma. We carefully test the statistical accuracy of this parameterization for a large number of spectra computed using semi-realistic interactions in the interacting shell model, with a nonlinear least-squares fit of sigma and finding the error bar in sigma. The spin-cutoff parameterization works well as long as there are enough states to be statistical. In turn, the spin-cutoff factor can be related to the average value of J^2 at a fixed excitation energy, and we briefly investigate extracting from a thermal calculation such as one might do via Monte Carlo.

  5. Resonant impedance of bellows above cutoff

    Energy Technology Data Exchange (ETDEWEB)

    Krinsky, S

    1980-01-01

    The perturbation method of Chatard-Moulin and Papiernik is used to calculate the longitudinal and transverse impedances, Z(..omega..) and Z/sub perpendicular/(..omega..), of a bellows. The bellows shape is defined by its radius a(z) = a (1 + epsilons(z)), where a is the mean radius, epsilon a small parameter, and s(z) describes the convolution of the bellows. A finite wall conductivity is considered and the resonant contribution to the impedance above the cutoff frequency of the unperturbed chamber is determined, obtaining analytic approximations to the resonant frequencies, quality factors, and shunt impedances. The relation Z/sub perpendicular/(..omega..) = (2c/a/sup 2/)Z(..omega..)/..omega.., of course, does not hold as an identity, but it is found to be a useful relation for the shunt impedances, holding exactly for one family of transverse modes and providing an upper bound on the shunt impedances of the second set of transverse modes.

  6. Social relationships and longitudinal changes in body mass index and waist circumference: the coronary artery risk development in young adults study.

    Science.gov (United States)

    Kershaw, Kiarri N; Hankinson, Arlene L; Liu, Kiang; Reis, Jared P; Lewis, Cora E; Loria, Catherine M; Carnethon, Mercedes R

    2014-03-01

    Few studies have examined longitudinal associations between close social relationships and weight change. Using data from 3,074 participants in the Coronary Artery Risk Development in Young Adults Study who were examined in 2000, 2005, and 2010 (at ages 33-45 years in 2000), we estimated separate logistic regression random-effects models to assess whether patterns of exposure to supportive and negative relationships were associated with 10% or greater increases in body mass index (BMI) (weight (kg)/height (m)(2)) and waist circumference. Linear regression random-effects modeling was used to examine associations of social relationships with mean changes in BMI and waist circumference. Participants with persistently high supportive relationships were significantly less likely to increase their BMI values and waist circumference by 10% or greater compared with those with persistently low supportive relationships after adjustment for sociodemographic characteristics, baseline BMI/waist circumference, depressive symptoms, and health behaviors. Persistently high negative relationships were associated with higher likelihood of 10% or greater increases in waist circumference (odds ratio = 1.62, 95% confidence interval: 1.15, 2.29) and marginally higher BMI increases (odds ratio = 1.50, 95% confidence interval: 1.00, 2.24) compared with participants with persistently low negative relationships. Increasingly negative relationships were associated with increases in waist circumference only. These findings suggest that supportive relationships may minimize weight gain, and that adverse relationships may contribute to weight gain, particularly via central fat accumulation.

  7. Association of head circumference and shoulder dystocia in macrosomic neonates.

    Science.gov (United States)

    Larson, Austin; Mandelbaum, David E

    2013-04-01

    To determine whether asymmetric macrosomia (disproportionately large body size in comparison to head circumference) could be demonstrated in a population of infants suffering shoulder dystocia during delivery relative to those that did not suffer from shoulder dystocia. A case-control study was conducted as a retrospective chart review over 3 years at a large maternity hospital in an urban setting. Among infants over 4,000 g, those that suffered from shoulder dystocia during delivery had a smaller mean head circumference than infants of a similar size that did not suffer from shoulder dystocia. A statistically significant difference was also present when cases of documented gestational diabetes were excluded. Asymmetric macrosomia is more likely to be present in a population of infants who suffered shoulder dystocia during delivery. This knowledge could be used in designing tools to predict which pregnancies are at highest risk for shoulder dystocia during delivery.

  8. Comparison of Marginal Circumference of Two Different Pre-crimped Stainless Steel Crowns for Primary Molars After Re-crimping

    Directory of Open Access Journals (Sweden)

    Hossein Afshar

    2016-08-01

    Full Text Available Objectives: It is not clear what type of pre-crimped crown is more successful in achieving greater marginal adaptation following re-crimping. This study aimed to assess the changes in the circumference of 3M ESPE and MIB pre-crimped stainless steel crowns (SSCs for the primary maxillary and mandibular first and second molars following re-crimping.Materials and Methods: This was an in-vitro, experimental study. Initial photographs were obtained from the margins of 3M and MIB SSCs for the upper and lower primary molars using a digital camera. Crown margins were crimped by applying 0.2N force using 114 and 137 pliers. Post-crimping photographs were also obtained and the changes in crown circumference after crimping were calculated using AutoCad software. The percentage of reduction in the circumference of crowns for each tooth was statistically analyzed based on the type of crown using student t-test. The effect of crown design and the associated teeth on the decreased circumference percentage was statistically analyzed by two-sided ANOVA.Results: The percentage of reduction in lower E SSC circumference was 3.71±0.39% in MIB and 6.29±0.62% in 3M crowns. These values were 3.55±0.55% and 7.15±1.13% for the lower Ds, and 3.95±0.43 and 6.24±0.85% for the upper Ds, respectively. For the upper Es, these values were found to be 3.12±0.65% and 5.14±0.94%, respectively. For each tooth, a significant difference was found between MIB and 3M SSCs in terms of the percentage of reduction in crown circumference following crimping. The magnitude of this reduction was smaller in MIB compared to 3M SSCs (P<0.001.Conclusion: Considering the significant reduction in the marginal circumference of pre-crimped SSCs following re-crimping, it appears that this manipulation must be necessarily performed for MIB and 3M pre-crimped SSCs. By using 3M SSCs, higher marginal adaptation can be achieved following crimping.

  9. Circumference and its variation with age of urban of Jiangxi Han nationality adults%江西汉族城市成人围度值及其年龄变化

    Institute of Scientific and Technical Information of China (English)

    李咏兰; 陆舜华; 郑连斌; 李玉玲; 李永霞; 国海; 陈琛

    2013-01-01

    目的 探讨江西汉族城市成人围度值及其年龄变化特点.方法 采用随机抽样方法,测量江西307人(男151,女156)城市汉族成人的头围、颈围、胸围、吸气胸围、呼气胸围、腹围、臀围、大腿围、小腿围、上臂围、前臂围、上臂最大围12项围度值,分析不同年龄组围度值的变化规律;采用聚类分析方法,与国内的18个族群进行比较.结果 方差分析结果显示,男性与女性胸围、吸气胸围、呼气胸围、腹围、大腿围、小腿围、上臂围、上臂最大围在年龄组间的差异显著.此外女性前臂围在年龄组间的差异显著.相关分析显示,男性腹围与年龄呈正相关,小腿围、上臂围、上臂最大围与年龄呈负相关.女性胸围、呼气围、腹围、上臂围与年龄呈正相关.腹围、臀围、大腿围值不存在性别间的显著性差异,其余9项围度值在性别间差异均存在统计学意义,且男性值明显高于女性.结论 江西汉族城市成人围度值具有我国北亚类型族群的特征.%Objective To study the changes of circumference value of Jiangxi urban Han with age. Methods Based on the measurement of the circumferences of 307 urban adults (151 males, 156 females) of Jiangxi Han nationality (including the circumference of head, neck, chest, chest circumference at inspiration, chest circumference at expiration, abdomen, hip, thigh, calf, upper arm, fore-arm and maximum biceps) , the study analyzed the changes of circumference value with age, and with cluster analysis, compared the circumference values between Jiangxi Han nationality and other 18 nationalities in China. Results The results of variance analysis showed that males and females had significant differences among age groups in chest, chest circumference at inspiration, chest circumference at expiration, abdomen, thigh, calf, upper arm and maximum biceps. In addition, the forearm circumference of female existed significant differences

  10. The influence of hip circumference on the relationship between abdominal obesity and mortality

    OpenAIRE

    Cameron, Adrian J.; Magliano, Dianna J; Shaw, Jonathan E.; Zimmet, Paul Z; Carstensen, Bendix; Alberti, K George MM; Tuomilehto, Jaakko; Barr, Elizabeth L M; Pauvaday, Vassen K; Kowlessur, Sudhirsen; Söderberg, Stefan

    2012-01-01

    Background Higher waist circumference and lower hip circumference are both associated with increased cardiovascular disease (CVD) risk, despite being directly correlated. The real effects of visceral obesity may therefore be underestimated when hip circumference is not fully taken into account. We hypothesized that adding waist and hip circumference to traditional risk factors would significantly improve CVD risk prediction. Methods In a population-based survey among South Asian and African M...

  11. Clinical values and optimal cut-off points of basic vital signs in early identiifcation of critical hand, foot, and mouth disease%基础生命体征对危重型手足口病的早期诊断价值

    Institute of Scientific and Technical Information of China (English)

    杜兴媛; 李英; 邓坤; 温淑媚; 蓝灵利; 侯国祯; 张宝明

    2015-01-01

    Objective To study the clinical values of basic vital signs in early identiifcation of critical hand-foot-mouth disease (HFMD). Methods The clinical data of 358 children with severe HFMD [212 cases in stage 2 (central nervous system involvement) and 146 cases in stage 3 (earlier stage of cardiopulmonary failure, critical type)] were reviewed. The diagnostic values of peak temperature and duration of fever, as well as the heart rate (HR), respiratory rate (RR), systolic blood pressure (SBP), and diastolic blood pressure (DBP) in different age groups, for critical HFMD (stage 3) were analyzed using the receiver operating characteristic (ROC) curve. Results HFMD might progress to critical type in case of HR ≥148.5 beats/minutes, RR ≥36.5 times/minutes, SBP≥95 mm Hg, and DBP≥59 mm Hg among children aged 0-1 year. HR≥142.5 times/minutes, RR≥31.5 times/mintes, SBP≥103 mm Hg, and DBP≥60.5 mm Hg in children aged 1-2 years had a certain diagnostic value for critical HFMD. HFMD might progress to critical type in case of HR ≥139.5 times/minutes, RR ≥29.5 times/minutes, and SBP≥103 mm Hg among children ≥3 years of age. The sensitivity and speciifcity of every indicator were higher than 0.517 and 0.769, respectively. The area under the ROC curve (AUC) for peak temperature was 0.507 (P=0.816, compared with AUC=0.5). When the duration of fever was≥5.5 days, the sensitivity and speciifcity were 0.589 and 0.571, respectively. Conclusions HR, RR, and BP are good indicators to identify critical HFMD (stage 3) early. The optimal cut-off points conform to the age characteristics of children. DBP in children ≥3 years of age, peak temperature, and duration of fever have a low value in early identiifcation of critical HFMD.%目的:探讨基础生命体征在早期识别危重型手足口病中的诊断价值。方法收集2010年1月至2014年8月358例重症手足口病患儿(2期重型212例,3期危重型146例)的临床资料,

  12. Quasi-chemical theory with a soft cutoff

    Energy Technology Data Exchange (ETDEWEB)

    Chempath, Shaji [Los Alamos National Laboratory; Pratt, Lawrence R [TULANE UNIV; Paulaitis, Michael E [OHIO STATE UNIV

    2008-01-01

    In view of the wide success of molecular quasichemical theory of liquids, this paper develops the soft-cutoff version of that theory. This development allows molecular dynamics simulations to be used for the calculation of solvation free energy, whereas the hard-cutoff version of the theory needs Monte Carlo simulations. This development also shows how fluids composed of molecules with smooth repulsive interactions can be treated analogously to the molecular-field theory of the hard-sphere fluid. In the treatment of liquid water, quasichemical theory with soft-cutoff conditioning does not change the fundamental convergence characteristics of the theory using hard-cutoff conditioning. In fact, hard cutoffs are found here to work better than softer ones in that case.

  13. Neck Circumference May Be a Better Alternative to Standard Anthropometric Measures.

    Science.gov (United States)

    Joshipura, Kaumudi; Muñoz-Torres, Francisco; Vergara, José; Palacios, Cristina; Pérez, Cynthia M

    2016-01-01

    This paper evaluates neck circumference as a metabolic risk marker. Overweight/obese, nondiabetic Hispanics, 40-65 years old, who are free of major cardiovascular diseases, were recruited for the San Juan Overweight Adults Longitudinal Study (SOALS). Baseline exams were completed by 1,206 participants. Partial correlation coefficients (r) and logistic models adjusted for age, gender, smoking status, and physical activity were computed. Neck circumference was significantly correlated with waist circumference (r = 0.64), BMI (r = 0.66), and body fat % (r = 0.45). Neck circumference, highest (compared to lowest) tertile, had higher association with prediabetes: multivariable OR = 2.30 (95% CI: 1.71-3.06) compared to waist circumference OR = 1.97 (95% CI: 1.48-2.66) and other anthropometric measures. Neck circumference showed higher associations with HOMA, low HDL-C, and triglycerides, multivariable OR = 8.42 (95% CI: 5.43-13.06), 2.41 (95% CI: 1.80-3.21), and 1.52 (95% CI: 1.14-2.03), but weaker associations with hs-CRP and hypertension, OR = 3.61 (95% CI: 2.66-4.90) and OR = 2.58 (95% CI: 1.90-3.49), compared to waist circumference. AIC for model fit was generally similar for neck or waist circumference. Neck circumference showed similar or better associations with metabolic factors and is more practicable than waist circumference. Hence, neck circumference may be a better alternative to waist circumference.

  14. Rise time of proton cut-off energy in 2D and 3D PIC simulations

    CERN Document Server

    Babaei, Javad; Londrillo, Pasquale; Mirzanejad, Saeed; Rovelli, Tiziano; Sinigardi, Stefano; Turchetti, Giorgio

    2016-01-01

    The Target Normal Sheath Acceleration (TNSA) regime for proton acceleration by laser pulses is experimentally consolidated and fairly well understood. However, uncertainties remain in the analysis of particle-in-cell (PIC) simulation results. The energy spectrum is exponential with a cut-off, but the maximum energy depends on the simulation time, following different laws in two and three dimensional (2D, 3D) PIC simulations, so that the determination of an asymptotic value has some arbitrariness. We propose two empirical laws for rise time of the cut-off energy in 2D and 3D PIC simulations, suggested by a model in which the proton acceleration is due to a surface charge distribution on the target rear side. The kinetic energy of the protons that we obtain follows two distinct laws, which appear to be nicely satisfied by PIC simulations. The laws depend on two parameters: the scaling time, at which the energy starts to rise, and the asymptotic cut-off energy. The values of the cut-off energy, obtained by fitti...

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

    Science.gov (United States)

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

    2003-01-01

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

  16. How Mechanical Ventilation Measurement, Cutoff and Duration Affect Rapid Shallow Breathing Index Accuracy: A Randomized Trial

    Science.gov (United States)

    Goncalves, Elaine Cristina; Lago, Alessandra Fabiane; Silva, Elaine Caetano; de Almeida, Marcelo Barros; Basile-Filho, Anibal; Gastaldi, Ada Clarice

    2017-01-01

    Background Decreased accuracy of the rapid shallow breathing index (RSBI) can stem from 1) the method used to obtain this index, 2) duration of mechanical ventilation (MV), and 3) the established cutoff point. The objective was to evaluate the values of RSBI determined by three different methods, using distinct MV times and cutoff points. Methods This prospective study included 40 subjects. Before extubation, three different methods were employed to measure RSBI: pressure support ventilator (PSV) (PSV = 5 - 8 cm H2O; positive end-expiratory pressure (PEEP) = 5 cm H2O) (RSBI_MIN), automatic tube compensation (ATC) (PSV = 0, PEEP = 5 cm H2O, and 100% tube compensation) (RSBI_ATC), and disconnected MV (RSBI_SP). The results were analyzed according to the MV period (less than or over 72 h) and to the outcome of extubation ( 72 h successful and failed). The accuracy of each method was determined at different cutoff points (105, 78, and 50 cycles/min/L). Results The RSBI_MIN, RSBI_ATC, and RSBI_SP values in the group 72 h, RSBI_SP value was higher than those of RSBI_ATC and RSBI_MIN (78 ± 29, 51 ± 19 and 39 ± 14) (P 72 h who failed in removing MV, the RSBI_SP was higher (93 ± 28, 58 ± 18 and 41 ± 10) (P < 0.000), with greater accuracy at cutoff of 78. Conclusion RSBI_SP associated with cutoff point < 78 cycles/min/L seems to be the best strategy to identify failed extubation in subjects with MV for over 72 h.

  17. Obesity Index That Better Predict Metabolic Syndrome: Body Mass Index, Waist Circumference, Waist Hip Ratio, or Waist Height Ratio

    Directory of Open Access Journals (Sweden)

    Abdulbari Bener

    2013-01-01

    Full Text Available Aim. The aim was to compare body mass index (BMI, waist circumference (WC, waist hip ratio (WHR, and waist height ratio (WHtR to identify the best predictor of metabolic syndrome (MetS among Qatari adult population. Methods. A cross-sectional survey from April 2011 to December 2012. Data was collected from 1552 participants followed by blood sampling. MetS was defined according to Third Adult Treatment Panel (ATPIII and International Diabetes Federation (IDF. Receiver operating characteristics (ROC curve analysis was performed. Results. Among men, WC followed by WHR and WHtR yielded the highest area under the curve (AUC (0.78; 95% CI 0.74–0.82 and 0.75; 95% CI 0.71–0.79, resp.. Among women, WC followed by WHtR yielded the highest AUC (0.81; 95% CI 0.78–0.85 & 0.79; 95% CI 0.76–0.83, resp.. Among men, WC at a cut-off 99.5 cm resulted in the highest Youden index with sensitivity 81.6% and 63.9% specificity. Among women, WC at a cut-off 91 cm resulted in the highest Youden index with the corresponding sensitivity and specificity of 86.5% and 64.7%, respectively. BMI had the lowest sensitivity and specificity in both genders. Conclusion. WC at cut-off 99.5 cm in men and 91 cm in women was the best predictor of MetS in Qatar.

  18. Hip circumference and cardiovascular morbidity and mortality in men and women

    DEFF Research Database (Denmark)

    Heitmann, Berit L; Frederiksen, Peder; Lissner, Lauren

    2004-01-01

    OBJECTIVE: It has recently been demonstrated that, in middle-aged women, a wide hip circumference is a protective factor for a number of health endpoints in later years. The effect seems to be independent of both overweight and waist circumference. This paper aims to replicate this finding...... and waist circumference, predicted less incidence of CVD, CHD, and total death in women. This was not the case in men; BMI and waist circumference were the strongest independent predictors. DISCUSSION: A large hip circumference seems to have independent and positive effects on CVD and CHD morbidity...

  19. THE INTEGRAL HIGH-ENERGY CUT-OFF DISTRIBUTION OF TYPE 1 ACTIVE GALACTIC NUCLEI

    Energy Technology Data Exchange (ETDEWEB)

    Malizia, A.; Molina, M.; Bassani, L.; Stephen, J. B. [IASF-Bologna, INAF, Via Gobetti 101, I-40129 Bologna (Italy); Bazzano, A.; Ubertini, P. [IAPS-Roma, INAF, Via Fosso del Cavaliere 100, I-00133 Roma (Italy); Bird, A. J., E-mail: malizia@iasfbo.inaf.it [School of Physics and Astronomy, University of Southampton, Southampton SO17 1BJ (United Kingdom)

    2014-02-20

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

  20. Large Field Cutoffs Make Perturbative Series Converge

    CERN Document Server

    Meurice, Y

    2002-01-01

    For lambda phi^4 problems, convergent perturbative series can be obtained by cutting off the large field configurations. The modified series converge to values exponentially close to the exact ones. For lambda larger than some critical value, the method outperforms Pade approximants and Borel summations. We discuss some aspects of the semi-classical methods used to calculate the modified Feynman rules and estimate the error associated with the procedure. We provide a simple numerical example where the procedure works despite the fact that the Borel sum has singularities on the positive real axis.

  1. Large field cutoffs make perturbative series converge

    Science.gov (United States)

    Meurice, Yannick

    2002-03-01

    For λφ 4 problems, convergent perturbative series can be obtained by cutting off the large field configurations. The modified series converge to values exponentially close to the exact ones. For λ larger than some critical value, the method outperforms Padé approximants and Borel summations. We discuss some aspects of the semi-classical methods used to calculate the modified Feynman rules and estimate the error associated with the procedure. We provide a simple numerical example where the procedure works despite the fact that the Borel sum has singularities on the positive real axis.

  2. Prediction of eigenmodes cutoff frequencies of sectoral coaxial ridged waveguides

    OpenAIRE

    2012-01-01

    A mathematical model of sectoral coaxial ridged waveguides has been developed using coupled-integralequations technique. Maximal ratios of cutoff frequencies of two lowest modes of sectoral coaxial ridged waveguides have been obtained.

  3. Circunferência da cintura como indicador de gordura corporal e alterações metabólicas em adolescentes: comparação entre quatro referências Waist circumference as indicator of body fat and metabolic alterations in teenagers: comparison among four references

    Directory of Open Access Journals (Sweden)

    Patrícia Feliciano Pereira

    2010-01-01

    , hyperleptinemia and excess of body adiposity. METHODS: A total of 133 female subjects, ranging from 14 to 19 years opf age , were evaluated. All adolescents were recruited from public schools in Viçosa/MG. Blood samples were collected for determination of fasting plasma cholesterol total, LDL, HDL, triglycerides, insulin and leptin. Percentage of body fat was determined through tetrapolar electrical bioimpedance. Using the smallest abdominal measure it was possible to determine waist circumference and calculated values of sensibility, specificity, positive and negative predictive values. Waist circumference contingency tables were obtained using four criteria: Freedman et al., 1999; Taylor et al., 2000; McCarthy et al., 2001; e Moreno et al., 2007. RESULTS: In general, sensibility values were low for circumferences assessed and the highest values were obtained for the table of Mc Carthy et al., on the other hand, specificity values were high considering the table of Freedman et al. The positive predictive values were more relevant for total cholesterol and body fat percentage. CONCLUSION: Cutoffs for waist circumference used by Mc Carthy et al. were the most appropriate for populational assessments. Freedman's et al. proposal is appropriate for clinical use since it presents higher specificity. In addition, it can substitute high costs exams, out of the professionals' reach such as insulin and leptin.

  4. Cut-off Grade Optimization for Maximizing the Output Rate

    Directory of Open Access Journals (Sweden)

    A. Khodayari

    2012-12-01

    Full Text Available In the open-pit mining, one of the first decisions that must be made in production planning stage, after completing the design of final pit limits, is determining of the processing plant cut-off grade. Since this grade has an essential effect on operations, choosing the optimum cut-off grade is of considerable importance. Different goals may be used for determining optimum cut-off grade. One of these goals may be maximizing the output rate (amount of product per year, which is very important, especially from marketing and market share points of view. Objective of this research is determining the optimum cut-off grade of processing plant in order to maximize output rate. For performing this optimization, an Operations Research (OR model has been developed. The object function of this model is output rate that must be maximized. This model has two operational constraints namely mining and processing restrictions. For solving the model a heuristic method has been developed. Results of research show that the optimum cut-off grade for satisfying pre-stated goal is the balancing grade of mining and processing operations, and maximum production rate is a function of the maximum capacity of processing plant and average grade of ore that according to the above optimum cut-off grade must be sent to the plant.

  5. Importância relativa do Índice de Massa Corporal e da circunferência abdominal na predição da hipertensão arterial Relative importance of body mass index and waist circumference for hypertension in adults

    Directory of Open Access Journals (Sweden)

    Flávio Sarno

    2007-10-01

    importance of Body Mass Index (BMI and waist circumference for the determination of hypertension in adults. METHODS: Cross sectional analysis of a sample of employees (N=1,584, aged 18 to 64 years, from a private general hospital in the city of São Paulo, Brazil. Data collection included the application of a structured questionnaire and blood pressure, weight, high, and waist circumference measurements. Hypertension was defined as blood pressure levels > 140/90 mmHg or reported use of anti-hypertensive medication. The relative importance of BMI and waist circumference was evaluated by calculating the attributable fraction of hypertension corresponding to each anthropometric indicator, employing both the usual cut-off points as well as cut-off points based on the observed distribution of the indicator in the population. In addition, an indicator combining simultaneously BMI and abdominal circumference values was also developed. RESULTS: Prevalence of hypertension was 18.9% (26.9% in men and 12.5% in women. In men, the fraction of hypertension attributable to BMI exceeded the fraction attributable to waist circumference based on the usual cut-off points for the indicators (56% vs. 48%, respectively and also considering the quartiles of the observed distribution for these indicators (73% vs. 69%, respectively. In women, the fraction of hypertension attributable to waist circumference was slightly higher than the fraction attributable to BMI based on the usual cut off points for both indicators (44% vs. 41%, but the reverse was true when quartiles of the observed distribution were used (41% vs. 57%, respectively. In women only, the fraction of hypertension attributable to the indicator combining BMI and waist circumference (64% was higher that observed using each indicator alone. CONCLUSIONS: Both BMI and abdominal circumference were positively and independently associated with the occurrence of arterial hypertension, the influence of BMI being higher among men.

  6. Cut-off wavenumber of Alfvén waves in partially ionized plasmas of the solar atmosphere

    Science.gov (United States)

    Zaqarashvili, T. V.; Carbonell, M.; Ballester, J. L.; Khodachenko, M. L.

    2012-08-01

    Context. Alfvén wave dynamics in partially ionized plasmas of the solar atmosphere shows that there is indeed a cut-off wavenumber, i.e. the Alfvén waves with wavenumbers higher than the cut-off value are evanescent. The cut-off wavenumber appears in single-fluid magnetohydrodynamic (MHD) approximation but it is absent in a multi-fluid approach. Up to now, an explanation for the existence of the cut-off wavenumber is still missing. Aims: The aim of this paper is to point out the reason for the appearance of a cut-off wavenumber in single-fluid MHD. Methods: Beginning with three-fluid equations (with electrons, protons and neutral hydrogen atoms), we performed consecutive approximations until we obtained the usual single-fluid description. We solved the dispersion relation of linear Alfvén waves at each step and sought the approximation responsible of the cut-off wavenumber appearance. Results: We have found that neglecting inertial terms significantly reduces the real part of the Alfvén frequency although it never becomes zero. Therefore, the cut-off wavenumber does not exist at this stage. However, when the inertial terms together with the Hall term in the induction equation are neglected, the real part of the Alfvén frequency becomes zero. Conclusions: The appearance of a cut-off wavenumber, when Alfvén waves in partially ionized regions of the solar atmosphere are studied, is the result of neglecting inertial and Hall terms, therefore it has no physical origin.

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

    Science.gov (United States)

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

    2016-05-01

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

  8. Risk preferences: consequences for test and treatment thresholds and optimal cutoffs.

    Science.gov (United States)

    Felder, Stefan; Mayrhofer, Thomas

    2014-01-01

    Risk attitudes include risk aversion as well as higher-order risk preferences such as prudence and temperance. This article analyzes the effects of such preferences on medical test and treatment decisions, represented either by test and treatment thresholds or-when the test result is not given-by optimal cutoff values for diagnostic tests. For a risk-averse decision maker, effective treatment is a risk-reducing strategy since it prevents the low health outcome of forgoing treatment in the sick state. Compared with risk neutrality, risk aversion thus lowers both the test and the treatment threshold and decreases the optimal test cutoff value. Risk vulnerability, which combines risk aversion, prudence, and temperance, is relevant if there is a comorbidity risk: thresholds and optimal cutoff values decrease even more. Since common utility functions imply risk vulnerability, our findings suggest that diagnostics in low prevalence settings (e.g., screening) may be considered more beneficial when risk preferences are taken into account.

  9. 湘语族群城市成人围度值及其年龄变化%Circumferences and their variation with ageing in urban adults of Xiang-speaking population

    Institute of Scientific and Technical Information of China (English)

    李咏兰; 陆舜华; 郑连斌; 李传刚; 弓剑; 李永霞; 孔祥薇; 付媛

    2012-01-01

    Objective; To study the circumferences and their variation with ageing in urban adults of Xiang-speaking population. Methods: The values including head circumference, neck circumference, chest circumferences during quiet, inspiration and expiration, as well as the circumferences of the abdomen, hip, thigh calf, biceps, forearm and maximum biceps were measured on randomly sampled 320 adults (157 males, 163 females) of Xiang-speaking population. Results-. The variance a-nalysis showed that age differences were detected in all items excluding the thigh circumference in male and the head and calf circumferences in female. Correlation analysis showed that the chest circumference during quiet and expiration, as well as the circumferences of the abdomen and hip were positive correlated to age in male, while the head circumference and calf circumference were negatively correlated to age. In female, positive correlation were found in the neck circumference and chest circumference during quiet, inspiration and expiration, as well as the circumferences of abdomen, hip, biceps, forearm, and maximum biceps with age And, the head circumference of female was negatively correlated with age Additionally, the circumference values in male were significantly higher than those in female excluding the circumferences of the abdomen and thigh. Conclusion; Circumference values in urban adult of Xiang-speaking population have the features similar to north Asian population in our country.%目的:研究湘语族群城市成人围度值及其年龄变化特点.方法:采用随机抽样方法,测量320例(男为157例,女为163例)城市湘语族群成人的头围、颈围、平静胸围、吸气胸围、呼气胸围、腹围、臀围、大腿围、小腿围、上臂围、前臂围、上臂最大围共12项围度指标值.分析不同年龄组围度值的变化规律;采用聚类分析方法,与国内的14个族群进行了比较.结果:方差分析显示,男性大腿围值和女性头围、

  10. Clinical utility of calf front hoof circumference and maternal intrapelvic area in predicting dystocia in 103 late gestation Holstein-Friesian heifers and cows.

    Science.gov (United States)

    Hiew, Mark W H; Megahed, Ameer A; Townsend, Jonathan R; Singleton, Wayne L; Constable, Peter D

    2016-02-01

    The objective of this study was to determine the clinical utility of measuring calf front hoof circumference, maternal intrapelvic area, and selected morphometric values in predicting dystocia in dairy cattle. An observational study using a convenience sample of 103 late-gestation Holstein-Friesian heifers and cows was performed. Intrapelvic height and width of the dam were measured using a pelvimeter, and the intrapelvic area was calculated. Calf front hoof circumference and birth weight were also measured. Data were analyzed using Spearman's correlation coefficient (rs), Mann-Whitney U test, and binary or ordered logistic regression; P dystocia (calving difficulty score = 4 or 5), with sensitivity = 0.50 and specificity = 0.93 at the optimal cutpoint for the ratio (>0.068 cm/cm(2)). Determining the ratio of calf front hoof circumference to maternal intrapelvic area has clinical utility in predicting the calving difficulty score in Holstein-Friesian cattle.

  11. Serum Cholesterol Level Nomograms for Iranian Population; Suggestion for National Cut-Offs

    Directory of Open Access Journals (Sweden)

    Mostafa Hosseini

    2013-02-01

    Full Text Available Background: High cholesterol levels are associated with increased risk of coronary heart disease and stroke. Understanding the distribution of serum cholesterol levels in each country is valuable index for use in public health planning. This study aimed to construct nomograms of total cholesterol (TC levels and establish the cut-points specific to Iranian population.Methods: Data on serum TC levels of 19,630 non-institutionalized individuals aged 25-64 years from third national survey on non-communicable diseases (SuRFNCD in 2007 were used to construct cholesterol nomograms. We proposed cutoff values for borderline and high TC levels based on rounded 75th and 90th percentiles in three age groups (25-34, 35-44 and 45-64 respectively.Results: Average yearly increase of TC for males up to the age of 45 and females up to 64 were 1.15 and 1.03 mg/dl, respectively. TC levels were higher in females. In males, cutoff values for "borderline and high" TC levels were 195 and 220 mg/dl in 25-34, 210 and 240 mg/d in 35-44 and 215 and 245 mg/dl in 45-64 years old individuals. In women, these values were 200 and 225 mg/dl in 25-34,215 and 240 mg/dl in 35-44 and 235 and 265 mg/dl in 45-64 years old individuals respectively.Conclusion: Since TC levels are different in two sexes and change with age, we proposed different cutoffs for sex and age group. We think these cutoffs could be used in national public health planning.

  12. Neck Circumference May Be a Better Alternative to Standard Anthropometric Measures

    Directory of Open Access Journals (Sweden)

    Kaumudi Joshipura

    2016-01-01

    Full Text Available This paper evaluates neck circumference as a metabolic risk marker. Overweight/obese, nondiabetic Hispanics, 40–65 years old, who are free of major cardiovascular diseases, were recruited for the San Juan Overweight Adults Longitudinal Study (SOALS. Baseline exams were completed by 1,206 participants. Partial correlation coefficients (r and logistic models adjusted for age, gender, smoking status, and physical activity were computed. Neck circumference was significantly correlated with waist circumference (r=0.64, BMI (r=0.66, and body fat % (r=0.45. Neck circumference, highest (compared to lowest tertile, had higher association with prediabetes: multivariable OR = 2.30 (95% CI: 1.71–3.06 compared to waist circumference OR = 1.97 (95% CI: 1.48–2.66 and other anthropometric measures. Neck circumference showed higher associations with HOMA, low HDL-C, and triglycerides, multivariable OR = 8.42 (95% CI: 5.43–13.06, 2.41 (95% CI: 1.80–3.21, and 1.52 (95% CI: 1.14–2.03, but weaker associations with hs-CRP and hypertension, OR = 3.61 (95% CI: 2.66–4.90 and OR = 2.58 (95% CI: 1.90–3.49, compared to waist circumference. AIC for model fit was generally similar for neck or waist circumference. Neck circumference showed similar or better associations with metabolic factors and is more practicable than waist circumference. Hence, neck circumference may be a better alternative to waist circumference.

  13. 10 CFR 26.133 - Cutoff levels for drugs and drug metabolites.

    Science.gov (United States)

    2010-01-01

    ... cutoff levels. Otherwise, the following cutoff levels must be used for initial testing of urine specimens... Cocaine metabolites 300 Opiate metabolites 2000 Phencyclidine (PCP) 25 Amphetamines 1000...

