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Sample records for immunohaematological reference values

  1. Hygiene monitoring in a hospital immunohaematological laboratory.

    Science.gov (United States)

    Strobel, E; Gleich, P

    2015-01-01

    Not only in blood donation services, but also in the immunohaematological laboratory of a hospital including the depository for blood products a hygiene plan must be drawn up and its realization has to be documented. From 2011 to 2014, some equipment in the depository and in the immunohematological laboratory was microbiologically monitored once a year. The examinations were done by direct contact cultures taken from several places of each device. Most of the devices showed inconspicuous numbers of environmental microorganisms. Sometimes the refrigerators for fresh frozen plasma and a transport container for blood products revealed moderately, the incubator in the laboratory and a transport container for patient blood samples inadequately increased bacterial contamination. Microbiological examinations can detect critical points in the immunohaematological laboratory of a hospital. By communicating these results, the staff can be motivated to observe the regulations of the hygiene plan. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  2. Reference change values.

    Science.gov (United States)

    Fraser, Callum G

    2011-09-30

    Reference change values (RCV) provide objective tools for assessment of the significance of differences in serial results from an individual. The concept is simple and the calculation easy, since all laboratories know their analytical imprecision (CV(A)) and estimates of within-subject biological variation (CV(I)) are available for a large number of quantities. Generally, CV(I) are constant over time, geography, methodology and in health and chronic stable disease. The formula is RCV=2(1/2) · Z · (CV(A)(2) + CV(I)(2))(1/2), where Z is the number of standard deviations appropriate to the probability. Correct interpretation of the semantics describing the clinical use of RCV is vital for selection of the Z-score. Many quantities of clinically importance exist for which good estimates of RCV are unavailable. Derivation of CV(I) may be difficult for such quantities: flair and imagination are required in selecting populations with chronic but stable disease on whom CV(I) can be determined. RCV can be used for delta-checking and auto-verification and laboratory information management systems (LIMS) can be adapted to do this. Recently, log-normal transformation to obtain unidirectional RCV has been used. Gaps in knowledge of RCV still require filling since the need for measures of change is clearly expressed in guidelines.

  3. Reference Values of Skin Autofluorescence

    NARCIS (Netherlands)

    Koetsier, M.; Lutgers, H. L.; de Jonge, C.; Links, T. P.; Smit, A. J.; Graaff, R.

    2010-01-01

    Background: Skin autofluorescence (AF) as measured with the AGE Reader (DiagnOptics Technologies, Groningen, The Netherlands) is a noninvasive prognostic marker in diabetes mellitus and other diseases with increased cardiovascular risk. This study provides reference values of healthy Caucasian contr

  4. Setting reference values in trichology.

    Science.gov (United States)

    Rebora, Alfredo; Guarrera, Marcella; Drago, Francesco; Rossi, Alfredo; Fortuna, Maria Caterina; D'Ovidio, Roberto; Chieco, Paolo; Piraccini, Bianca Maria; Starace, Michela

    2016-01-01

    In clinical trichology, reference values are often arbitrary. The difficulty in setting them up depends mostly on the presence of the androgenetic alopecia (AGA) genotype in subjects with clinically unapparent forms. Prepubertal children, who lack 5α-reductase (a real indicator of the AGA phenotype), might provide reference values independent from AGA. We verified whether the vertex/occiput ratios (V/O) of hair density and the V/O of hair diameter are suitable parameters. In sixty 4-10-year-old Caucasian children, we measured the ratio between the hair density at the vertex and the occiput. The same was done for the diameter. The V/O of density averaged 1.07 ± 0.17 and the V/O of diameter 1.02 ± 0.11. Taking the mean ± 2SD as normal values, our "normal" V/O of density ranged between 0.73 and 1.41 and our "normal" V/0 of diameter between 0.8 and 1.24. People with lower ratios would have, therefore, AGA with 95% of probability. Moreover, we found that hair shedding using the hair pull test and the modified wash test come to 1-2 hairs/day. © 2015 The International Society of Dermatology.

  5. New Danish reference values for spirometry

    DEFF Research Database (Denmark)

    Løkke, Anders; Marott, Jacob Louis; Mortensen, Jann

    2013-01-01

    years of age or older with adequate lung function. Results:  We used sex-stratified multiple linear regression analysis to find prediction formulas for forced expiratory volume in 1 s (FEV(1) ), forced vital capacity (FVC) and FEV(1) /FVC adjusted for age and height. The cutoff value of normal lung......Introduction:  International recommendations state that reference values for lung function should derive from cross-sectional studies of healthy nonsmokers and be renewed from time to time because of cohort effect and newer, more accurate, technical equipment. In 1986, the Danish Lung Society...... published reference values for spirometry based on 570 individuals aged 30-70 years. Objectives:  To produce new reference values for lung function and to extend the existing values by including individuals between 20 and 30 years of age and older than 70 years of age. Methods:  Two similar but independent...

  6. Reference values for spirometry in preschool children.

    Science.gov (United States)

    Burity, Edjane F; Pereira, Carlos A C; Rizzo, José A; Brito, Murilo C A; Sarinho, Emanuel S C

    2013-01-01

    Reference values for lung function tests differ in samples from different countries, including values for preschoolers. The main objective of this study was to derive reference values in this population. A prospective study was conducted through a questionnaire applied to 425 preschool children aged 3 to 6 years, from schools and day-care centers in a metropolitan city in Brazil. Children were selected by simple random sampling from the aforementioned schools. Peak expiratory flow (PEF), forced vital capacity (FVC), forced expiratory volumes (FEV1, FEV0.50), forced expiratory flow (FEF25-75) and FEV1/FVC, FEV0.5/FVC and FEF25-75/FVC ratios were evaluated. Of the 425 children enrolled, 321 (75.6%) underwent the tests. Of these, 135 (42.0%) showed acceptable results with full expiratory curves and thus were included in the regression analysis to define the reference values. Height and gender significantly influenced FVC values through linear and logarithmic regression analysis. In males, R(2) increased with the logarithmic model for FVC and FEV1, but the linear model was retained for its simplicity. The lower limits were calculated by measuring the fifth percentile residues. Full expiratory curves are more difficult to obtain in preschoolers. In addition to height, gender also influences the measures of FVC and FEV1. Reference values were defined for spirometry in preschool children in this population, which are applicable to similar populations. Copyright © 2013 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.

  7. Reference change values and power functions

    DEFF Research Database (Denmark)

    Iglesias Canadell, Natàlia; Hyltoft Petersen, Per; Jensen, Esther

    2004-01-01

    Repeated samplings and measurements in the monitoring of patients to look for changes are common clinical problems. The "reference change value", calculated as zp x [2 x (CVI2 + CVA2)](1/2), where zp is the z-statistic and CVI and CVA are within-subject and analytical coefficients of variation......, respectively, has been used to detect whether a measured difference between measurements is statistically significant. However, a reference change value only detects the probability of false-positives (type I error), and for this reason, a model to calculate the risk of missing significant changes in serial...

  8. Reference values for methacholine reactivity (SAPALDIA study

    Directory of Open Access Journals (Sweden)

    Perruchoud André

    2005-11-01

    Full Text Available Abstract Background The distribution of airway responsiveness in a general population of non-smokers without respiratory symptoms has not been established, limiting its use in clinical and epidemiological practice. We derived reference equations depending on individual characteristics (i.e., sex, age, baseline lung function for relevant percentiles of the methacholine two-point dose-response slope. Methods In a reference sample of 1567 adults of the SAPALDIA cross-sectional survey (1991, defined by excluding subjects with respiratory conditions, responsiveness during methacholine challenge was quantified by calculating the two-point dose-response slope (O'Connor. Weighted L1-regression was used to estimate reference equations for the 95th , 90th , 75th and 50th percentiles of the two-point slope. Results Reference equations for the 95th , 90th , 75th and 50th percentiles of the two-point slope were estimated using a model of the form a + b* Age + c* FEV1 + d* (FEV12 , where FEV1 corresponds to the pre-test (or baseline level of FEV1. For the central half of the FEV1 distribution, we used a quadratic model to describe the dependence of methacholine slope on baseline FEV1. For the first and last quartiles of FEV1, a linear relation with FEV1 was assumed (i.e., d was set to 0. Sex was not a predictor term in this model. A negative linear association with slope was found for age. We provide an Excel file allowing calculation of the percentile of methacholine slope of a subject after introducing age – pre-test FEV1 – and results of methacholine challenge of the subject. Conclusion The present study provides equations for four relevant percentiles of methacholine two-point slope depending on age and baseline FEV1 as basic predictors in an adult reference population of non-obstructive and non-atopic persons. These equations may help clinicians and epidemiologists to better characterize individual or population airway responsiveness.

  9. HAND-HELD MYOMETRY - REFERENCE VALUES

    NARCIS (Netherlands)

    VANDERPLOEG, RJO; FIDLER, [No Value; OOSTERHUIS, HJGH

    1991-01-01

    In thirteen major muscle groups of 50 healthy females and 50 males, aged 20-60 years, maximum voluntary contraction was measured with a hand-held dynamometer. The intrasession variation, the left-right variation, and the fifth and fiftieth centile values were calculated. The ratio of two observation

  10. Determination of reference physiological values for working donkeys ...

    African Journals Online (AJOL)

    This study was undertaken with the aim of determining reference physiological values for working ... The mean values of body temperature obtained in this study for young, adult, and old donkeys were ..... Parasites Abroad. In: Svendsen E.D. ...

  11. EURRECA—Estimating Selenium Requirements for Deriving Dietary Reference Values

    NARCIS (Netherlands)

    Hurst, R.; Collings, R.; Harvey, L.J.; King, M.; Hooper, L.; Bouwman, J.; Gurinovic, M.; Fairweather-Tait, S.J.

    2013-01-01

    Current reference values for selenium, an essential micronutrient, are based on the intake of selenium that is required to achieve maximal glutathione peroxidase activity in plasma or erythrocytes. In order to assess the evidence of relevance to setting dietary reference values for selenium, the EUR

  12. Reference values for pulmonary diffusing capacity for adult native Finns.

    Science.gov (United States)

    Kainu, Annette; Toikka, Jyri; Vanninen, Esko; Timonen, Kirsi L

    2017-04-01

    Measurement standards for pulmonary diffusing capacity were updated in 2005 by the ATS/ERS Task Force. However, in Finland reference values published in 1982 by Viljanen et al. have been used to date. The main aim of this study was to produce updated reference models for single-breath diffusing capacity for carbon monoxide for Finnish adults. Single-breath diffusing capacity for carbon monoxide was measured in 631 healthy non-smoking volunteers (41.5% male). Reference values for diffusing capacity (DLCO), alveolar volume (VA), diffusing capacity per unit of lung volume (DLCO/VA), and lung volumes were calculated using a linear regression model. Previously used Finnish reference values were found to produce too low predicted values, with mean predicted DLCO 111.0 and 104.4%, and DLCO/VA of 103.5 and 102.7% in males and females, respectively. With the European Coalition for Steel and Coal (ECSC) reference values there was a significant sex difference in DLCO/VA with mean predicted 105.4% in males and 92.8% in females (p values for DLCO, DLCO/VA, VA, vital capacity (VC), inspiratory vital capacity (IVC), and inspiratory capacity (IC) are suggested for clinical use to replace technically outdated reference values for clinical applications.

  13. WILDLIFE TOXICITY REFERENCE VALUES FOR POLYNUCLEAR AROMATIC HYDROCARBONS AND DDT

    Science.gov (United States)

    The presentation will provide an overview of the procedures used in deriving mammalian and avian wildlife toxicity reference values to be used in development of ecological soil screening levels (Eco-SSLs).

  14. Reference values of electrocardiogram repolarization variables in a healthy population

    DEFF Research Database (Denmark)

    Haarmark, Christian; Graff, Claus; Andersen, Mads P

    2010-01-01

    Reference values for T-wave morphology analysis and evaluation of the relationship with age, sex, and heart rate are lacking in the literature. In this study, we characterized T-wave morphology in a large sample of healthy individuals....

  15. VALIDITY OF SPIROMETRIC REFERENCE VALUES FOR HEALTHY ADULTS IN SHANGHAI

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Objective To evaluate the validity of current spirometric reference values for healthy adults in Shanghai.Methods Healthy non-smoking adults without respiratory diseases were randomly enrolled in the study.Gender,age,standing height,body weight and spirometric parameters were obtained.The parameters were compared with reference values from current prediction equations with or without conversion factors.Results A total of 127 healthy adults (60 males and 67 females) aged 18-57 years participated in the study...

  16. Reference Value Advisor: a new freeware set of macroinstructions to calculate reference intervals with Microsoft Excel.

    Science.gov (United States)

    Geffré, Anne; Concordet, Didier; Braun, Jean-Pierre; Trumel, Catherine

    2011-03-01

    International recommendations for determination of reference intervals have been recently updated, especially for small reference sample groups, and use of the robust method and Box-Cox transformation is now recommended. Unfortunately, these methods are not included in most software programs used for data analysis by clinical laboratories. We have created a set of macroinstructions, named Reference Value Advisor, for use in Microsoft Excel to calculate reference limits applying different methods. For any series of data, Reference Value Advisor calculates reference limits (with 90% confidence intervals [CI]) using a nonparametric method when n≥40 and by parametric and robust methods from native and Box-Cox transformed values; tests normality of distributions using the Anderson-Darling test and outliers using Tukey and Dixon-Reed tests; displays the distribution of values in dot plots and histograms and constructs Q-Q plots for visual inspection of normality; and provides minimal guidelines in the form of comments based on international recommendations. The critical steps in determination of reference intervals are correct selection of as many reference individuals as possible and analysis of specimens in controlled preanalytical and analytical conditions. Computing tools cannot compensate for flaws in selection and size of the reference sample group and handling and analysis of samples. However, if those steps are performed properly, Reference Value Advisor, available as freeware at http://www.biostat.envt.fr/spip/spip.php?article63, permits rapid assessment and comparison of results calculated using different methods, including currently unavailable methods. This allows for selection of the most appropriate method, especially as the program provides the CI of limits. It should be useful in veterinary clinical pathology when only small reference sample groups are available.

  17. The Need for a Value-Based Reference Policy: John Rawls at the Reference Desk.

    Science.gov (United States)

    Johnson, Wendell G.

    1994-01-01

    Discusses the need for a value-based reference policy and suggests one based on John Rawls' system in "A Theory of Justice" that provides equitable service to all members of an academic community while permitting the librarian to uphold the ideal of freedom of access to information. (11 references) (LRW)

  18. The Need for a Value-Based Reference Policy: John Rawls at the Reference Desk.

    Science.gov (United States)

    Johnson, Wendell G.

    1994-01-01

    Discusses the need for a value-based reference policy and suggests one based on John Rawls' system in "A Theory of Justice" that provides equitable service to all members of an academic community while permitting the librarian to uphold the ideal of freedom of access to information. (11 references) (LRW)

  19. Total antiradical activity in male castrated piglets blood: reference values

    Directory of Open Access Journals (Sweden)

    Carlo Corino

    2010-01-01

    Full Text Available Blood samples from 146 male castrated piglets in the range of 10-47kg body weight were collected from the same farm and analysed for total antiradical activity in order to determine reference intervals. Data were tested for normality and then submitted to reference limit evaluation. The reference values found in piglets, expressed as half-hemolysis time (59.34 – 93.60 and 43.94 – 66.90 minutes for blood and red blood cell, respectively, are lower than those found in humans; further studies are needed to extend reference values study to female and to animals of different weight classes and different genetic type.