  14. The geomagnetic cutoff rigidities at high latitudes for different solar wind and geomagnetic conditions

    Energy Technology Data Exchange (ETDEWEB)

    Chu, W. [Chinese Academy of Sciences, Beijing (China). State Key Lab. of Space Weather; Univ. of Chinese Academy of Sciences, Beijing (China). College of Earth Sciences; Qin, G. [Chinese Academy of Sciences, Beijing (China). State Key Lab. of Space Weather

    2016-04-01

    Studying the access of the cosmic rays (CRs) into the magnetosphere is important to understand the coupling between the magnetosphere and the solar wind. In this paper we numerically studied CRs' magnetospheric access with vertical geomagnetic cutoff rigidities using the method proposed by Smart and Shea (1999). By the study of CRs' vertical geomagnetic cutoff rigidities at high latitudes we obtain the CRs' window (CRW) whose boundary is determined when the vertical geomagnetic cutoff rigidities drop to a value lower than a threshold value. Furthermore, we studied the area of CRWs and found out they are sensitive to different parameters, such as the z component of interplanetary magnetic field (IMF), the solar wind dynamic pressure, AE index, and Dst index. It was found that both the AE index and Dst index have a strong correlation with the area of CRWs during strong geomagnetic storms. However, during the medium storms, only AE index has a strong correlation with the area of CRWs, while Dst index has a much weaker correlation with the area of CRWs. This result on the CRW can be used for forecasting the variation of the cosmic rays during the geomagnetic storms.

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

    Science.gov (United States)

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

    2015-03-01

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

  16. Designing the sound of a cut-off drum

    CERN Document Server

    Martinetti, Pierre

    2015-01-01

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

  17. Holographic bounds on the UV cutoff scale in inflationary cosmology

    CERN Document Server

    Keski-Vakkuri, E; Keski-Vakkuri, Esko; Sloth, Martin S.

    2003-01-01

    We discuss how holographic bounds can be applied to the quantum fluctuations of the inflaton. In general the holographic principle will lead to a bound on the UV cutoff scale of the effective theory of inflation, but it will depend on the coarse-graining prescription involved in calculating the entropy. We propose that the entanglement entropy is a natural measure of the entropy of the quantum perturbations, and show which kind of bound on the cutoff it leads to. Such bounds are related to whether the effects of new physics will show up in the CMB.

  18. The Circumference and its Age Variation of Rural Adultsin Mindong Languages Group%闽东语族群城市成人围度值及其年龄变化

    Institute of Scientific and Technical Information of China (English)

    薛虹; 郑连斌; 宇克莉; 胡莹; 王杨; 程智; 时蕊; 邓维

    2013-01-01

    为研究闽东语族群城市成人围度值及其年龄变化特点,采用随机抽样方法,测量福建310例(男151例,女159例)闽东语族群城市成人的头围、颈围、平静胸围、吸气胸围、呼气胸围、腹围、臀围、大腿围、小腿围、上臂围、前臂围、臂缩围等12项围度值,分析不同年龄组围度值的变化规律;采用聚类分析方法,对国内的27个族群进行了比较.方差分析结果显示,男性胸围、吸气围、呼气围、上臂围、前臂围、臂缩围等6项围度值和女性头围、胸围、吸气围、呼气围、上臂围、前臂围、臂缩围等7项围度值均存在年龄组间的显著性差异(p<0.05).直线相关分析显示,男性头围与年龄呈负相关,胸围、吸气围、呼气围、腹围、臀围、上臂围、前臂围、臂缩围等与年龄呈正相关;女性颈围、胸围、吸气围、呼气围、腹围、上臂围、臂缩围等与年龄呈正相关,头围和小腿围与年龄成负相关.除大腿围值不存在性别间的显著性差异,其余11项围度值在性别间均存在极显著性差异(p<0.01),并且男性值明显高于女性.研究结果表明闽东语族群城市成人围度值具有中国北亚类型族群的特征.%To study the circumference and its age variation of rural adults in Mindong languages group, this paper used random sampling method to measure the circumferences values of 310 adults (151 males, 159 females) of Mindong languages group, including the circumference of head, neck, chest, chest circumference at inspiration, abdomen, hip, thigh, calf, biceps, forearm, maximum biceps. Analysis the change rule of circumference values of different age groups, and draws a comparison of the circumference values in 27 nationalities in China. The results as followed: 1) the result of variance analysis showed, the male 6, female 7 circumference values, there are significant differences among age groups. 2) A linear correlation analysis showed

  19. Comparison of the relationship between 4 obesity measure indexes and hyperlipidemia and the optimal cut-off value selection%4种肥胖测量指标与高脂血症关系的比较研究及适宜切点的选择

    Institute of Scientific and Technical Information of China (English)

    王琨; 李淑元; 金力; 王笑峰

    2015-01-01

    目的 比较腰围(waist circumference,WC)、腰臀比(waist hip ratio,WHR)、腰围身高比(waist-to-height ratio,WHtR)、体质指数(body mass index,BMI)4种肥胖测量指标对高脂血症的风险效应,并选择最佳指标计算适宜切点,作为人群高脂血症防控的简便目标.方法 样本数据为泰州人口健康队列Ⅲ期基线调查,应用Pearson相关、Logistic回归来分析4种指标之间及其与血清胆固醇升高(高TC)、三酰甘油升高(高TG)、低密度脂蛋白升高(高LDL)和高密度脂蛋白降低(低HDL)的关联.选择风险贡献最大的指标,计算防控适宜切点及人群归因危险度(population attributable risk,PAR).结果 相关系数矩阵显示,WHtR与各代谢指标的综合相关性最高;调整常见混杂因素后的Logistic回归分析显示,WHtR对高TC、高LDL及低HDL的风险均相对最高,OR (95 %CI)分别为1.34 (1.28~1.35)、1.42 (1.37~1.48)及1.45 (1.30~1.54).而对于高TG,风险最高的指标为WC,调整常见混杂因素后OR(95%CI)为2.09 (1.97~2.22),其余依次为WHtR的1.97 (1.86~2.09),WHR的1.93 (1.82~2.05)和BMI的1.80 (1.75~1.86).可见WHtR对高脂血症有最大的风险效应.性别和年龄分层后,4种指标的风险排序不变.以WHtR作为预测高脂血症的指标选择最优切点,范围为0.51~0.53.以0.52为防控目标计算人群PAR%,可防止人群中约27%的高TG、23%的高TC、近30%的高LDL和16%的低HDL-C的发生.结论 在反映高脂血症的肥胖测量指标中,WHtR具有最大的风险效应.可将WHtR<0.52作为预防高脂血症的简易防控目标,发挥其在健康教育与自我管理中的作用.

  20. Clinical validation of cutoff target ranges in newborn screening of metabolic disorders by tandem mass spectrometry : A worldwide collaborative project

    NARCIS (Netherlands)

    McHugh, David M. S.; Cameron, Cynthia A.; Abdenur, Jose E.; Abdulrahman, Mahera; Adair, Ona; Al Nuaimi, Shahira Ahmed; Ahlman, Henrik; Allen, Jennifer J.; Antonozzi, Italo; Archer, Shaina; Au, Sylvia; Auray-Blais, Christiane; Baker, Mei; Bamforth, Fiona; Beckmann, Kinga; Pino, Gessi Bentz; Berberich, Stanton L.; Binard, Robert; Boemer, Francois; Bonham, Jim; Breen, Nancy N.; Bryant, Sandra C.; Caggana, Michele; Caldwell, S. Graham; Camilot, Marta; Campbell, Carlene; Carducci, Claudia; Cariappa, Rohit; Carlisle, Clover; Caruso, Ubaldo; Cassanello, Michela; Miren Castilla, Ane; Castineiras Ramos, Daisy E.; Chakraborty, Pranesh; Chandrasekar, Ram; Ramos, Alfredo Chardon; Cheillan, David; Chien, Yin-Hsiu; Childs, Thomas A.; Chrastina, Petr; Sica, Yuri Cleverthon; Cocho de Juan, Jose Angel; Elena Colandre, Maria; Cornejo Espinoza, Veronica; Corso, Gaetano; Currier, Robert; Cyr, Denis; Czuczy, Noemi; D'Apolito, Oceania; Davis, Tim; de Sain-Van der Velden, Monique G.; Delgado Pecellin, Carmen; Di Gangi, Iole Maria; Di Stefano, Cristina Maria; Dotsikas, Yannis; Downing, Melanie; Downs, Stephen M.; Dy, Bonifacio; Dymerski, Mark; Rueda, Inmaculada; Elvers, Bert; Eaton, Roger; Eckerd, Barbara M.; El Mougy, Fatma; Eroh, Sarah; Espada, Mercedes; Evans, Catherine; Fawbush, Sandy; Fijolek, Kristel F.; Fisher, Lawrence; Franzson, Leifur; Frazier, Dianne M.; Garcia, Luciana R. C.; Garcia-Valdecasas Bermejo, Maria Sierra; Gavrilov, Dimitar; Gerace, Rosemarie; Giordano, Giuseppe; Irazabal, Yolanda Gonzalez; Greed, Lawrence C.; Grier, Robert; Grycki, Elyse; Gu, Xuefan; Gulamali-Majid, Fizza; Hagar, Arthur F.; Han, Lianshu; Hannon, W. Harry; Haslip, Christa; Hassan, Fayza Abdelhamid; He, Miao; Hietala, Amy; Himstedt, Leslie; Hoffman, Gary L.; Hoffman, William; Hoggatt, Philis; Hopkins, Patrick V.; Hougaard, David M.; Hughes, Kerie; Hunt, Patricia R.; Hwu, Wuh-Liang; Hynes, June; Ibarra-Gonzalez, Isabel; Ingham, Cindy A.; Ivanova, Maria; Jacox, Ward B.; John, Catharine; Johnson, John P.; Jonsson, Jon J.; Karg, Eszter; Kasper, David; Klopper, Brenda; Katakouzinos, Dimitris; Khneisser, Issam; Knoll, Detlef; Kobayashi, Hirinori; Koneski, Ronald; Kozich, Viktor; Kouapei, Rasoul; Kohlmueller, Dirk; Kremensky, Ivo; la Marca, Giancarlo; Lavochkin, Marcia; Lee, Soo-Youn; Lehotay, Denis C.; Lemes, Aida; Lepage, Joyce; Lesko, Barbara; Lewis, Barry; Lim, Carol; Linard, Sharon; Lindner, Martin; Lloyd-Puryear, Michele A.; Lorey, Fred; Loukas, Yannis L.; Luedtke, Julie; Maffitt, Neil; Magee, J. Fergall; Manning, Adrienne; Manos, Shawn; Marie, Sandrine; Hadachi, Sonia Marchezi; Marquardt, Gregg; Martin, Stephen J.; Matern, Dietrich; Gibson, Stephanie K. Mayfield; Mayne, Philip; McCallister, Tonya D.; McCann, Mark; McClure, Julie; McGill, James J.; McKeever, Christine D.; McNeilly, Barbara; Morrissey, Mark A.; Moutsatsou, Paraskevi; Mulcahy, Eleanor A.; Nikoloudis, Dimitris; Norgaard-Pedersen, Bent; Oglesbee, Devin; Oltarzewski, Mariusz; Ombrone, Daniela; Ojodu, Jelili; Papakonstantinou, Vagelis; Reoyo, Sherly Pardo; Park, Hyung-Doo; Pasquali, Marzia; Pasquini, Elisabetta; Patel, Pallavi; Pass, Kenneth A.; Peterson, Colleen; Pettersen, Rolf D.; Pitt, James J.; Poh, Sherry; Pollak, Arnold; Porter, Cory; Poston, Philip A.; Price, Ricky W.; Queijo, Cecilia; Quesada, Jonessy; Randell, Edward; Ranieri, Enzo; Raymond, Kimiyo; Reddic, John E.; Reuben, Alejandra; Ricciardi, Charla; Rinaldo, Piero; Rivera, Jeff D.; Roberts, Alicia; Rocha, Hugo; Roche, Geraldine; Greenberg, Cheryl Rochman; Egea Mellado, Jose Maria; Jess Juan-Fita, Maria; Ruiz, Consuelo; Ruoppolo, Margherita; Rutledge, S. Lane; Ryu, Euijung; Saban, Christine; Sahai, Inderneel; Salazar Garcia-Blanco, Maria Isabel; Santiago-Borrero, Pedro; Schenone, Andrea; Schoos, Roland; Schweitzer, Barb; Scott, Patricia; Seashore, Margretta R.; Seeterlin, Mary A.; Sesser, David E.; Sevier, Darrin W.; Shone, Scott M.; Sinclair, Graham; Skrinska, Victor A.; Stanley, Eleanor L.; Strovel, Erin T.; Jones, April L. Studinski; Sunny, Sherlykutty; Takats, Zoltan; Tanyalcin, Tijen; Teofoli, Francesca; Thompson, J. Robert; Tomashitis, Kathy; Domingos, Mouseline Torquado; Torres, Jasmin; Torres, Rosario; Tortorelli, Silvia; Turi, Sandor; Turner, Kimberley; Tzanakos, Nick; Valiente, Alf G.; Vallance, Hillary; Vela-Amieva, Marcela; Vilarinho, Laura; von Doebeln, Ulrika; Vincent, Marie-Francoise; Vorster, B. Chris; Watson, Michael S.; Webster, Dianne; Weiss, Sheila; Wilcken, Bridget; Wiley, Veronica; Williams, Sharon K.; Willis, Sharon A.; Woontner, Michael; Wright, Katherine; Yahyaoui, Raquel; Yamaguchi, Seiji; Yssel, Melissa; Zakowicz, Wendy M.

    2011-01-01

    Purpose: To achieve clinical validation of cutoff values for newborn screening by tandem mass spectrometry through a worldwide collaborative effort. Methods: Cumulative percentiles of amino acids and acylcarnitines in dried blood spots of approximately 25-30 million normal newborns and 10,742 deiden

  1. Comparison of Relative Waist Circumference between Asian Indian and US Adults

    Directory of Open Access Journals (Sweden)

    Harpreet S. Bajaj

    2014-01-01

    Full Text Available Background. Relative to Europeans, Asian Indians have higher rates of type 2 diabetes and cardiovascular disease. Whether differences in body composition may underlie these population differences remains unclear. Methods. We compared directly measured anthropometric data from the Chennai Urban Rural Epidemiology Study (CURES survey of southern Indians (I with those from three US ethnic groups (C: Caucasians, A: African Americans, and M: Mexican Americans from NHANES III (Third National Health and Nutrition Examination Survey. A total of 15,733 subjects from CURES and 5,975 from NHANES III met inclusion criteria (age 20–39, no known diabetes. Results. Asian Indian men and women had substantially lower body mass index, waist circumference, hip circumference, waist-to-hip ratio, and body surface area relative to US groups (P values <0.0001. In contrast, the mean (±se waist-weight ratio was significantly higher (P<0.001 in I (men 1.35 ± 0.002 and women 1.45 ± 0.002 than in all the US groups (1.09, 1.21, and 1.14 in A, M, and C men; 1.23, 1.33, and 1.26 in A, M, and C women (se ranged from 0.005 to 0.006. Conclusions. Compared to the US, the waist-weight ratio is significantly higher in men and women from Chennai, India. These results support the hypothesis that Southeast Asian Indians are particularly predisposed toward central adiposity.

  2. Relationships between gray matter, body mass index, and waist circumference in healthy adults.

    Science.gov (United States)

    Kurth, Florian; Levitt, Jennifer G; Phillips, Owen R; Luders, Eileen; Woods, Roger P; Mazziotta, John C; Toga, Arthur W; Narr, Katherine L

    2013-07-01

    Obesity and overweight are often defined by the body mass index (BMI), which associates with metabolic and cardiovascular disease, and possibly with dementia as well as variations in brain volume. However, body fat distribution and abdominal obesity (as measured by waist circumference) is more strongly correlated with cardiovascular and metabolic risk than is BMI. While prior studies have revealed negative associations between gray matter tissue volumes and BMI, the relationship with respect to waist circumference remains largely unexplored. We therefore investigated the effects of both BMI and waist circumference on local gray matter volumes in a group of 115 healthy subjects screened to exclude physical or mental disorders that might affect the central nervous system. Results revealed significant negative correlations for both BMI and waist circumference where regional gray matter effects were largest within the hypothalamus and further encompassed prefrontal, anterior temporal and inferior parietal cortices, and the cerebellum. However, associations were more widespread and pronounced for waist circumference than BMI. Follow-up analyses showed that these relationships differed significantly across gender. While associations were similar for both BMI and waist circumference for males, females showed more extensive correlations for waist circumference. Our observations suggest that waist circumference is a more sensitive indicator than BMI, particularly in females, for potentially determining the adverse effects of obesity and overweight on the brain and associated risks to health.

  3. Site or Size of Waist Circumference, Which one is More important in Metabolic Syndrome?

    OpenAIRE

    Syed Mohd Razi; Gutch Manish; Gupta Kumar Keshav; Kumar Sukriti; Abhinav Gupta

    2016-01-01

    Abdominal obesity is one of the pivotal factors in defining the metabolic syndrome. Abdominal obesity is assessed by the various clinical surrogates among which waist circumference is considered to be simple, inexpensive & sensitive tool. But various controversies surround the exact cut offs and the ideal sites of waist circumference measurement, so in this review we discussed these issues.

  4. Holographic bounds on the UV cutoff scale in inflationary cosmology

    DEFF Research Database (Denmark)

    Keski-Vakkuri, Esko; Sloth, Martin Snoager

    2003-01-01

    We discuss how holographic bounds can be applied to the quantum fluctuations of the inflaton. In general the holographic principle will lead to a bound on the UV cutoff scale of the effective theory of inflation, but it will depend on the coarse-graining prescription involved in calculating...

  5. Quantum hoop conjecture and a natural cutoff for vacuum energy

    CERN Document Server

    Yang, Rong-Jia

    2015-01-01

    We propose here a quantum hoop conjecture which states: the de Broglie wavelength of a quantum system can not be infinitely small, otherwise it will collapse into a quantum black hole. Based on this conjecture, we find an upper bound for the wave number of a particle, which offers a natural cutoff for the vacuum energy.

  6. Re-evaluation of cosmic ray cutoff terminology

    Science.gov (United States)

    Cooke, D. J.; Humble, J. E.; Shea, M. A.; Smart, D. F.; Lund, N.; Rasmussen, I. L.; Byrnak, B.; Goret, P.; Petrou, N.

    1985-01-01

    The study of cosmic ray access to locations inside the geomagnetic field has evolved in a manner that has led to some misunderstanding and misapplication of the terminology originally developed to describe particle access. This paper presents what is believed to be a useful set of definitions for cosmic ray cutoff terminology for use in theoretical and experimental cosmic ray studies.

  7. Chute cutoff as a morphological response to stream reconstruction

    NARCIS (Netherlands)

    Eekhout, J.P.C.; Hoitink, A.J.F.

    2015-01-01

    Stream restoration efforts often aim at creating new unconstrained meandering channels without weirs and bank revetments. In reconstructed streams, the initial morphological response of the new streams is often rapid, until a dynamic equilibrium is reached. Here we report on a chute cutoff that o

  8. How to preserve symmetries with cut-off regularized integrals?

    CERN Document Server

    Varin, T; örtel, M; Urban, M

    2006-01-01

    We present a prescription to calculate the quadratic and logarithmic divergent parts of several integrals employing a cutoff in a coherent way, i.e. in total agreement with symmetry requirements. As examples we consider one-loop Ward identities for QED and a phenomenological chiral model.

  9. Fish consumption does not prevent increase in waist circumference in European women and men

    DEFF Research Database (Denmark)

    Jakobsen, Marianne U; Due, Karen M; Dethlefsen, Claus

    2012-01-01

    fish consumption and subsequent change in waist circumference. Sex, age and waist circumference at enrolment were considered as potential effect modifiers. Women and men (n 89 432) participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) were followed for a median of 5......·5 years. Mixed-effect linear regression was used to investigate the associations between fish consumption and subsequent change in waist circumference. Among all participants, the average annual change in waist circumference was - 0·01 cm/10 g higher total fish consumption per d (95 % CI - 0·01, 0......·00) and - 0·01 cm/10 g higher fatty fish consumption per d (95 % CI - 0·02, - 0·01), after adjustment for potential confounders. Lean fish consumption was not associated with change in waist circumference. Adjustment for potential over- or underestimation of fish consumption measurements did...

  10. Thigh circumference and risk of heart disease and premature death: prospective cohort study

    DEFF Research Database (Denmark)

    Heitmann, Berit; Frederiksen, Peder

    2009-01-01

    in Denmark. PARTICIPANTS: 1436 men and 1380 women participating in the Danish MONICA project, examined in 1987-8 for height, weight, and thigh, hip, and waist circumference, and body composition by impedance. MAIN OUTCOME MEASURES: 10 year incidence of cardiovascular and coronary heart disease and 12.5 years...... of follow-up for total death. RESULTS: A small thigh circumference was associated with an increased risk of cardiovascular and coronary heart diseases and total mortality in both men and women. A threshold effect for thigh circumference was evident, with greatly increased risk of premature death below...... circumference seems to be associated with an increased risk of developing heart disease or premature death. The adverse effects of small thighs might be related to too little muscle mass in the region. The measure of thigh circumference might be a relevant anthropometric measure to help general practitioners...

  11. A Study on Causes and Types of Abnormal Increase in Infants’ Head Circumference in Kashan/Iran

    Directory of Open Access Journals (Sweden)

    Ahmad TALEBIAN

    2013-08-01

    , Erzen C. Magnetic resonance imaging characteristics of benign macrocephaly in children. J Child Neurol 1999;14(10:678-82.13. Smith R, Leonidas JC, Maytal J. The value of head ultrasound in infants with macrocephaly. Pediatr Radiol 1998;28(3:143-6.14. Day RE, Schutt WH. Normal children with large heads benign familial megalencephaly. Arch Dis Child 1979;54(7:512-7.15. Kumar R. External hydrocephalus in small children. Childs Nerv Syst 2006;22(10:1237-41.16. Rollins JD, Collins JS, Holden KR. United states head circumference growth reference charts: birth to 21 years. J Pediatr 2010;156(6:907-13.17. Medina LS, Frawley K, Zurakowski D, Buttros D, DeGrauw AJ, Crone KR. Children with macrocrania: Clinical and imaging predictors of disorders requiring surgery. AJNR Am J Neuroradiol 2001;22(3:564-70.18. Lorber J, Priestly BL. Children with large heads: a practical approach to diagnosis in 557 children, with special reference to 109 children with megalencephaly. Dev Med Child Neurol 1981;23(4:494-504.19. Zahl SM, Wester K. Routine measurement of head circumference as a tool for detecting intracranial expansion in infants: what is the gain? A nationwide survey. Pediatrics 2008;121(3:e416-20.20. Alvarez LA, Maytal J, Shinnar S. Idiopathic external hydrocephalus: natural history and relationship to benignfamilial macrocephaly. Pediatrics 1986;77(6:901-7.21. Yew AY, Maher CO, Muraszko KM, garton HJ. Longterm health status in benign external hydrocephalus. Pediatr Neurosurg 2011;47(1:1-6.22. Muenchberger H, Assad N, Joy P, Brunsdon R, Shores EA. Idiopathic macrocephaly in the infant: long-term neurological and neuropsychological outcome. Childs Nerv Syst 2006;22(10:1242-48.

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

    Science.gov (United States)

    Toh, H

    1997-08-01

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

  13. Determination of cutoff of ELISA and immunofluorescence assay for scrub typhus

    Directory of Open Access Journals (Sweden)

    Nitin Gupta

    2016-01-01

    Full Text Available Background: The most common method employed for diagnosis of scrub typhus is serology. It is widely known that demonstration of ≥4-fold rise in titers of antibody in paired sera is required for diagnosis. However, for guidance of initial treatment, there is a need for rapid diagnosis at the time of admission. Therefore, there is a need for standardized region specific cutoff titers at the time of admission. Materials and Methods: A total of 258 patients of all age groups with clinically suspected scrub typhus over a period of 24 months (October 2013-October 2015 were enrolled. Serum samples of these patients were subjected to immunofluorescent antibody (IFA for immunoglobulin M (IgM (Fuller Labs, USA with dilutions of 1:64, 1:128, 1:256, and 1:512. Serum samples of all 258 patients were subjected to IgM ELISA (Inbios Inc., USA. Any patient with response to antibiotics within 48 h accompanied by either presence of an eschar or positivity by polymerase chain reaction was taken as positive. Receiver operating characteristic (ROC curve was drawn to generate cutoff for these tests. Results: A total of 20 patients were diagnosed as cases of scrub typhus. The ROC curve analysis revealed a cutoff optical density value of 0.87 with sensitivity and specificity of 100% and 94.12%, respectively. ROC curve analysis of IFA revealed sensitivity and specificity of 100% and 93.5%, respectively at 1:64 dilution. Conclusion: Considering cost constraints, centers in and around New Delhi region can use the cutoffs we determined for the diagnosis of scrub typhus.

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

    Science.gov (United States)

    Silva, Patrícia Aparecida Barbosa; Soares, Sônia Maria; Santos, Joseph Fabiano Guimarães; Silva, Líliam Barbosa

    2014-06-01

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

  15. [Relation between waist circumference and risk of male lung cancer incidence: a prospective cohort study].

    Science.gov (United States)

    Xie, S H; Wang, G; Guo, L W; Chen, S H; Su, K; Li, F; Chang, S; Feng, X S; Lyu, Z Y; Chen, Y H; Ren, J S; Cui, H; Li, N; Wu, S L; Dai, M; He, J

    2017-02-10

    Objective: To investigate the association between waist circumference and risk of male lung cancer incidence. Methods: Since May 1, 2006, all the male employees including the retirees in Kailuan Group had been recruited into a Chinese Kailuan Male Cohort study. Information on anthropometries including body weight, height and waist circumference were collected at the baseline investigation, as well as information on newly-diagnosed lung cancer cases during the follow-up period. Waist circumference was grouped by quintiles of the population waist circumference distribution and categorized into the following five groups: waist circumference and risk of lung cancer. Results: A total of 105 386 males were recruited in the study, with 739 651.13 person-years of follow-up and an average follow-up period of 7.00 years. By the end of 2014, a total of 707 lung cancer cases were identified in the cohort study. Compared with males having the 80-cm of waist circumference, the hazard ratio (HR) and 95% confidence intervals (CI) of lung cancer were 1.17(0.90-1.52), 0.96(0.74-1.23), 0.94(0.72-1.21) and 0.80(0.63-1.03) for the waist circumference, after adjustment for potential confounding factors including age, education level, smoking status and pack-year amount, alcohol consumption, physical activities, environment for working place and the prevalence on diabetes. The inverse association existed in smokers (≥95 cm compared to 80-cm of waist circumference: HR=0.69, 95%CI: 0.48-0.99) and alcohol drinkers (≥95 cm compared to 80-cm of waist circumference: HR=0.65, 95%CI: 0.45-0.94) when analysis was conducted in subgroups stratified by smoking or alcohol drinking status. Conclusion: Waist circumference might be inversely associated with male lung cancer risk.

  16. Association of lipid profile and waist circumference as cardiovascular risk factors for overweight and obesity among school children in Qatar

    Directory of Open Access Journals (Sweden)

    Rizk NM

    2012-12-01

    Full Text Available Nasser M Rizk, Mervat YousefHealth Sciences Department, College of Arts and Sciences, Qatar University, Doha, QatarBackground: Childhood obesity is a national as well as worldwide problem. The aim of this study was to evaluate the association of overweight and obesity among Qatari children with lipid profile and waist circumference as adverse cardiovascular risk factors in children aged 6–11 years. International Obesity Task Force reference values were used to screen for overweight and obesity.Methods: A cross-sectional study in a randomly selected sample was conducted in 315 Qatari primary school students aged 6–11 years. Anthropometric measurements, including body weight, height, waist circumference, and body mass index were calculated for 151 girls and 164 boys. Weight categories were based on International Obesity Task Force reference values. Fasting blood glucose, total cholesterol, high-density lipoprotein cholesterol (HDL-C, low-density lipoprotein cholesterol (LDL-C, and triglycerides were measured, and atherogenic index was calculated.Results: In total, 31.71% of boys and 32.78% of girls were overweight or obese. Overweight and obese children screened against International Obesity Task Force reference values had a significantly increased risk of high waist circumference (P < 0.0001, hypertriglyceridemia (P = 0.002, low HDL-C (P = 0.017, and atherogenic index (P = 0.021 compared with children who were not overweight or obese. The partial correlation coefficient for the cardiovascular risk marker of waist circumference indicated a positive significant association with total cholesterol (r = 0.465, P = 0.003, triglycerides (r = 0.563, P < 0.001, and LDL-C (r = 0.267, P = 0.003, and a significant negative association with HDL-C (r = −0.361, P = 0.004. Overweight and obesity significantly increase the odds ratios (ORs and 95% confidence interval (CIs of cardiovascular risk factors as follows: hypertriglyceridemia (OR 6.34, CI 2.49–13

  17. Cut-Offs and Response Criteria for the Hospital Universitario La Princesa Index (HUPI) and Their Comparison to Widely-Used Indices of Disease Activity in Rheumatoid Arthritis

    OpenAIRE

    González-Álvaro, Isidoro; Castrejón, Isabel; Ortiz, Ana M; Toledano, Esther; Castañeda, Santos; García-Vadillo, Alberto; Carmona, Loreto; ,

    2016-01-01

    Objective To estimate cut-off points and to establish response criteria for the Hospital Universitario La Princesa Index (HUPI) in patients with chronic polyarthritis. Methods Two cohorts, one of early arthritis (Princesa Early Arthritis Register Longitudinal [PEARL] study) and other of long-term rheumatoid arthritis (Estudio de la Morbilidad y Expresión Clínica de la Artritis Reumatoide [EMECAR]) including altogether 1200 patients were used to determine cut-off values for remission, and for ...

  18. CALF CIRCUMFERENCE AT BIRTH: A SCREENING METHOD FOR DETECTION OF LOW BIRTH WEIGHT

    Directory of Open Access Journals (Sweden)

    Sandip Kumar

    2013-01-01

    Full Text Available Background: Low Birth Weight (LBW babies run a higher risk of morbidity and mortality in the perinatal period. However, in our country where almost 70-80% births take place at home and peripheral hospitals, taking accurate weight is a problem due to unavailability of weighing scale and trained personnel. Hence there is a constant search for newer methods to detect LBW babies so that early interventions can be instituted. Various authors have used different surrogate anthropometric measurements from different parts of our country. In the present study, an attempt was made to validate the feasibility of using calf circumference as a predictor of LBW babies that can be used by a trained or untrained person. Objectives: To study various anthropometric measurements including calf circumference in newborns and to correlate various measurements with birth weight. Methods: The present study was conducted in the department of Social & Preventive Medicine, MLB Medical College, Jhansi (UP for a period of one year. The study included 1100 consecutively delivered neonates in the maternity ward of MLB Medical College Hospital, Jhansi (UP. The birth weight (Wt, crown heel length (CHL, crown rump length (CRL, head circumference (HC, chest circumference (CC, mid arm circumference (MAC, thigh circumference (TC and calf circumference (CC by standard techniques. All the measurements were taken by a single person throughout the study period with in 24 hours of delivery. Standard statistical methods were adopted for determination of critical limit, sensitivity, specificity and correlation coefficient of different anthropometric measurements in relation to birth weight. Results: Analysis of data indicates that out of 1100 newborns, 55.64% were low birth weight. The percentage of newborns > 2500gm was 44.36. Overall average birth weight was 2348 ± 505gm. Out of 1100 newborns, 608 (55.27% were males and 492 (44.73% were females. Average birth weight for males was 2412

  19. Higher Household Income and the Availability of Electronic Devices and Transport at Home Are Associated with Higher Waist Circumference in Colombian Children: The ACFIES Study

    Directory of Open Access Journals (Sweden)

    Diego Gómez-Arbeláez

    2014-02-01

    Full Text Available Background: The current “epidemic” of childhood obesity is described as being driven by modern lifestyles with associated socioeconomic and environmental changes that modify dietary habits, discourage physical activity and encourage sedentary behaviors. Objective: To evaluate the association between household income and the availability of electronic devices and transport at home, and the values of waist circumference (WC, as an indicator of abdominal obesity, in children and adolescents from Bucaramanga, Colombia. Methods: Cross-sectional study of public elementary and high school population, of low-middle socioeconomic status. Results: A total of 668 schoolchildren were recruited. After adjusting for potential confounders, significant positive associations between waist circumference and higher household income (p = 0.011, and waist circumference and the availability of electronic devices and transport at home (p = 0.026 were found. Conclusions: In low-middle socioeconomic status schoolchildren in a developing country, those from relatively more affluent families had greater waist circumference, an association that is opposite to that observed in developed countries. This finding could be related to higher income family’s ability to purchase electronic devices and motorized transport which discourage physical activity and for their children to buy desirable and more costly western fast food.

  20. Long-term exposure to residential traffic noise and changes in body weight and waist circumference

    DEFF Research Database (Denmark)

    Christensen, Jeppe S.; Raaschou-Nielsen, Ole; Tjønneland, Anne

    2015-01-01

    : We aimed to investigate the association between long-term residential traffic noise and changes in adiposity. MATERIALS AND METHODS: The study was based on 39,720 middle-aged Danish men and women from a cohort, with information on weight and waist circumference at two points in time. Residential...... circumference. For example, time-weighted mean exposure 5-years preceding follow-up was associated with a yearly weight gain of 15.4g (95% confidence interval (CI): 2.14; 28.7) and a yearly increase in waist circumference of 0.22mm (95% CI: 0.018; 0.43) per 10dB. Similarly, in Poisson regression models we found...... circumference. We found baseline BMI (pwaist circumference (p=0.001) to be significant effect modifiers for the association between road traffic noise and waist circumference, with gain in waist circumference only among the obese (BMI≥30) participants (1.20mm/year (95% CI: 0.68; 1...