  20. IFCC recommendation: The theory of reference values. Part 4. Control of analytical variation in the production, transfer and application of reference values

    OpenAIRE

    Solberg, Helge Erik; Stamm, D.

    1991-01-01

    This paper is the fourth in a series of Recommendations on the Theory of Reference Values. The others cover: Part 1. The Concept of Reference Values [1]. Part 2. Selection of Individuals for the Production of Reference Values [2]. Part 3. Preparation of Individuals and Collection of Specimens for the Production of Reference Values [3]. Part 5. Statistical Treatment of Collected Reference Values. Determination of Reference Limits [4]. Part 6. Presentation of Observed Values Related to Referenc...

  1. Creatine and guanidinoacetate reference values in a French population.

    Science.gov (United States)

    Joncquel-Chevalier Curt, Marie; Cheillan, David; Briand, Gilbert; Salomons, Gajja S; Mention-Mulliez, Karine; Dobbelaere, Dries; Cuisset, Jean-Marie; Lion-François, Laurence; Des Portes, Vincent; Chabli, Allel; Valayannopoulos, Vassili; Benoist, Jean-François; Pinard, Jean-Marc; Simard, Gilles; Douay, Olivier; Deiva, Kumaran; Tardieu, Marc; Afenjar, Alexandra; Héron, Delphine; Rivier, François; Chabrol, Brigitte; Prieur, Fabienne; Cartault, François; Pitelet, Gaëlle; Goldenberg, Alice; Bekri, Soumeya; Gerard, Marion; Delorme, Richard; Porchet, Nicole; Vianey-Saban, Christine; Vamecq, Joseph

    2013-11-01

    Creatine and guanidinoacetate are biomarkers of creatine metabolism. Their assays in body fluids may be used for detecting patients with primary creatine deficiency disorders (PCDD), a class of inherited diseases. Their laboratory values in blood and urine may vary with age, requiring that reference normal values are given within the age range. Despite the long known role of creatine for muscle physiology, muscle signs are not necessarily the major complaint expressed by PCDD patients. These disorders drastically affect brain function inducing, in patients, intellectual disability, autistic behavior and other neurological signs (delays in speech and language, epilepsy, ataxia, dystonia and choreoathetosis), being a common feature the drop in brain creatine content. For this reason, screening of PCDD patients has been repeatedly carried out in populations with neurological signs. This report is aimed at providing reference laboratory values and related age ranges found for a large scale population of patients with neurological signs (more than 6 thousand patients) previously serving as a background population for screening French patients with PCDD. These reference laboratory values and age ranges compare rather favorably with literature values for healthy populations. Some differences are also observed, and female participants are discriminated from male participants as regards to urine but not blood values including creatine on creatinine ratio and guanidinoacetate on creatinine ratio values. Such gender differences were previously observed in healthy populations; they might be explained by literature differential effects of testosterone and estrogen in adolescents and adults, and by estrogen effects in prepubertal age on SLC6A8 function. Finally, though they were acquired on a population with neurological signs, the present data might reasonably serve as reference laboratory values in any future medical study exploring abnormalities of creatine metabolism and

  2. Dietary intake and anthropometric reference values in population studies.

    Science.gov (United States)

    Arija, Victoria; Pérez Rodrigo, Carmen; Martínez de Vitoria, Emilio; Ortega, Rosa M; Serra-Majem, Luis; Ribas, Lourdes; Aranceta, Javier

    2015-02-26

    In nutritional epidemiology it is essential to have reference values for nutrition and anthropometry in order to compare individual and population data. With respect to reference nutritional intake, the new concept of Dietary Reference Intakes is generated based more on the prevention of chronic diseases than on covering nutritional deficiencies, as would occur in the early Recommendations. As such, the more relevant international organizations incorporated new concepts in their tables, such as the Adequate Intake levels or the Tolerable Upper Intake levels. Currently, the EURRECA recommendations (EURopean micronutrient RECommendations Aligned) are generating reference values for Europe in a transparent, systematic and scientific manner. Using the DRI, health-care authorities formulated nutritional objectives for countries or territories and Dietary Guides to disseminate the dietary advice to the population. Anthropometric assessment continues to be one of the most-used methods for evaluating and monitoring health status, nutritional state and growth in children, not only individuals but also communities. Different organizations have established anthropometric reference patterns of body mass index (BMI) with cut-off points to define overweight and obesity. In children, growth curves have been revised and adapted to the characteristics of healthy children in order to obtain anthropometric reference standards that better reflect optimum growth in children. The Growth Standards for children below 5 years of age of the WHO are a response to these principles, and are widely accepted and used worldwide. Copyright AULA MEDICA EDICIONES 2015. Published by AULA MEDICA. All rights reserved.

  3. Reference values for exhaled nitric oxide (reveno study

    Directory of Open Access Journals (Sweden)

    Mutti Antonio

    2006-06-01

    Full Text Available Abstract Background Despite the widespread use of fractional exhaled nitric oxide (FENO as a biomarker of airways inflammation, there are no published papers describing normal FENO values in a large group of healthy adults. Objective The aim of this study was to establish adult FENO reference values according to the international guidelines. Methods FENO was measured in 204 healthy, non-smoking adults with normal spirometry values using the on-line single-breath technique, and the results were analysed chemiluminescently. Results The main result of the study was the significant difference in FENO values between men and women, thus indicating that gender-based reference FENO values are necessary. The FENO levels obtained at expiratory flows of 50 ml/s ranged from 2.6 to 28.8 ppb in men, and from 1.6 to 21.5 ppb in women. Conclusion We propose reference FENO values for healthy adult men and women that could be used for clinical and research purposes.

  4. Neuron-specific enolase: reference values in cord blood.

    Science.gov (United States)

    Kintzel, K; Sonntag, J; Strauss, E; Obladen, M

    1998-04-01

    With foetal sonography prenatal detection of tumours has become more frequent. To evaluate and treat these infants it is necessary to identify the tumour postnatally. Elevated neuron-specific enolase is a biochemical marker of neuroblastoma. Since conditions during birth may influence neuron-specific enolase concentration in foetal serum, specific reference values in cord blood are required. Cord blood samples were taken from 192 healthy term newborns and concentration of neuron-specific enolase was measured by enzyme immunoassay (EIA). Median neuron-specific enolase concentration in the reference group was 8.0 micrograms/l and the 5th-95th percentiles were 4.8-19.4 micrograms/l. No differences between male and female newborns were detected (p = 0.13). Measurement of neuron-specific enolase in cord blood, in comparison with our reference values, offers an early postnatal possibility of confirming the diagnosis of neuroblastoma.

  5. [The concept of reference change values (RCV). Will it supersede reference intervals?].

    Science.gov (United States)

    Walz, Brigitte; Fierz, Walter

    2015-02-01

    Reference values are generally used to allow a decision on whether a laboratory value is in the normal range or if it mirrors a pathological process. This decision is especially difficult to take, when the pathological process is just starting and the values are relatively close to the normal range. Particularly in this phase, the decision is extremely important. Harris and later on Fraser have realized that there are two variables that contribute to the credibility and significance of a measured analyte. 1. The imprecision of the measurement itself. These values have become relatively low in recent years: they amount to values between 1 and 5 %. 2. The within person biological variability, which can be 100 % or more. Both variables combined yield the "reference change value" (RCV) to define the minimal significant difference between two measurements at different time points. When using this concept, differences between two measurements can be detected before the normal range is exceeded. For any given patient the reference values of a population is actually not of primary concern. It is important to know that his personal data exceed his personal normal range, which is dependent on RCV. For many analytes in clinical chemistry and hematology the use of RCV rather than the normal range as reference improves the decision making process in a clinical setting.

  6. Mn and Btex Reference Value Arrays (Final Reports)

    Science.gov (United States)

    These final reports are a summary of reference value arrays with critical supporting documentation for the chemicals manganese, benzene, toluene, ethylbenzene, and xylene. Each chemical is covered in a separate document, and each is a statement of the status of the available inha...