  1. Coronary heart disease incidence in women by waist circumference within categories of body mass index.

    Science.gov (United States)

    Canoy, Dexter; Cairns, Benjamin J; Balkwill, Angela; Wright, F Lucy; Green, Jane; Reeves, Gillian; Beral, Valerie

    2013-10-01

    High body mass index (BMI) and large waist circumference are separately associated with increased coronary heart disease (CHD) risk but these measures are highly correlated. Their separate associations with incident CHD, cross-classifying one variable by the other, are less investigated in large-scale studies. We examined these associations in a large UK cohort (the Million Women Study), which is a prospective population-based study. We followed 496,225 women (mean age 60 years) with both waist circumference and BMI measurements who had no vascular disease or cancer. Adjusted relative risk and 20-year cumulative CHD incidence (first coronary hospitalization or death) from age 55 to 74 years were calculated using Cox regression. Plasma apolipoproteins were assayed in 6295 randomly selected participants. There were 10,998 incident coronary events after mean follow up of 5.1 years. Within each BMI category (waist circumference; within each waist circumference category (waist circumference waist circumference ≥80 cm, with 1 in 8 (95% confidence interval 1 in 7 to 9) women developing CHD over the same period. Similar associations for apolipoprotein B to A1 ratio across adiposity categories were observed, particularly in non-obese women. Our conclusions were that both waist circumference and BMI are independently associated with incident CHD.

  2. Relationship Between Neck Circumference and Epicardial Fat Thickness in a Healthy Male Population

    Science.gov (United States)

    Küçük, Uğur; Küçük, Hilal Olgun; Cüce, Ferhat; Balta, Sevket

    2016-01-01

    Background: Epicardial fat is an upper body visceral fat depot that may play a significant role in the development of adverse metabolic and cardiovascular risk profiles. There is a significant direct relationship between the amount of epicardial fat and general body adiposity (body mass index, BMI), but data regarding subcutaneous adiposity is limited. Objective: We conducted a study to determine the association between neck circumference and epicardial fat thickness in healthy young male individuals, and assess their individual correlations with general body adiposity and cardiometabolic risk factors. Methods: One hundred consecutive male patients aged 18 years or older with no known major medical conditions were included in the study. All participants underwent detailed physical examination including measurement of blood pressure, weight, height, waist/hip ratio, and neck circumference. Blood was collected to determine fasting glucose and lipid parameters. A standard echocardiographic examination was performed with additional epicardial fat thickness determination. Results: Among 100 study participants, neck circumference correlated significantly with weight, waist circumference, BMI, blood glucose, serum total cholesterol, low-density (LDL)-cholesterol, and triglycerides levels. No significant correlation was found between neck circumference and high-density lipoprotein (HDL)-cholesterol levels. Neck circumference correlated moderately and positively with echocardiographic epicardial fat thickness. Conclusion: Among patients with low cardiometabolic risk, increased neck circumference was associated with increased epicardial fat thickness. PMID:27509093

  3. Cutoff effects of Wilson fermions in the absence of spontaneous chiral symmetry breaking

    CERN Document Server

    Della Morte, M; Luz, Magdalena; Morte, Michele Della

    2006-01-01

    We simulate two dimensional QED with two degenerate Wilson fermions and plaquette gauge action. As a consequence of the Mermin-Wagner theorem, in the continuum limit chiral symmetry is realized a la Wigner. This property affects also the size of the cutoff effects. That can be understood in view of the fact that the leading lattice artifacts are described, in the continuum Symanzik effective theory, by chirality breaking terms. In particular, vacuum expectation values of non-chirality-breaking operators are expected to be O(a) improved in the chiral limit. We provide a numerical confirmation of this expectation by performing a scaling test.

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

    Science.gov (United States)

    Tashima, Rumiko; Nishimura, Reiki; Osako, Tomofumi; Nishiyama, Yasuyuki; Okumura, Yasuhiro; Nakano, Masahiro; Fujisue, Mamiko; Toyozumi, Yasuo; Arima, Nobuyuki

    2015-01-01

    The Ki-67 index is an important biomarker for indicating the proliferation of cancer cells and is considered to be an effective prognostic factor for breast cancer. However, a standard cut-off point for the Ki-67 index has not yet been established. Therefore, the aim of this retrospective study was to determine an optimal cut-off point in order to establish it as a more accurate prognostic factor. Immunohistochemical analysis of the Ki-67 index was performed on 4329 patients with primary breast cancer from August 1987 to March 2012. Out of this sample, there were 3186 consecutive cases from September 1997 with simultaneous evaluations of ER, PgR and HER2 status. Cox's proportional hazard model was used to perform univariate and multivariate analyses of the factors related to OS. The hazard ratios (HR) and the p values were then compared to determine the optimal cut-off point for the Ki-67 index. The median Ki-67 index value was 20.5% (mean value 26.2%). The univariate analysis revealed that there was a statistically significant negative correlation with DFS and OS and the multivariate analysis revealed that the Ki-67 index value was a significant factor for DFS and OS. The top seven cut-off points were then carefully chosen based on the results of the univariate analysis using the lowest p-values and the highest HR as the main selection criteria. The multivariate analysis of the factors for OS showed that the cut-off point of 20% had the highest HR in all of the cases. However, the cutoff point of 20% was only a significant factor for OS in the Luminal/HER2- subtype. There was no correlation between the Ki-67 index value and OS in any of the other subtypes. These data indicate that the optimal cut-off point of 20% is the most effective prognostic factor for Luminal/HER2- breast cancer. PMID:26177501

  5. Cutoff latitude variation during solar proton events: Causes and consequences

    CERN Document Server

    Tyssøy, H Nesse

    2016-01-01

    To accurately quantify the effect of solar proton events (SPEs) on the atmosphere requires a good estimate of the particle energy deposition in the middle atmosphere (60- 100 km) and how the energy is distributed globally. Protons in the energy range 1-20MeV, depositing their energy in the middle atmosphere, are subject to more complex dynamics with strong day-night asymmetries compared to higher-energy particles. Our study targets six SPEs from 2003 to 2012. By using measurements from the Medium Energy Proton and Electron Detector on all available Polar Orbit Environment Satellites (POES), we show that in the main phase of geomagnetic storms the dayside cutoff latitudes are pushed poleward, while the nightside cutoff latitudes have the opposite response, resulting in strong day-night asymmetries in the energy deposition. These features cannot bemeasured by the frequently used Geostationary Operational Environmental Satellites (GOES). Assuming that the protons impact the polar atmosphere homogeneously above a...

  6. Discrete power law with exponential cutoff and Lotka's Law

    CERN Document Server

    Smolinsky, Lawrence

    2015-01-01

    The first bibliometric law appeared in Alfred J. Lotka's 1926 examination of author productivity in chemistry and physics. The result is that the productivity distribution is thought to be described by a power law. In this paper, Lotka's original data on author productivity in chemistry is reconsidered by comparing the fit of the data to both a discrete power law and a discrete power law with exponential cutoff.

  7. Optimal cutoff points for the detection of undiagnosed type 2 diabetes, hypertension and metabolic syndrome in Mexican adults Puntos de corte óptimos para la detección de diabetes tipo 2, hipertensión y síndrome metabólico no diagnosticados en adultos mexicanos

    OpenAIRE

    Rosalba Rojas-Martínez; Aguilar-Salinas, Carlos A.; Aída Jiménez-Corona

    2012-01-01

    OBJECTIVE: To compare the waist circumference cutoff points established by the American Heart Association and the National Heart, Lung and Blood Institute (AHA/NHLBI) with those of the International Diabetes Federation (IDF) for the screening of diabetes, hypertension, and metabolic syndrome in Mexican adults. MATERIAL AND METHODS: This study comprised a subsample of the ENSANUT 2006. Subjects without diabetes and hypertension and non-pregnant women were included. Sensitivity, specificity, an...

  8. Scalar Field Theories On The World Sheet: Cutoff Independent Treatment

    CERN Document Server

    Bardakci, Korkut

    2013-01-01

    Following earlier work on the same topic, we consider once more scalar field theories on the world sheet parametrized by the light cone coordinates. For most of the way, we use the same approach as in the previous work, but there is an important new development. To avoid the light cone singularity at p^{+}=0, one world sheet coordinate had to be discretized, introducing a cutoff into the model.In the earlier work, this cutoff could not be removed, making the model unreliable. In the present article, we show that, by a careful choice of the mass counter term, both the infrared singularity at p^{+}=0 and the ultraviolet mass divergences can be simultaneously eliminated. We therefore finally have a cutoff independent model on a continuously parametrized world sheet. We study this model in the mean field approximation, and as before, we find solitonic solutions. Quantizing the solitonic collective coordinates gives rise to a string like model. However, in contrast to the standard string model, the trajectories he...

  9. Community-Specific BMI Cutoff Points for South Indian Females

    Directory of Open Access Journals (Sweden)

    K. B. Kishore Mohan

    2011-01-01

    Full Text Available Objective. To analyze multiparameters related to total body composition, with specific emphasis on obesity in South Indian females, in order to derive community-specific BMI cutoff points. Patients and Methods. A total number of 87 females (of age 37.33±13.12 years from South Indian Chennai urban population participated in this clinical study. Body composition analysis and anthropometric measurements were acquired after conducting careful clinical examination. Results. BMI demonstrated high significance when normal group (21.02±1.47 kg/m2 was compared with obese group (29.31±3.95 kg/m2, <0.0001. BFM displayed high significance when normal group (14.92±4.28 kg was compared with obese group (29.94 ± 8.1 kg, <0.0001. Conclusion. Community-specific BMI cutoffs are necessary to assess obesity in different ethnic groups, and relying on WHO-based universal BMI cutoff points would be a wrong strategy.

  10. 体检人群颈围与中心性肥胖的关联性研究%Association Study on Neck Circumference and Central Obesity in Population Receiving Physical Examinations

    Institute of Scientific and Technical Information of China (English)

    朱明范; 陈慧; 王妍; 吴丽萍; 许仰; 曾讯; 朱惠莲

    2011-01-01

    Objective To investigate the relationship between neck circumference (NC) and central obesity. Methods A cross -sectional investigation was conducted. 4 236 subjects receiving physical health examination were divided into four subgroups according to their NC quartiles. The average variations of means of age, height, weight, body mass index (BMI), waist circumference (WC), hip circumferences (HC), and waist -to -hip ratio (WHR) were compared among the subgroups; the relationship of NC with obesity was analyzed between subgroups divided by three obesity standards according to WC, BMI and WHR. And the cut-off value of NC for obesity diagnosis was analyzed with ROC method. Results The NC of male subjects (37.40± 2.46) cm was larger than that of the female (32.46± 2.24) cm (I=47.20, P36.8 cm in men and NC>33.1 cm in women may predict the risk for central obesity.%目的 探讨医院体检人群颈围与中心性肥胖测量指标的关联性.方法 对4 236名体检者进行体格检查,以颈围的均值四分位数分组,对各组年龄、身高、体重、体质指数(BMI)、腰围、臀围、腰臀比等的均值平均变化量进行比较.以腰围、BMI、腰臀比三种肥胖标准进行分组,分析颈围与肥胖的关系.以ROC曲线分析法判断颈围的切点.结果 男性颈围为(37.40± 2.46) cm,女性为(32.46± 2.24) cm,男性大于女性(t=47.20,P<0.01).随着颈围均值每四分位数的增加,男性和女性年龄、身高、体重、BMI、腰围、臀围、腰臀比的平均变化量均呈增加趋势,差异均有统计学意义(P<0.05),其中腰围(男性:5.58 cm,女性:5.26 cm)、体重(男性:6.25 kg,女性:4.81 kg)的平均变化量最大.三种肥胖标准分组中肥胖组的颈围均大于正常组,差异均有统计学意义(P<0.01).对于中心性肥胖,男性颈围的切点是36.8 cm,女性颈围的切点是33.1 cm.结论 颈围与年龄、身高、体重、BMI、腰围、臀围、腰臀比呈正相关关系.颈围与中心性

  11. High frequency cut-off in 1/f conductivity noise of hole-doped La1-x Ca x MnO3 manganite single crystals

    Science.gov (United States)

    Przybytek, Jacek; Fink-Finowicki, Jan; Puźniak, Roman; Jung, Grzegorz

    2016-05-01

    High frequency bias and temperature-dependent Lorentzian cut-off has been observed in the 1/f spectra of the conductivity fluctuations in low hole-doped ferromagnetic insulating La1-x Ca x MnO3 manganite at low temperatures. The cut-off frequency depends on dc current bias and temperature. The high frequency cut-off has been tentatively associated with intrinsic limits of the appearance of 1/f noise in the hopping regime of the Coulomb glass state. The assumption is validated by the fact that the Efros-Shklovskii temperature {{T}\\text{ES}} , estimated from the fit of the model to the experimentally measured temperature dependence of the cut-off frequency, has the same value as the temperature {{T}\\text{ES}} evaluated independently from the temperature dependence of the resistivity in the corresponding temperature range.

  12. Magnetospheric effects of cosmic rays. 1. Long-term changes in the geomagnetic cutoff rigidities for the stations of the global network of neutron monitors

    Science.gov (United States)

    Gvozdevskii, B. B.; Abunin, A. A.; Kobelev, P. G.; Gushchina, R. T.; Belov, A. V.; Eroshenko, E. A.; Yanke, V. G.

    2016-07-01

    Vertical geomagnetic cutoff rigidities are obtained for the stations of the global network of neutron monitors via trajectory calculations for each year of the period from 1950 to 2020. Geomagnetic cutoff rigidities are found from the model of the Earth's main field International Geomagnetic Reference Field (IGRF) for 1950-2015, and the forecast until 2020 is provided. In addition, the geomagnetic cutoff rigidities for the same period are obtained by Tsyganenko model T89 (Tsyganenko, 1989) with the average annual values of the Kp-index. In each case, the penumbra is taken into account in the approximation of the flat and power spectra of variations of cosmic rays. The calculation results show an overall decrease in geomagnetic cutoff rigidities, which is associated with the overall decrease and restructuring of the geomagnetic field during the reporting period, at almost all points.

  13. Circumference and its variation of Shanxi Han nationality adults with age in countryside%山西乡村汉族成人围度值及其年龄变化

    Institute of Scientific and Technical Information of China (English)

    李咏兰; 陆舜华; 国海; 陈琛; 曹瑜

    2011-01-01

    Objective:To collect the data of body circumferences in Shanxi Han individuals, thereafter, to under stand their changs with aging. Methods: Based on the measurement of the circumferences of 303 rural adults (150 males, 153 females) of Shanxi Han nationality (including the circumference of head, neck,chest,abdomen, upper arm, forearm, maximum biceps, thigh, calf, hip, chest circumference at inspiration, chest circumference at expiration), the paper gave an analysis of the changes of circumference value with age, and then draws a comparison of the circumference values between Shanxi Han nationality and other 19 nationalities in China. Results: (1) Along with increasing of age, male chest circumference, chest circumference at inspiration, chest circumference at expiration increased Head circumference, thigh circumference, calf circumference, grith of forearm, biceps contract circumference decreased. Girth of upper arm, biceps contract circumference, trunk circumference enlarged in female, but thigh circumference in contrast The absolute changing value of trunk circumference was obviously. The changes of females were close to males. (2) Males indexes were larger than females, except for the circumference of thigh and hip. The circumference values of hip in female and abdomen in males were changed obviously with age. (3) The six circumference values of male and female were significantly higher than various ethnic groups of the South Asian type of Mongoloid. Compare the rural of Shanxi Han nationality with various ethnic groups of the North Asian type of Mongoloid, the rural of Shanxi Han nationality were higher in girth of chest, girth of thigh and girth of the calf, medium the circumference of horizontal head. Conclusion-. The results show that the rural of Shanxi Han nationality were close to the rural of Shandong Han nationality and Tatar nationality, and belongs to the North Asian type of Mongoloid%目的:了解山西汉族围度资料及其年龄变化特征.方

  14. Alcohol drinking frequency in relation to subsequent changes in waist circumference

    DEFF Research Database (Denmark)

    Tolstrup, Janne S; Halkjaer, Jytte; Heitmann, Berit Lilienthal

    2008-01-01

    BACKGROUND: Cross-sectional studies have reported a lower prevalence of abdominal obese persons among frequent drinkers than among nonfrequent drinkers. OBJECTIVE: We tested the hypothesis that drinking frequency is associated with subsequent changes in waist circumference. DESIGN: Data come from...... a prospective cohort study conducted in 1993-1997 (baseline) and 1999-2002 (follow-up) and included 43 543 men and women. Baseline information on alcohol drinking frequency was related to 1) change in waist circumference by linear regression and 2) major gain and major loss in waist circumference (defined...... as waist change in the lowest or highest quintile of waist changes) by polytomous logistic regression, also taking into account amount of alcohol intake. RESULTS: Drinking frequency was inversely associated with changes in waist circumference in women and was unassociated with changes in waist...

  15. Variation in genes related to hepatic lipid metabolism and changes in waist circumference and body weight

    DEFF Research Database (Denmark)

    Meidtner, Karina; Fisher, Eva; Angquist, Lars

    2014-01-01

    ) and changes in weight and waist circumference. We also investigated effect modification by sex and dietary intake. Data of 6,287 individuals participating in the European prospective investigation into cancer and nutrition were included in the analyses. Data on weight and waist circumference were followed up...... for 6.9 ± 2.5 years. Association of 69 tagSNPs with baseline BMI and annual changes in weight as well as waist circumference were investigated using linear regression analysis. Interactions with sex, GI and intake of carbohydrates, fat as well as saturated, monounsaturated and polyunsaturated fatty...... acids were examined by including multiplicative SNP-covariate terms into the regression model. Neither baseline BMI nor annual weight or waist circumference changes were significantly associated with variation in the selected genes in the entire study population after correction for multiple testing...

  16. The relation between drinking pattern and body mass index and waist and hip circumference

    DEFF Research Database (Denmark)

    Tolstrup, J S; Heitmann, B. L.; Tjønneland, A M

    2005-01-01

    OBJECTIVES: To study the association between alcohol drinking pattern and obesity. DESIGN: Cross-sectional population study with assessment of quantity and frequency of alcohol intake, waist and hip circumference, height, weight, and lifestyle factors including diet. SUBJECTS: In all, 25 325 men...... and 24 552 women aged 50-65 y from the Diet, Cancer and Health Study, Denmark, 1993-1997 participated in the study. MEASUREMENTS: Drinking frequency, total alcohol intake, body mass index (BMI), and waist and hip circumference. RESULTS: Among men, total alcohol intake was positively associated with high...... BMI (>/=30 kg/m(2)), large waist circumference (>/=102 cm) and inversely associated with small hip circumference (waist (>/=88 cm), and small hips only for the highest intake (28+ drinks/week). The most frequent drinkers had...

  17. Food and drinking patterns as predictors of 6-year BMI-adjusted changes in waist circumference

    DEFF Research Database (Denmark)

    Halkjær, Jytte; Sørensen, Thorkild I A; Tjønneland, Anne

    2004-01-01

    Few studies have investigated the prospective associations between diet or drinking patterns and abdominal obesity; we therefore investigated whether food and beverage groups or patterns predicted 6-year changes in waist circumference (WC) and whether these associations were independent...

  18. Serial fetal abdominal circumference measurements in predicting normal birth weight in gestational diabetes mellitus.

    LENUS (Irish Health Repository)

    Neff, Karl J

    2013-06-24

    To construct a clinical management matrix using serial fetal abdominal circumference measurements (ACMs) that will predict normal birth weight in pregnancies complicated by gestational diabetes (GDM) and reduce unnecessary ultrasound examination in women with GDM.

  19. Waist circumference as a measure for indicating need for weight management.

    OpenAIRE

    Lean, M. E.; Han, T.S.; Morrison, C E

    1995-01-01

    OBJECTIVE--To test the hypothesis that a single measurement, waist circumference, might be used to identify people at health risk both from being overweight and from having a central fat distribution. DESIGN--A community derived random sample of men and women and a second, validation sample. SETTING--North Glasgow. SUBJECT--904 men and 1014 women (first sample); 86 men and 202 women (validation sample). MAIN OUTCOME MEASURES--Waist circumference, body mass index, waist:hip ratio. RESULTS--Wai...

  20. Evaluation of Internet-Based Interventions on Waist Circumference Reduction: A Meta-Analysis

    OpenAIRE

    Seo, Dong-Chul; Niu, Jingjing

    2015-01-01

    Background Internet-based interventions are more cost-effective than conventional interventions and can provide immediate, easy-to-access, and individually tailored support for behavior change. Waist circumference is a strong predictor of an increased risk for a host of diseases, such as hypertension, diabetes, and dyslipidemia, independent of body mass index. To date, no study has examined the effect of Internet-based lifestyle interventions on waist circumference change. Objective This stud...

  1. Neck Circumference May Be a Better Alternative to Standard Anthropometric Measures

    OpenAIRE

    Kaumudi Joshipura; Francisco Muñoz-Torres; José Vergara; Cristina Palacios; Pérez, Cynthia M

    2016-01-01

    This paper evaluates neck circumference as a metabolic risk marker. Overweight/obese, nondiabetic Hispanics, 40–65 years old, who are free of major cardiovascular diseases, were recruited for the San Juan Overweight Adults Longitudinal Study (SOALS). Baseline exams were completed by 1,206 participants. Partial correlation coefficients (r) and logistic models adjusted for age, gender, smoking status, and physical activity were computed. Neck circumference was significantly correlated with wais...

  2. Correlation between Body Mass Index and Waist Circumference in Patients with Metabolic Syndrome

    OpenAIRE

    Marcin Gierach; Joanna Gierach; Marlena Ewertowska; Adam Arndt; Roman Junik

    2014-01-01

    Metabolic syndrome is defined as a group of coexisting metabolic risk factors, such as central obesity, lipid disorders, carbohydrate disorders, and arterial hypertension. According to the 2005 IDF criteria, subsequently revised in 2009, abdominal obesity is identified as the waist circumference of ≥80 cm in women and ≥94 cm in men. It is responsible for the development of insulin resistance. The aim of our study was to demonstrate a correlation between waist circumference (WC) and body mass ...

  3. Using whole-genome sequencing to determine appropriate streptomycin epidemiological cutoffs for Salmonella and Escherichia coli.

    Science.gov (United States)

    Tyson, Gregory H; Li, Cong; Ayers, Sherry; McDermott, Patrick F; Zhao, Shaohua

    2016-02-01

    For Enterobacteriaceae such as Salmonella spp. and Escherichia coli, no unified interpretive resistance criteria exist for streptomycin, an epidemiologically important antibiotic. As part of the National Antimicrobial Resistance Monitoring System, we had previously used a minimum inhibitory concentration of ≥ 64 μg mL(-1) as an epidemiological cutoff value (ECV) to define non-wild-type isolates. To identify whether this ECV correlated with genetic determinants of resistance, we performed whole-genome sequencing of 463 Salmonella and E. coli isolates to identify streptomycin resistance genotypes. From this analysis, we found that using a streptomycin resistance breakpoint of ≥ 64 μg mL(-1) classified over 20% of strains possessing aadA or strA/strB resistance genes as wild-type. Therefore, to improve the concordance between genotypic and phenotypic data, we propose reducing the phenotypic cutoff values to ≥ 32 μg mL(-1) for both Salmonella and E. coli, to be used widely as ECVs to categorize non-wild-type isolates.

  4. Heavier smoking may lead to a relative increase in waist circumference

    DEFF Research Database (Denmark)

    Morris, Richard W; Taylor, Amy E; Fluharty, Meg E

    2015-01-01

    in Tobacco and Alcohol (CARTA). PRIMARY OUTCOME MEASURES: Waist and hip circumferences, and waist-hip ratio. RESULTS: The data included up to 66,809 never-smokers, 43,009 former smokers and 38,913 current daily cigarette smokers. Among current smokers, for each extra minor allele, the geometric mean...... was lower for waist circumference by -0.40% (95% CI -0.57% to -0.22%), with effects on hip circumference, waist-hip ratio and body mass index (BMI) being -0.31% (95% CI -0.42% to -0.19), -0.08% (-0.19% to 0.03%) and -0.74% (-0.96% to -0.51%), respectively. In contrast, among never-smokers, these effects...... circumference, 0.02% (-0.05% to 0.08%) for hip circumference and 0.10% (0.02% to 0.19%) for waist-hip ratio, for each extra minor allele. CONCLUSIONS: For a given BMI, a gene variant associated with increased cigarette consumption was associated with increased waist circumference. Smoking in an effort...

  5. Do thigh circumference and mass changes alter knee biomechanics during walking?

    Science.gov (United States)

    Westlake, Carolyn G; Milner, Clare E; Zhang, Songning; Fitzhugh, Eugene C

    2013-03-01

    Obese adults walk with different biomechanics compared to healthy weight adults. Previous studies have focused on knee biomechanics because they are associated with development and progression of osteoarthritis. Changes in thigh mass and circumference that occur as body weight increases may influence gait. The purpose of this study was to determine if increases in thigh mass and circumference alter gait biomechanics. For 20 healthy weight young adults (10 male and 10 female) knee kinematic, kinetic and gait temporospatial variables were collected using a three-dimensional motion capture system and a force platform during over ground walking. Data were collected during control, increased thigh mass, increased thigh circumference, and both increased mass and circumference conditions. Increases in thigh segment parameters reflected changes expected with a 10 point increase in body mass index. Step width was wider during the added circumference and combination conditions compared to the control condition. Increases in thigh circumference associated with obesity increase step width. This suggests the greater step width observed in obese adults compared to healthy weight adults is a result of the physical constraints introduced by their wider thigh segments. Peak knee flexion angle, peak knee extension moment, peak knee adduction angle, and peak knee abduction moment were similar in all conditions. Thus, acute changes in thigh segment parameters did not result in knee biomechanics suggestive of an increased risk of knee osteoarthritis.

  6. 10 CFR 26.163 - Cutoff levels for drugs and drug metabolites.

    Science.gov (United States)

    2010-01-01

    ... metabolites Cutoff level Marijuana metabolites 50 Cocaine metabolites 300 Opiate metabolites 2000... Levels for Drugs and Drug Metabolites Drug or metabolites Cutoff level(ng/mL) Marijuana metabolite 1...

  7. Correlation between waist and mid-thigh circumference and cardiovascular fitness in Korean college students: a case study.

    Science.gov (United States)

    Ko, Sung-Sik; Chung, Jae-Soon; So, Wi-Young

    2015-09-01

    [Purpose] We investigated whether waist and mid-thigh circumference correlated with cardiovascular fitness (VO2max) in a selected sample of Korean college students. [Subjects and Methods] The subjects were 41 college students (25 males, 16 females; age, > 19 years) who visited the sports medicine laboratory at the Korea National University of Transportation in Chungju-si, Republic of Korea, to undergo measurements of body composition, cardiovascular fitness, and waist and mid-thigh circumference. [Results] VO2max did not correlate with waist circumference or mid-thigh circumference in males, whereas VO2max was negatively correlated with mid-thigh circumference, but not waist circumference, in females. [Conclusion] Mid-thigh circumference was not associated with cardiovascular fitness or waist in male college students. However, it was associated with cardiovascular fitness in female college students. Well-designed studies are needed to investigate this further.

  8. Insulin sensitivity indices: a proposal of cut-off points for simple identification of insulin-resistant subjects.

    Science.gov (United States)

    Radikova, Z; Koska, J; Huckova, M; Ksinantova, L; Imrich, R; Vigas, M; Trnovec, T; Langer, P; Sebokova, E; Klimes, I

    2006-05-01

    Demanding measurement of insulin sensitivity using clamp methods does not simplify the identification of insulin resistant subjects in the general population. Other approaches such as fasting- or oral glucose tolerance test-derived insulin sensitivity indices were proposed and validated with the euglycemic clamp. Nevertheless, a lack of reference values for these indices prevents their wider use in epidemiological studies and clinical practice. The aim of our study was therefore to define the cut-off points of insulin resistance indices as well as the ranges of the most frequently obtained values for selected indices. A standard 75 g oral glucose tolerance test was carried out in 1156 subjects from a Caucasian rural population with no previous evidence of diabetes or other dysglycemias. Insulin resistance/sensitivity indices (HOMA-IR, HOMA-IR2, ISI Cederholm, and ISI Matsuda) were calculated. The 75th percentile value as the cut-off point to define IR corresponded with a HOMA-IR of 2.29, a HOMA-IR2 of 1.21, a 25th percentile for ISI Cederholm, and ISI Matsuda of 57 and 5.0, respectively. For the first time, the cut-off points for selected indices and their most frequently obtained values were established for groups of subjects as defined by glucose homeostasis and BMI. Thus, insulin-resistant subjects can be identified using this simple approach.

  9. Energetics of southeastern Pacific cut-off lows

    Science.gov (United States)

    Gan, Manoel Alonso; Piva, Everson Dal

    2016-06-01

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

  10. Cutoff sample size estimation for survival data: a simulation study

    OpenAIRE

    2014-01-01

    This thesis demonstrates the possible cutoff sample size point that balances goodness of es-timation and study expenditure by a practical cancer case. As it is crucial to determine the sample size in designing an experiment, researchers attempt to find the suitable sample size that achieves desired power and budget efficiency at the same time. The thesis shows how simulation can be used for sample size and precision calculations with survival data. The pre-sentation concentrates on the simula...

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

    Science.gov (United States)

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

    1985-05-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    1995-08-01

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

  13. Fish consumption does not prevent increase in waist circumference in European women and men.

    Science.gov (United States)

    Jakobsen, Marianne U; Due, Karen M; Dethlefsen, Claus; Halkjaer, Jytte; Holst, Claus; Forouhi, Nita G; Tjønneland, Anne; Boeing, Heiner; Buijsse, Brian; Palli, Domenico; Masala, Giovanna; Du, Huaidong; van der A, Daphne L; Wareham, Nicholas J; Feskens, Edith J M; Sørensen, Thorkild I A; Overvad, Kim

    2012-09-01

    Fish consumption is the major dietary source of EPA and DHA, which according to rodent experiments may reduce body fat mass and prevent obesity. However, human studies have suggested that fish consumption has no appreciable association with body-weight gain. We investigated the associations between fish consumption and subsequent change in waist circumference. Sex, age and waist circumference at enrolment were considered as potential effect modifiers. Women and men (n 89 432) participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) were followed for a median of 5·5 years. Mixed-effect linear regression was used to investigate the associations between fish consumption and subsequent change in waist circumference. Among all participants, the average annual change in waist circumference was - 0·01 cm/10 g higher total fish consumption per d (95 % CI - 0·01, 0·00) and - 0·01 cm/10 g higher fatty fish consumption per d (95 % CI - 0·02, - 0·01), after adjustment for potential confounders. Lean fish consumption was not associated with change in waist circumference. Adjustment for potential over- or underestimation of fish consumption measurements did not systematically change the observed associations, but the 95 % CI became slightly wider. The results in subgroups from analyses stratified by sex, age or waist circumference at enrolment were not systematically different. In conclusion, the present study suggests that fish consumption does not prevent increase in waist circumference.

  14. Waist circumference does not predict circulating adiponectin levels in sub-Saharan women

    Directory of Open Access Journals (Sweden)

    Gautier Jean-François

    2007-10-01

    Full Text Available Abstract Background Because of previously reported ethnic differences in determinants and markers of obesity and related metabolic disorders, we sought to investigate circulating levels of adiponectin and their correlates in a sub-Saharan African (sSA population. Subjects and Methods We studied 70 non-diabetic volunteers (33M/37F living in Yaoundé, Cameroon, aged 24–69 yr, with BMI 20–42 kg/m2. In all participants we measured waist circumference and total body fat by bioimpedance, and obtained a fasting venous blood sample for measurement of plasma glucose, serum insulin and adiponectin concentrations. We performed a euglycaemic hyperinsulinaemic clamp in 1/4 subjects, and HOMAIR was used as surrogate of fasting insulin sensitivity index since it best correlates to clamp measurements. Results Males had lower adiponectin levels than females (8.8 ± 4.3 vs. 11.8 ± 5.5 μg/L. There was no significant correlation between adiponectin and total body fat (rs = -0.03; NS, whereas adiponectin was inversely correlated with waist circumference (rs = -0.39; p = 0.001. Adiponectin correlated negatively with insulin resistance (rs = -0.35; p = 0.01. In a regression analysis using fasting adiponectin concentration as the dependent variable, and age, HOMAIR, waist circumference, and fat mass as predictors, waist circumference (β = -3.30; p = 0.002, fat mass (β = -2.68; p = 0.01, and insulin resistance (β = -2.38; p = 0.02 but not age (β = 1.11; p = 0.27 were independent predictors of adiponectin. When considering gender, these relations persisted with the exception of waist circumference in females. Conclusion Adiponectin correlates in this study population are comparable to those observed in Caucasians with the exception of waist circumference in women. The metabolic significance of waist circumference is therefore questioned in sSA women.

  15. Using serum α-fetoprotein for prognostic prediction in patients with hepatocellular carcinoma: what is the most optimal cutoff?

    Directory of Open Access Journals (Sweden)

    Chia-Yang Hsu

    Full Text Available The prognostic ability of α-fetoprotein (AFP for patients with hepatocellular carcinoma (HCC was examined by using different cutoff values. The optimal AFP cutoff level is still unclear.A total of 2579 HCC patients were consecutively enrolled in Taiwan, where hepatitis B is the major etiology of chronic liver disease. Four frequently used AFP cutoff levels, 20, 200, 400, 1000 ng/mL, were investigated. One-to-one matched pairs between patients having AFP higher and lower than the cutoffs were selected by using the propensity model. The adjusted hazard ratios of survival difference were calculated with Cox proportional hazards model.Patients with a higher AFP level were associated with more severe cirrhosis, more frequent vascular invasion, higher tumor burden and poorer performance status (all p0.05. Patients with AFP <20 ng/mL had significantly better long-term survival than patients with AFP ≧20 ng/mL (p<0.0001, and patients with AFP <400 ng/mL had significantly better overall outcome than patients with AFP ≧400 ng/mL (p = 0.0186. There was no difference of long-term survival between patients divided by AFP levels of 200 and 1000 ng/mL. The adjusted hazard ratios of AFP ≧20 ng/mL and AFP ≧400 ng/mL were 1.545 and 1.471 (95% confidence interval: 1.3-1.838 and 1.178-1.837, respectively.This study shows the independently predictive ability of baseline serum AFP level in HCC patients. AFP levels of 20 and 400 ng/mL are considered feasible cutoffs to predict long-term outcome in unselected HCC patients.

  16. Receiver Operating Characteristic (ROC to Determine Cut-Off Points of Biomarkers in Lung Cancer Patients

    Directory of Open Access Journals (Sweden)

    Heidi L. Weiss

    2004-01-01

    Full Text Available The role of biomarkers in disease prognosis continues to be an important investigation in many cancer studies. In order for these biomarkers to have practical application in clinical decision making regarding patient treatment and follow-up, it is common to dichotomize patients into those with low vs. high expression levels. In this study, receiver operating characteristic (ROC curves, area under the curve (AUC of the ROC, sensitivity, specificity, as well as likelihood ratios were calculated to determine levels of growth factor biomarkers that best differentiate lung cancer cases versus control subjects. Selected cut-off points for p185erbB-2 and EGFR membrane appear to have good discriminating power to differentiate control tissues versus uninvolved tissues from patients with lung cancer (AUC = 89% and 90%, respectively; while AUC increased to at least 90% for selected cut-off points for p185erbB-2 membrane, EGFR membrane, and FASE when comparing between control versus carcinoma tissues from lung cancer cases. Using data from control subjects compared to patients with lung cancer, we presented a simple and intuitive approach to determine dichotomized levels of biomarkers and validated the value of these biomarkers as surrogate endpoints for cancer outcome.

  17. Discovery of the low-energy cutoff in a powerful giant radio galaxy

    CERN Document Server

    Blundell, K; Crawford, C; Erlund, M; Celotti, A; Blundell, Katherine; Fabian, Andy; Crawford, Carolin; Erlund, Mary; Celotti, Annalisa

    2006-01-01

    The lobes of radio galaxies and quasars, fed by jets and hotspots, represent a significant, and currently ill-constrained, source of energy input into the inter-galactic medium (IGM). How much energy is input into the IGM depends on the minimum energy to which the power-law distribution of relativistic particles is accelerated in the hotspots. This has hitherto been unknown to within three orders of magnitude. We present direct evidence for the discovery of this low-energy cutoff in the lobe of a Mpc-sized radio galaxy via the existence of extended X-ray emission, inverse-Compton scattered from aged radio plasma, and its separation by 80kpc from regions containing freshly accelerated plasma from the hotspot. The low-energy cutoff of gamma ~ 10^4 in the hotspot is higher than previously thought, but reconciles discrepancies with magnetic field estimates which had been systematically lower than equipartition values. The inverse Compton scattering of the spent synchrotron plasma is at the expense of cosmic micro...

  18. Circumference and its Variation with Age of of Han Nationality Adults from Qixian,Shanxi%山西祁县汉族成人围度值及其年龄变化

    Institute of Scientific and Technical Information of China (English)

    李咏兰; 陆舜华; 弓剑; 国海; 陈琛; 曹瑜; 郑思平

    2012-01-01

    用随机抽样法调查了山西祁县303例(男为150例,女为153例)城市汉族成人的头围、颈围、胸围、吸气胸围、呼气胸围、腹围、臀围、大腿围、小腿围、上臂围、前臂围、上臂收缩围等12项围度测量项目,分析了不同年龄组围度值的变化情况,并与国内的19个族群进行了比较.结果表明:(1)随年龄增长,男性头围、颈围变化不大;躯干部的4个围度值逐渐增大,在50-59岁组达到最大;四肢的5个围度值在30-39岁组达到最大.围度的绝对变化值与相对变化率,躯干部的围度变化较为明显.女性12项围度值变化特点与男性相似.(2)性别间比较,男性除臀围、大腿围外,其它10项围度均数都明显高于女性(P<0.01).随着年龄的增长,女性臀围值变化明显,男性腹围值变化明显.(3)男性与女性6项围度值均明显大于我国蒙古人种南亚类型诸族群.与我国北亚类型诸族群比较,山西城市汉族人胸围、大腿围、小腿围值大,头围值中等.(4)聚类分析显示:山西城市汉族与山东城市汉族、塔塔尔族最为接近,具有我国北方族群的体质特征.%Based on the measurement of the circumferences of 303 urban adults (150 males,153females) of Han nationality (including the circumference of head, neck , chest, chest circumference at inspiration, chest circumference at expiration,abdomen, hip, thigh, calf, upper arm, fore-arm, Maximum biceps) from Qixian, Shanxi, the changes of circumference value with age were studied,and the comparison of the circumference values between the Han nationality from Qixian,Shanxi and other 19 nationalities in China was studied by cluster analysis. The results show that: (l)The circumference of head,neck of male have no change with the age increasing;The four circumference values of the trunk gradually increase and the maximum in the 50 - 59 a from a group;The five circumference values of limbs is maximum in the 30 - 39 a group. The

  19. Body mass index, waist circumference and employment: evidence from older Irish adults.

    Science.gov (United States)

    Mosca, Irene

    2013-12-01

    Data from the first wave of the Irish Longitudinal Study on Ageing are used to examine the relationship between fatness and obesity and employment status among older Irish adults. Employment status is regressed on one of the following measures of fatness: BMI and waist circumference entered linearly as continuous variables and obesity as a categorical variable defined using both BMI and waist circumference. Controls for demographic and socioeconomic characteristics, socioeconomic characteristics in childhood and physical, mental and behavioural health are also included. The regression results for women indicate that all measures of fatness are negatively associated with the probability of being employed and that the employment elasticity associated with waist circumference is larger than the elasticity associated with BMI. The results for men indicate that employment is not significantly associated with BMI and waist circumference when these are entered linearly in the regression, but it is significantly and negatively associated with obesity defined either using BMI or waist circumference as categorical variables. The results also indicate that the negative association between obesity and employment status is larger among women. For example, the probability of being employed for the obese category defined using BMI is around 8 percentage points lower for women and 5 percentage points lower for men.

  20. The relationships of waist and mid-thigh circumference with performance of college golfers.

    Science.gov (United States)

    Son, Seungbum; Han, Kunho; So, Wi-Young

    2016-03-01

    [Purpose] Our aim was to evaluate the relationships between waist and mid-thigh circumference, used as proxy measures of trunk and lower limb strengths, respectively, and selected parameters of driver and putting performance in Korean college golfers. [Subjects and Methods] The participants were 103 college golfers (81 male, 20 to 27 years old). Measurements of body composition, waist and mid-thigh circumference, and grip strength, as well as assessment of golf performance, including driver distance, driver swing speed, putting accuracy, and putting consistency, were performed at the golf performance laboratory at Konkuk University in Chungju-si, Republic of Korea. Average round score was obtained from 10 rounds of golf completed during the study period. The relationships between strength measures and golf performance were evaluated by partial correlation analysis, with adjustment for age, golf experience, and body mass index. [Results] Waist circumference did not correlate with any of the performance variables in both males and females. Mid-thigh circumference correlated with putting consistency (r = 0.364) in males and with putting consistency (r = 0.490) and accuracy (r = 0.547) in females. No other significant correlations between waist and mid-thigh circumference and golf performance were identified. [Conclusion] Lower limb strength may be an important component of putting performance. Further studies are needed to fully characterize the contributions of trunk strength to performance.

  1. Third molar cut-off value in assessing the legal age of 18 in Saudi population.

    Science.gov (United States)

    AlQahtani, Sakher; Kawthar, Alemad; AlAraik, Ayman; AlShalan, Ahmad

    2017-03-01

    Teeth plays a major role in forensic sciences especially in age assessment of an individual, which can be used to aid in criminal or civil matters. The importance of teeth comes from their ability to survive inhumation well and because they are hardly affected by exogenous and endogenous factors. Third molars are the only teeth still developing after the age of 14 years and during the legal age of adulthood, which is 18 years. The consequences of criminal violation can strongly affect the individual's life, it is important to set different parameters to decide whether an individual is a minor or an adult in the absence of documents. Depending on the different legal requirement, such parameters can set above 90% probability for criminal matters and from 51% to civil matters.

  2. SCOPA-Cognition Cutoff Value for Detection of Parkinson's Disease Dementia

    NARCIS (Netherlands)

    Verbaan, Dagmar; Jeukens-Visser, Martine; Van Laar, Teus; van Rooden, Stephanie M.; Van Zwet, Erik W.; Marinus, Johan; van Hilten, Jacobus J.

    2011-01-01

    The SCOPA-Cognition is a reliable and valid test to evaluate cognitive functioning in Parkinson's disease and is widely used in clinical and research settings. Recently, the Movement Disorder Society introduced criteria for Parkinson's disease dementia. The objective of the present study was to use

  3. 河南乡村汉族成人身体围度特征分析%Analysis on Body Circumference of Han Nationality Adults in Henan Countryside

    Institute of Scientific and Technical Information of China (English)

    侯俊然; 徐国昌; 席焕久; 任甫; 杨雷; 陈志国

    2013-01-01

    随机抽查1 000名河南乡村汉族成人,对其头围、颈围、胸围、吸气胸围、呼气胸围、上臂围、前臂围、上臂最大围、腹围、臀围、大腿围和小腿围进行测量,利用SPSS 11.5对数据进行分析.结果表明:男性与女性12项围度值大小顺序一致;男性头围、颈围、前臂围、上臂最大围和小腿围均大于女性,差异显著(P<0.01);男性与女性围度值聚类于北方族群,明显大于南方族群;河南乡村汉族与山西乡村汉族、清原满族最为接近,具有北亚类型族群的体质特征.%1000 Henan Han adults were chosen by random sampling to investigate 12 items of body circumference,including the head,neck,chest,biceps,forearm,abdominal,hip,thigh,calf,biceps contrant,chest circumference at inspiration and chest circumference at expiration.Statistics analysis by SPSS 11.5showed that the order of size of the 12 body circumferences was same for male and female and the head,neck,forearm,biceps contract and calf circumference of male were significantly larger than that of female.Cluster analysis revealed that the male and female circumference values were clustered in the Northern nationality,greater than the Southern nationality.We concluded that the rural Henan Han nationality were close to the rural of Shanxi Han nationality and Manchu nationality in Qingyuan,and belongs to the North Asian type.

  4. High-Frequency Cutoff in Type III Bursts

    Science.gov (United States)

    Stanislavsky, A. A.; Konovalenko, A. A.; Volvach, Ya. S.; Koval, A. A.

    In this article we report about a group of solar bursts with high-frequency cutoff, observed on 19 August of 2012 near 8:23 UT, simultaneously by three different radio telescopes: the Ukrainian decameter radio telescope (8-33 MHz), the French Nancay Decametric Array (10-70 MHz) and the Italian San Vito Solar Observatory of RSTN (25-180 MHz). Morphologically the bursts are very similar to the type III bursts. The solar activity is connected with the emergency of a new group of solar spots on the far side of the Sun with respect to observers on Earth. The solar bursts accompany many moderate flares over eastern limb. The refraction of the behind-limb radio bursts towards the Earth is favorable, if CMEs generate low-density cavities in solar corona.

  5. Effects of cutoff thresholds for minor allele frequencies on HapMap resolution: A real dataset-based evaluation of the Chinese Han and Tibetan populations

    Institute of Scientific and Technical Information of China (English)

    XIONG ShiYi; HAO YuanTao; RAO ShaoQi; HUANG WeiJun; HU Bin; Labu; Pubuzhuoma; Gesangzhuogab; WANG YiMing

    2009-01-01

    Genomic variation is the genetic basis of phenotypic diversity among individuals, including variation in disease susceptibility and drug response. The greatest promise of the International HapMap is to provide roadmaps for identifying genetic variants predisposing to complex diseases. Single nucleotide polymorphism (SNP) is the fundamental element of the HapMap. Allele frequency of SNPs is one of the major factors affecting the resulting HapMap, being the factor upon which linkage disequilibrium (LD)is calculated, haplotypes are constructed, and tagging SNPs (tagSNPs) are selected. The cutoff thresholds for the frequency of minor alleles used in the making of the map therefore have profound effects on the resolution of that map. To date most researchers have adopted their own cutoff thresholds, and there has been little real dataset-based evaluation of the effects of different cutoff thresholds on HapMap resolution. In an attempt to assess the implications of different cutoff values, we analyzed our own data for the centromeric genes on Chromosome 15 in Chinese Han and Tibetan populations,with respect to minor allele frequency cutoff values of≥0.01 (0.01 group), ≥0.05 (0.05 group), and ≥0.10(0.10 group), and constructed HapMaps from each of the datasets. The resolution, study power and cost-effectiveness for each of the maps were compared. Our results show that the 0.01 threshold provides the greatest power (P=0.019 in Han and P=0.029 in Tibetan for 0.01 vs. 0.05 threshold) and detects most population-specific haploypes (P= 0.012 for 0.01 vs. 0.05 threshold). However, in the regions studied, the 0.05 cutoff threshold did not significantly increase power above the 0.10 threshold (P=0.191 in Han; 1.000 in Tibetans), and did not improve resolution over the 0.10 value for population-specific haplotypes (P=0.592) neither. Furthermore the 0.05 and 0.10 values produced the same figures for tagging efficiency, LD block number, LD length, study power and cost

  6. Dietary n-6 PUFA, carbohydrate:protein ratio and change in body weight and waist circumference

    DEFF Research Database (Denmark)

    Jakobsen, Marianne Uhre; Madsen, Lise; Dethlefsen, Claus

    2014-01-01

    OBJECTIVE: To investigate the association between the intake of n-6 PUFA and subsequent change in body weight and waist circumference at different levels of the carbohydrate:protein ratio. DESIGN: Follow-up study with anthropometric measurements at recruitment and on average 5·3 years later....... Dietary intake was determined at recruitment by using an FFQ that was designed for the study and validated. We applied linear regression models with 5-year change in weight or waist circumference as outcome and including a two-way interaction term between n-6 PUFA and carbohydrate intakes, lower......:protein ratio; the differences in 5-year waist circumference change were 0·26 cm (95 % CI -0·47, 0·98 cm) and -0·52 cm (95 % CI -1·19, 0·15 cm), respectively. Inclusion of the dietary glycaemic index did not change the results. CONCLUSIONS: No consistent associations between the intake of n-6 PUFA and change...

  7. Alcohol drinking frequency in relation to subsequent changes in waist circumference

    DEFF Research Database (Denmark)

    Tolstrup, Janne S; Halkjaer, Jytte; Heitmann, Berit L

    2008-01-01

    drinking, drinking on 1, 2-4, 5-6, and 7 d/wk, respectively, compared with men who drank alcohol on alcohol intake or total energy intake did not affect results considerably. CONCLUSIONS: Drinking pattern may...... a prospective cohort study conducted in 1993-1997 (baseline) and 1999-2002 (follow-up) and included 43 543 men and women. Baseline information on alcohol drinking frequency was related to 1) change in waist circumference by linear regression and 2) major gain and major loss in waist circumference (defined...... as waist change in the lowest or highest quintile of waist changes) by polytomous logistic regression, also taking into account amount of alcohol intake. RESULTS: Drinking frequency was inversely associated with changes in waist circumference in women and was unassociated with changes in waist...

  8. Proposed MIC and disk diffusion microbiological cutoffs and spectrum of activity of retapamulin, a novel topical antimicrobial agent.

    Science.gov (United States)

    Traczewski, Maria M; Brown, Steven D

    2008-11-01

    Retapamulin, the first pleuromutilin antimicrobial agent approved for the topical treatment of skin infections in humans, was tested against 987 clinical isolates representing 30 species and/or resistance groups. MICs were determined along with disk diffusion zone diameters using a 2-microg disk. Population distribution and MIC versus disk zone diameter scattergrams were analyzed to determine microbiological MIC cutoff values and inhibition zone correlates. Minimum bactericidal concentrations were performed on a smaller subset of key species. The retapamulin MIC(90) against 234 Staphylococcus aureus isolates and 110 coagulase-negative staphylococci was 0.12 microg/ml. Retapamulin MIC(90)s ranged from 0.03 to 0.06 microg/ml against beta-hemolytic streptococci including 102 Streptococcus pyogenes, 103 Streptococcus agalactiae, 59 group C Streptococcus, and 71 group G Streptococcus isolates. The MIC(90) against 55 viridans group streptococci was 0.25 microg/ml. Retapamulin had very little activity against 151 gram-negative bacilli and most of the Enterococcus species tested. Based on the data from this study, for staphylococci, MICs of or=2 microg/ml with corresponding disk diffusion values of >or=20 mm, 17 to 19 mm, and microbiological cutoffs, respectively. For beta-hemolytic streptococci, a susceptible-only MIC of or=15 mm can be proposed for susceptible-only microbiological cutoffs.

  9. Evaluation of marginal circumference and marginal thickness changes in precrimped stainless steel crowns, after recrimping

    Directory of Open Access Journals (Sweden)

    Afshar H

    2006-07-01

    Full Text Available Background and Aim: The need for recrimping precrimped stainless steel crowns by the dentist in clinic is controversial. This study aimed to evaluate the rate of marginal circumference and marginal thickness change of precrimped stainless steel crowns after recrimping. Materials and Methods: In this experimental study, 30 primary photos were taken from margins of 30 S.S.Cs (3M, Ni-Cr related to tooth 85 with a digital camera fixed at a determined distance. Margins of crowns were crimped by 114 and 137 pliers with a controlled force (0.2 N and then 30 secondary photos were taken in the same conditions. The circumference of crown margins in primary (group A and secondary (group B photos were assessed by a digitizer system. Comparing the circumferences of crown margins in primary and secondary photos showed a significant decrease after crimping. Thickness of 30 random points on the crown margins of a crown similar to mentioned cases was measured by SEM (×150. Then similar procedures including taking a primary photo, crimping and taking a secondary photo was done for the sample crown. After significant reduction in margin circumference, thickness of 30 other random points on the crown margin were measured by SEM. Data were analyzed by paired sample t-test with p<0.05 as the limit of significance. Results: The mean marginal circumference of precrimped stainless steel crowns was reduced by 7.3% which was significant (P<0.001. On the other hand the mean marginal thickness of sample stainless steel crown showed 18µ increase. Conclusion: According to the results of this study, marginal circumference of precrimped stainless steel crowns (3M, Ni-Cr showed a significant decrease after crimping. It is concluded that crimping the stainless steel crowns even for precrimped ones seems necessary.

  10. Glycemic index and glycemic load of thirteen year old children whose waist circumference (WC ≥ 90 percentile dependent on BMI

    Directory of Open Access Journals (Sweden)

    Zuzanna Goluch-Koniuszy

    2011-06-01

    Full Text Available Background. One of the reasons for the accumulation of fat tissue (including visceral fat tissue in the body is an unbalanced diet in respect of the amount and the structure of carbohydrates and the value of the glycemic index (GI and the glycemic load (GL. The research describing the dependence between the BMI (Body Mass Index, WC (Waist Circumference, WHtR (Waist-to-Height Ratio, and GI and GL indexes in adults exists but only a limited number of works discuss children during the pubertal spurt. Therefore the objective of this research is the evaluation of the state of nutrition of 13-year-old children with waist circumference ≥ 90 percentile with various BMI, taking into consideration GL and GL of their meals. Material and methods.The state of nutrition (BMI, WC, WHtR of 871 thirteen-year-old children of both sexes was evaluated and 230 children with WC ≥ 90 percentile were selected (26.4% of the total number examined and divided into three groups regarding the BMI. In 71 children (30.9% of the selected group the method of nutrition, energy and nutritive value of menus, structure of consumption of food groups and GI and GL value were evaluated, on the basis of the analysis of their three day menus, which had been documented. Results.Significantly higher values of BMI and WC were ascertained in boys than in girls. No essential differences in values of WHtR index were ascertained between boys and girls. The analysis of children’s menus, in both sexes with a waist circumference ≥ 90 percentile showed, regardless of BMI value, a low realisation of recommended energetic value of the diet and low realisation of recommended supply of: dietary fibre, fat, mineral components (K, Ca, P, Mg, Fe, Zn, Cu, vitamins (E, B1, PP and liquids with simultaneous occurrence of protein in general and animal protein, sodium and vitamins (A, B2, B6 supply. A significantly higher supply of the most of aforementioned ingredients was ascertained in the

  11. Association between Mediterranean and Nordic diet scores and changes in weight and waist circumference

    DEFF Research Database (Denmark)

    Roswall, Nina; Ängquist, Lars; Ahluwalia, Tarun Veer Singh

    2014-01-01

    between diet and genetic predisposition to adiposity, studies should consider both diet and genetics. OBJECTIVE: We investigated whether FTO rs9939609 and TCF7L2 rs7903146 modified the association between the MDS and Nordic diet score (NDS) and changes in weight (Δweight), waist circumference (ΔWC......), and waist circumference adjusted for body mass index (BMI) (ΔWCBMI). DESIGN: We conducted a case-cohort study with a median follow-up of 6.8 y that included 11,048 participants from 5 European countries; 5552 of these subjects were cases defined as individuals with the greatest degree of unexplained weight...

  12. Some consequences of GUP induced ultraviolet wavevector cutoff in one-dimensional Quantum Mechanics

    CERN Document Server

    Sailer, K; Nagy, S

    2013-01-01

    A projection method is proposed to treat the one-dimensional Schrodinger equation for a single particle when the Generalized Uncertainty Principle (GUP) generates an ultraviolet (UV) wavevector cutoff. The existence of a unique coordinate representation called the naive one is derived from the one-parameter family of discrete coordinate representations. In this bandlimited Quantum Mechanics a continuous potential is reconstructed from discrete sampled values observed by means of a particle in maximally localized states. It is shown that bandlimitation modifies the speed of the center and the spreading time of a Gaussian wavepacket moving in free space. Indication is found that GUP accompanied by bandlimitation may cause departures of the low-lying energy levels of a particle in a box from those in ordinary Quantum Mechanics much less suppressed than commonly thought when GUP without bandlimitation is in work.

  13. Quantum Theory of \\v{C}erenkov Radiation, Spectral Cutoff and Resonances

    CERN Document Server

    Kaminer, Ido; Harari, Gal; Sheinfux, Hanan Herzig; Levy, Amir; Skirlo, Scott; Nemirovsky, Jonathan; Joannopoulos, John D; Segev, Mordechai; Soljačić, Marin

    2016-01-01

    We show that the well-established \\v{C}erenkov Effect contains new phenomena arising directly from the quantum nature of the charged particles. These include large deviations from the classically-expected radiation intensity and angle. Most importantly, we find that the traditional Cerenkov angle splits, confining the emitted radiation into two distinctive cones into which two photonic shock waves are emitted. Interestingly, one of the two shockwaves can move on a backward cone, which is otherwise considered impossible for \\v{C}erenkov Radiaiton in ordinary materials. Moreover, for specific values of the particle momentum, we predict an upper frequency cutoff in the photon emission. Surprisingly, for this extremum frequency we find a diverging rate of photon emission, implying this is a new resonant light-matter interaction. Some of these new effects cannot be found without the full quantum derivation. Importantly, our findings are observable for electron beams with realistic parameters, offering new applicat...

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

    Directory of Open Access Journals (Sweden)

    Anahita Sanaei Dashti

    2012-03-01

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

  15. Accuracy of Neck Circumference in Classifying Overweight and Obese US Children.

    Science.gov (United States)

    Kim, Youngwon; Lee, Jung-Min; Laurson, Kelly; Bai, Yang; Gaesser, Glenn A; Welk, Gregory J

    2014-01-01

    Objective. To evaluate classification accuracy of NC and compare it with body mass index (BMI) in identifying overweight/obese US children. Methods. Data were collected from 92 children (boys: 61) aged 7 to 13 over a 2-year period. NC, BMI, and percent of body fat (BF%) were measured in each child and their corresponding cut-off values were applied to classify the children as being overweight/obese. Classification accuracy of NC and BMI was systematically investigated for boys and girls in relation to true overweight/obesity categorization as assessed with a criterion measure of BF% (i.e., Bod Pod). Results. For boys, Cohen's κ (0.25), sensitivity (38.1%), and specificity (85.0%) of NC were smaller in comparison with Cohen's κ (0.57), sensitivity (57.1%), and specificity (95.0%) of BMI in relation to BF% categorization. For girls, Cohen's κ (0.45), sensitivity (50.0%), and specificity (91.3%) of NC were smaller in comparison with Cohen's κ (0.52), sensitivity (50.0%), and specificity (95.7%) of BMI. Conclusion. NC measurement was not better than BMI in classifying childhood overweight/obesity and, for boys, NC was inferior to BMI. Pediatricians and/or pediatric researchers should be cautious or wary about incorporating NC measurements in their pediatric care and/or research.

  16. Defining optimal cutoff scores for cognitive impairment using Movement Disorder Society Task Force criteria for mild cognitive impairment in Parkinson's disease.

    Science.gov (United States)

    Goldman, Jennifer G; Holden, Samantha; Bernard, Bryan; Ouyang, Bichun; Goetz, Christopher G; Stebbins, Glenn T

    2013-12-01

    The recently proposed Movement Disorder Society (MDS) Task Force diagnostic criteria for mild cognitive impairment in Parkinson's disease (PD-MCI) represent a first step toward a uniform definition of PD-MCI across multiple clinical and research settings. However, several questions regarding specific criteria remain unanswered, including optimal cutoff scores by which to define impairment on neuropsychological tests. Seventy-six non-demented PD patients underwent comprehensive neuropsychological assessment and were classified as PD-MCI or PD with normal cognition (PD-NC). The concordance of PD-MCI diagnosis by MDS Task Force Level II criteria (comprehensive assessment), using a range of standard deviation (SD) cutoff scores, was compared with our consensus diagnosis of PD-MCI or PD-NC. Sensitivity, specificity, and positive and negative predictive values were examined for each cutoff score. PD-MCI subtype classification and distribution of cognitive domains impaired were evaluated. Concordance for PD-MCI diagnosis was greatest for defining impairment on neuropsychological tests using a 2 SD cutoff score below appropriate norms. This cutoff also provided the best discriminatory properties for separating PD-MCI from PD-NC compared with other cutoff scores. With the MDS PD-MCI criteria, multiple domain impairment was more frequent than single domain impairment, with predominant executive function, memory, and visuospatial function deficits. Application of the MDS Task Force PD-MCI Level II diagnostic criteria demonstrates good sensitivity and specificity at a 2 SD cutoff score. The predominance of multiple domain impairment in PD-MCI with the Level II criteria suggests not only influences of testing abnormality requirements, but also the widespread nature of cognitive deficits within PD-MCI.

  17. The predictive value of Muller's maneuvre for CPAP titration in OSAHS patients.

    Science.gov (United States)

    Bosi, Marcello; De Vito, Andrea; Vicini, Claudio; Poletti, Venerino

    2013-08-01

    To investigate the role of awake upper airways (UA) endoscopy assessment as a parameter of prediction for CPAP titration in OSAHS patient therapy. Retrospective analysis of UA endoscopic assessment with Mueller's maneuvre and the application of the nose oropharynx hypopharynx score (NOHs) was conducted to obtain a numeric score representing the grade of severity of UA obstruction. Other commonly used predictive parameters for CPAP titration were also included in the study: anthropometric [BMI, neck circumference (NC)] and polysomnographic parameters (AHI, ODI). 3 groups of patients were identified: (1) 67/90 patients requiring intermediate CPAP values, (2) 13/90 patients requiring high CPAP values, and (3) 10/90 patients requiring low pressure values. BMI (p = 0.0013) was the only monitored parameter to show significant statistical value as a CPAP titration predictor. However, higher values of anthropometric parameters (NOHs ≥9, BMI >35, NC >45) showed a sensitivity of 69.2% as a single parameter and 76.9% as combined parameters, and specificity between 66.2 and 72.7% as a single parameter and 43.4% as combined parameters, unequivocally identifying patients requiring high therapeutic CPAP value. A lower cut-off of anthropometric parameters (NOHs ≤6, BMI ≤29, NC <42) showed sensitivity between 40 and 60% as a single parameter and of 90% as combined parameters, and specificity between 68.7 and 80.2% as a single parameter which increased to 93.7% as combined parameters, identifying patients requiring a low therapeutic CPAP value. The results show that anthropometric and polygraphic parameters have no significant independent predictive value for CPAP titration, with the exception of BMI. However, anthropometric parameters showed good levels of sensitivity and specificity in OSAHS patients requiring high or low levels of CPAP therapy.

  18. Observational Evidence for Variations of the Acoustic Cutoff Frequency with Height in the Solar Atmosphere

    Science.gov (United States)

    Wiśniewska, A.; Musielak, Z. E.; Staiger, J.; Roth, M.

    2016-03-01

    Direct evidence for the existence of an acoustic cutoff frequency in the solar atmosphere is given by observations performed by using the HELioseismological Large Regions Interferometric DEvice operating on the Vacuum Tower Telescope located on Tenerife. The observational results demonstrate variations of the cutoff with atmospheric heights. The observed variations of the cutoff are compared to theoretical predictions made by using five acoustic cutoff frequencies that have been commonly used in helioseismology and asteroseismology. The comparison shows that none of the theoretical predictions is fully consistent with the observational data. The implication of this finding is far reaching as it urgently requires either major revisions of the existing methods of finding acoustic cutoff frequencies or developing new methods that would much better account for the physical picture underlying the concept of cutoff frequencies in inhomogeneous media.

  19. Spectral cutoffs of Fermi-LAT GRBs 080916C and 090926A

    Institute of Scientific and Technical Information of China (English)

    Biao Li; Zhuo Li

    2012-01-01

    It is expected that there should be a spectral cutoff at the high energy end of emission from a prompt gamma-ray burst (GRB),due to,e.g.γγ absorption and/or a high energy cutoff in the electron distribution.We analyze the spectral data of FermiLAT detected GRBs 080916C and 090926A,aiming at locating the spectral cutoff.By assuming that the prompt GRB spectrum at the high energy end is a power law with an exponential cutoff,our analysis finds that the cutoff energy Ecutoff depends on the photon index β and the cutoff occurs at very high energy,Ecutoff =161+-53395 GeV in GRB 080916C and Ecutoff (≥)100 GeV (forβ ≈-2.3) in GRB 090926A.Such high energy photons,if they exist,may disfavor the synchrotron origin and need alternative generation mechanisms.

  20. Estimation of Saliva Cotinine Cut-Off Points for Active and Passive Smoking during Pregnancy—Polish Mother and Child Cohort (REPRO_PL)

    Science.gov (United States)

    Polanska, Kinga; Krol, Anna; Kaluzny, Pawel; Ligocka, Danuta; Mikolajewska, Karolina; Shaheen, Seif; Walton, Robert; Hanke, Wojciech

    2016-01-01

    A reliable assessment of smoking status has significant public health implications and is essential for research purposes. The aim of this study was to determine optimal saliva cotinine cut-off values for smoking during pregnancy. The analyses were based on data from 1771 women from the Polish Mother and Child Cohort. Saliva cotinine concentrations were assessed by high performance liquid chromatography coupled with tandem mass spectrometry (HPLC-ESI + MS/MS). The saliva cotinine cut-off value for active smoking was established at 10 ng/mL (sensitivity 96%, specificity 95%) and for passive smoking at 1.5 ng/mL (sensitivity 63%, specificity 71%). About 5% of the self-reported non-smoking women were classified as smokers based on the cotinine cut-off value. Significantly more younger, single, and less educated self-reported non-smokers had a cotinine concentration higher than 10 ng/mL compared to those who were older, married, and who had a university degree. Close to 30% of the non-smokers who indicated that smoking was not allowed in their home could be classified as exposed to passive smoking based on the cut-off value. The study suggests that self-reported smoking status is a valid measure of active smoking, whereas in the case of passive smoking, a combination of questionnaire data and biomarker verification may be required. PMID:27941658

  1. Intake of ruminant trans fatty acids and changes in body weight and waist circumference

    DEFF Research Database (Denmark)

    Hansen, C P; Berentzen, T L; Halkjær, Jytte

    2012-01-01

    Follow-up studies have suggested that total intake of trans fatty acids (TFA) is a risk factor for gain in body weight and waist circumference (WC). However, in a cross-sectional study individual TFA isomers in adipose tissue had divergent associations with anthropometry. Our objective...

  2. The effects of Tai Chi on waist circumference and blood pressure in the elderly.

    Science.gov (United States)

    Lee, Young Mee

    2017-01-01

    [Purpose] The purpose of this study was to investigate the effects of Tai Chi on waist circumference and blood pressure in the elderly. The present study used a nonequivalent control group pretest-posttest design. [Subjects and Methods] Sixty-eight elderly individuals residing in J city were divided into 2 groups: 34 in the experimental group, who received Tai Chi training for 6 weeks, and 34 in the control group, who did not receive Tai Chi training. Simplified Yang style 24-form Tai Chi was used as the intervention, which was conducted for 60 minutes per session, 5 sessions per week, for a total of 6 weeks. In each session, subjects in the experimental group conducted 10 minutes of warm-up exercises, 45 minutes of Tai Chi, and 5 minutes of cool-down exercises. Waist circumference and blood pressure were measured before and after the 6-week intervention. [Results] Waist circumference and blood pressure decreased significantly after the 6-week intervention in the experimental group compared with the control group. [Conclusion] Tai Chi can be used as an effective intervention to improve waist circumference and blood pressure in the elderly.

  3. Yogurt consumption is associated with longitudinal changes of body weight and waist circumference: the framingham study

    Science.gov (United States)

    Yogurt, as a low-fat, nutrient-dense dairy product, may be beneficial in preventing weight gain. We aimed to examine the longitudinal association between yogurt consumption and annualized change in weight and waist circumference (WC) among adults. We included 3,285 adults (11,169 observations) parti...

  4. Adipose tissue trans fatty acids and changes in body weight and waist circumference

    DEFF Research Database (Denmark)

    Hansen, Camilla P.; Berentzen, Tina L.; Østergaard, Jane N.

    2014-01-01

    of these biomarkers may provide a more accurate measure of habitual TFA intake than that obtained with dietary questionnaires. The objective of the present study was to investigate the associations between the proportions of specific TFA in adipose tissue and subsequent changes in weight and waist circumference (WC...

  5. Physical activity in leisure-time is not associated with 10-year changes in waist circumference

    DEFF Research Database (Denmark)

    Berentzen, T.; Petersen, L.; Schnohr, P.

    2008-01-01

    To examine whether physical activity (PA) is associated with changes in waist circumference (WC), and changes in WC given changes in body mass index (BMI). Longitudinal population-based study including 2026 men and 2782 women aged 21-81 years. Subjects were examined in 1991-1993 (baseline) and 2001...

  6. Maternal prepregnancy waist circumference and BMI in relation to gestational weight gain and breastfeeding behavior

    DEFF Research Database (Denmark)

    Kirkegaard, Helene; Nøhr, Ellen A; Rasmussen, Kathleen M

    2015-01-01

    , affects GWG and breastfeeding behavior. OBJECTIVE: We investigated how maternal prepregnancy fat distribution, described by waist circumference (WC) and body mass index (BMI), is associated with GWG and breastfeeding behavior. DESIGN: We analyzed 1371 live births to 1024 women after enrollment...