  7. Children's Perceived Competence Scale: Reference values in Japan.

    Science.gov (United States)

    Nagai, Yukiyo; Nomura, Kayo; Nagata, Masako; Ohgi, Shohei; Iwasa, Mitsuji

    2015-12-01

    To support children with chronic diseases, reference values to measure developmental changes in self-perception and self-esteem are considered a useful yardstick. To develop reference values to measure self-perceived competence and self-esteem in Japanese children, the Children's Perceived Competence Scale (CPCS) was administered to 768 children of elementary school grade 1 (6 years) to grade 6 (11 years) at four public schools in Japan, from November to December 2012. After excluding 74 with chronic diseases and/or incomplete responses, 694 children were included. CPCS measures children's self-perceived competence in cognitive, social, physical domains, and general self-worth, namely self-esteem. There was a tendency for scores of cognitive and general self-worth to decrease with increasing grade. Scores among grade 5 respondents were significantly lower than those among grade 4 respondents for both social and physical domains. Scores among boys and girls differed significantly, with boys scoring higher for physical domain in grades 3 and 6 and for general self-worth domain in grade 6. The CPCS reference values to measure self-perceived competence and self-esteem in Japanese children were developed in this study. These reference values are useful to inform practitioners supporting children with psychological or psychiatric problems or those with chronic diseases.

  8. EURRECA—Estimating Zinc Requirements for Deriving Dietary Reference Values

    NARCIS (Netherlands)

    Lowe, N.M.M.; Dykes, F.C.; Skinner, A.L.; Patel, S.; Warthon-Medina, M.; Decsi, T.; Fekete, K.; Souverein, O.W.; Dullemeijer, C.; Cavelaars, A.J.E.M.; Serra-Majem, L.; Nissensohn, M.; Bel, S.; Moreno, L.A.; Hermoso, M.; Vollhardt, C.; Berti, C.; Cetin, I.; Gurinovic, M.; Novakovic, R.N.; Harvey, L.J.; Collings, R.; Hall-Moran, V.

    2013-01-01

    Zinc was selected as a priority micronutrient for EURRECA, because there is significant heterogeneity in the Dietary Reference Values (DRVs) across Europe. In addition, the prevalence of inadequate zinc intakes was thought to be high among all population groups worldwide, and the public health conce

  9. EURRECA—Estimating Zinc Requirements for Deriving Dietary Reference Values

    NARCIS (Netherlands)

    Lowe, N.M.M.; Dykes, F.C.; Skinner, A.L.; Patel, S.; Warthon-Medina, M.; Decsi, T.; Fekete, K.; Souverein, O.W.; Dullemeijer, C.; Cavelaars, A.J.E.M.; Serra-Majem, L.; Nissensohn, M.; Bel, S.; Moreno, L.A.; Hermoso, M.; Vollhardt, C.; Berti, C.; Cetin, I.; Gurinovic, M.; Novakovic, R.N.; Harvey, L.J.; Collings, R.; Hall-Moran, V.

    2013-01-01

    Zinc was selected as a priority micronutrient for EURRECA, because there is significant heterogeneity in the Dietary Reference Values (DRVs) across Europe. In addition, the prevalence of inadequate zinc intakes was thought to be high among all population groups worldwide, and the public health conce

  10. Reference values for the nickel concentration in human finger nails

    DEFF Research Database (Denmark)

    Gammelgaard, Bente; Peters, K; Menné, T

    1991-01-01

    A reference value for the nickel concentration in finger nails from people who are not occupationally exposed to nickel was determined on the basis of nail samples from 95 healthy individuals. The mean +/- standard deviation was 1.19 +/- 1.61 mg/kg and the median was 0.49 mg/kg (range 0.042-7.50 mg...

  11. Establishing Normative Reference Values for Handgrip among Hungarian Youth

    Science.gov (United States)

    Saint-Maurice, Pedro F.; Laurson, Kelly R.; Karsai, István; Kaj, Mónika; Csányi, Tamás

    2015-01-01

    Purpose: The purpose of this study was to examine age- and sex-related variation in handgrip strength and to determine reference values for the Hungarian population. Method: A sample of 1,086 Hungary youth (aged 11-18 years old; 654 boys and 432 girls) completed a handgrip strength assessment using a handheld dynamometer. Quantile regression was…

  12. [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.

  13. Valores de referência para carboxiemoglobina Reference values for carboxyhemoglobin

    Directory of Open Access Journals (Sweden)

    Maria Elisa P. B. de Siqueira

    1997-12-01

    Full Text Available INTRODUÇÃO: Os valores de referência de indicadores biológicos são utilizados como parâmetros para interpretação de resultados de valores obtidos em indivíduos expostos ocupacionalmente aos agentes químicos. O Grupo Brasileiro para Estabelecimento dos Valores de Referência tem se dedicado a estas determinações objetivando estabelecer valores de referência para os diferentes bioindicadores em diversas regiões do País. Determinaram-se os valores de referência para a carboxiemoglobina (COHb no Sul de Minas Gerais. MATERIAL E MÉTODO: A COHb foi analisada pelo método espectrofométrico, otimizado no laboratório de análises toxicológicas. Em todas as amostras também foram realizadas análises de alguns parâmetros bioquímicos e hematológicos para atestar o estado de saúde da população, constituída de 200 voluntários não-fumantes e não-expostos, por motivo profissional, ao monóxido de carbono. Cada indivíduo respondeu um questionário para levantamento de dados relevantes à interpretação dos resultados. Os valores de referência foram expressos em termos da média ± desvio-padrão, intervalo de confiança 95% e valor de referência superior. A distribuição estatística dos resultados obtidos foi realizada para possibilitar sua comparação com grupos de trabalhadores, preferentemente à avaliação individual. RESULTADOS E CONCLUSÕES: O valor médio ± desvio-padrão para a carboxiemoglobina foi de 1,0 % ± 0,75; o intervalo de confiança 95%, entre 0,9 e 1,1 % e o valor de referência superior, de 2,5%. Através do teste t de Student (p INTRODUCTION: The reference values (RV of biological indicators are used in the interpretation of the results of such indicators in individuals occupationally exposed to chemical agents. The Brazilian Group for the Establishment of Reference Values has worked on these definitions for the purpose of establishing RVs for several bioindicators in various regions of the country. In

  14. Reference values of maximal oxygen uptake for polish rowers.

    Science.gov (United States)

    Klusiewicz, Andrzej; Starczewski, Michał; Ładyga, Maria; Długołęcka, Barbara; Braksator, Wojciech; Mamcarz, Artur; Sitkowski, Dariusz

    2014-12-09

    The aim of this study was to characterize changes in maximal oxygen uptake over several years and to elaborate current reference values of this index based on determinations carried out in large and representative groups of top Polish rowers. For this study 81 female and 159 male rowers from the sub-junior to senior categories were recruited from the Polish National Team and its direct backup. All the subjects performed an incremental exercise test on a rowing ergometer. During the test maximal oxygen uptake was measured with the BxB method. The calculated reference values for elite Polish junior and U23 rowers allowed to evaluate the athletes' fitness level against the respective reference group and may aid the coach in controlling the training process. Mean values of VO2max achieved by members of the top Polish rowing crews who over the last five years competed in the Olympic Games or World Championships were also presented. The results of the research on the "trainability" of the maximal oxygen uptake may lead to a conclusion that the growth rate of the index is larger in case of high-level athletes and that the index (in absolute values) increases significantly between the age of 19-22 years (U23 category).