  7. Longitudinal associations between BMI, waist circumference, and cardiometabolic risk in US youth: Monitoring implications

    Science.gov (United States)

    This study examined whether change in body mass index (BMI) or waist circumference (WC)is associated with change in cardiometabolic risk factors and differences between cardiovascular disease specific and diabetes specific risk factors among adolescents. We also sought to examine any differences by ...

  8. Serum 25-Hydroxyvitamin D Status and Longitudinal Changes in Weight and Waist Circumference

    DEFF Research Database (Denmark)

    Larsen, Sofus C.; Angquist, Lars; Moldovan, Max

    2016-01-01

    in body weight (ΔBW) or waist circumference (ΔWC), and whether the associations were modified by genetic predisposition to a high BMI, WC or waist-hip ratio adjusted for BMI (WHRBMI). The study was based on 10,898 individuals from the Danish Inter99, the 1958 British Birth Cohort and the Northern Finland...

  9. Waist circumference and body mass index as predictors of health care costs

    DEFF Research Database (Denmark)

    Højgaard, Betina; Gyrd-Hansen, Dorte; Olsen, Kim Rose

    2008-01-01

    BACKGROUND: In the present study we analyze the relationship between body mass index (BMI) and waist circumference (WC) and future health care costs. On the basis of the relation between these anthropometric measures and mortality, we hypothesized that for all levels of BMI increased WC implies...

  10. Weight training, aerobic physical activities, and long-term waist circumference change in men

    DEFF Research Database (Denmark)

    Mekary, Rania A; Grøntved, Anders; Despres, Jean-Pierre

    2015-01-01

    OBJECTIVE: Findings on weight training and waist circumference (WC) change are controversial. This study examined prospectively whether weight training, moderate to vigorous aerobic activity (MVAA), and replacement of one activity for another were associated with favorable changes in WC and body...

  11. Waist Circumference and Objectively Measured Sedentary Behavior in Rural School Adolescents

    Science.gov (United States)

    Machado-Rodrigues, Aristides M.; Coelho e Silva, Manuel J.; Ribeiro, Luís P.; Fernandes, Romulo; Mota, Jorge; Malina, Robert M.

    2016-01-01

    Background: Research on relationships between lifestyle behaviors and adiposity in school youth is potentially important for identifying subgroups at risk. This study evaluates the associations between waist circumference (WC) and objective measures of sedentary behavior (SB) in a sample of rural school adolescents. Methods: The sample included…

  12. Waist Circumference, Pedometer Placement, and Step-Counting Accuracy in Youth

    Science.gov (United States)

    Abel, Mark G.; Hannon, James C.; Eisenman, Patricia A.; Ransdell, Lynda B.; Pett, Marjorie; Williams, Daniel P.

    2009-01-01

    This study examined whether differences in waist circumference (WC) and pedometer placement (anterior vs. midaxillary vs. posterior) affect the agreement between pedometer and observed steps during treadmill and self-paced walking. Participants included 19 pairs of youth (9-15 years old) who were matched for sex, race, and height and stratified by…

  13. Changes in waist circumference and the incidence of diabetes in middle-aged men and women

    DEFF Research Database (Denmark)

    Berentzen, Tina Landsvig; Jakobsen, Marianne Uhre; Halkjaer, Jytte

    2011-01-01

    Waist circumference (WC) is positively associated with diabetes, but the association with changes in WC (DWC) is less clear. We investigated the association between DWC and the subsequent risk of diabetes in middle-aged men and women, and evaluated the influence from concurrent changes in body mass...

  14. Waist circumference adjusted for body mass index and intra-abdominal fat mass

    DEFF Research Database (Denmark)

    Berentzen, Tina Landsvig; Angquist, Lars; Kotronen, Anna

    2012-01-01

    The association between waist circumference (WC) and mortality is particularly strong and direct when adjusted for body mass index (BMI). One conceivable explanation for this association is that WC adjusted for BMI is a better predictor of the presumably most harmful intra-abdominal fat mass (IAFM...

  15. Parental reported compared with measured waist circumference in 8-year-old children

    NARCIS (Netherlands)

    Bekkers, Marga B. M.; Brunekreef, Bert; Scholtens, Salome; Kerkhof, Marjan; Smit, Henriette A.; Wijga, Alet H.

    2011-01-01

    Objective. Most epidemiological, questionnaire-based studies collect data on body weight and height but not on waist circumference (WC), although WC is suggested to be clinically more relevant. It is unknown whether valid WC data of school-aged children can be obtained by questionnaires. In this stu

  16. Ultrasound measurements of intraabdominal fat estimate the metabolic syndrome better than do measurements of waist circumference

    NARCIS (Netherlands)

    Stolk, RP; Meijer, Rudy; Mali, WPTM; Grobbee, DE; van der Graaf, Y

    2003-01-01

    Background: We recently developed an ultrasound technique to estimate intraabdominal fat (IAF). This method is more accurate than measurement of waist and hip circumferences and is simpler and less expensive than computed tomography or magnetic resonance imaging. Objective: We compared the associati

  17. Common variants at 12q15 and 12q24 are associated with infant head circumference

    DEFF Research Database (Denmark)

    Taal, H Rob; St Pourcain, Beate; Thiering, Elisabeth;

    2012-01-01

    To identify genetic variants associated with head circumference in infancy, we performed a meta-analysis of seven genome-wide association studies (GWAS) (N = 10,768 individuals of European ancestry enrolled in pregnancy and/or birth cohorts) and followed up three lead signals in six replication s...

  18. At what age is hydrocephalus detected, and what is the role of head circumference measurements?

    NARCIS (Netherlands)

    Breuning-Broers, J.M.; Deurloo, J.A.; Gooskens, R.H.; Verkerk, P.H.

    2014-01-01

    To investigate at what age hydrocephalus is detected and to assess the role of head circumference measurements in detecting hydrocephalus, we performed a retrospective chart review in children with hydrocephalus treated in a tertiary paediatric hospital in the Netherlands. The study group contained

  19. Waist circumference as a mediator of biological maturation effect on the motor coordination in children

    Science.gov (United States)

    Luz, Leonardo G.O.; Seabra, André; Padez, Cristina; Duarte, João P.; Rebelo-Gonçalves, Ricardo; Valente-dos-Santos, João; Luz, Tatiana D.D.; Carmo, Bruno C.M.; Coelho-e-Silva, Manuel

    2016-01-01

    Abstract Objective: The present study aimed to: 1) examine the association of biological maturation effect on performance at a motor coordination battery and 2) to assess whether the association between biological maturation and scores obtained in motor coordination tests is mediated by some anthropometric measurement. Methods: The convenience sample consisted of 73 male children aged 8 years old. Anthropometric data considered the height, body mass, sitting height, waist circumference, body mass index, fat mass and fat-free mass estimates. Biological maturation was assessed by the percentage of the predicted mature stature. Motor coordination was tested by the Körperkoordinationstest für Kinder. A partial correlation between anthropometric measurements, z-score of maturation and the motor coordination tests were performed, controlling for chronological age. Finally, causal mediation analysis was performed. Results: Height, body mass, waist circumference and fat mass showed a slight to moderate inverse correlation with motor coordination. Biological maturation was significantly associated with the balance test with backward walking (r=-0.34). Total mediation of the waist circumference was identified in the association between biological maturation and balance test with backward walking (77%). Conclusions: We identified an association between biological maturation and KTK test performance in male children and also verified that there is mediation of waist circumference. It is recommended that studies be carried out with female individuals and at other age ranges. PMID:26972616

  20. Short children with a low midupper arm circumference respond to food supplementation

    DEFF Research Database (Denmark)

    Fabiansen, Christian; Phelan, Kevin P Q; Cichon, Bernardette

    2016-01-01

    BACKGROUND: The management of children with moderate acute malnutrition (MAM) is based on food supplementation in outpatient programs. When midupper arm circumference (MUAC) is used as the sole admission criterion, it is common practice to exclude children with lengths ... rate between children supplements. Children aged 6-23 mo were included...

  1. Alcohol drinking frequency in relation to subsequent changes in waist circumference

    DEFF Research Database (Denmark)

    Tolstrup, J.S.; Halkjaer, J.; Heitmann, B.L.;

    2008-01-01

    BACKGROUND: Cross-sectional studies have reported a lower prevalence of abdominal obese persons among frequent drinkers than among nonfrequent drinkers. OBJECTIVE: We tested the hypothesis that drinking frequency is associated with subsequent changes in waist circumference. DESIGN: Data come from...

  2. Common variants at 12q15 and 12q24 are associated with infant head circumference

    NARCIS (Netherlands)

    Taal, H. Rob; St Pourcain, Beate; Thiering, Elisabeth; Das, Shikta; Mook-Kanamori, Dennis O.; Warrington, Nicole M.; Kaakinen, Marika; Kreiner-Moller, Eskil; Bradfield, Jonathan P.; Freathy, Rachel M.; Geller, Frank; Guxens, Monica; Cousminer, Diana L.; Kerkhof, Marjan; Timpson, Nicholas J.; Ikram, M. Arfan; Beilin, Lawrence J.; Bonnelykke, Klaus; Buxton, Jessica L.; Charoen, Pimphen; Chawes, Bo Lund Krogsgaard; Eriksson, Johan; Evans, David M.; Hofman, Albert; Kemp, John P.; Kim, Cecilia E.; Klopp, Norman; Lahti, Jari; Lye, Stephen J.; McMahon, George; Mentch, Frank D.; Mueller-Nurasyid, Martina; O'Reilly, Paul F.; Prokopenko, Inga; Rivadeneira, Fernando; Steegers, Eric A. P.; Sunyer, Jordi; Tiesler, Carla; Yaghootkar, Hanieh; Breteler, Monique M. B.; Debette, Stephanie; Fornage, Myriam; Gudnason, Vilmundur; Launer, Lenore J.; van der Lugt, Aad; Mosley, Thomas H.; Seshadri, Sudha; Smith, Albert V.; Vernooij, Meike W.; Blakemore, Alexandra I. F.; Chiavacci, Rosetta M.; Feenstra, Bjarke; Fernandez-Banet, Julio; Grant, Struan F. A.; Hartikainen, Anna-Liisa; van der Heijden, Albert J.; Iniguez, Carmen; Lathrop, Mark; McArdle, Wendy L.; Molgaard, Anne; Newnham, John P.; Palmer, Lyle J.; Palotie, Aarno; Pouta, Annneli; Ring, Susan M.; Sovio, Ulla; Standl, Marie; Uitterlinden, Andre G.; Wichmann, H-Erich; Vissing, Nadja Hawwa; DeCarli, Charles; van Duijn, Cornelia M.; McCarthy, Mark I.; Koppelman, Gerard H.; Estivill, Xavier; Hattersley, Andrew T.; Melbye, Mads; Bisgaard, Hans; Pennell, Craig E.; Widen, Elisabeth; Hakonarson, Hakon; Smith, George Davey; Heinrich, Joachim; Jarvelin, Marjo-Riitta; Jaddoe, Vincent W. V.; Adair, Linda S.; Ang, Wei; Atalay, Mustafa; van Beijsterveldt, Toos; Bergen, Nienke; Benke, Kelly; Berry, Diane; Bradfield, Jonathan P.; Charoen, Pimphen; Coin, Lachlan; Cousminer, Diana L.; Das, Shikta; Davis, Oliver S. P.; Elliott, Paul; Evans, David M.; Feenstra, Bjarke; Flexeder, Claudia; Frayling, Tim; Freathy, Rachel M.; Gaillard, Romy; Geller, Frank; Groen-Blokhuis, Maria; Goh, Liang-Kee; Guxens, Monica; Haworth, Claire M. A.; Hadley, Dexter; Hedebrand, Johannes; Hinney, Anke; Hirschhorn, Joel N.; Holloway, John W.; Holst, Claus; Hottenga, Jouke Jan; Horikoshi, Momoko; Huikari, Ville; Hypponen, Elina; Iniguez, Carmen; Kaakinen, Marika; Kilpelainen, Tuomas O.; Kirin, Mirna; Kowgier, Matthew; Lakka, Hanna-Maaria; Lange, Leslie A.; Lawlor, Debbie A.; Lehtimaki, Terho; Lewin, Alex; Lindgren, Cecilia; Lindi, Virpi; Maggi, Reedik; Marsh, Julie; Middeldorp, Christel; Millwood, Iona; Mook-Kanamori, Dennis O.; Murray, Jeffrey C.; Nivard, Michel; Nohr, Ellen Aagaard; Ntalla, Ioanna; Oken, Emily; O'Reilly, Paul F.; Palmer, Lyle J.; Panoutsopoulou, Kalliope; Pararajasingham, Jennifer; Prokopenko, Inga; Rodriguez, Alina; Salem, Rany M.; Sebert, Sylvain; Siitonen, Niina; Sovio, Ulla; St Pourcain, Beate; Strachan, David P.; Sunyer, Jordi; Taal, H. Rob; Teo, Yik-Ying; Thiering, Elisabeth; Tiesler, Carla; Uitterlinden, Andre G.; Valcarcel, Beatriz; Warrington, Nicole M.; White, Scott; Willemsen, Gonneke; Yaghootkar, Hanieh; Zeggini, Eleftheria; Boomsma, Dorret I.; Cooper, Cyrus; Estivill, Xavier; Gillman, Matthew; Grant, Struan F. A.; Hakonarson, Hakon; Hattersley, Andrew T.; Heinrich, Joachim; Hocher, Berthold; Jaddoe, Vincent W. V.; Jarvelin, Marjo-Riitta; Lakka, Timo A.; McCarthy, Mark I.; Melbye, Mads; Mohlke, Karen L.; Dedoussis, George V.; Ong, Ken K.; Pearson, Ewan R.; Pennell, Craig E.; Price, Thomas S.; Power, Chris; Raitakari, Olli T.; Saw, Seang-Mei; Scherag, Andre; Simell, Olli; Sorensen, Thorkild I. A.; Timpson, Nicholas J.; Widen, Elisabeth; Wilson, James F.; Ang, Wei; van Beijsterveldt, Toos; Bergen, Nienke; Benke, Kelly; Berry, Diane; Bradfield, Jonathan P.; Charoen, Pimphen; Coin, Lachlan; Cousminer, Diana L.; Das, Shikta; Elliott, Paul; Evans, David M.; Frayling, Tim; Freathy, Rachel M.; Gaillard, Romy; Groen-Blokhuis, Maria; Guxens, Monica; Hadley, Dexter; Hottenga, Jouke Jan; Huikari, Ville; Hypponen, Elina; Kaakinen, Marika; Kowgier, Matthew; Lawlor, Debbie A.; Lewin, Alex; Lindgren, Cecilia; Marsh, Julie; Middeldorp, Christel; Millwood, Iona; Mook-Kanamori, Dennis O.; Nivard, Michel; O'Reilly, Paul F.; Palmer, Lyle J.; Prokopenko, Inga; Rodriguez, Alina; Sebert, Sylvain; Sovio, Ulla; St Pourcain, Beate; Standl, Marie; Strachan, David P.; Sunyer, Jordi; Taal, H. Rob; Thiering, Elisabeth; Tiesler, Carla; Uitterlinden, Andre G.; Valcarcel, Beatriz; Warrington, Nicole M.; White, Scott; Willemsen, Gonneke; Yaghootkar, Hanieh; Boomsma, Dorret I.; Estivill, Xavier; Grant, Struan F. A.

    2012-01-01

    To identify genetic variants associated with head circumference in infancy, we performed a meta-analysis of seven genome-wide association studies (GWAS) (N = 10,768 individuals of European ancestry enrolled in pregnancy and/or birth cohorts) and followed up three lead signals in six replication stud

  3. Common variants at 12q15 and 12q24 are associated with infant head circumference

    NARCIS (Netherlands)

    H.R. Taal (Rob); B. St Pourcain (Beate); E. Thiering (Eelisabeth); S. Das; D.O. Mook-Kanamori (Dennis); N. Warrington (Nicole); M. Kaakinen (Marika); E. Kreiner-Møller (Eskil); J.P. Bradfield (Jonathan); R.M. Freathy (Rachel); F. Geller (Frank); M. Guxens (Mònica ); D.L. Cousminer (Diana); M. Kerkhof (Marjan); N. Timpson (Nicholas); M.A. Ikram (Arfan); L.J. Beilin (Lawrie); K. Bønnelykke (Klaus); J.L. Buxton (Jessica L); P. Charoen (Pimphen); B.L.K. Chawes (Bo Lund Krogsgaard); K. Hagen (Knut); D.M. Evans (David); A. Hofman (Albert); J.P. Kemp (John); C.E. Kim (Cecilia); N. Klopp (Norman); J. Lahti (Jari); S.J. Lye (Stephen); G. Mcmahon (George); F.D. Mentch (Frank); M. Müller-Nurasyid (Martina); P.F. O'Reilly (Paul); I. Prokopenko (Inga); F. Rivadeneira Ramirez (Fernando); E.A.P. Steegers (Eric); J. Sunyer (Jordi); C. Tiesler (Carla); H. Yaghootkar (Hanieh); M. Fornage (Myriam); S. Seshadri (Sudha); R. Schmidt (Reinhold); S. Debette (Stéphanie); H.A. Vrooman (Henri); S. Sigurdsson (Stefan); S. Ropele (Stefan); L.H. Coker (Laura); W.T. Longstreth Jr; W.J. Niessen (Wiro); A.L. DeStefano (Anita); A. Beiser (Alexa); A.P. Zijdenbos; M.V. Struchalin (Maksim); C.R. Jack Jr. (Clifford); M.A. Nalls (Michael); R. Au (Rhoda); H. Gudnason (Haukur); A. van der Lugt (Aad); T.B. Harris (Tamara); W.M. Meeks (William); M.W. Vernooij (Meike); M.A. van Buchem (Mark); D.J. Catellier (Diane); V. Gudnason (Vilmundur); B.G. Windham (B Gwen); P.A. Wolf (Philip); C.M. van Duijn (Cock); T.H. Mosley (Thomas); R. Schmidt (Reinhold); L.J. Launer (Lenore); M.M.B. Breteler (Monique); W.Q. Ang (Wei); C.E.M. van Beijsterveldt (Toos); N.E. Bergen (Nienke); P.J. Benke (Paul); D. Berry (Diane); L. Coin (Lachlan); P. Elliott (Paul); T.M. Frayling (Timothy); R. Gaillard (Romy); M. Groen-Blokhuis (Maria); D. Hadley (David); J.J. Hottenga (Jouke Jan); V. Huikari (Ville); E. Hypponen (Elina); M. Kowgier (Matthew); D.A. Lawlor (Debbie); A. Lewin (Alex); C.M. Lindgren (Cecilia); J.A. Marsh (Julie); C.M. Middeldorp (Christel); I.Y. Millwood (Iona); M. Nivard (Michel); C. Palmer (Cameron); A. Rodriguez (Alfredo Chapin); S. Sebert (Sylvain); U. Sovio (Ulla); E. Standl (Eberhard); D.P. Strachan (David); H.R. Taal (Rob); A.G. Uitterlinden (André); B. Valcárcel (Beatriz); S. White (Scott); G.A.H.M. Willemsen (Gonneke); D.I. Boomsma (Dorret); X. Estivill (Xavier); S.F. Grant; A.T. Hattersley (Andrew); J. Heinrich (Joachim); V.W.V. Jaddoe (Vincent); M.-R. Jarvelin (Marjo-Riitta); M.I. McCarthy (Mark); C.E. Pennell (Craig); C. Power (Christopher); E. Widen (Elisabeth); A.I.F. Blakemore (Alexandra); R.M. Chiavacci (Rosetta); B. Feenstra (Bjarke); J. Fernandez-Banet (Julio); A.L. Hartikainen; A.J. van der Heijden (Bert); A. Iñiguez (Andrés); M. Lathrop (Mark); W.L. McArdle (Wendy); A. Mølgaard (Anne); J.P. Newnham (John); A. Palotie (Aarno); A. Pouta (Anneli); S.M. Ring (Susan); H.E. Wichmann (Heinz Erich); H. Vissing; C. DeCarli (Charles); G.H. Koppelman (Gerard); M. Melbye (Mads); H. Bisgaard; H. Hakonarson (Hakon); G.D. Smith; V.W.V. Jaddoe (Vincent); L.S. Adair (Linda); M. Atalay (Mustafa); O.S.P. Davis (Oliver S.); C. Flexeder (Claudia); L.-K. Goh; C.M.A. Haworth (Claire M.); J. Hedebrand (Johannes); A. Hinney (Anke); J.N. Hirschhorn (Joel); J.W. Holloway (John); J.J. Holst; M. Horikoshi (Momoko); T.O. Kilpeläinen (Tuomas); M. Kirin (Mirna); T.A. Lakka (Timo); L.A. Lange (Leslie); T. Lehtimäki (Terho); V. Lindi (Virpi); R. Maggi (Reedik); J.C. Murray (Jeffrey); C. Nohr (Christian); I. Ntalla (Ioanna); E. Oken (Emily); K. Panoutsopoulou (Kalliope); J. Pararajasingham (Jennifer); R.M. Salem (Rany); N. Siitonen (Niina); H.R. Taal (Rob); Y.Y. Teo (Yik Ying); E. Zeggini (Eleftheria); C. Cooper (Charles); M.W. Gillman (Matthew W.); B. Hocher (Berthold); T.A. Lakka (Timo); K.L. Mohlke (Karen); G.V. Dedoussis (George); K.K. Ong (Ken); E. Pearson (Ewan); T.S. Price (Thomas); O. Raitakari (Olli); S-M. Saw (Seang-Mei); A. Scherag (Andre); O. Simell (Olli); T.I.A. Sørensen (Thorkild); J.F. Wilson (James)

    2012-01-01

    textabstractTo identify genetic variants associated with head circumference in infancy, we performed a meta-analysis of seven genome-wide association studies (GWAS) (N = 10,768 individuals of European ancestry enrolled in pregnancy and/or birth cohorts) and followed up three lead signals in six repl

  4. Does change in hip circumference predict cardiovascular disease and overall mortality in Danish and Swedish women?

    DEFF Research Database (Denmark)

    Lanfer, Anne; Mehlig, Kirsten; Heitmann, Berit L

    2014-01-01

    Accumulating evidence consistently shows that small hip circumference (HC) is related to increased risk of cardiovascular disease (CVD), coronary heart disease, diabetes, and premature death in women. This study aims to clarify whether this inverse association can be found in both normal...

  5. Waist circumference as a mediator of biological maturation effect on the motor coordination in children

    Directory of Open Access Journals (Sweden)

    Leonardo G.O. Luz

    Full Text Available Abstract Objective: The present study aimed to: 1 examine the association of biological maturation effect on performance at a motor coordination battery and 2 to assess whether the association between biological maturation and scores obtained in motor coordination tests is mediated by some anthropometric measurement. Methods: The convenience sample consisted of 73 male children aged 8 years old. Anthropometric data considered the height, body mass, sitting height, waist circumference, body mass index, fat mass and fat-free mass estimates. Biological maturation was assessed by the percentage of the predicted mature stature. Motor coordination was tested by the Körperkoordinationstest für Kinder. A partial correlation between anthropometric measurements, z-score of maturation and the motor coordination tests were performed, controlling for chronological age. Finally, causal mediation analysis was performed. Results: Height, body mass, waist circumference and fat mass showed a slight to moderate inverse correlation with motor coordination. Biological maturation was significantly associated with the balance test with backward walking (r=-0.34. Total mediation of the waist circumference was identified in the association between biological maturation and balance test with backward walking (77%. Conclusions: We identified an association between biological maturation and KTK test performance in male children and also verified that there is mediation of waist circumference. It is recommended that studies be carried out with female individuals and at other age ranges.

  6. Flow, Morphology and Sedimentology of an Evolving Chute Cutoff on the Wabash River, IL-in.

    Science.gov (United States)

    Zinger, J. A.; Best, J.; Rhoads, B. L.; Larson, T. H.

    2014-12-01

    The development of chute cutoffs and the resulting abandonment of meander bends have a substantial influence on the sedimentary dynamics of floodplains. The incision of a chute cutoff channel can rapidly mobilize a large volume of floodplain sediment. On the other hand, bar formation during bend abandonment and the subsequent deposition of sediment within the oxbow lake are key processes in the production of a heterogeneous floodplain sedimentary architecture. This paper describes the evolution of two recent chute cutoffs on the Wabash River, IL-IN. We follow these cutoffs from their initial incision in 2008-2009 through the early stages of bend abandonment. The volume of floodplain sediment mobilized by erosion of the two cutoff channels is estimated using channel bankline positions determined from RTK-GPS surveys and aerial orthophotographs; this flux is then assessed within the context of the sediment mobilized by lateral migration of bends. Repeat bathymetric surveys and aerial photography capture the evolution of bar forms associated with the chute cutoff, and data from ground-penetrating radar reveal the subsurface structure of the complex assemblage of bars that developed as the chute cutoff system shifted from a predominantly erosional to a mixed depositional-erosional phase. These results are combined with knowledge of chute cutoff hydrodynamics to develop an understanding of the dynamics of sediment exchange between river channels and floodplains at evolving meander bend cutoffs.

  7. Accuracy of cutoff probe for measuring electron density: simulation and experiment

    Science.gov (United States)

    Kim, Dae-Woong; You, Shin-Jae; Kim, Si-June; Lee, Jang-Jae; Kim, Jung-Hyung; Oh, Wang-Yuhl

    2016-09-01

    The electron density has been used for characterizing the plasma for basic research as well as industrial application. To measure the exact electron density, various type of microwave probe has been developed and improved. The cutoff probe is a promising technique inferring the electron density from the plasma resonance peak on the transmission spectrum. In this study, we present the accuracy of electron density inferred from cutoff probe. The accuracy was investigated by electromagnetic simulation and experiment. The discrepancy between the electron densities from the cutoff probe and other sophisticated microwave probes were investigated and discussed. We found that the cutoff probe has good accuracy in inferred electron density. corresponding author.

  8. Circunferência da cintura e índice de massa corporal como preditores da hipertensão arterial Waist circumference and body mass index as predictors of hypertension

    Directory of Open Access Journals (Sweden)

    Maria do Rosário Gondim Peixoto

    2006-10-01

    Full Text Available OBJETIVO: Avaliar a associação entre índices antropométricos, índice de massa corporal (IMC e circunferência da cintura (CC e hipertensão arterial (HA e avaliar a capacidade desses índices na predição da HA. MÉTODOS: Estudo transversal populacional realizado em Goiânia (GO, em 2001, com amostra de 1.238 adultos, de vinte a 64 anos. Foi definida como obesidade total (IMC > 30 kg/m², como obesidade abdominal (CC no nível 2 - CC > 88 cm para mulheres e > 102 cm para homens e como HA (pressão sistólica > 140 mmHg ou pressão diastólica > 90 mmHg, ou uso de hipotensores. Foi realizada análise de regressão logística múltipla para avaliar as associações entre os índices antropométricos e a HA. Análise de curva ROC para avaliar a sensibilidade e especificidade do IMC (> 30 e nível 2 da CC na predição da HA e para determinar os pontos de corte com melhor predição da HA. RESULTADOS: A CC apresentou associação com a HA em ambos os sexos. O nível 2 da CC e o IMC >30 kg/m² apresentaram baixa sensibilidade em identificar a HA. Os pontos de corte com melhor capacidade preditiva de HA coincidiram com o nível 1 da CC (> 80 cm e com o IMC >25 kg/m² (sobrepeso, para as mulheres, e foram inferiores aos valores do nível 1 da CC e de sobrepeso, para os homens. CONCLUSÃO: O nível 2 da CC e o IMC > 30 kg/m² não são adequados para identificar os grupos de maior risco de HA, já que esse risco se eleva com pequenos aumentos na adiposidade.OBJECTIVE: To evaluate the association between anthropometric indexes - body mass index (BMI and waist circumference (WC - and hypertension, and to evaluate the predictive value of these indexes in detecting hypertension. METHODS: Cross-sectional population study conducted in the city of Goiânia (GO with a sample of 1,238 adults aged twenty to 64 years, in 2001. Total obesity was defined as BMI > 30 kg/m²; abdominal obesity was defined as level 2 WC > 88 cm for women and > 102 cm for men, and

  9. Accuracy of sagittal abdominal diameter as predictor of abdominal fat among Brazilian adults: a comparation with waist circumference Precisión de diámetro abdominal sagital como predictor de la grasa abdominal en brasileños adultos: una comparación con la circunferencia de la cintura

    Directory of Open Access Journals (Sweden)

    G. Duarte Pimentel

    2010-08-01

    Full Text Available Aim: We aim was to compare the sagittal abdominal diameter (SAD with waist circumference (WC as a predictor of central obesity among adults and to identify the sensitivity and specificity of the best cut-off point for SAD. Methods: A cross-sectional study of 266 Brazilians adults (euthrophic and overweight, aged 31-84 years old, of which 89 men and 177 women, was carried out. Anthropometric measurements such as SAD, weight, height, waist and hip circumferences, waist and hip ratio, body mass index, body fat percentage were performed. Receiver Operating Characteristics (ROC curve was used to identify the sensitivity and specificity of the best cut off point for SAD as a predictor of central obesity. Statistical analysis were considered significant with a value of p Objetivo: Nuestro objetivo es comparar el diámetro abdominal sagital (DAS con la circunferencia de la cintura (CC como predictor de la obesidad central entre los adultos y para determinar la sensibilidad y la especificidad de la mejor punto de corte para el DAS. Métodos: Estudio transversal de 266 adultos brasileños (eutróficos y con sobrepeso, de entre 31-84 años de edad, de los cuales 89 hombres y 177 mujeres, se llevó a cabo. Las medidas antropométricas como la DAS, peso, talla, circunferencia de la cintura y cadera, relación cintura-cadera, índice de masa corporal, porcentaje de grasa corporal se llevaron a cabo. Receiver Operating Characteristics (ROC curva se utilizó para determinar la sensibilidad y la especificidad del mejor punto de corte para el DAS como predictor de la obesidad central. El análisis estadístico se consideró significativo un valor de p < 0,05. Resultados: La medición del DAS se correlacionó positivamente con CC para ambos sexos, aunque más fuerte entre las mujeres con sobrepeso y obesidad (r = 0,71, p < 0,001, r = 0,79, p < 0,001, respectivamente que los hombres. De curvas ROC identificado las mejores puntos de corte para el DAS de 23.1 cm y 20

  10. Validation of a cutoff for the Depression Scale of the Center for Epidemiologic Studies, Brief Version (CESD-7.

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    Aarón Salinas-Rodríguez

    2013-05-01

    Full Text Available Objective. To evaluate the Depression Scale of the Center for Epidemiologic Studies, Brief Version (CESD-7 psychometric properties in Mexican adult population, and validate a cutoff for classifying subjects according to the presence / absence of clinically significant depressive symptoms (CSDS. Materials and methods. Screening cross-sectional study with a subsample of 301 adult residents of the Morelos state in Mexico, originally interviewed for the National Survey of Health and Nutrition 2012. Sensitivity and specificity of the selected cutoff were estimated using as reference the diagnostic criteria of ICD-10 and DSM-IV. Results. The cutoff point estimated was CESD-7=9. Using the ICD-10 the sensitivity and specificity were 90.2 and 86%, and ROC was 88%. Using DSM-IV, the values were 80.4, 89.6, and 85%, respectively. Conclusions. The short version of the CESD-7 has good psychometric properties and can be used as a screening test to identify probable cases of subjects with clinically significant depressive symptoms.

  11. Interstellar flow longitude from pickup ion cut-off observations at 1 AU with STEREO and ACE

    Science.gov (United States)

    Möbius, E.; Lee, M. A.; Gloeckler, G.; Drews, C.; Keilbach, D.

    2016-11-01

    A precision determination of the interstellar neutral (ISN) flow direction is important in several ways. As a cardinal axis of the heliosphere it has strong leverage on the plane subtended by the ISN velocity and interstellar magnetic field vector, which controls the shape of the heliosphere and its interaction with the interstellar medium. Continuing observations of the ISN flow through the heliosphere for several decades allow the search for potential temporal variations of the ISN flow and comparison with astronomical observations. Recent efforts to obtain a consistent ISN vector and temperature with Ulysses and IBEX neutral gas observations point to remaining uncertainties and potential systematic effects. In particular, IBEX measurements provide a very precise relation between ISN flow longitude and speed via the hyperbolic trajectory equation, but they contain larger uncertainties along the parameter tube defined by this relation. The pickup ion (PUI) cut-off variation with ecliptic longitude at 1 AU can provide a complementary determination of the ISN flow longitude with high precision. We compare STEREO PLASTIC and ACE SWICS observations with a simple analytical model of the cut-off. We perform a Pearson correlation analysis of the cut-off as a function of ecliptic longitude with its mirrored function and obtain the symmetry axis with a statistical uncertainty <0.1°. Here we test variations of this value due to Poisson fluctuations in the original data with simulations and due to systematic effects with multi year and location ACE SWICS and STEREO PLASTIC samples.

  12. Is there a redshift cutoff for submillimetre galaxies?

    CERN Document Server

    Raymond, G; Dye, S; Carlberg, R; Sullivan, M

    2008-01-01

    We present new optical and infrared photometry for a statistically complete sample of seven 1.1 mm selected sources with accurate Submillimetre Array coordinates. We determine photometric redshifts for four of the seven sources of 4.47, 4.50, 1.49 and 0.64. Of the other three sources two are undetected at optical wavelengths down to the limits of very deep Subaru and Canada-France-Hawaii Telescope images ($\\sim$27 mag AB, i band) and the photometry of the remaining source is corrupted by a bright nearby galaxy. The sources with the highest redshifts are at higher redshifts than all but one of the $\\sim$200 sources taken from the largest recent 850 $\\mu$m surveys, which may indicate that 1.1 mm surveys are more efficient at finding sources at very high redshifts than 850 $\\mu$m surveys. We investigate the evolution of the number density with redshift of our sample using a banded $V_{e}/V_{a}$ analysis and find no evidence for a redshift cutoff, although the number of sources is very small. We also perform the ...