  15. International tidal gravity reference values at Wuhan station

    Institute of Scientific and Technical Information of China (English)

    许厚泽; 孙和平; 徐建桥; 陶国祥

    2000-01-01

    The international tidal gravity reference values at Wuhan station are determined accurately based on the comprehensive analysis of the tidal gravity observations obtained from 8 instruments. By comparing these with those in the tidal models given by Dehant (1997) while considering simultaneously (i) the global satellite altimeters tidal data, and (ii) the Schwiderski global tidal data and the local ones along the coast of China, it is found that the average discrepancy of the amplitude factors and of the phase differences for four main waves are given as 5.2% and 3.6% and as 0.16?and 0.08?respectively. They are improved evidently compared to those determined in early stage, indicating the important procedures in improving the Wuhan international tidal gravity reference values when including the long-series observations obtained with a superconducting gravimeter, and when considering the influence of the ocean loading and of the nearly daily free wobble of the Earth’s core.

  16. Determination of thyrotropin reference values in an adult Mexican population.

    Science.gov (United States)

    Flores-Rebollar, Armando; Moreno-Castañeda, Lidia; Vega-Servín, Norman S; López-Carrasco, Guadalupe; Ruiz-Juvera, Aída

    2015-02-01

    The upper limit of TSH reference level is controversial. The purpose of our study was to determine TSH reference values in a Mexican population in accordance with the National Academy of Clinical Biochemistry (NACB) criteria and in correlation with thyroid ultrasound (US) examination. The study was conducted in volunteers with no known thyroid disease. We recruited 482 subjects, most of them medical or administrative staff from our hospital. They answered a questionnaire on demographic data, family history, co-morbidities, and drug use. Their thyroid hormone levels and thyroid antibodies were determined, and a complete physical examination and thyroid US were performed. The population used to establish the TSH reference intervals was selected according to the NACB criteria and their normal thyroid structural and echogenic characteristics in US examination. Among 482 subjects (209 males) with a median age of 26 years, prevalence rates of TPOAb and TgAb were 9.3% and 10.3% respectively. Mean TSH level in the overall population was 1.90±1.94, with a 97.5th percentile of 6.76 mIU/L. The reference population was limited to 282 subjects (41.5% were excluded) with a mean TSH of 1.86±1.63 and a 97.5th percentile of 4.88 mIU/L. No sex difference was found (p=0.287). Median urinary iodine level in the reference population was 267 μg/L IQR (161.3-482.5). The TSH reference interval in the reference population was 0.71 (CI 0.65-0.77) to 4.88 mIU/L (CI 4.5-5.3); these limits may be influenced by iodine nutritional status in this population. Copyright © 2014 SEEN. Published by Elsevier España, S.L.U. All rights reserved.

  17. Radiometry in photovoltaics: calibration of reference solar cells and evaluation of reference values

    Energy Technology Data Exchange (ETDEWEB)

    Metzdorf, J.; Winter, S.; Wittchen, T. [Physikalisch-Technische Bundesanstalt, Braunschweig (Germany)

    2000-07-01

    The key quantity in the calibration of solar cells and photovoltaic modules is the short-circuit current of the device generated by a reference solar radiation with 1 kW m{sup -2} total irradiance and with reference solar spectral irradiance distribution. Thus, (i) double spectral mismatch between test and standard device and between test and reference solar spectrum; and (ii) the calibration transfer from low to high irradiance level (non-linearity effects) may affect the calibration value. An overview of primary and secondary calibration procedures is given, focusing on the primary calibration. methods applied by the four qualified laboratories establishing the World Photovoltaic Scale (WPVS) traceable to the International System of Units (SI). The differential spectral responsivity method of the Physikalisch-Technische Bundesanstalt (PTB) is described in more detail. Finally, different approaches are illustrated for the evaluation of a reference value, including the WPVS, based on the results for twenty transfer/travelling standards of-the international comparison among eleven participants that was carried out to establish the WPVS. (authors)

  18. A conventional value for the geoid reference potential W0

    Science.gov (United States)

    Sánchez, L.; Čunderlík, R.; Dayoub, N.; Mikula, K.; Minarechová, Z.; Šíma, Z.; Vatrt, V.; Vojtíšková, M.

    2016-09-01

    W0 is defined as the potential value of a particular level surface of the Earth's gravity field called the geoid. Since the most accepted definition of the geoid is understood to be the equipotential surface that coincides with the worldwide mean ocean surface, a usual approximation of W0 is the averaged potential value WS at the mean sea surface. In this way, the value of W0 depends not only on the Earth's gravity field modelling, but also on the conventions defining the mean sea surface. W0 computations performed since 2005 demonstrate that current published estimations differ by up to -2.6 m2 s^{-2} (corresponding to a level difference of about 27 cm), which could be caused by the differences in the treatment of the input data. The main objective of this study is to perform a new W0 estimation relying on the newest gravity field and sea surface models and applying standardised data and procedures. This also includes a detailed description of the processing procedure to ensure the reproducibility of the results. The following aspects are analysed in this paper: (1) sensitivity of the W0 estimation to the Earth's gravity field model (especially omission and commission errors and time-dependent Earth's gravity field changes); (2) sensitivity of the W0 estimation to the mean sea surface model (e.g., geographical coverage, time-dependent sea surface variations, accuracy of the mean sea surface heights); (3) dependence of the W0 empirical estimation on the tide system; and (4) weighted computation of the W0 value based on the input data quality. Main conclusions indicate that the satellite-only component (n = 200) of a static (quasi-stationary) global gravity model is sufficient for the computation of W0. This model should, however, be based on a combination of, at least, satellite laser ranging (SLR), GRACE and GOCE data. The mean sea surface modelling should be based on mean sea surface heights referring to a certain epoch and derived from a standardised multi

  19. Grip strength in healthy caucasian adults: reference values.

    Science.gov (United States)

    Günther, Christian M; Bürger, Alexander; Rickert, Markus; Crispin, Alexander; Schulz, Christoph U

    2008-04-01

    The aim of this study was to update reference data of handgrip strength for healthy adults of both genders spanning a wide age range and to analyze possible factors of influence. Intraindividual and interindividual variations of grip strength and their relation to several anthropometric factors were analyzed in a standardized manner for 769 healthy adults (women, n = 403; men, n = 366) aged between 20 years and 95 years. Measurements were done in neutral position of arm, forearm, and wrist on setting II of a Baseline digital hydraulic dynamometer (NexGen Ergonomics Inc. Quebec, Canada). Mean strength was about 41% less in women (right 29 kg; left 27 kg) than in men (right 49 kg; left 47 kg) resulting in a ratio of left to right hand slightly above .95 in both genders. During the course of life, hand strength develops comparably in both genders peaking at 35 years of age and decreasing continuously further on. Anthropometric variables such as forearm circumference and length, hand size, or body mass showed a positive correlation with grip strength. Body mass index, type of work, and hand dominance showed only a partial positive correlation or no correlation with grip strength. Gender and age, followed by parameters representing body length and obesity, were observed to have the highest predictive value for handgrip strength and were therefore entered into the generation of prediction equations. We recommend side adjustment of measured values for intraindividual comparison and inclusion of information regarding anthropometric characteristics, as well as using gender- and age-adjusted reference values, whereas hand dominance can be neglected. The regression equations we generated might prove to be useful for clinicians or for those who use normative values within software to provide more accurate predictions of strength scores for specific applications.

  20. Exercise blood pressure and heart rate reference values.

    Science.gov (United States)

    Gläser, Sven; Friedrich, Nele; Koch, Beate; Schäper, Christoph; Völzke, Henry; Felix, Stephan B; Empen, Klaus; Hannemann, Anke; Ewert, Ralf; Dörr, Marcus

    2013-08-01

    Besides their prognostic impact blood pressure and peak heart rate are widely used endpoint parameters for incremental exercise tests. Reference equations and ranges on both are sparse. This study aims to describe prediction equations and reference ranges for systolic and diastolic blood pressure as well as for peak heart rate assessed during a symptom limited incremental exercise test based on a population based study--the Study of Health in Pomerania. For this purpose, 1708 individuals aged 25-85 years underwent cardiopulmonary exercise testing. After exclusion of subjects with cardiopulmonary diseases and antihypertensive medications regression analyses revealed age, sex and body mass index as statistically significant interfering factors. In accordance, prediction equations and reference ranges for blood pressure and peak heart rate with respect to sex, age and BMI have been established. This study provides a reliable set of prediction equations for blood pressure and heart rate values at peak exercise, assessed in a general population over a wide age range. Copyright © 2013 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.

  1. Regional reference values of thyroid gland volume in Turkish adults

    Directory of Open Access Journals (Sweden)

    Şahin Ertan

    2015-01-01

    Full Text Available Introduction. It is important to know the size of the thyroid gland, and its normal value may vary among different geographic regions. Objective. In this study, we aimed to establish reference ranges for thyroid volume in euthyroid adults and to compare these results with the literature data. Methods. Between June 2011 and June 2012, 461 patients with normal laboratory results (serum TSH, anti-TG, anti-TPO antibodies and urine iodine level that underwent thyroid gland ultrasound examination were retrospectively analyzed. Two hundred and 92 patients were females and 169 were males; the age range was 18-61 years with mean age 30.84±9.97 years. Length, breadth and thickness were measured, and the volume of each lobe was estimated using the ellipsoid formula. Results. The overall mean thyroid volume in all patients who were examined was 12.98±2.53 mL. The mean thyroid volume in females and males was 12.09±2.05 mL and 14.53±2.55, respectively (p<0.05. The right thyroid lobe volume was greater than the left in all patients of both sexes. In addition, the study establishes a significant correlation between the thyroid volume and height, weight and body surface area of the subjects of both sexes (p<0.05. In the light of our findings we can provide reference values in order to evaluate patients who have thyroid hyperplasia or who are considered as normal. Conclusion. We consider that further studies are necessary to establish national references thyroid volume for each country.

  2. Reference values for the bilateral heel-rise test.

    Science.gov (United States)

    Monteiro, Débora Pantuso; Britto, Raquel Rodrigues; Fregonezi, Guilherme Augusto de Freitas; Dias, Fernando Augusto Lavezzo; Silva, Marconi Gomes da; Pereira, Danielle Aparecida Gomes

    2017-07-03

    The bilateral heel-rise test is an instrument that evaluates the performance of the triceps surae. Normative parameters need to be established for the use of the heel-rise test in clinical practice. To determine the reference values for the bilateral heel-rise test. This cross-sectional study assessed healthy subjects using the bilateral heel-rise test. We analyzed the number of repetitions, time (in seconds), and repetition rate (repetitions/second) during execution of the heel-rise test, until the point of voluntary fatigue. The estimates were stratified by age and gender. Multiple linear regression was performed to define the reference equation for the bilateral heel-rise test. A total of 147 individuals were included. The median age was 37 years (IQR 28-46). It was observed that the number of repetitions decreases with age, with a higher number of repetitions in male participants compared to female participants. Gender, body mass index, and maximum activity scores predict 14% of the number of plantar flexions performed in the bilateral heel-rise test. Age and adjusted activity scores predict 18% of the repetition rate in the bilateral heel-rise test. The bilateral heel-rise test reference values for an adult population were defined as scores above the 25th percentile for number of repetitions, time, and repetition rate. The number of heel-rise test repetitions that corresponds to the 25th percentile, according to age and gender, is as follows: age 20-29, 65 repetitions for men and 45.5 for women; age 30-39, 62.75 men and 41.5 women; age 40-49, 67.25 men and 45 women; and age 50-59, 54 men and 39.25 women. Copyright © 2017 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier Editora Ltda. All rights reserved.

  3. Scientific Opinion on Dietary Reference Values for molybdenum

    Directory of Open Access Journals (Sweden)

    EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA

    2013-08-01

    Full Text Available Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies (NDA derived Dietary Reference Values (DRVs for molybdenum. Molybdenum is efficiently and rapidly absorbed at a wide range of intakes, and the body is able to maintain homeostasis through the regulation of excretion via the urine. Molybdenum deficiency in otherwise healthy humans has not been observed and there are no biomarkers of molybdenum status. Various metabolic balance studies have been performed to establish molybdenum requirements. However, only one balance study, which was performed with a constant diet and under controlled conditions in adult men, was considered to be of sufficient duration. In this small study, balance was reported to be near zero when molybdenum intakes were 22 µg/day. Biochemical changes or symptoms suggestive of molybdenum deficiency were not observed, and it is possible that humans may be able to achieve molybdenum balance at even lower intakes. Data on molybdenum intakes and health outcomes were unavailable for the setting of DRVs for molybdenum. As the evidence required to derive an Average Requirement and a Population Reference Intake was considered insufficient, an Adequate Intake (AI is proposed. Observed molybdenum intakes from mixed diets in Europe were taken into consideration in setting this value. An AI of 65 µg/day is proposed for adults; a figure that is based on molybdenum intakes at the lower end of the wide range of observed intakes. It is suggested that the adult AI also applies to pregnant and lactating women. An AI is also proposed for infants from seven months and for children based on extrapolation from the adult AI using isometric scaling and the reference body weights of the respective age groups.

  4. Auditory evoked potential P300 in adults: reference values.

    Science.gov (United States)

    Didoné, Dayane Domeneghini; Garcia, Michele Vargas; Oppitz, Sheila Jacques; Silva, Thalisson Francisco Finamôr da; Santos, Sinéia Neujahr Dos; Bruno, Rúbia Soares; Filha, Valdete Alves Valentins Dos Santos; Cóser, Pedro Luis

    2016-01-01

    To establish reference intervals for cognitive potential P300 latency using tone burst stimuli. This study involved 28 participants aged between 18 and 59 years. P300 recordings were performed using a two-channel device (Masbe, Contronic). Electrode placement was as follows: Fpz (ground electrode), Cz (active electrode), M1 and M2 (reference electrodes). Intensity corresponded to 80 dB HL and frequent and rare stimulus frequencies to 1,000Hz and 2,000Hz, respectively. Stimuli were delivered binaurally. Mean age of participants was 35 years. Average P300 latency was 305ms. Maximum acceptable P300 latency values of 362.5ms (305 + 2SD 28.75) were determined for adults aged 18 to 59 years using the protocol described. Estabelecer valores de referência para a latência do potencial cognitivo P300 com estímulos tone burst. Participaram do estudo 28 indivíduos entre 18 e 59 anos. O registro do P300 foi realizado no equipamento Masbe da marca Contronic. Os eletrodos foram fixados nas posições Fpz (eletrodo terra), Cz (eletrodo ativo), M1 e M2 (eletrodos referência). A intensidade foi de 80 dB NA. A frequência do estímulo frequente foi de 1.000Hz e a do estímulo raro de 2.000Hz. Os estímulos foram apresentados na forma binaural. A média de idade dos indivíduos foi de 35 anos. A média de latência para P300 de 305ms. Usando o protocolo descrito, o valor máximo de latência aceitáveis para P300 foram de 362,5ms (305 + 2DP 28,75) na faixa etária do adulto de 18 a 59 anos.

  5. Reference values for rotational thromboelastometry (ROTEM) in clinically healthy cats.

    Science.gov (United States)

    Marly-Voquer, Charlotte; Riond, Barbara; Jud Schefer, Rahel; Kutter, Annette P N

    2017-03-01

    To establish reference intervals for rotational thromboelastometry (ROTEM) using feline blood. Prospective study. University teaching hospital. Twenty-three clinically healthy cats between 1 and 15 years. For each cat, whole blood was collected via jugular or medial saphenous venipuncture, and blood was placed into a serum tube, a tube containing potassium-EDTA, and tubes containing 3.2% sodium citrate. The tubes were maintained at 37°C for a maximum of 30 minutes before coagulation testing. ROTEM tests included the EXTEM, INTEM, FIBTEM, and APTEM assays. In addition, prothrombin time, activated partial thromboplastin time, thrombin time, and fibrinogen concentration (Clauss method) were analyzed for each cat. Reference intervals for ROTEM were calculated using the 2.5-97.5(th) percentile for each parameter, and correlation with the standard coagulation profile was performed. Compared to people, clinically healthy cats had similar values for the EXTEM and INTEM assays, but had lower plasma fibrinogen concentrations (0.9-2.2 g/L), resulting in weaker maximum clot firmness (MCF, 3-10 mm) in the FIBTEM test. In 18 cats, maximum lysis (ML) values in the APTEM test were higher than in the EXTEM test, which seems unlikely to have occurred in the presence of aprotinin. It is possible that the observed high maximum lysis values were due to clot retraction rather than true clot lysis. Further studies will be required to test this hypothesis. Cats have a weaker clot in the FIBTEM test, but have a similar clot strength to human blood in the other ROTEM assays, which may be due to a stronger contribution of platelets compared to that found in people. In cats, careful interpretation of the results to diagnose hyperfibrinolysis is advised, especially with the APTEM test, until further data are available. © Veterinary Emergency and Critical Care Society 2017.