  13. Emission Enhancement in a Plasmonic Waveguide at Cut-Off

    Directory of Open Access Journals (Sweden)

    Andrea Alù

    2011-01-01

    Full Text Available Enhancement of molecular emission is usually obtained by coupling small optical emitters with external resonant structures and systems, as first established by Purcell several decades ago, and verified in several recent investigations using molecules or quantum dots coupled with plasmonic nanoantennas. Here we theoretically investigate in detail a different mechanism for emission enhancement, based on our recent idea of a plasmonic nanolauncher [Phys. Rev. Lett. 2009, 103, 043902], i.e., a metamaterial-inspired ultranarrow waveguide channel operating near its cut-off frequency. Such system is not necessarily at resonance, but its peculiar operation may provide enhanced emission over a relatively broad physical area, which may allow enhancement of emission independent of the position of an individual or of a group of molecules along such plasmonic channel, and the possibility to bend and route the emitted energy with large flexibility. We present here extensive theoretical and numerical results that confirm this intuition and may envision a novel method for molecular emission enhancement at the nanoscale, with more flexibility than the conventional Purcell resonance techniques.

  14. CSF biomarkers cutoffs: the importance of coincident neuropathological diseases.

    Science.gov (United States)

    Toledo, Jon B; Brettschneider, Johannes; Grossman, Murray; Arnold, Steven E; Hu, William T; Xie, Sharon X; Lee, Virginia M-Y; Shaw, Leslie M; Trojanowski, John Q

    2012-07-01

    The effects of applying clinical versus neuropathological diagnosis and the inclusion of cases with coincident neuropathological diagnoses have not been assessed specifically when studying cerebrospinal fluid (CSF) biomarker classification cutoffs for patients with neurodegenerative diseases that cause dementia. Thus, 142 neuropathologically diagnosed neurodegenerative dementia patients [71 Alzheimer's disease (AD), 29 frontotemporal lobar degeneration (FTLD), 3 amyotrophic lateral sclerosis, 7 dementia with Lewy bodies, 32 of which cases also had coincident diagnoses] were studied. 96 % had enzyme-linked immunosorbant assay (ELISA) CSF data and 77 % had Luminex CSF data, with 43 and 46 controls for comparison, respectively. Aβ(42), total, and phosphorylated tau(181) were measured. Clinical and neuropathological diagnoses showed an 81.4 % overall agreement. Both assays showed high sensitivity and specificity to classify AD subjects against FTLD subjects and controls, and moderate sensitivity and specificity for classifying FTLD subjects against controls. However, among the cases with neuropathological diagnoses of AD plus another pathology (26.8 % of the sample), 69.4 % (ELISA) and 96.4 % (Luminex) were classified as AD according to their biomarker profiles. Use of clinical diagnosis instead of neuropathological diagnosis led to a 14-17 % underestimation of the biomarker accuracy. These results show that while CSF Aβ and tau assays are useful for diagnosis of AD and neurodegenerative diseases even at MCI stages, CSF diagnostic analyte panels that establish a positive diagnosis of Lewy body disease and FTLD are also needed, and must be established based on neuropathological rather than clinical diagnoses.

  15. Cochlear outer hair cells undergo an apical circumference remodeling constrained by the hair bundle shape.

    Science.gov (United States)

    Etournay, Raphaël; Lepelletier, Léa; Boutet de Monvel, Jacques; Michel, Vincent; Cayet, Nadège; Leibovici, Michel; Weil, Dominique; Foucher, Isabelle; Hardelin, Jean-Pierre; Petit, Christine

    2010-04-01

    Epithelial cells acquire diverse shapes relating to their different functions. This is particularly relevant for the cochlear outer hair cells (OHCs), whose apical and basolateral shapes accommodate the functioning of these cells as mechano-electrical and electromechanical transducers, respectively. We uncovered a circumferential shape transition of the apical junctional complex (AJC) of OHCs, which occurs during the early postnatal period in the mouse, prior to hearing onset. Geometric analysis of the OHC apical circumference using immunostaining of the AJC protein ZO1 and Fourier-interpolated contour detection characterizes this transition as a switch from a rounded-hexagon to a non-convex circumference delineating two lateral lobes at the neural side of the cell, with a negative curvature in between. This shape tightly correlates with the 'V'-configuration of the OHC hair bundle, the apical mechanosensitive organelle that converts sound-evoked vibrations into variations in cell membrane potential. The OHC apical circumference remodeling failed or was incomplete in all the mouse mutants affected in hair bundle morphogenesis that we tested. During the normal shape transition, myosin VIIa and myosin II (A and B isoforms) displayed polarized redistributions into and out of the developing lobes, respectively, while Shroom2 and F-actin transiently accumulated in the lobes. Defects in these redistributions were observed in the mutants, paralleling their apical circumference abnormalities. Our results point to a pivotal role for actomyosin cytoskeleton tensions in the reshaping of the OHC apical circumference. We propose that this remodeling contributes to optimize the mechanical coupling between the basal and apical poles of mature OHCs.

  16. Relationships between neonatal weight, limb lengths, skinfold thicknesses, body breadths and circumferences in an Australian cohort.

    Directory of Open Access Journals (Sweden)

    Emma Pomeroy

    Full Text Available BACKGROUND: Low birth weight has been consistently associated with adult chronic disease risk. The thrifty phenotype hypothesis assumes that reduced fetal growth impacts some organs more than others. However, it remains unclear how birth weight relates to different body components, such as circumferences, adiposity, body segment lengths and limb proportions. We hypothesized that these components vary in their relationship to birth weight. METHODS: We analysed the relationship between birth weight and detailed anthropometry in 1270 singleton live-born neonates (668 male from the Mater-University of Queensland Study of Pregnancy (Brisbane, Australia. We tested adjusted anthropometry for correlations with birth weight. We then performed stepwise multiple regression on birth weight of: body lengths, breadths and circumferences; relative limb to neck-rump proportions; or skinfold thicknesses. All analyses were adjusted for sex and gestational age, and used logged data. RESULTS: Circumferences, especially chest, were most strongly related to birth weight, while segment lengths (neck-rump, thigh, upper arm, and especially lower arm and lower leg were relatively weakly related to birth weight, and limb lengths relative to neck-rump length showed no relationship. Skinfolds accounted for 36% of birth weight variance, but adjusting for size (neck-rump, thigh and upper arm lengths, and head circumference, this decreased to 10%. There was no evidence that heavier babies had proportionally thicker skinfolds. CONCLUSIONS: Neonatal body measurements vary in their association with birth weight: head and chest circumferences showed the strongest associations while limb segment lengths did not relate strongly to birth weight. After adjusting for body size, subcutaneous fatness accounted for a smaller proportion of birth weight variance than previously reported. While heavier babies had absolutely thicker skinfolds, this was proportional to their size. Relative

  17. Cut-Offs and Response Criteria for the Hospital Universitario La Princesa Index (HUPI) and Their Comparison to Widely-Used Indices of Disease Activity in Rheumatoid Arthritis

    Science.gov (United States)

    Castrejón, Isabel; Ortiz, Ana M.; Toledano, Esther; Castañeda, Santos; García-Vadillo, Alberto; Carmona, Loreto

    2016-01-01

    Objective To estimate cut-off points and to establish response criteria for the Hospital Universitario La Princesa Index (HUPI) in patients with chronic polyarthritis. Methods Two cohorts, one of early arthritis (Princesa Early Arthritis Register Longitudinal [PEARL] study) and other of long-term rheumatoid arthritis (Estudio de la Morbilidad y Expresión Clínica de la Artritis Reumatoide [EMECAR]) including altogether 1200 patients were used to determine cut-off values for remission, and for low, moderate and high activity through receiver operating curve (ROC) analysis. The areas under ROC (AUC) were compared to those of validated indexes (SDAI, CDAI, DAS28). ROC analysis was also applied to establish minimal and relevant clinical improvement for HUPI. Results The best cut-off points for HUPI are 2, 5 and 9, classifying RA activity as remission if ≤2, low disease activity if >2 and ≤5), moderate if >5 and <9 and high if ≥9. HUPI’s AUC to discriminate between low-moderate activity was 0.909 and between moderate-high activity 0.887. DAS28’s AUCs were 0.887 and 0.846, respectively; both indices had higher accuracy than SDAI (AUCs: 0.832 and 0.756) and CDAI (AUCs: 0.789 and 0.728). HUPI discriminates remission better than DAS28-ESR in early arthritis, but similarly to SDAI. The HUPI cut-off for minimal clinical improvement was established at 2 and for relevant clinical improvement at 4. Response criteria were established based on these cut-off values. Conclusions The cut-offs proposed for HUPI perform adequately in patients with either early or long term arthritis. PMID:27603313

  18. Diagnostic accuracy of referral criteria for head circumference to detect hydrocephalus in the first year of life

    NARCIS (Netherlands)

    Dommelen, P. van; Deurloo, J.A.; Gooskens, R.H.; Verkerk, P.H.

    2015-01-01

    Background Increased head circumference is often the first and main sign leading to the diagnosis of hydrocephalus. Our aim is to investigate the diagnostic accuracy of referral criteria for head circumference to detect hydrocephalus in the first year of life. Methods A reference group with longitud

  19. 老年人颈围、腰围、体重指数、腰身指数对血脂异常及其组分的预测价值%Study on the effect of predicting dyslipidemia components among neck circumference, waist circumference, body mass index and waist-to-height ratio in elderly population

    Institute of Scientific and Technical Information of China (English)

    徐丽华; 颜应琳; 于凯; 冀瑞俊; 杨红娜; 李芳; 何艳; 殷小芳

    2016-01-01

    Objective To screen summary anthropometry index of each composition for the elderly people’s predicting dyslipidemia components in Renqiu.MethodA cluster random sampling method, select the age of 60 to 70 years Renqiu permanent residents as a screening object, including 4412 cases screened object, using face to face health questionnaires, anthropometric measurements, and laboratory testing. Gender grouping according to men and women, ROC curve analysis is used to determine the boundary value of neck circumference, waist circumference, body mass index and waist-to-height ratio.ResultThe overall prevalence of dyslipidemia was 66.1%(male was 22.5% and female was 43.6%). Correlation analysis showed that male and female neck circumference, waist circumference, body mass index and waist-to-height ratio were positively correlated with TG and LDL-C, and negatively correlated with HDL-C level, the neck circumference, waist-to-height ratio and body mass index(female) were positively correlated with TC.Men and women’s neck circumference, waist circumference,body mass index, waist index prediction abnormal Dyslipidemia, TG, TC, LDL-C, HDL-C, there was no statistically significant difference(P>0.05).ConclusionNeck circumference, waist circumference, body mass index and waist-to-height ratio were closely related to the abnormal blood lipid levels and its components, they are equally able to predicting dyslipidemia for men and women, we should be pay attention the body surveying index is very important in the application of dyslipidemia screening.%目的筛查预测任丘地区老年人群血脂异常及其组分的简易人体测量学指标。方法采用整群随机抽样的方法,对任丘市60~70岁常住居民4412例,进行面对面问卷调查、体格检查及实验室检测。采用ROC曲线分析法判断颈围、腰围、体重指数、腰身指数的界值。结果本研究血脂异常患病率为66.1%,其中男性为22.5%,女性为43.6%。相关分析

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

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    Rumiko Tashima

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

  1. Prediction of Abdominal Visceral Obesity From Body Mass Index,Waist Circumference and Waist-hip Ratio in Chinese Adults:Receiver Operating Characteristic Curves Analysis

    Institute of Scientific and Technical Information of China (English)

    WEI-PING JIA; JUN-XI LU; KUN-SAN XIANG; YU-QIAN BAO; HUI-JUAN LU; LEI CHEN

    2003-01-01

    To evaluate the sensitivity and specificity of body mass index (BMI), waist circumference (WC) and waist-to-hip ratio (WHR) measurements in diagnosing abdominal visceral obesity. Methods BMI, WC, and WHR were assessed in 690 Chinese adults (305 men and 385women) and compared with magnetic resonance imaging (MRI) measurements of abdominal visceral adipose tissue (VA). Receiver operating characteristic (ROC) curves were generated and used to determine the threshold point for each anthropometric parameter. Results 1) MRI showed that 61.7% of overweight/obese individuals (BMI≥25 kg/m2) and 14.2% of normal weight (BMI<25kg/m2) individuals had abdominal visceral obesity (VA≥ 100 cm2). 2) VA was positively correlated with each anthropometric variable, of which WC showed the highest correlation (r=0.73-0.77,P<0.001 ). 3) The best cut-off points for assessing abdominal visceral obesity were as followed: BMI of 26 kg/m2, WC of 90 cm, and WHR of 0.93, with WC being the most sensitive and specific factor. 4)Among subjects with BMI≥28 kg/m2 or WC≥95 cm, 95% of men and 90% of women appeared to have abdominal visceral obesity. Conclusion Measurements of BMI, WC, and WHR can be used in the prediction of abdominal visceral obesity, of which WC was the one with better accuracy.

  2. Association of neck circumference with general and abdominal obesity in children and adolescents: the weight disorders survey of the CASPIAN-IV study

    Science.gov (United States)

    Kelishadi, Roya; Djalalinia, Shirin; Motlagh, Mohammad Esmaiel; Rahimi, Ali; Bahreynian, Maryam; Arefirad, Tahereh; Ardalan, Gelayol; Safiri, Saeid; Hasani, Motahare; Asayesh, Hamid; Mansourian, Morteza; Qorbani, Mostafa

    2016-01-01

    Objectives This study aimed to evaluate the association of neck circumference (NC) with obesity to determine the sex-specific and age-specific optimal cut-off points of this measure in association with obesity in a national sample of the Iranian paediatric population. Methods This survey on weight disorders was conducted among a national sample of Iranian children and adolescents, aged 6–18 years. Using the area under the curve (AUC) of the receiver operator characteristic curves, we evaluated the association of NC with general and abdominal obesity. Results This national survey was conducted among 23 043 school students (50.8% boys) with a mean age (SD) of 12.55 (3.31) years. A significant association was documented between NC and other anthropometric measures in both sexes and in the whole population. In all age groups and genders, NC performed relatively well in classifying participants to overweight (AUC: 0.67 to 0.75, p<0.001), general obesity (AUC: 0.81 to 0.85, p<0.001) and abdominal obesity (AUC: 0.73 to 0.78, p<0.001). Conclusions NC can be considered as a simple time-saving clinical tool for obesity detection in large population-based studies in children and adolescents. It is significantly correlated with indices of adiposity and can reliably identify children with general and abdominal obesity in the Iranian paediatric population. PMID:27694487

  3. Guided mode cutoff in rare-earth doped rod-type PCFs

    DEFF Research Database (Denmark)

    Poli, F.; Cucinotta, A.; Passaro, D.;

    2008-01-01

    Guided mode properties of rare-earth doped photonic crystal fibers are investigated as a function of the core refractive index, showing the possibility to obtain cutoff at low normalized wavelength.......Guided mode properties of rare-earth doped photonic crystal fibers are investigated as a function of the core refractive index, showing the possibility to obtain cutoff at low normalized wavelength....

  4. Reliability and criterion validity of self-measured waist, hip, and neck circumferences

    Directory of Open Access Journals (Sweden)

    Pamela Barrios

    2016-05-01

    Full Text Available Abstract Background Waist, hip, and neck circumference measurements are cost-effective, non-invasive, useful markers for body fat distribution and disease risk. For epidemiology and intervention studies, including body circumference measurements in self-report surveys could be informative. However, few studies have assessed the test-retest reliability and criterion validity of a self-report tool feasible for use in large scale studies. Methods At home, mothers of young children viewed a brief, online instructional video on how to measure their waist, hip, and neck circumferences. Afterwards, they created a homemade paper measuring tape from a downloaded file with scissors and tape, took all measurements in duplicate, and entered them into an online survey. A few weeks later, participants visited an anthropometrics lab where they measured themselves again, and trained technicians (n = 9 measured participants in duplicate using standard equipment and procedures. To assess differences between self- and technician-measured circumferences, duplicate measurements for participant home self-measurements, participant lab self-measurements, and technician measurements each were averaged and Wilcoxon signed-rank tests conducted. Agreement between all possible pairs of measurements were examined using Intraclass Correlations (ICCs and Bland-Altman plots. Results Participants (n = 41; aged 38.05 ± 3.54SD years; 71 % white were all mothers that had at least one child under the age of 12 yrs. Technical error of measurements for self- and technician- duplicate measurements varied little (0.08 to 0.76 inches and had very high reliability (≥0.90. Intraclass Correlations (ICC comparing self vs technician were high (0.97, 0.96, and 0.84 for waist, hip, and neck. Comparison of self-measurements at home vs lab revealed high test-retest reliability (ICC ≥ 0.87. Differences between participant self- and technician measurements were small (i

  5. Neck circumference predicts renal function decline in overweight women: A community-based prospective cohort study.

    Science.gov (United States)

    Yoon, Chang-Yun; Park, Jung Tak; Jhee, Jong Hyun; Kee, Youn Kyung; Seo, Changhwan; Lee, Misol; Cha, Min-Uk; Jung, Su-Young; Park, Seohyun; Yun, Hae-Ryong; Kwon, Young Eun; Oh, Hyung Jung; Han, Seung Hyeok; Yoo, Tae-Hyun; Kang, Shin-Wook

    2016-09-01

    Chronic kidney disease (CKD) is characterized by increased risks of morbidity and mortality. Upper-body subcutaneous fat, which is commonly estimated from the neck circumference (NC), was revealed to be the main reservoir of circulating nonesterified fatty acids in overweight patients. Despite a close association between NC and metabolic complications, the relationship of NC with renal function has not been fully investigated. In this study, the impact of NC on the development of incident CKD was elucidated.The data were retrieved from the Korean Genome and Epidemiology Study cohort. The subjects were followed at 2-year intervals from 2003 to 2011. Overweight was defined as a body mass index of ≥23 kg/m. A total of 4298 cohort subjects were screened. After exclusion, 2268 overweight subjects were included for the final analysis. The primary end point was incident CKD, which was defined as a composite of estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m or the development of proteinuria.The mean patient age was 36.3 ± 3.0 years, and 1285 (56.7%) were men. They were divided into 2 groups according to the median NC in male and female subjects, separately. In both sexes, hypertension (men, P < 0.001; women, P = 0.009) and diabetes (men, P = 0.002; women, P < 0.001) were significantly more prevalent in the big NC group than in the small NC group. In contrast, eGFR was significantly lower only in male subjects of the big NC group (P < 0.001), whereas it was comparable between the small and big NC groups (P = 0.167). In multivariate Cox proportional hazards regression analysis, NC values were independently associated with incident CKD development in female subjects after adjusting for multiple confounding factors (per 1 cm increase, hazard ratio [95% confidence interval] = 1.159 [1.024-1.310], P = 0.019) but not in male subjects.NC is independently associated with the development of CKD in overweight female subjects, suggesting

  6. Symptom-dependent cut-offs of urine metanephrines improve diagnostic accuracy for detecting pheochromocytomas in two separate cohorts, compared to symptom-independent cut-offs.

    Science.gov (United States)

    Cho, Yoon Young; Song, Kee-Ho; Kim, Young Nam; Ahn, Seong Hee; Kim, Hyeonmok; Park, Sooyoun; Suh, Sunghwan; Kim, Beom-Jun; Lee, Soo-Youn; Chun, Sail; Koh, Jung-Min; Lee, Seung Hun; Kim, Jae Hyeon

    2016-10-01

    The development of advanced imaging techniques has increased the detection of subclinical pheochromocytomas. Because of the substantial proportions of subclinical pheochromocytomas, measurement of urine metanephrine concentrations is crucial due to detect or exclude pheochromocytoma. Although urine metanephrines are elevated in symptomatic subjects, diagnostic cut-offs according to the presence of adrenergic symptoms have not been studied. Pheochromocytomas patients who underwent adrenalectomy at Samsung Medical Center and a control group were compared to determine cut-off concentrations of urine metanephrines. An independent population was analyzed for urine metanephrines with different kits to validate the improvement in diagnostic accuracy using adjusted cut-offs. Symptom-dependent cut-offs of urine metanephrines were higher for symptomatic patients (307 μg/day in males, 235 μg/day in females for urine metanephrine, and 1,045 μg/day in males and 457 μg/day in females for urine normetanephrine) than for asymptomatic patients (206 μg/day in males, 199 μg/day in females for urine metanephrine, and 489 μg/day in males and 442 μg/day in females for urine normetanephrine). Symptom-dependent cut-offs of urine metanephrines improved a specificity from 92.7 % to 96.3 % and a high sensitivity of 97.8 % was maintained. Using the Symptom-dependent cut-offs raised diagnostic accuracy by 5.5 % (p <0.001). Similar trend was also observed in an independent population using different hormone kits. Using symptom-dependent cut-offs of urine metanephrines in symptomatic patients for pheochromocytomas resulted in a significant improvement in diagnostic accuracy in two separate cohorts.

  7. Inhomogeneity-related cutoff dependence of the Casimir energy and stress

    CERN Document Server

    Bao, F; Fang, M; He, S

    2015-01-01

    The cutoff dependence of the Casimir energy and stress is studied using the Green's function method for a system that is piecewise-smoothly inhomogeneous along one dimension. The asymptotic cylinder kernel expansions of the energy and stress are obtained, with some extra cutoff terms that are induced by the inhomogeneity. Introducing interfaces to the system one by one shows how those cutoff terms emerge and illuminates their physical interpretations. Based on that, we propose a subtraction scheme to address the problem of the remaining cutoff dependence in the Casimir stress in an inhomogeneous medium, and show that the nontouching Casimir force between two separated bodies is cutoff independent. The cancellation of the electric and magnetic contributions to the surface divergence near a perfectly conducting wall is found to be incomplete in the case of inhomogeneity.

  8. Waist-to-height ratio, body mass index and waist circumference for screening paediatric cardio-metabolic risk factors: a meta-analysis.

    Science.gov (United States)

    Lo, K; Wong, M; Khalechelvam, P; Tam, W

    2016-12-01

    Waist-to-height ratio (WHtR) is superior to body mass index and waist circumference for measuring adult cardio-metabolic risk factors. However, there is no meta-analysis to evaluate its discriminatory power in children and adolescents. A meta-analysis was conducted using multiple databases, including Embase and Medline. Studies were included that utilized receiver-operating characteristics curve analysis and published area under the receiver-operating characteristics curves (AUC) for adiposity indicators with hyperglycaemia, elevated blood pressure, dyslipidemia, metabolic syndrome and other cardio-metabolic outcomes. Thirty-four studies met the inclusion criteria. AUC values were extracted and pooled using a random-effects model and were weighted using the inverse variance method. The mean AUC values for each index were greater than 0.6 for most outcomes including hypertension. The values were the highest when screening for metabolic syndrome (AUC > 0.8). WHtR did not have significantly better screening power than other two indexes in most outcomes, except for elevated triglycerides when compared with body mass index and high metabolic risk score when compared with waist circumference. Although not being superior in discriminatory power, WHtR is convenient in terms of measurement and interpretation, which is advantageous in practice and allows for the quick identification of children with cardio-metabolic risk factors at an early age.

  9. The Effects of Line-Wing Cutoff in LBL Integration on Radiation Calculations

    Institute of Scientific and Technical Information of China (English)

    ZHANG Hua; SHI Guangyu; LIU Yi

    2008-01-01

    There are three basic methods in radiative transfer calculations, i.e., line-by-line (LBL) integration, correlated k-distribution method, and band model. The LBL integration is the most accurate of all, in which, there are two quadrature algorithms named in this paper as integration by lines and by sampling "points when calculating atmospheric transmittance in the considered wavenumber region. Because the LBL integration is the most expensive of all, it is necessary and important to save calculation time but increase calculation speed when it is put into use in the daily operation in atmospheric remote sensing and atmospheric sounding. A simplified LBL method is given in this paper on the basis of integration by lines, which increases computational speed greatly with keeping the same accuracy. Then, we discuss the effects of different cutoff schemes on atmospheric absorption coefficient, transmittance, and cooling rate under both of accurate and simplified LBL methods in detail. There are four cutoff schemes described in this paper, i.e., CUTOFFs 1, 2, 3, and 4. It is shown by this numerical study that the way to cut off spectral line-wing has a great effect on the accuracy and speed of radiative calculations. The relative errors of the calculated absorption coefficients for CUTOFF 2 are the largest under different pressures, while for CUTOFF 1, they are less than 2% at most of sampling points and for CUTOFFs 3 or 4, they are ahnost less than 5% in the calculated spectral region, however, the calculation time is reduced greatly. We find in this study that the transmittance in the lower atmosphere is not sensitive to different LBL methods and different cutoff schemes. Whereas for the higher atmosphere, the differences of transmittance results between CUTOFF 2 and each of other three cutoff schemes are the biggest of all no matter for the accurate LBL or for the simplified LBL integrations. By comparison, the best and optimized cutoff scheme is given in this paper

  10. Mach Cutoff Analysis and Results from NASA's Farfield Investigation of No-Boom Thresholds

    Science.gov (United States)

    Cliatt, Larry J., II; Hill, Michael A.; Haering, Edward A., Jr.

    2016-01-01

    In support of the ongoing effort by the National Aeronautics and Space Administration (NASA) to bring supersonic commercial travel to the public, the NASA Armstrong Flight Research Center and the NASA Langley Research Center, in partnership with other industry organizations and academia, conducted a flight research experiment to analyze acoustic propagation in the Mach cutoff shadow zone. The effort was conducted in the fall of 2012 and named the Farfield Investigation of No-boom Thresholds (FaINT). The test helped to build a dataset that will go toward further understanding of the unique acoustic propagation characteristics below Mach cutoff altitude. FaINT was able to correlate sonic boom noise levels measured below cutoff altitude with precise airplane flight conditions, potentially increasing the accuracy over previous studies. A NASA F-18B airplane made supersonic passes such that its Mach cutoff caustic would be at varying distances above a linear 60-microphone, 7375-ft (2247.9 m) long array. A TG-14 motor glider equipped with a microphone on its wing-tip also attempted to capture the same sonic boom waves above ground, but below the Mach cutoff altitude. This paper identified an appropriate metric for sonic boom waveforms in the Mach cutoff shadow zone called Perceived Sound Exposure Level; derived an empirical relationship between Mach cutoff flight conditions and noise levels in the shadow zone; validated a safe cutoff altitude theory presented by previous studies; analyzed the sensitivity of flight below Mach cutoff to unsteady atmospheric conditions and realistic aircraft perturbations; and demonstrated the ability to record sonic boom measurements over 5000 ft (1524.0 m) above ground level, but below Mach cutoff altitude.

  11. The role of neck circumference on the risk assessment of nonalcoholic fatty liver disease%颈围对非酒精性脂肪肝病风险评估的作用分析

    Institute of Scientific and Technical Information of China (English)

    侯丽丽; 张宝; 管石侠; 程靖; 蒋建华

    2015-01-01

    目的 探讨非酒精性脂肪肝病( NAFLD)患者颈围与相关测量指标的关联性,并分析其在NAFLD风险评估中的价值. 方法 选择161例NAFLD患者(研究组)及167例非NAFLD健康体检者(对照组) ,比较两组人体成分测量指标(体质指数、腰围、腰臀比、颈围、颈围/身高比)及相关临床测定指标(血压、空腹血糖、血脂、空腹胰岛素、胰岛素抵抗指数);分析各人体测量指标和胰岛素抵抗的相关性;以颈围的均值四分位数分组,比较各组中NAFLD及合并代谢异常组分的患病率;以ROC曲线分析法判断颈围的切点. 结果研究组体质指数、腰围、腰臀比、颈围、颈围/身高比、血压、空腹血糖、空腹胰岛素、胰岛素抵抗指数、三酰甘油、低密度脂蛋白胆固醇及极低密度脂蛋白胆固醇较对照组均显著升高,高密度脂蛋白胆固醇显著降低( P<0. 05 );男性和女性颈围与胰岛素抵抗均有相关性,且女性更为密切;随着颈围的增加,NAFLD合并代谢异常组分的患病率均升高( P<0. 05 );对于NAFLD,男性颈围的切点是37. 4 cm,女性颈围的切点是34. 0 cm. 结论 颈围与NAFLD存在显著关联性,但是否能预测NAFLD有待更大样本量支持及临床进一步验证.%Objective To investigate the relationship between neck circumference ( NC) and nonalcoholic fatty liv-er disease( NAFLD) , and to analyze the value of NC on risk assessment in NAFLD. Methods 161 cases ( study group) of NAFLD patients and 167 cases ( control group) of people conducted health examination without NAFLD were selected. Measurement of body composition indexes( body mass index, waist circumference, waist hip ratio, NC) and the clinical indexes (blood pressure,blood glucose,blood lipid,fasting insulin and HOMA-IR) were com-pared between the two groups. Correlation analysis was used between body measurement index and insulin resist-ance ( IR ) . All the subjects were divided into four subgroups

  12. Tube method of sound-absorption measurement extended to frequencies far above cutoff

    Science.gov (United States)

    Shields, F. D.; Bass, H. E.; Bolen, L. N.

    1977-01-01

    Equipment had been constructed for measuring sound absorption in the frequency range from 4 to 100 kHz in a large tube 25.4 cm in diameter and 4.8-m long. The technique employs a large moveable solid-dielectric capacitance transducer that completely fills the tube cross section and generates pulses of plane waves. An identical transducer terminates the other end of the tube and serves as a microphone to detect and reflect the sound pulses. Measurements in argon, nitrogen, and air indicate that the attenuation of the sound pulses differs by less than 1% from values calculated for the zero-order mode for frequencies up to 44 times the cutoff frequency for the first 'nonplane' mode. Above that frequency, the measured values are less than those predicted by theory by an amount that is approximately proportional to the wavelength to the -3.1 power. In a smaller tube of similar construction, the high-frequency deviation from theory is absent.

  13. Cutoffs and k-mers: implications from a transcriptome study in allopolyploid plants

    Directory of Open Access Journals (Sweden)

    Gruenheit Nicole

    2012-03-01

    Full Text Available Abstract Background Transcriptome analysis is increasingly being used to study the evolutionary origins and ecology of non-model plants. One issue for both transcriptome assembly and differential gene expression analyses is the common occurrence in plants of hybridisation and whole genome duplication (WGD and hybridization resulting in allopolyploidy. The divergence of duplicated genes following WGD creates near identical homeologues that can be problematic for de novo assembly and also reference based assembly protocols that use short reads (35 - 100 bp. Results Here we report a successful strategy for the assembly of two transcriptomes made using 75 bp Illumina reads from Pachycladon fastigiatum and Pachycladon cheesemanii. Both are allopolyploid plant species (2n = 20 that originated in the New Zealand Alps about 0.8 million years ago. In a systematic analysis of 19 different coverage cutoffs and 20 different k-mer sizes we showed that i none of the genes could be assembled across all of the parameter space ii assembly of each gene required an optimal set of parameter values and iii these parameter values could be explained in part by different gene expression levels and different degrees of similarity between genes. Conclusions To obtain optimal transcriptome assemblies for allopolyploid plants, k-mer size and k-mer coverage need to be considered simultaneously across a broad parameter space. This is important for assembling a maximum number of full length ESTs and for avoiding chimeric assemblies of homeologous and paralogous gene copies.

  14. An Evaluation of the Permittivity of Two Different Rock Types Using Microwave Resonator and Waveguide Cutoff Principles

    Science.gov (United States)

    Olkkonen, Martta-Kaisa; Eskelinen, Pekka; Huuskonen-Snicker, Eeva; Pellinen, Terhi; Olmos Martinez, Pablo

    2015-01-01

    Methods of measuring the complex permittivity of different rock types are demonstrated in the frequency range from 6 GHz to 17 GHz. The used methods are based on the cylindrical resonator and waveguide cutoff frequency principles. This study is part of a larger research project that aims to characterize the electrical properties of asphalt for road surveying purposes. The studied rock types are metavolcanic rock with intermediate composition and pegmatite. The permittivity values gained with the resonator method are 6.2 for the metavolcanic rock and 4.5 for the pegmatite rock type, whereas the imaginary parts are 0.04 and 0.02. The permittivity values gained with the cutoff frequency method are 6.17 and 4.76 respectively. A reference measurement was made only for the metavolcanic rock in a transmission configuration with two antennas and the permittivity result was 6.21. The three different methods provide consistent permittivity values and are suitable for reliable permittivity evaluation.

  15. Waist circumference is related to low-grade inflammation in youth

    DEFF Research Database (Denmark)

    Steene-Johannessen, Jostein; Kolle, Elin; Resaland, GK

    2010-01-01

    Abstract Objectives. To examine markers of inflammation in 9- and 15-year-olds with high waist circumference and compare these with controls, and to examine the relationships between inflammatory markers and cardiovascular disease (CVD) risk factors. Methods. Cross-sectional analysis of data from 2...... 299 Norwegian 9- and 15-year-olds participating in the "Physical activity among Norwegian Children Study". In each sex and age group, the 10 participants with the highest waist circumference (HW) were selected (n=40) for analyses, and a random sample of 40 participants within the same groups were.......51) compared with controls. All CVD risk factors differed between the HW group and controls. The CVD risk factors were not associated with TNFalpha or IL-6, but CRP, HGF and PAI-1 were related to the metabolic risk score. Conclusions. Low grade systemic inflammation is already present in youth with high waist...

  16. Dietary ascorbic acid and subsequent change in body weight and waist circumference

    DEFF Research Database (Denmark)

    Larsen, Sofus C; Angquist, Lars; Ahluwalia, Tarunveer Singh

    2014-01-01

    BACKGROUND: Cross-sectional data suggests that a low level of plasma ascorbic acid positively associates with both Body Mass Index (BMI) and Waist Circumference (WC). This leads to questions about a possible relationship between dietary intake of ascorbic acid and subsequent changes...... (∆BW) and waist circumference (∆WC). METHODS: A total of 7,569 participants' from MONICA, the Diet Cancer and Health study and the INTER99 study were included in the study. We combined 50 obesity associated single nucleotide polymorphisms (SNPs) in four genetic scores: a score of all SNPs and a score...... in anthropometry, and whether such associations may depend on genetic predisposition to obesity. Hence, we examined whether dietary ascorbic acid, possibly in interaction with the genetic predisposition to a high BMI, WC or waist-hip ratio adjusted for BMI (WHR), associates with subsequent annual changes in weight...

  17. STUDY OF EFFECT OF BMI AND WAIST CIRCUMFERENCE ON BLOOD PRESSURE IN FIRST YEAR MEDICAL STUDENTS

    Directory of Open Access Journals (Sweden)

    Pedada

    2015-03-01

    Full Text Available The present study is undertaken to evaluate any association between BMI, WC and Blood pressure and any tendency to develop prehypertension. The study comprises of 100 medical students of NRI medical college, Sangivalasa near Visakhapatnam. It was carried out ongirl students with age of 17 ye ars. Their BMI, WC and Blood pressure were determined. The examination included measurement of weight, height of the student to determine BMI, measurement of waist circumference, and measurement of blood pressure by sphygmomanometer. In the present study t he results are consistent with early clinical studies reporting that there is elevated systolic and diastolic blood pressure with increasing BMI and waist circumference and there is tendency to develop prehypertension in students with higher BMI. Modificat ion of life style factors should be emphasized.