  6. Scientific Opinion on Dietary Reference Values for pantothenic acid

    Directory of Open Access Journals (Sweden)

    EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA

    2014-02-01

    Full Text Available Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies (NDA derived Dietary Reference Values (DRVs for pantothenic acid. Pantothenic acid is a water-soluble vitamin, which is a component of coenzyme A (CoA and acyl-carrier proteins. Pantothenic acid is ubiquitous and deficiency is rare. There are no suitable biomarkers that can be used to derive the requirement for pantothenic acid. Data available on pantothenic acid intakes and health consequences are very limited and cannot be used to derive DRVs for pantothenic acid. As there is insufficient evidence available to derive an Average Requirement and a Population Reference Intake, an Adequate Intake (AI is proposed. The setting of AIs is based on observed pantothenic acid intakes with a mixed diet and the apparent absence of signs of deficiency in the EU, suggesting that current intake levels are adequate. The AI for adults is set at 5 mg/day. The AI for adults also applies to pregnant women. For lactating women, an AI of 7 mg/day is proposed, to compensate for pantothenic acid losses through breast milk. For infants over six months, an AI of 3 mg/day is proposed by extrapolating from the pantothenic acid intake of exclusively breast-fed infants aged zero to six months, using allometric scaling and reference body weight for each age group, in order to account for the role of pantothenic acid in energy metabolism. The AI for children and adolescents is set at 4 and 5 mg/day, respectively, based on observed intakes in the EU.

  7. Scientific Opinion on Dietary Reference Values for niacin

    Directory of Open Access Journals (Sweden)

    EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA

    2014-07-01

    Full Text Available Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies (NDA derived Dietary Reference Values (DRVs for niacin. Niacin is a generic term for nicotinic acid and nicotinamide. Niacin can be synthesised in the human body from the indispensable amino acid tryptophan. Approximately 60 mg of tryptophan yields 1 mg of niacin defined as 1 mg niacin equivalent (NE. Long-term inadequate intake of tryptophan and niacin can lead to the development of pellagra. In the absence of new scientific data, the Panel endorses the Average Requirement (AR for adults of 1.3 mg NE/MJ (5.5 mg NE/1 000 kcal adopted by the Scientific Committee for Food (1993, based on data on urinary excretion of niacin metabolites as an endpoint. The Population Reference Intake (PRI of 1.6 mg NE/MJ (6.6 mg NE/1 000 kcal is derived from the AR assuming a coefficient of variation of 10 %. For infants aged 7-11 months, children and adolescents, as well as for pregnant and lactating women, the Panel considers that there is no evidence that the relationship between niacin requirement and energy requirement differs from that of adults; therefore, the AR and PRI for adults are also applied to these age and life stage groups.

  8. Reference Values for Peak Exercise Cardiac Output in Healthy Individuals.

    Science.gov (United States)

    Agostoni, Piergiuseppe; Vignati, Carlo; Gentile, Piero; Boiti, Costanza; Farina, Stefania; Salvioni, Elisabetta; Mapelli, Massimo; Magrì, Damiano; Paolillo, Stefania; Corrieri, Nicoletta; Sinagra, Gianfranco; Cattadori, Gaia

    2017-06-01

    Cardiac output (Q˙) is a key parameter in the assessment of cardiac function, its measurement being crucial for the diagnosis, treatment, and prognostic evaluation of all heart diseases. Until recently, Q˙ determination at peak exercise has been possible through invasive methods, so that normal values were obtained in studies based on small populations. Nowadays, peak Q˙ can be measured noninvasively by means of the inert gas rebreathing (IGR) technique. The present study was undertaken to provide reference values for peak Q˙ in the normal general population and to obtain a formula able to estimate peak exercise Q˙ from measured peak oxygen uptake (V˙o2). We studied 500 normal subjects (age, 44.9 ± 1.5 years; range, 18-77 years; 260 men, 240 women) who underwent a maximal cardiopulmonary exercise test with peak Q˙ measurement by IGR. In the overall study sample, peak Q˙ was 13.2 ± 3.5 L/min (men, 15.3 ± 3.3 L/min; women, 11.0 ± 2.0 L/min; P exercise was (4.4 × peak V˙o2) + 4.3 in the overall study cohort, (4.3 × peak V˙o2) + 4.5 in men, and (4.9 × peak V˙o2) + 3.6 in women. The simultaneous measurement of Q˙ and V˙o2 at peak exercise in a large sample of healthy subjects provided an equation to predict peak Q˙ from peak V˙o2 values. Copyright © 2017 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

  9. Scientific Opinion on Dietary Reference Values for energy

    Directory of Open Access Journals (Sweden)

    EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA

    2013-01-01

    Full Text Available Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies (NDA derived dietary reference values for energy, which are provided as average requirements (ARs of specified age and sex groups. For children and adults, total energy expenditure (TEE was determined factorially from estimates of resting energy expenditure (REE plus the energy needed for various levels of physical activity (PAL associated with sustainable lifestyles in healthy individuals. To account for uncertainties inherent in the prediction of energy expenditure, ranges of the AR for energy were calculated with several equations for predicting REE in children (1-17 years and adults. For practical reasons, only the REE estimated by the equations of Henry (2005 was used in the setting of the AR and multiplied with PAL values of 1.4, 1.6, 1.8 and 2.0, which approximately reflect low active (sedentary, moderately active, active and very active lifestyles. For estimating REE in adults, body heights measured in representative national surveys in 13 EU Member States and body masses calculated from heights assuming a body mass index of 22 kg/m2 were used. For children, median body masses and heights from the WHO Growth Standards or from harmonised growth curves of children in the EU were used. Energy expenditure for growth was accounted for by a 1 % increase of PAL values for each age group. For infants (7-11 months, the AR was derived from TEE estimated by regression equation based on doubly labelled water (DLW data, plus the energy needs for growth. For pregnant and lactating women, the additional energy for the deposition of newly formed tissue, and for milk output, was derived from data obtained by the DLW method and from factorial estimates, respectively. The proposed ARs for energy may need to be adapted depending on specific objectives and target populations.

  10. Meeting the nutrient reference values on a vegetarian diet.

    Science.gov (United States)

    Reid, Michelle A; Marsh, Kate A; Zeuschner, Carol L; Saunders, Angela V; Baines, Surinder K

    2013-08-19

    Surveys over the past 10 years have shown that Australians are increasingly consuming more plant-based vegetarian meals. Many studies demonstrate the health benefits of vegetarian diets. As with any type of eating plan, vegetarian diets must be well planned to ensure nutritional needs are being met. This clinical focus project shows that well planned vegetarian diets can meet almost all the nutritional needs of children and adults of all ages. Sample single-day lacto-ovo-vegetarian meal plans were developed to comply with the nutrient reference values - including the increased requirements for iron and zinc at 180% and 150%, respectively, for vegetarians - for both sexes and all age groups set by Australia's National Health and Medical Research Council and the New Zealand Ministry of Health. With the exception of vitamin D, long-chain omega-3 fatty acids and extended iron requirements in pregnancy for vegetarians, the meal plans meet key requirements with respect to energy; protein; carbohydrate; total fat; saturated, poly- and monounsaturated fats; α-linolenic acid; fibre; iron; zinc; calcium; folate; and vitamins A, C, E and B₁₂.