  18. Adipose tissue trans fatty acids and changes in body weight and waist circumference

    DEFF Research Database (Denmark)

    Hansen, C.P.; Berentzen, T.L.; Østergaard, J.N.

    Previous studies have suggested that intake of trans fatty acids (TFA) may play a role in the development of obesity. For fatty acids not synthesized endogenously in humans, such as TFA, the proportions in adipose tissue tend to correlate well with the habitual dietary intake. Biomarkers may prov...... provide a more accurate measure of habitual TFA intake than dietary questionnaires. Our objective was to investigate the associations between specific TFA in adipose tissue and subsequent changes in body weight and waist circumference (WC)....

  19. Changes in mean scrotal circumference in performance tested Swedish beef bulls over time

    OpenAIRE

    Eriksson Pernilla; Lundeheim Nils; Söderquist Lennart

    2012-01-01

    Abstract Background There is a growing interest in beef cattle breeding in Sweden. The majority of the females are bred naturally, which is why it is important to choose healthy fertile bulls to obtain good reproduction and profitability. The breeding soundness evaluation includes measurement of scrotal circumference (SC). Our aim was to analyze if the SC of performance tested beef bulls has changed over the years. In total, 1332 bulls (Angus, Charolais, Hereford and Simmental) from 13 batche...

  20. Head circumference and brain size in autism spectrum disorder: A systematic review and meta-analysis.

    Science.gov (United States)

    Sacco, Roberto; Gabriele, Stefano; Persico, Antonio M

    2015-11-30

    Macrocephaly and brain overgrowth have been associated with autism spectrum disorder. We performed a systematic review and meta-analysis to provide an overall estimate of effect size and statistical significance for both head circumference and total brain volume in autism. Our literature search strategy identified 261 and 391 records, respectively; 27 studies defining percentages of macrocephalic patients and 44 structural brain imaging studies providing total brain volumes for patients and controls were included in our meta-analyses. Head circumference was significantly larger in autistic compared to control individuals, with 822/5225 (15.7%) autistic individuals displaying macrocephaly. Structural brain imaging studies measuring brain volume estimated effect size. The effect size is higher in low functioning autistics compared to high functioning and ASD individuals. Brain overgrowth was recorded in 142/1558 (9.1%) autistic patients. Finally, we found a significant interaction between age and total brain volume, resulting in larger head circumference and brain size during early childhood. Our results provide conclusive effect sizes and prevalence rates for macrocephaly and brain overgrowth in autism, confirm the variation of abnormal brain growth with age, and support the inclusion of this endophenotype in multi-biomarker diagnostic panels for clinical use.

  1. Early childhood television viewing predicts explosive leg strength and waist circumference by middle childhood

    Directory of Open Access Journals (Sweden)

    Fitzpatrick Caroline

    2012-07-01

    Full Text Available Abstract Background The relationship between early childhood television viewing and physical fitness in school age children has not been extensively studied using objective outcome measures. Methods Using a sample of 1314 children from the Québec Longitudinal Study of Child Development, we examine the association between parental reports of weekly hours of television viewing, assessed at 29 and 53 months of age, and direct measures of second grade muscular fitness using performances on the standing long jump test (SLJ and fourth grade waist circumference. Results Controlling for many potentially confounding child and family variables, each hour per week of television watched at 29 months corresponded to a .361 cm decrease in SLJ, 95% CI between -.576 and -.145. A one hour increase in average weekly television exposure from 29 to 53 months was associated with a further .285 cm reduction in SLJ test performance, 95% CI between -.436 and -.134 cm and corresponded to a .047 cm increase in waistline circumference, 95% CI between .001 and .094 cm. Interpretation Watching television excessively in early childhood, may eventually compromise muscular fitness and waist circumference in children as they approach pubertal age.

  2. Neck Circumference as a Predictor of Adiposity among Healthy and Obese Children

    Directory of Open Access Journals (Sweden)

    Nayera E. Hassan

    2015-11-01

    Full Text Available BACKGROUND: Obesity, particularly in the upper part of body, is a major health problem. Because body mass index (BMI does not adequately describe regional adiposity, other indices of body fatness are being explored. OBJECTIVES: To determine if neck circumference is a valid measure of adiposity (fat distribution among group of Egyptian children. SUBJECTS AND METHODS: This is a cross sectional study, included 50 obese subjects, aged 7 - 12 years recruited from Endocrine, obesity and Metabolism Pediatric Unit at Children Hospital, Cairo University and 50 healthy children, age and sex matched. All children were subjected to blood pressure assessment (systolic SBP and diastolic DBP, and anthropometric assessment (body weight, height, neck circumference (NC, waist (WC and hip (HC circumferences, and skin fold thicknesses at three sites: biceps, triceps and sub scapular. BMI [weight (kg/height (m2] was calculated. RESULTS: In healthy females, significant associations were detected between NC and SBP, DBP and all anthropometric measurements. However, in healthy males NC was not significantly associated with BMI, SBP and DBP. In the obese group; both sexes; insignificant association was found between NC and SBP, DBP, BMI and skinfold thickness. CONCLUSION: NC is related to fat distribution among normal healthy female children. However, this relation disappears with increasing adiposity. The results do not support the use of NC as a useful screening tool for childhood obesity.

  3. Assessing Factors Related to Waist Circumference and Obesity: Application of a Latent Variable Model

    Directory of Open Access Journals (Sweden)

    Sahar Dalvand

    2015-01-01

    Full Text Available Background. Because the use of BMI (Body Mass Index alone as a measure of adiposity has been criticized, in the present study our aim was to fit a latent variable model to simultaneously examine the factors that affect waist circumference (continuous outcome and obesity (binary outcome among Iranian adults. Methods. Data included 18,990 Iranian individuals aged 20–65 years that are derived from the third National Survey of Noncommunicable Diseases Risk Factors in Iran. Using latent variable model, we estimated the relation of two correlated responses (waist circumference and obesity with independent variables including age, gender, PR (Place of Residence, PA (physical activity, smoking status, SBP (Systolic Blood Pressure, DBP (Diastolic Blood Pressure, CHOL (cholesterol, FBG (Fasting Blood Glucose, diabetes, and FHD (family history of diabetes. Results. All variables were related to both obesity and waist circumference (WC. Older age, female sex, being an urban resident, physical inactivity, nonsmoking, hypertension, hypercholesterolemia, hyperglycemia, diabetes, and having family history of diabetes were significant risk factors that increased WC and obesity. Conclusions. Findings from this study of Iranian adult settings offer more insights into factors associated with high WC and high prevalence of obesity in this population.

  4. Trabecular-Iris Circumference Volume in Open Angle Eyes Using Swept-Source Fourier Domain Anterior Segment Optical Coherence Tomography

    Directory of Open Access Journals (Sweden)

    Mohammed Rigi

    2014-01-01

    Full Text Available Purpose. To introduce a new anterior segment optical coherence tomography parameter, trabecular-iris circumference volume (TICV, which measures the integrated volume of the peripheral angle, and establish a reference range in normal, open angle eyes. Methods. One eye of each participant with open angles and a normal anterior segment was imaged using 3D mode by the CASIA SS-1000 (Tomey, Nagoya, Japan. Trabecular-iris space area (TISA and TICV at 500 and 750 µm were calculated. Analysis of covariance was performed to examine the effect of age and its interaction with spherical equivalent. Results. The study included 100 participants with a mean age of 50 (±15 years (range 20–79. TICV showed a normal distribution with a mean (±SD value of 4.75 µL (±2.30 for TICV500 and a mean (±SD value of 8.90 µL (±3.88 for TICV750. Overall, TICV showed an age-related reduction (P=0.035. In addition, angle volume increased with increased myopia for all age groups, except for those older than 65 years. Conclusions. This study introduces a new parameter to measure peripheral angle volume, TICV, with age-adjusted normal ranges for open angle eyes. Further investigation is warranted to determine the clinical utility of this new parameter.

  5. Diagnóstico da restrição de crescimento fetal pela relação diâmetro transverso do cerebelo e circunferência abdominal Diagnosis of fetal growth restriction by transverse cerebellar diameter/abdominal circumference ratio

    Directory of Open Access Journals (Sweden)

    José de Arimatea Barreto

    2004-01-01

    Full Text Available OBJETIVO: testar a validade da relação diâmetro transverso do cerebelo (DTC/circunferência abdominal (CA no diagnóstico da restrição de crescimento fetal (RCF, determinando seu melhor ponto de corte e acurácia nas restrições simétrica e assimétrica. MÉTODOS: estudo prospectivo, transversal, envolvendo 250 gestantes com gravidez única, idade gestacional entre a 20ª e a 42ª semana, confirmada por ultra-sonografia. A medida do DTC foi obtida colocando-se os calipers nas margens externas do cerebelo, após sua localização na fossa posterior, com suave rotação do transdutor abaixo do plano do tálamo. A circunferência abdominal foi medida na junção das veias porta esquerda e umbilical. O melhor ponto de corte da relação DTC/CA foi obtido pela curva ROC (receiver operator characteristic. Os neonatos cujas relações DTC/CA foram maiores do que o ponto de corte selecionado foram considerados com RCF. Consideraram-se padrão-ouro para o diagnóstico de RCF recém-nascidos cujos pesos situaram-se abaixo do percentil 10. Neonatos com RCF e índice ponderal de Rohrer entre 2,2 e 3 foram considerados simétricos e abaixo de 2,2, assimétricos. RESULTADOS: o ponto de corte da relação DTC/CA, obtido pela curva ROC foi 16,1. A sensibilidade, especificidade, acurácia, valores preditivos positivo e negativo e razões de verossimilhança positiva e negativa foram de 77,4; 82,6; 38,7; 96,3; 82; 4,5 e 3,7%, respectivamente. Na RCF simétrica a sensibilidade e especificidade foram de 80,8 e 81,7%, respectivamente. Na assimétrica, a sensibilidade e especificidade foram de 60 e 75%, respectivamente. CONCLUSÃO: a relação DTC/CA mostrou-se eficaz no diagnóstico da RCF simétrica e assimétrica.PURPOSE: to evaluate the validity of transverse cerebellar diameter (TCD/abdominal circumference (AC ratio in the diagnosis of fetal growth restriction (FGR, determining its best cutoff value and accuracy in symmetric and asymmetric FGR. METHOD: a

  6. Associations of built food environment with body mass index and waist circumference among youth with diabetes

    Directory of Open Access Journals (Sweden)

    Lamichhane Archana P

    2012-06-01

    Full Text Available Abstract Background Youth with diabetes are at increased risk for obesity and cardiovascular disease complications. However, less is known about the influence of built food environment on health outcomes in this population. The aim of this study was to explore the associations of accessibility and availability of supermarkets and fast food outlets with Body Mass Index (BMI z-score and waist circumference among youth with diabetes. Methods Information on residential location and adiposity measures (BMI z-score and waist circumference for 845 youths with diabetes residing in South Carolina was obtained from the South Carolina site of the SEARCH for Diabetes in Youth study. Food outlets data obtained from the South Carolina Department of Health and Environmental Control and InfoUSA were merged based on names and addresses of the outlets. The comprehensive data on franchised supermarket and fast food outlets was then used to construct three accessibility and availability measures around each youth’s residence. Results Increased number and density of chain supermarkets around residence location were associated with lower BMI z-score and waist circumference among youth with diabetes. For instance, for a female child of 10 years of age with height of 54.2 inches and weight of 70.4 pounds, lower supermarket density around residence location was associated with about 2.8–3.2 pounds higher weight, when compared to female child of same age, height and weight with highest supermarket density around residence location. Similarly, lower supermarket density around residence location was associated with a 3.5–3.7 centimeter higher waist circumference, when compared to residence location with the highest supermarket density. The associations of number and density of chain fast food outlets with adiposity measures, however, were not significant. No significant associations were observed between distance to the nearest supermarket and adiposity measures

  7. THE NON-CUTOFF BOLTZMANN EQUATION WITH POTENTIAL FORCE IN THE WHOLE SPACE

    Institute of Scientific and Technical Information of China (English)

    Yuanjie LEI

    2014-01-01

    This paper is concerned with the non-cutoff Boltzmann equation for full-range interactions with potential force in the whole space. We establish the global existence and optimal temporal convergence rates of classical solutions to the Cauchy problem when initial data is a small perturbation of the stationary solution. The analysis is based on the time-weighted energy method building also upon the recent studies of the non-cutoff Boltzmann equation in [1-3, 15] and the non-cutoff Vlasov-Poisson-Boltzmann system [6].

  8. Intrinsic cutoff and acausality for massive spin 2 fields coupled to electromagnetism

    Energy Technology Data Exchange (ETDEWEB)

    Porrati, Massimo [Center for Cosmology and Particle Physics, Department of Physics, New York University, 4 Washington Place, New York, NY 10003 (United States)], E-mail: massimo.porrati@nyu.edu; Rahman, Rakibur [Center for Cosmology and Particle Physics, Department of Physics, New York University, 4 Washington Place, New York, NY 10003 (United States)

    2008-09-21

    We couple a massive spin 2 particle to electromagnetism. By introducing new, redundant degrees of freedom using the Stueckelberg formalism, we extract an intrinsic, model independent UV cutoff of the effective field theory describing this system. The cutoff signals both the onset of a strongly interacting dynamical regime and a finite size for the spin 2 particle. We show that the existence of a cutoff is strictly connected to other pathologies of interacting high-spin fields, such as the Velo-Zwanziger acausality. We also briefly comment on implications of this result for the detection of high spin states and on its possible generalization to arbitrary spin.

  9. Normal values for segmental bioimpedance spectroscopy in pediatric patients.

    Directory of Open Access Journals (Sweden)

    Maria Laura Avila

    Full Text Available Localized limb edema is a clinically relevant sign in diseases such as post-thrombotic syndrome and lymphedema. Quantitative evaluation of localized edema in children is mainly done by measuring the absolute difference in limb circumference, which includes fat and fat-free mass. Bioimpedance spectroscopy (BIS provides information on the fluid volume of a body segment. Our objective was to determine normal ranges for segmental (arm and leg BIS measurements in healthy children. Additionally, we determined the normal ranges for the difference in arm and ankle circumference and explored the influence of handedness and the correlation between techniques.Healthy children aged 1-18 years were recruited. The ratio of extracellular fluid content between contralateral limbs (estimated as the inter-arm and inter-leg extracellular impedance ratio, and the ratio of extracellular to intracellular fluid content for each limb (estimated as the intracellular to extracellular impedance ratio were determined with a bioimpedance spectrometer. Arm and ankle circumference was determined with a Gulick II tape.We recruited 223 healthy children (48 infants, 54 preschoolers, 66 school-aged children, and 55 teenagers. Normal values for arm and leg BIS measurements, and for the difference in arm and ankle circumference were estimated for each age category. No influence of handedness was found. We found a statistically significant correlation between extracellular impedance ratio and circumference difference for arms among teenagers.We determined normal BIS ranges for arms and legs and for the difference in circumference between arms and between ankles in children. There was no statistically significant correlation between extracellular impedance ratio and difference in circumference, except in the case of arms in adolescents. This may indicate that limb circumference measures quantities other than fluid, challenging the adequacy of this technique to determine the presence

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2010-09-15

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

  11. Dietary glycaemic index, glycaemic load and subsequent changes of weight and waist circumference in European men and women

    DEFF Research Database (Denmark)

    Du, H; van der A, D L; van Bakel, M M E

    2009-01-01

    OBJECTIVES: To investigate whether dietary glycaemic index (GI) and glycaemic load (GL) were associated with subsequent weight and waist circumference change. DESIGN: Population-based prospective cohort study. SETTING: Five European countries, which are Denmark, Germany, Italy, The Netherlands...... with subsequent changes of weight and waist circumference were heterogeneous across centres. Overall, with every 10-unit higher in GI, weight increased by 34 g per year (95% confidence interval (CI): -47, 115) and waist circumference increased by 0.19 cm per year (95% CI: 0.11, 0.27). With every 50-unit higher...... in GL, weight increased by 10 g per year (95% CI: -65, 85) and waist circumference increased by 0.06 cm per year (95% CI: -0.01, 0.13). CONCLUSIONS: Our findings do not support an effect of GI or GL on weight change. The positively significant association between GI, not GL, and subsequent gain in waist...

  12. The Development Situation Investigation on the Waist Circumference and the Hip Circumference in Children and Adolescents of Qingdao%青岛市儿童青少年腰围臀围发育情况调查

    Institute of Scientific and Technical Information of China (English)

    安乾; 陈暕; 高希宝; 于维森

    2015-01-01

    目的:掌握青岛市儿童青少年腰围和臀围发育情况,为制定全国标准提供参考。方法利用2014年全国学生体质健康调查研究所获得的腰围、臀围数据进行统计学分析。结果7~18岁儿童青少年腰围、臀围总的趋势是随年龄增长而增长;14岁以前,腰臀比随年龄的增长而增长,14岁以后趋于平稳。城市儿童青少年腰围、臀围高于乡村。不同体重状况儿童青少年的腰围、臀围发育水平均为肥胖组>超重组>体重正常组。结论儿童期的腰围和腰臀成为预测成人期肥胖及其相关健康危险的重要指标,青岛市儿童青少年腰围、臀围监测结果,可为制定全国统一的青少年腰围臀围标准提供参考,也为预防儿童肥胖和慢性病提供科学依据。%Objective To grasp the developmental state of the waist circumference and the hip circumference in children and ad -olescents of Qingdao ,so as to provide a reference for the national standard .Methods The statistical analysis was used to analyze the data of the waist circumference and the hip circumference which were obtained from the national student physical health research in 2014.Results The trend of the waist circumference and the hip circumference increased with the age in children and adolescents aged 7~18 years old ,and the same as the waist-hip ratio( WHR) before 14 years old,but stabilized after 14 years old.The waist circumference and the hip circumfer-ence in urban children were higher than the rural children'.The developmental level of the waist circumference and the hip circumference in children with different weight status was:obesity group>overweight group >normal group .Conclusion The waist circumference and the hip circumference have become important indicators to predict adult obesity and the related health hazards .The monitoring results of the waist circumference and the hip circumference in children of Qingdao provide not only a

  13. On the cutoff frequency of clarinet-like instruments: Geometrical vs acoustical regularity

    CERN Document Server

    Moers, Elise

    2011-01-01

    A characteristic of woodwind instruments is the cutoff frequency of their tone-hole lattice. Benade proposed a practical definition using the measurement of the input impedance, for which at least two frequency bands appear. The first one is a stop band, while the second is a pass band. The value of this frequency, which is a global quantity, depends on the whole geometry of the instrument, but is rather independent on the fingering. This seems to justify the consideration of a woodwind with several open holes as a periodic lattice. However the holes on a clarinet are very irregular. The paper investigates the question of the acoustical regularity: an acoustically regular lattice of tone holes is defined as a lattice built with T-shaped cells of equal eigenfrequencies. Then the paper discusses the possibility of division of a real lattice into cells of equal eigenfrequencies. It is shown that it is not straightforward but possible, explaining the apparent paradox of the Benade theory. When considering the ope...

  14. Nordic school meals improve blood pressure, plasma triglyceride and insulin despite increasing waist circumference: the opus school meal study

    DEFF Research Database (Denmark)

    Damsgaard, C. T.; Dalskov, S.; Laursen, R. P.

    .001) compared to control in intention-to-treat-analyses (n=823). Waist circumference and BMI increased 0.5 cm (0.3;0.7) (P... and physical activity confirmed these results. Conclusions Nutritionally balanced school meals improved blood pressure, plasma triglyceride and glucose homeostasis in 8-11-year-old children, despite small increases in BMI and waist circumference. OPUS (Optimal well-being, development and health for Danish...

  15. Interaction between genetic predisposition to obesity and dietary calcium in relation to subsequent change in body weight and waist circumference

    DEFF Research Database (Denmark)

    Larsen, Sofus C; Ängquist, Lars Henrik; Ahluwalia, Tarunveer Singh

    2014-01-01

    Studies indicate an effect of dietary calcium on change in body weight (BW) and waist circumference (WC), but the results are inconsistent. Furthermore, a relation could depend on genetic predisposition to obesity.......Studies indicate an effect of dietary calcium on change in body weight (BW) and waist circumference (WC), but the results are inconsistent. Furthermore, a relation could depend on genetic predisposition to obesity....

  16. A matched-pair longitudinal study on the relationship between maternal smoking and head circumference of newborns.

    Science.gov (United States)

    Miyao, M; Furuta, M; Matsushita, Y; Ogiso, M; Ishihara, S; Teo, P C

    1995-02-01

    The relationship between maternal smoking and the head circumference of newborns were analyzed using a matched-pair longitudinal method. For the study, data was collected from Japanese primiparas in Aichi, Japan. Forty-seven smoking and nonsmoking mothers were matched using multivariate caliper matching for birth weight and gender for their newborns, and gestational period and age for the gravidas. Significantly smaller head circumferences of the newborns from the smoking mothers were observed.

  17. Prevalence of Abdominal Obesity in Spanish Children and Adolescents. Do We Need Waist Circumference Measurements in Pediatric Practice?

    OpenAIRE

    Helmut Schröder; Lourdes Ribas; Corinna Koebnick; Anna Funtikova; Gomez, Santiago F; Montserat Fíto; Carmen Perez-Rodrigo; Lluis Serra-Majem

    2014-01-01

    BACKGROUND: Evidence indicates that central adiposity has increased to a higher degree than general adiposity in children and adolescents in recent decades. However, waist circumference is not a routine measurement in clinical practice. OBJECTIVE: This study aimed to determine the prevalence of abdominal obesity based on waist circumferences (WC) and waist to height ratio (WHtR) in Spanish children and adolescents aged 6 to 17 years. Further, the prevalence of abdominal obesity (AO) among nor...

  18. Heisenberg Algebra in the Bargmann-Fock Space with Natural Cutoffs

    Directory of Open Access Journals (Sweden)

    Maryam Roushan

    2014-01-01

    Full Text Available We construct a Heisenberg algebra in Bargmann-Fock space in the presence of natural cutoffs encoded as minimal length, minimal momentum, and maximal momentum through a generalized uncertainty principle.

  19. Doping-Spike PtSi Schottky Infrared Detectors with Extended Cutoff Wavelengths

    Science.gov (United States)

    Lin, T. L.; Park, J. S.; Gunapala, S. D.; Jones, E. W.; Castillo, H. M. Del

    1994-01-01

    A technique incorporating a p+ doping spike at the silicide/Si interface to reduce the effective Schottky barrier of the silicide infrared detectors and thus extend the cutoff wavelength has been developed.

  20. Surface Vacuum Energy in Cutoff Models: Pressure Anomaly and Distributional Gravitational Limit

    CERN Document Server

    Estrada, Ricardo; Mera, Fernando D

    2012-01-01

    Vacuum-energy calculations with ideal reflecting boundaries are plagued by boundary divergences, which presumably correspond to real (but finite) physical effects occurring near the boundary. Our working hypothesis is that the stress tensor for idealized boundary conditions with some finite cutoff should be a reasonable ad hoc model for the true situation. The theory will have a sensible renormalized limit when the cutoff is taken away; this requires making sense of the Einstein equation with a distributional source. Calculations with the standard ultraviolet cutoff reveal an inconsistency between energy and pressure similar to the one that arises in noncovariant regularizations of cosmological vacuum energy. The problem disappears, however, if the cutoff is a spatial point separation in a "neutral" direction parallel to the boundary. Here we demonstrate these claims in detail, first for a single flat reflecting wall intersected by a test boundary, then more rigorously for a region of finite cross section sur...

  1. Variation of acoustic cutoff period with height in the solar atmosphere: theory versus observations

    CERN Document Server

    Murawski, K; Konkol, P; Wiśniewska, A

    2016-01-01

    Recently Wi\\'sniewska et al. demonstrated observationally how the acoustic cutoff frequency varies with height in the solar atmosphere including the upper photosphere and the lower and middle chromosphere, and showed that the observational results cannot be accounted for by the existing theoretical formulas for the acoustic cutoff. In order to reproduce the observed variation of the cutoff with atmospheric height, numerical simulations of impulsively generated acoustic waves in the solar atmosphere are performed, and the spectral analysis of temporal wave profiles is used to compute numerically changes of the acoustic cutoff with height. Comparison of the numerical results with the observational data shows good agreement, which clearly indicates that the obtained results may be used to determine the structure of the background solar atmosphere.

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

    CERN Document Server

    Bachmann, S; Pizzo, A

    2011-01-01

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

  3. Less pollution - less raw materials - less noise: Automatic cylinder cut-off technology

    Energy Technology Data Exchange (ETDEWEB)

    1987-01-01

    VW's automatic cylinder cut-off technology displays its advantages especially in city traffic - as road tests have proved. Though no fuel saving was measured on motorways it came up to 16% when driving on country roads and 30% in inner city traffic. One intends to use cylinder cut-off first for diesel cars as the restart reliability of diesel engines is much higher than that of petrol engines. (HW)

  4. Prostate-specific antigen and prostate-specific antigen density cutoff points among Indonesian population suspected for prostate cancer

    Directory of Open Access Journals (Sweden)

    Ahmad Anies Shahab

    2013-03-01

    Conclusions: PSA and PSAD cutoff point for Indonesian men in this series is relatively different from international consensus. Furthermore, these data show that PSA and PSAD cutoff point must be adjusted to racial variation to discriminate between malignant and benign disease. Urinary retention is a significant factor for PSA cutoff increase.

  5. Waist:height ratio, waist circumference and metabolic syndrome abnormalities in Colombian schooled adolescents: a multivariate analysis considering located adiposity.

    Science.gov (United States)

    Agredo-Zúñiga, Ricardo Antonio; Aguilar-de Plata, Cecilia; Suárez-Ortegón, Milton Fabian

    2015-09-14

    Very few large studies in Latin America have evaluated the association between waist:height ratio (W-HtR) and cardiometabolic risk in children and adolescents. Further, multivariable analyses verifying the independence of located subcutaneous fat have not been conducted so far. The aim of this study was to evaluate the associations of W-HtR and waist circumference (WC) with metabolic syndrome abnormalities and high LDL-cholesterol levels in schooled adolescents before and after adjusting for trunk skinfolds and BMI. The sample consisted of 831 boys and 841 girls aged 10-17 years. Biochemical, blood pressure and anthropometrical variables were measured. Age- and sex-specific quartiles of W-HtR and WC were used in Poisson regression models to evaluate the associations. High WC values (highest quartile v. quartiles 1-3) were associated with high TAG levels in both sexes (prevalence ratio, boys: 2·57 (95 % CI 1·91, 3·44); girls: 1·92 (95 % CI 1·49, 2·47); P0·05). High W-HtR (highest quartile v. quartiles 1-3) was only independently associated with high TAG in female adolescents (1·99 (95 % CI 1·55, 2·56); P<0·05). In conclusion, WC showed better association with cardiometabolic risk than W-HtR in the children of this study. This observation does not support W-HtR as a relevant adiposity marker for cardiovascular and metabolic risk in adolescence.

  6. Measurement of waist circumference at different sites affects the detection of abdominal obesity and metabolic syndrome among psychiatric patients.

    Science.gov (United States)

    Lin, Chao-Cheng; Yu, Shun-Chieh; Wu, Bo-Jian; Chang, Da-Jen

    2012-05-30

    There is a lack of understanding about the impact of different waist circumference (WC) measurements on the detection of abdominal obesity and metabolic syndrome in psychiatric patients. This cross-sectional study included a total of 382 inpatients with schizophrenia-related disorders to assess each component of metabolic syndrome. WC was measured at the lowest rib, midpoint between the iliac crest and lowest rib, iliac crest, minimal waist, and umbilicus. Logistic regression analysis was performed to examine the ability of WC at each site to predict the presence of metabolic risk clustering. The mean WC values for all sites were significantly different from each other. The measurement site had an influence on the prevalence of abdominal obesity (30-38.2% in men and 53.9-86.3% in women). The influence on the prevalence of metabolic syndrome was greater with the International Diabetes Federation (IDF) criteria (19.3-23.9% in men and 29.4-43.1% in women) than with the Adult Treatment Panel III (ATP III) criteria (26.1-28.6% in men and 37.3-44.1% in women). The areas under the receiver operating characteristic curve for metabolic risk clustering were highest at the umbilicus and midpoint. Given that the WC measurement protocol has substantial influence on the prevalence of abdominal obesity and metabolic syndrome, a predefined measurement site is required for all psychiatric studies.

  7. Global warming precipitation accumulation increases above the current-climate cutoff scale

    Science.gov (United States)

    Neelin, J. David; Sahany, Sandeep; Stechmann, Samuel N.; Bernstein, Diana N.

    2017-02-01

    Precipitation accumulations, integrated over rainfall events, can be affected by both intensity and duration of the storm event. Thus, although precipitation intensity is widely projected to increase under global warming, a clear framework for predicting accumulation changes has been lacking, despite the importance of accumulations for societal impacts. Theory for changes in the probability density function (pdf) of precipitation accumulations is presented with an evaluation of these changes in global climate model simulations. We show that a simple set of conditions implies roughly exponential increases in the frequency of the very largest accumulations above a physical cutoff scale, increasing with event size. The pdf exhibits an approximately power-law range where probability density drops slowly with each order of magnitude size increase, up to a cutoff at large accumulations that limits the largest events experienced in current climate. The theory predicts that the cutoff scale, controlled by the interplay of moisture convergence variance and precipitation loss, tends to increase under global warming. Thus, precisely the large accumulations above the cutoff that are currently rare will exhibit increases in the warmer climate as this cutoff is extended. This indeed occurs in the full climate model, with a 3 °C end-of-century global-average warming yielding regional increases of hundreds of percent to >1,000% in the probability density of the largest accumulations that have historical precedents. The probabilities of unprecedented accumulations are also consistent with the extension of the cutoff.

  8. Global warming precipitation accumulation increases above the current-climate cutoff scale

    Science.gov (United States)

    Sahany, Sandeep; Stechmann, Samuel N.; Bernstein, Diana N.

    2017-01-01

    Precipitation accumulations, integrated over rainfall events, can be affected by both intensity and duration of the storm event. Thus, although precipitation intensity is widely projected to increase under global warming, a clear framework for predicting accumulation changes has been lacking, despite the importance of accumulations for societal impacts. Theory for changes in the probability density function (pdf) of precipitation accumulations is presented with an evaluation of these changes in global climate model simulations. We show that a simple set of conditions implies roughly exponential increases in the frequency of the very largest accumulations above a physical cutoff scale, increasing with event size. The pdf exhibits an approximately power-law range where probability density drops slowly with each order of magnitude size increase, up to a cutoff at large accumulations that limits the largest events experienced in current climate. The theory predicts that the cutoff scale, controlled by the interplay of moisture convergence variance and precipitation loss, tends to increase under global warming. Thus, precisely the large accumulations above the cutoff that are currently rare will exhibit increases in the warmer climate as this cutoff is extended. This indeed occurs in the full climate model, with a 3 °C end-of-century global-average warming yielding regional increases of hundreds of percent to >1,000% in the probability density of the largest accumulations that have historical precedents. The probabilities of unprecedented accumulations are also consistent with the extension of the cutoff. PMID:28115693

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

    CERN Document Server

    Khokhlova, M A

    2015-01-01

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

  10. Waist Circumference was Positively Correlated with Chemerin, Retinol-Binding Protein 4 and hsCRP

    Directory of Open Access Journals (Sweden)

    Lucia Herminawati

    2012-04-01

    Full Text Available BACKGROUND: Central obesity is associated with various chronic metabolic disorders characterized by abnormal cytokine production, increased acute phase reactants, and activation of inflammatory signaling pathways. This study was aimed to investigate the association of waist circumference, chemerin, and retinol binding protein (RBP-4 with inflammation in men with central obesity. METHODS: The research was conducted with a crosssectional design involving 68 centrally obese male subjects aged 30 to 60 years old, with waist circumference (WC >90 cm. All subjects fulfilled the inclusion and exclusion criteria. Anthropometric parameters, fasting glucose, creatinine, SGOT, SGPT, and hsCRP were measured. Serum concentrations of chemerin and RBP4 were measured by ELISA. RESULTS: The trend lines showed that chemerin, RBP4 and hsCRP increased with WC. Pearson correlation test showed a positively significant correlation between WC and hsCRP (r=0.242, p<0.05; and also between chemerin and hsCRP (r=0.244, p<0.05 and RBP4 (r=0.321, p<0.01. Subjects were stratified into four groups based on their chemerin and RBP4 levels (high chemerin/high RBP4, high chemerin/low RBP4, low chemerin/high RBP4, or low chemerin/low RBP4. Subjects who were in the high chemerin/low RBP4 group were more likely to have high level of inflammation (47.6%, but subjects with high chemerin/high RBP4 showed low level of inflammation (42.9% as compared with the other three groups. CONCLUSIONS: We concluded that increased WC was correlated with elevated levels of chemerin, RBP4 and hsCRP. High chemerin was correlated with increased level of RBP4 as well as with high level of inflammation. KEYWORDS: waist circumference, chemerin, RBP4, hsCRP, inflammation.

  11. Chromosomal contacts connect loci associated with autism, BMI and head circumference phenotypes

    DEFF Research Database (Denmark)

    Loviglio, M N; Leleu, M; Männik, K;

    2017-01-01

    Copy number variants (CNVs) are major contributors to genomic imbalance disorders. Phenotyping of 137 unrelated deletion and reciprocal duplication carriers of the distal 16p11.2 220 kb BP2-BP3 interval showed that these rearrangements are associated with autism spectrum disorders and mirror phen...... similarly display mirror phenotypes on head circumference and weight. Our results indicate that chromosomal contacts' maps could uncover functionally and clinically related genes.Molecular Psychiatry advance online publication, 31 May 2016; doi:10.1038/mp.2016.84....

  12. Determination of the optimal cut-off point for ELISA test for diagnosis of brucellosis in Iran

    Directory of Open Access Journals (Sweden)

    Soudbakhsh A

    2009-09-01

    Full Text Available "n Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Finding a reliable diagnostic method for brucellosis is the most challengeable problem. In this study we determined the optimal diagnostic cut-off point for ELISA test."n"nMethods: We gathered 56 confirmed cases of brucellosis. Furthermore blood samples from 126 controls including 73 healthy controls and 53 without brucellosis febrile patients were collected. In all of the cases and controls ELISA Ig G and ELISA Ig M levels were measured and compared with each other by Box plot graph and the Receiver Operating Characteristic (ROC curve. The sensitivity and specificity of ELISA Ig G and Ig M were fixed in different cut-off values and Ig G and Ig M levels yielding maximal sensitivity plus specificity were selected for determination of optimal cut-off point."n"nResults: The nineteen patients had positive blood cultures for Brucella melitensis. The standard agglutination test results were 1/160 or more in 54 patients. The Box plot graph indicated a high degree of dispersion for Ig G and Ig M data in patients with brucellosis compared with febrile patients without brucellosis and healthy controls. We observed partial overlap for Ig M data (not for Ig G between cases and controls. The area under ROC curve for

  13. Postanesthesia patients with large upper arm circumference: is use of an "extra-long" adult cuff or forearm cuff placement accurate?

    Science.gov (United States)

    Watson, Sheri; Aguas, Marita; Bienapfl, Tracy; Colegrove, Pat; Foisy, Nancy; Jondahl, Bonnie; Yosses, Mary Beth; Yu, Larissa; Anastas, Zoe

    2011-06-01

    The purpose of this study was to determine if blood pressure (BP) measured in the forearm or with an extra-long BP cuff in the upper arm accurately reflects BP measured in the upper arm with an appropriately sized BP cuff in patients with large upper arm circumference. A method-comparison design was used with a convenience sample of 49 PACU patients. Noninvasive blood pressures were obtained in two different locations (forearm; upper arm) and in the upper arm with an extra-long adult and recommended large adult cuff sizes. Data were analyzed by calculating bias and precision for the BP cuff size and location and Student's t-tests, with P < .0125 considered significant. Significantly higher forearm systolic (P < .0001) and diastolic (P < .0002) BP measurements were found compared to BP obtained in the upper arm with the reference standard BP cuff. Significantly higher systolic (t(48df) = 5.38, P < .0001), but not diastolic (t(48df) = 4.11, P < .019), BP differences were found for BP measured with the extra-long cuff at the upper arm site compared to the upper arm, reference standard BP. Findings suggest that the clinical practice of using the forearm or an extra-long cuff in the upper arm for BP measurement in post anesthesia patients with large upper arm circumferences may result in inaccurate BP values.

  14. Healthy lifestyle and normal waist circumference are associated with a lower 5-year risk of type 2 diabetes in middle-aged and elderly individuals

    Science.gov (United States)

    Chen, Chu-Chih; Liu, Kiang; Hsu, Chih-Chen; Chang, Hsing-Yi; Chung, Hsiao-Chun; Liu, Jih-Shin; Liu, Yo-Hann; Tsai, Tsung-Lung; Liaw, Wen-Jin; Lin, I-Ching; Wu, Hsi-Wen; Juan, Chung-Chou; Chiu, Hou-Chang; Lee, Marion M.; Hsiung, Chao A.

    2017-01-01

    Abstract Type 2 diabetes mellitus (DM) is known to be closely associated with lifestyle and obesity and has a prevalence that increases with age. This study aimed to assess the short-term composite effect of diet, physical activity, psychosocial health, and waist circumference (WC) on the incidence of DM in the elderly and to provide a lifestyle-based predictive index. We used baseline measurements (2009–2013) of 5349 community-dwelling participants (aged 55 years and older, 52% female) of the Healthy Aging Longitudinal Study in Taiwan (HALST) for fasting plasma glucose, HbA1C, serum cholesterol, triglycerides, blood pressures, WC, and outcomes of home-visit questionnaire. Principal component analysis (PCA) was used to identify participants with a healthy lifestyle (HLF: higher diet, physical activity, and psychosocial scores) and a lower WC, with cutoffs determined by the receiver-operating characteristics. A Cox regression model was applied to 3424 participants without DM at baseline by linking to their National Health Insurance records (median follow-up of 3.1 years). In total, 247 new DM cases (7.2%) were identified. The HLF and lower WC group had a relative risk (RR) of DM of 0.54 (95% CI 0.35–0.82) compared to the non-HLF and higher WC group. When stratified by the presence of impaired glucose tolerance (IGT) or metabolic syndrome (MS), only participants with IGT/MS showed significant risks (RR 0.55; 95% CI 0.33–0.92). However, except for WC, the individual lifestyle factors were nonsignificant in the overall model without PCA. A composite protective effect of HLF and normal WC on DM within 5 years was observed, especially in those with IGT or MS. Psychosocial health constituted an important lifestyle factor in the elderly. The cutoffs identified could be used as a lifestyle-based risk index for DM. Maintaining an HLF to prevent DM is especially important for the elderly. PMID:28178143

  15. Determination of the accuracy and optimal cut-off point for ELISA test in diagnosis of human brucellosis in Iran.

    Science.gov (United States)

    Hasibi, Mehrdad; Jafari, Sirus; Mortazavi, Habibollah; Asadollahi, Marjan; Esmaeeli Djavid, Gholamreza

    2013-01-01

    In endemic area the most challenging problem for brucellosis is to find a reliable diagnostic method. In this case-control study, we investigated the accuracy of ELISA test for diagnosis of human brucellosis and determined the optimal cut-off value for ELISA results in Iran. The laboratory diagnosis of brucellosis was performed by blood isolation of Brucella organism with a BACTEC 9240 system and/or detection of Brucella antibodies by standard agglutination test (titer ≥ 1:160). Serum level of ELISA IgG and ELISA IgM from 56 confirmed cases of brucellosis and 126 controls were compared with each other by Box plot graph and Receiver Operating Characteristic (ROC) curve. Box plot graphs showed the high degree of dispersion for IgG and IgM data in patients compared with all controls. We observed partially overlapping for IgM data (not for IgG) between cases and controls in graphs. The area under ROC curve for distinguishing between cases and controls was larger for IgG compared to IgM. Based on results of this study, ELISA IgG test was more reliable than ELISA IgM test in diagnosis of human brucellosis in Iran. Using a cut-off of 10 IU/ml and 50 IU/ml had most sensitivity (92.9%) and most specificity (100%) for ELISA IgG test, respectively.

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

    CERN Document Server

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

    2011-01-01

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

  17. 北京市城乡学生腰围臀围腰臀比分析%Waist circumference, hip circumference and waist-hip ratio among students in Beijing

    Institute of Scientific and Technical Information of China (English)

    邬盛鑫; 夏天; 杨忠; 安康; 尹丽君; 王东江; 宋玉珍; 刘淑娟

    2011-01-01

    目的 了解2010年北京市7~18岁中小学生腰围臀围和腰臀比的年龄、性别特征,为学生体质健康研究资料提供有益补充.方法 对2010年北京市体质调研7~18岁中小学生的腰围、臀围和腰臀比进行描述性分析.结果 男生腰围均值、腰臀比高于女生;城区男生臀围均值高于女生,差异有统计学意义(P <0.05或P<0.01),郊区男、女生臀围差异无统计学意义(P>0.05).腰围均值12岁前有随年龄增长而增加的趋势.学生臀围均值有随着年龄的增长而增加的趋势,差异有统计学意义(P值均<0.05).城区男生腰围均值高于郊区男生(P<0.05);城区女生腰围均值与郊区女生差异无统计学意义(P>0.05);城区男女生臀围均值大于郊区学生,差异有统计学意义(P<0.05);城郊区男生腰臀比均值差异无统计学意义(P>0.05);郊区女生腰臀比均值高于城区女生,差异有统计学意义(P<0.05).结论 北京城乡7 ~18岁学生腰围、臀围和腰臀比随年龄变化总趋势一致,但城乡各指标间年龄、性别特征存在差异.%Objective To study the characteristics of waist circumference, hip circumference and waist-hip ratio among students( aged 7-18 years) of different ages and sexes in Beijing. Methods As part of the Beijing students Physical fitness study, a stratified cluster representative sample of total population aged 7-18 years was selected. Anthropometric measure including waist circumference, hip circumference and the waist-hip ratio, using T test analysis methods to study the Beijing city and suburb students aged 7 to 18 waist circumference, hip circumference and the waist-hip ratio by age, gender differences in city and suburb areas. Results The boys' mean waist circumference and waist-hip ratio were higher than girls', the urban boys' mean hip circumference was higher than the urban girls( P 0.05). The mean waist circumference had an increasing trend with age before

  18. Validation of Victoria Symptom Validity Test Cutoff Scores among Mild Traumatic Brain Injury Litigants Using a Known-Groups Design.

    Science.gov (United States)

    Silk-Eglit, Graham M; Lynch, Julie K; McCaffrey, Robert J

    2016-05-01

    The Victoria Symptom Validity Test (VSVT) is one of the most accurate performance validity tests. Previous research has recommended several cutoffs for performance invalidity classification on the VSVT. However, only one of these studies used a known groups design and no study has investigated these cutoffs in an exclusively mild traumatic brain injury (mTBI) medico-legal sample. The current study used a known groups design to validate VSVT cutoffs among mild traumatic brain injury litigants and explored the best approach for using the multiple recommended cutoffs for this test. Cutoffs of 6, and <5 items correct on any block yielded the strongest classification accuracy. Using multiple cutoffs in conjunction reduced classification accuracy. Given convergence across studies, a cutoff of <18 Hard items correct is the most appropriate for use with mTBI litigants.

  19. The effect of nursing or rampant caries on height, body weight and head circumference.

    Science.gov (United States)

    Ayhan, H; Suskan, E; Yildirim, S

    1996-01-01

    In this study, the effect of nursing bottle caries and rampant caries on height, weight and head circumference was evaluated. For this purpose, 126 children, aged 3 to 5 years old, who have nursing or rampant caries were selected. One hundred twenty-six children with no caries and similar age and sex were matched as a control group. When the children who had rampant or nursing caries were evaluated in the direction of the mean weight, it was corresponding to mean weight between 25th and 50th percentiles. The mean percentile weight for control group were corresponding to mean weight between the 50th and 75th percentiles. Of the nursing or rampant caries children, 7.1% weighed less than 80% of their ideal weight, compared with only 0.7% of the control group children. When the children, who had rampant or nursing caries, were evaluated in the direction of the mean height, it was corresponding to mean height between 10th and 25th percentiles. The mean percentile height for control group were corresponding to mean height between the 25th and 50th percentiles. When the head circumference is evaluated, there was no significant statistical difference between the two groups. Since the height and weight of the control group showed a higher percentile category than the nursing or rampant caries group, (P<0.001), it can be stated that rampant or nursing caries may correlate with adversely affected growth of the body.

  20. The survey of School Circumference Hygiene in Area 2 Arak City and that’s

    Directory of Open Access Journals (Sweden)

    Mohammad Ganji

    2010-01-01

    Full Text Available AbstractThe main goal of present research study condition of school circumference hygiene and that’s conformitywith national standard like: security, workshop and laberatory, buffet, enclosure, w.c, w.b,…the methodresearch is description and cross sectional that to register category data with diverts observation and censusand complete enumeration. There are many research results:- 58.33 percent of population is fit for girls' school and 41.66 percent is fit for son.53.44 percent is highschool and 46.55 percent is middle school.12.12 percent is one time school and 87.87 percent is two timesschool.- According to dimensions and indicators school circumference hygiene standard, average conformity in thisresearch is 45.04 percent and arrangement that conformity from up to down average conformity is:- The condition of repulse of sewage and rubbish is 100 percent.- The condition of enclosure is 55.38.- The condition of workshop and laboratory is 43.95- The condition of W.C, W.B and drinking cup is 38.43- The condition of security is 37.37- The condition of class is 37.13- The condition of buffet is 3.04

  1. Fiber optic sensor for the measurement of the respiratory chest circumference changes

    Science.gov (United States)

    Babchenko, Anatoly; Khanokh, Boris; Shomer, Yoseph; Nitzan, Meir

    1999-04-01

    A fiber optic sensor for the measurement of the respiratory depth has been developed. The sensor is composed of a bent optic fiber which is connected to an elastic section of a chest belt, so that its radius of curvature changes during respiration due to the respiratory chest circumference changes (RCCC). The measurement of light transmission through the bent fiber provides information on its curvature changes, since a higher fraction of light escapes through the core-cladding surface of a fiber bent to a lower radius of curvature. The sensor can quantitatively measure the RCCC, though in relative terms, and it is sensitive enough to detect the changes of the chest circumference due to the heart belt. Measurements of the RCCC were simultaneously performed with photoplethysmography (PPG)--the measurement by light absorption of the cardiac induced blood volume changes in the tissue--and significant correlation was found between the RCCC and some parameters of PPG signal. The fiber optic respiratory depth sensor enables the quantitative assessment of the respiratory induced changes in the cardiovascular parameters.

  2. Neck circumference has possibility as a predictor for metabolic syndrome in postmenopausal women.

    Science.gov (United States)

    Aoi, Satomi; Miyake, Takashi; Harada, Toshihide; Ishizaki, Fumiko; Ikeda, Hiromi; Nitta, Yumiko; Iida, Tadayuki; Chikamura, Chiho; Tamura, Noriko; Nitta, Kohsaku; Miyaguchi, Hideki

    2014-12-01

    Subcutaneous fat depots play an important role in regulating metabolic profile in Japanese postmenopausal women. We investigated the possibility of neck circumference (NC) as a surrogate marker for metabolic disease risk estimates in Japanese postmenopausal women. We examined the association of NC with several markers of insulin resistance, lipid metabolism and atherosclerosis in 64 healthy postmenopausal women aged 63.6 ± 7.1 years in community-based samples in Japan. As a result, NC was significantly associated with indices of whole body obesity and visceral fat accumulation, such as body mass index (BMI) and Waist circumference (WC). In the analysis of biomarkers for insulin resistance, NC was positively correlated to HbA1c, homeostasis model assessment ratio (HOMA-R) and leptin. In addition, an increase in triglycerides (TG) and a decrease in HDL-cholesterol (HDL-C) were also associated with NC. Interestingly, NC was also associated with atherosclerosis-related indices. The measurement of NC is an easy, inexpensive and reproducible method for assessment of obesity, and a possible predictor to identify the risk for future metabolic diseases in Japanese postmenopausal women.

  3. Correlation between Body Mass Index and Waist Circumference in Patients with Metabolic Syndrome.

    Science.gov (United States)

    Gierach, Marcin; Gierach, Joanna; Ewertowska, Marlena; Arndt, Adam; Junik, Roman

    2014-01-01

    Metabolic syndrome is defined as a group of coexisting metabolic risk factors, such as central obesity, lipid disorders, carbohydrate disorders, and arterial hypertension. According to the 2005 IDF criteria, subsequently revised in 2009, abdominal obesity is identified as the waist circumference of ≥80 cm in women and ≥94 cm in men. It is responsible for the development of insulin resistance. The aim of our study was to demonstrate a correlation between waist circumference (WC) and body mass index (BMI) in patients with metabolic syndrome in relation with hypertension, lipid disorders, and carbohydrate disorders. A cross-sectional two-site study was conducted in the Kuyavian-Pomeranian Voivodeship for 24 months. The study group consisted of 839 patients with diagnosed metabolic syndrome: 345 men (41.1%) and 494 women (58.9%) aged 32-80. In the study group, WC was found to be significantly correlated with BMI (R = 0.78, P < 0.01). The presence of overweight in men (BMI 25, 84 kg/m(2)) and even normal body weight in women (BMI 21,62 kg/m(2)) corresponds to an increased volume of visceral tissue in the abdomen. Introduction of primary prophylaxis in those people to limit the development of diabetes mellitus type 2 and cardiovascular diseases should be considered.

  4. Persistently High Hip Circumference after Bariatric Surgery Is a Major Hurdle to Successful Hip Replacement

    Directory of Open Access Journals (Sweden)

    Menachem M. Meller

    2014-01-01

    Full Text Available The prevalence of class III obesity (BMI≥40 kg/m2 in black women is 18%. As class III obesity leads to hip joint deterioration, black women frequently present for orthopedic care. Weight loss associated with bariatric surgery should lead to enhanced success of hip replacements. However, we present a case of a black woman who underwent Roux-en-Y gastric bypass with the expectation that weight loss would make her a better surgical candidate for hip replacement. Her gastric bypass was successful as her BMI declined from 52.0 kg/m2 to 33.7 kg/m2. However, her hip circumference after weight loss remained persistently high. Therefore, at surgery the soft tissue tunnel geometry presented major challenges. Tunnel depth and immobility of the soft tissue interfered with retractor placement, tissue reflection, and surgical access to the acetabulum. Therefore a traditional cup placement could not be achieved. Instead, a hemiarthroplasty was performed. After surgery her pain and reliance on external support decreased. But her functional independence never improved. This case demonstrates that a lower BMI after bariatric surgery may improve the metabolic profile and decrease anesthesia risk, but the success of total hip arthroplasties remains problematic if fat mass in the operative field (i.e., high hip circumference remains high.

  5. [Spirographic reference values. Mathematical models and practical use (author's transl)].

    Science.gov (United States)

    Drouet, D; Kauffmann, F; Brille, D; Lellouch, J

    1980-01-01

    Various models predicting VC and FEV1 from age and height have been compared by both theoretical and practical approaches on several subgroups of a working population examined in 1960 and 1972. The models in which spirographic values are proportional to the cube of the height give a significantly worse fit of the data. All the other models give similar predicted values in practical terms, but cutoff points depend on the distributions of VC and FEV1 given age and height. Results show that these distributions are closer to a normal than to a lognormal distribution. The use of reference values and classical cutoffs is then discussed. Rather than using a single cutoff point, a more quantitative way is proposed to describe the subjects' functional status, for example by situating him in the percentile of the reference population. In screening, cutoff points cannot be choosen without specifying first the decision considered and the population concerned.

  6. Using BMI to Determine Cardiovascular Risk in Childhood: How Do the BMI Cutoffs Fare?

    Science.gov (United States)

    Skinner, Asheley Cockrell; Mayer, Michelle L.; Flower, Kori; Perrin, Eliana M.; Weinberger, Morris

    2010-01-01

    OBJECTIVE Although adverse health outcomes are increased among children with BMI above the 85th (overweight) and 95th (obese) percentiles, previous studies have not clearly defined the BMI percentile at which adverse health outcomes begin to increase. We examined whether the existing BMI percentile cutoffs are optimal for defining increased risk for dyslipidemia, dysglycemia, and hypertension. METHODS This was a cross-sectional analysis of the National Health and Nutrition Examination Survey from 2001 to 2006. Studied were 8216 children aged 6 to 17 years, representative of the US population. BMI was calculated by using measured height and weight and converted to percentiles for age in months and gender. Outcome measures (dyslipidemia, dysglycemia, and hypertension) were based on laboratory and physical examination results; these were analyzed as both continuous and categorical outcomes. RESULTS Significant increases for total cholesterol values and prevalence of abnormal cholesterol begin at the 80th percentile. Significant increases in glycohemoglobin values and prevalence of abnormal values begin at the 99th percentile. Consistent significant increases in the prevalence of high or borderline systolic blood pressure begin at the 90th percentile. CONCLUSIONS Intervening for overweight children and their health requires clinical interventions that target the right children. On the basis of our data, a judicious approach to screening could include consideration of lipid screening for children beginning at the 80th percentile but for dysglycemia at the 99th percentile. Current definitions of overweight and obese may be more useful for general recognition of potential health problems and discussions with parents and children about the need to address childhood obesity. WHAT'S KNOWN ON THIS SUBJECT: Previous research has shown that cardiovascular risk factors are related to the currently used definitions of obesity in children but has not specified the BMI percentiles

  7. A systematic review of the impact of including both waist and hip circumference in risk models for cardiovascular diseases, diabetes and mortality.

    Science.gov (United States)

    Cameron, A J; Magliano, D J; Söderberg, S

    2013-01-01

    Both a larger waist and narrow hips are associated with heightened risk of diabetes, cardiovascular diseases and premature mortality. We review the risk of these outcomes for levels of waist and hip circumferences when terms for both anthropometric measures were included in regression models. MEDLINE and EMBASE were searched (last updated July 2012) for studies reporting the association with the outcomes mentioned earlier for both waist and hip circumferences (unadjusted and with both terms included in the model). Ten studies reported the association between hip circumference and death and/or disease outcomes both unadjusted and adjusted for waist circumference. Five studies reported the risk associated with waist circumference both unadjusted and adjusted for hip circumference. With the exception of one study of venous thromboembolism, the full strength of the association between either waist circumference or hip circumference with morbidity and/or mortality was only apparent when terms for both anthropometric measures were included in regression models. Without accounting for the protective effect of hip circumference, the effect of obesity on risk of death and disease may be seriously underestimated. Considered together (but not as a ratio measure), waist and hip circumference may improve risk prediction models for cardiovascular disease and other outcomes.

  8. A new perspective of the climatological features of upper-level cut-off lows in the Southern Hemisphere

    Science.gov (United States)

    Pinheiro, Henri Rossi; Hodges, Kevin Ivan; Gan, Manoel Alonso; Ferreira, Nelson Jesuz

    2017-01-01

    This study presents a detailed view of the seasonal variability of upper-level cut-off lows (COLs) in the Southern Hemisphere. The COLs are identified and tracked using data from a 36-year period of the European Centre for Medium Range Weather Forecast reanalysis (ERA-Interim). The objective identification of the COLs uses a new approach, which is based on 300 hPa relative vorticity minima, and three restrictive criteria of the presence of a cold-core, stratospheric potential vorticity intrusion, and cut-off cyclonic circulation. The highest COL activity is in agreement with previous studies, located near three main continental areas (Australia, South America, and Africa), with maximum frequencies usually observed in the austral autumn. The COL mean intensity values show a marked seasonal and spatial variation, with maximum (minimum) values during the austral winter (summer), a unique feature that has not been observed previously in studies based on the geopotential. The link between intensity and lysis is examined, and finds that weaker systems are more susceptible to lysis in the vicinity of the Andes Cordillera, associated with the topographic Rossby wave. Lysis and genesis regions are close to each other, confirming that COLs are quasi-stationary systems. Also, COLs tend to move eastward and are faster over the higher latitudes. The mean growth/decay rates coincide with the major genesis and lysis density regions, such as the significant decay values across the Andes all year. As a consequence of using vorticity for the tracking method a longer lifetime of COLs is detected than in other studies, but this does not affect the total frequency of occurrence. Comparisons with other studies suggest that the differences in seasonality are due to uncertainties in the reanalyses and the methods used to identify COLs.

  9. Differences in body circumferences, skin-fold thicknesses and lipid profiles among HIV-infected African children on and not on stavudine

    Directory of Open Access Journals (Sweden)

    V Musiime

    2012-11-01

    Full Text Available Purpose of the study To compare body circumferences, skin-fold thickness (SFT and lipid levels (LL, as measures of lipodystrophy, among antiretroviral therapy (ART-naïve and experienced children at enrolment into the CHAPAS-3 trial. Methods HIV-infected children in Uganda and Zambia, either ART-naïve or on stavudine (d4T for ≥2 years without clinical lipodystrophy, were randomised to receive d4T, abacavir (ABC or zidovudine (ZDV with lamivudine and efavirenz (EFV or nevirapine. At enrolment, mid-upper arm (MUAC and calf (CC circumferences, SFT (biceps, triceps, sub-scapular, supra-iliac and fasting lipids (total cholesterol (TC, low density lipo-protein (LDL, high density lipoprotein (HDL, triglycerides (TRIG were measured. Age/sex adjusted z-scores of MUAC, CC, SFT and the sum of SFT (SSF used Dutch reference data. ART-naïve and ART-experienced children were compared with t-tests using Stata v11.0. Summary of results Among 444 children, 224 (51% were male and 331 (74.5% ART-naïve. Mean (sd CD4% was 19.7% (10.2 versus (vs 34.2% (7.7 in ART-naïve vs ART-experienced children. The ART-naïve were younger than the ART-experienced children (median [IQR] age 2.5 [1.5, 4.0] vs 6.0 [5.5, 7.0] years, p<0.0001. Among the ART-experienced, 4/108 (3.7% were on EFV and median (IQR d4T use was 3.5 (2.7, 4.2 years. As expected, MUAC, CC, weight-for-age (WAZ and height-for-age (HAZ z-scores were lower in the ART-naïve; the ART-experienced had lower SFT z-scores and higher TC and HDL, but lower TRIG (Table 1. Conclusions Failure-to-thrive likely contributed to lower circumference values in ART-naïve children. Among the ART-experienced, thinner SFT and higher TC values could be ART (particularly d4T-related. Normal values, currently unavailable for African children, are being collected. During trial follow-up, we will evaluate the effect of ABC, ZDV and d4T on development of lipodystrophy in naïve children and its reversibility in d4T-treated children

  10. Thickness-Independent Ultrasonic Imaging Applied to Abrasive Cut-Off Wheels: An Advanced Aerospace Materials Characterization Method for the Abrasives Industry. A NASA Lewis Research Center Technology Transfer Case History

    Science.gov (United States)

    Roth, Don J.; Farmer, Donald A.

    1998-01-01

    Abrasive cut-off wheels are at times unintentionally manufactured with nonuniformity that is difficult to identify and sufficiently characterize without time-consuming, destructive examination. One particular nonuniformity is a density variation condition occurring around the wheel circumference or along the radius, or both. This density variation, depending on its severity, can cause wheel warpage and wheel vibration resulting in unacceptable performance and perhaps premature failure of the wheel. Conventional nondestructive evaluation methods such as ultrasonic c-scan imaging and film radiography are inaccurate in their attempts at characterizing the density variation because a superimposing thickness variation exists as well in the wheel. In this article, the single transducer thickness-independent ultrasonic imaging method, developed specifically to allow more accurate characterization of aerospace components, is shown to precisely characterize the extent of the density variation in a cut-off wheel having a superimposing thickness variation. The method thereby has potential as an effective quality control tool in the abrasives industry for the wheel manufacturer.

  11. Flood duration and chute cutoff formation in a wandering gravel-bed river

    Science.gov (United States)

    Sawyer, A.; Wilcox, A. C.

    2015-12-01

    Chute cutoffs occur when a bypass or "chute" channel incises across a bar or low floodplain area, re-distributing water and sediment. Cutoffs result from a setup and a triggering event, typically during overbank flow, but the combined effect of magnitude and duration on potential erosion in in-channel and overbank areas is still poorly constrained. Here we investigated how overbank flow duration impacts cutoff formation and spatiotemporal shear stress patterns in a wandering gravel-bed river. We applied a two-dimensional hydraulic model to a recently reconstructed reach of the Clark Fork River in western Montana that experienced chute cutoffs during a long-duration flood in 2011. Hydrographs with increasing durations exceeding overbank were simulated; for each magnitude-duration combination, various metrics were quantified for in-channel and overbank areas separately. We confirm the hypothesized importance of floodplain elevation, vegetation presence, chute-channel inlet entrance location, and high overbank shear stress zones at bend apexes on cutoff occurrence. Floodplain width plays an important role in controlling unit discharge such that overbank areas are more competent in a narrower floodplain conveyance corridor. Duration controls cumulative flow exceeding sediment mobility thresholds, having the largest effect in overbank areas. Side channels at the reconstructed study site act like naturally formed incipient chutes. This work describes a complex floodplain system characteristic of wandering gravel-bed rivers with implications for understanding morphodynamic evolution, river restoration, and flow management in regulated rivers.

  12. Nearly singular surfaces: origins of small-scale cutoff in 3D viscous entrainment

    Science.gov (United States)

    Zhang, Wendy

    2004-11-01

    Entrainment of a low-viscosity fluid against surface tension effects by a high-viscosity fluid often results in nearly singular steady-state interface shapes. Recent studies (Eggers PRL 01; Lorenceau et al. PRL 03) reveal that, in 2D, the viscous coupling between flows in the two fluids produces a small-scale cutoff which scales as (μ_0/μ)^4/3, where μ0 is the smaller viscosity. In contrast, results of a long-wavelength model of viscous entrainment from a nozzle show that the cutoff in 3D results from a different mechanism. The resultant cutoff lengthscale depends strongly on the boundary conditions imposed on the entrained spout shape at the nozzle opening but has no leading-order dependence on μ0 / μ. This is because viscous coupling has a far weaker effect in 3D than in 2D and only produces an exponentially small cutoff. Any mismatch between the entrainment dynamics on the largest lengthscale, as imposed by nozzle boundary conditions, and the dynamics on the smallest lengthscale necessary for the formation of a steady-state singularity produces a more appreciable cutoff. The lack of dependence on the viscosity contrast has been observed in 3D entrainment experiments (Cohen & Nagel, PRL 02).

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2006-07-01

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

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

    Science.gov (United States)

    Schaufeli, W B; Van Dierendonck, D

    1995-06-01

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

  15. Changes in cosmic ray cut-off rigidities due to secular variations of the geomagnetic field

    Directory of Open Access Journals (Sweden)

    A. Bhattacharyya

    Full Text Available An analytical expression is derived for the cutoff rigidity of cosmic rays arriving at a point in an arbitrary direction, when the main geomagnetic field is approximated by that of an eccentric dipole. This expression is used to determine changes in geomagnetic cutoffs due to secular variation of the geomagnetic field since 1835. Effects of westward drift of the quadrupole field and decrease in the effective dipole moment are seen in the isorigidity contours. On account of the immense computer time required to determine the cutoff rigidities more accurately using the particle trajectory tracing technique, the present formulation may be useful in estimating the transmission factor of the geomagnetic field in cosmic ray studies, modulation of cosmogenic isotope production by geomagnetic secular variation, and the contribution of geomagnetic field variation to long term changes in climate through cosmic ray related modulation of the current flow in the global electric circuit.

  16. Investigation of the negative-mass behaviors occurring below a cut-off frequency

    Energy Technology Data Exchange (ETDEWEB)

    Yao Shanshan; Zhou Xiaoming; Hu Gengkai, E-mail: zhxming@bit.edu.c, E-mail: hugeng@bit.edu.c [School of Aerospace Engineering, Beijing Institute of Technology, Beijing 100081 (China)

    2010-10-15

    Negative-mass phenomena occurring below a cut-off frequency are examined using both theoretical and experimental methods. The paper begins with an investigation of a mass-spring structure, the effective mass of which is shown to be negative below a specific frequency. Due to the decaying nature of lattice waves in the negative-mass system, the transmission drop induced by negative effective mass is demonstrated experimentally. Further investigation is conducted for a rectangular solid waveguide with clamped boundary conditions. It is shown that the lowest bandgap mode of the clamped waveguide can be attributed to negative effective mass below a cut-off frequency. Based on this observation, elastic metamaterials made of a steel grid filled with styrene butadiene rubber are designed and fabricated. Both the simulation and experimental analyses demonstrate that the designed metamaterials have negative effective mass below a cut-off frequency.

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

    Institute of Scientific and Technical Information of China (English)

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

    2003-01-01

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

  18. Interactions of dietary protein and adiposity measures in relation to subsequent changes in body weight and waist circumference

    DEFF Research Database (Denmark)

    Ankarfeldt, Mikkel Z; Angquist, Lars; Jakobsen, Marianne Uhre

    2014-01-01

    OBJECTIVE: To investigate if dietary protein and degree of adiposity interacts in relation to change in body weight and waist circumference (WC) in the general population. METHODS: In total 22,433 middle-aged individuals with dietary assessment at baseline and anthropometry at baseline...... to changes in body weight (BW) and changes WC adjusted for change in BW. RESULTS: Baseline intake of protein was not significantly associated with changes in weight or waist circumference. Across the nine groups of baseline BMI and WCBMI there were no distinct trends in the associations between dietary...... protein, whether replacing carbohydrate or fat, and weight change. However, individuals in the highest tertile of baseline BMI (irrespective of baseline WCBMI ) had significantly inverse change in waist circumference when protein replaced carbohydrate, but not when protein replaced fat. CONCLUSION...

  19. Reliability of knee joint range of motion and circumference measurements after total knee arthroplasty: does tester experience matter?

    DEFF Research Database (Denmark)

    Jakobsen, Thomas Linding; Christensen, Malene; Christensen, Stine Sommer;

    2010-01-01

    obtained using a universal goniometer and a tape measure, respectively. To establish reliability, intraclass correlation coefficients (ICC(2,1)) and smallest real difference (SRD) were calculated. RESULTS: The knee joint ROM and circumference measurements were generally reliable (ICC > 0.8) within......-tester in patients with total knee arthroplasty (TKA). The purpose of this study was to determine the intra-tester and inter-tester reliability of active and passive knee joint ROM and circumference in patients with TKA when administered by physiotherapists (testers) with different clinical experience. METHOD......: The design was an intra-tester, inter-tester and intra-day reliability study. Nineteen outpatients (10 females) having received a TKA were examined by an inexperienced and an experienced physiotherapist. Following a standardized protocol, active and passive knee joint ROM and circumference measurements were...

  20. The simulation of cutoff lows in a regional climate model: reliability and future trends

    Energy Technology Data Exchange (ETDEWEB)

    Grose, Michael R. [University of Tasmania, Antarctic Climate and Ecosystems Cooperative Research Centre (ACE CRC), Private Bag 80, Hobart, TAS (Australia); Pook, Michael J.; McIntosh, Peter C.; Risbey, James S. [CSIRO Marine and Atmospheric Research, Centre for Australian Weather and Climate Research (CAWCR), Hobart, TAS (Australia); Bindoff, Nathaniel L. [University of Tasmania, Antarctic Climate and Ecosystems Cooperative Research Centre (ACE CRC), Private Bag 80, Hobart, TAS (Australia); CSIRO Marine and Atmospheric Research, Centre for Australian Weather and Climate Research (CAWCR), Hobart, TAS (Australia); University of Tasmania, Institute of Marine and Antarctic Studies (IMAS), Private Bag 129, Hobart, TAS (Australia)

    2012-07-15

    Cutoff lows are an important source of rainfall in the mid-latitudes that climate models need to simulate accurately to give confidence in climate projections for rainfall. Coarse-scale general circulation models used for climate studies show some notable biases and deficiencies in the simulation of cutoff lows in the Australian region and important aspects of the broader circulation such as atmospheric blocking and the split jet structure observed over Australia. The regional climate model conformal cubic atmospheric model or CCAM gives an improvement in some aspects of the simulation of cutoffs in the Australian region, including a