  11. EURRECA-Estimating zinc requirements for deriving dietary reference values.

    Science.gov (United States)

    Lowe, Nicola M; Dykes, Fiona C; Skinner, Anna-Louise; Patel, Sujata; Warthon-Medina, Marisol; Decsi, Tamás; Fekete, Katalin; Souverein, Olga W; Dullemeijer, Carla; Cavelaars, Adriënne E; Serra-Majem, Lluis; Nissensohn, Mariela; Bel, Silvia; Moreno, Luis A; Hermoso, Maria; Vollhardt, Christiane; Berti, Cristiana; Cetin, Irene; Gurinovic, Mirjana; Novakovic, Romana; Harvey, Linda J; Collings, Rachel; Hall-Moran, Victoria

    2013-01-01

    Zinc was selected as a priority micronutrient for EURRECA, because there is significant heterogeneity in the Dietary Reference Values (DRVs) across Europe. In addition, the prevalence of inadequate zinc intakes was thought to be high among all population groups worldwide, and the public health concern is considerable. In accordance with the EURRECA consortium principles and protocols, a series of literature reviews were undertaken in order to develop best practice guidelines for assessing dietary zinc intake and zinc status. These were incorporated into subsequent literature search strategies and protocols for studies investigating the relationships between zinc intake, status and health, as well as studies relating to the factorial approach (including bioavailability) for setting dietary recommendations. EMBASE (Ovid), Cochrane Library CENTRAL, and MEDLINE (Ovid) databases were searched for studies published up to February 2010 and collated into a series of Endnote databases that are available for the use of future DRV panels. Meta-analyses of data extracted from these publications were performed where possible in order to address specific questions relating to factors affecting dietary recommendations. This review has highlighted the need for more high quality studies to address gaps in current knowledge, in particular the continued search for a reliable biomarker of zinc status and the influence of genetic polymorphisms on individual dietary requirements. In addition, there is a need to further develop models of the effect of dietary inhibitors of zinc absorption and their impact on population dietary zinc requirements.

  12. Quality reference values of trace elements in Brazilian organosols.

    Science.gov (United States)

    Lima, Erica Souto Abreu; do Amaral Sobrinho, Nelson Moura Brasil; de Paiva, Filipe Soares Diniz; Coutinho, Izabella Bezerra; Pereira, Marcos Gervasio; Zonta, Everaldo

    2016-07-01

    Determination of the natural background levels of trace elements in organosols and the proposal of quality reference values (QRVs) for these elements are essential for monitoring these soils because they are fragile and subject to change more intensely and rapidly than other soil classes. Given the above information, the objectives of this study were to determine the QRVs of trace elements for organosols and to correlate some soil properties with the occurrence of these elements. Forty organic soil horizon samples from different regions of Brazil were selected to determine the pseudo-total content of trace elements. The samples were separated into three groups according to a cluster analysis. The soil variable Fe and C contents had the strongest influence on the trace element contents in the organosols and were therefore used in the group classification functions. QRVs were proposed according to the 75th percentiles of the groups. The classification functions are a suitable tool for the allocation of new samples into previously established groups and may potentially be used to estimate the degree of organosol degradation.

  13. Scientific Opinion on Dietary Reference Values for fluoride

    Directory of Open Access Journals (Sweden)

    EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA

    2013-08-01

    Full Text Available Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies (NDA derived Dietary Reference Values (DRVs for fluoride, which are provided as Adequate Intake (AI from all sources, including non-dietary sources. Fluoride is not an essential nutrient. Therefore, no Average Requirement for the performance of essential physiological functions can be defined. Nevertheless, the Panel considered that the setting of an AI is appropriate because of the beneficial effects of dietary fluoride on prevention of dental caries. The AI is based on epidemiological studies (performed before the 1970s showing an inverse relationship between the fluoride concentration of water and caries prevalence. As the basis for defining the AI, estimates of mean fluoride intakes of children via diet and drinking water with fluoride concentrations at which the caries preventive effect approached its maximum whilst the risk of dental fluorosis approached its minimum were chosen. Except for one confirmatory longitudinal study in US children, more recent studies were not taken into account as they did not provide information on total dietary fluoride intake, were potentially confounded by the use of fluoride-containing dental hygiene products, and did not permit a conclusion to be drawn on a dose-response relationship between fluoride intake and caries risk. The AI of fluoride from all sources (including non-dietary sources is 0.05 mg/kg body weight per day for both children and adults, including pregnant and lactating women. For pregnant and lactating women, the AI is based on the body weight before pregnancy and lactation. Reliable and representative data on the total fluoride intake of the European population are not available.

  14. Reference values of olfactory function for Mexico City inhabitants.

    Science.gov (United States)

    Guarneros, Marco; Hudson, Robyn; López-Palacios, Martha; Drucker-Colín, René

    2015-01-01

    Olfactory testing is useful in the differential diagnosis of age-related pathologies. To provide baseline reference values for clinical use in Mexico City we investigated the relation between olfactory capabilities and the principal population parameters of age, sex, and smoking habits in a large sample of healthy inhabitants. We applied the internationally recognized and commercially available Sniffin' Sticks test battery to 916 men and women from across the adult life span. The Sniffin' Sticks test evaluates three key aspects of olfactory function: 1) ability to detect an odor, 2) to discriminate between odors, and 3) to identify odors. We found a significant decline in olfactory function from the 5th decade of age, and that detection threshold was the most sensitive measure of this. We did not find a significant difference between men and women or between smokers and non-smokers. In confirmation of our previous studies of the negative effect of air pollution on olfactory function, Mexico City inhabitants had poorer overall performance than corresponding subjects previously tested in the neighboring but less polluted Mexican state of Tlaxcala. Although we basically confirm findings on general demographic patterns of olfactory performance from other countries, we also demonstrate the need to take into account local cultural, environmental and demographic factors in the clinical evaluation of olfactory performance of Mexico City inhabitants. The Sniffin' Sticks test battery, with some adjustment of stimuli to correspond to Mexican culture, provides an easily administered means of assessing olfactory health. Copyright © 2015 IMSS. Published by Elsevier Inc. All rights reserved.

  15. Reference values for feeding parameters of isopods (Porcellioscaber, Isopoda, Crustacea).

    Science.gov (United States)

    Drobne, Damjana; Drobne, Samo

    2014-01-01

    The advantage of using terrestrial isopods in toxicity studies is that a battery of parameters can be tested at different levels of biological complexity. Feeding parameters for example link organism level response to potential ecological consequences but a problem with using feeding parameters in toxicity tests with terrestrial isopods is their high variability. The aim of our study was to set benchmark values for feeding parameters for isopod Porcellioscaber (Isopoda, Crustacea) in laboratory-controlled experiments. In the work presented here, the daily feeding rate of the central 50% of the control population of Porcellioscaber and a correlation between feeding rate and isopod weight were set. Values outside these ranges need additional evaluation to increase the relevance of test outcomes. We suggest using benchmark values for feeding parameters as well as the coefficient of variation (a) to identify animals with altered feeding parameters with respect to controls, and (b) to assess the data quality in each experiment.

  16. Estimation of reference values for urinary 1-hydroxypyrene and alpha-naphthol in Danish workers

    DEFF Research Database (Denmark)

    Hansen, Åse Marie; Christensen, J M; Sherson, D

    1995-01-01

    In order to assess environmentally and occupationally related exposures to PAH compounds it is essential to have reference or normal values in human body fluids. The establishment of reliable reference intervals is an absolute pre-requisite in determining relationships between internal PAH exposure...... the calculation of tentative reference values for urinary 1-hydroxypyrene on the basis of two reference populations and for urinary alpha-naphthol on the basis of one reference population in accordance with IFCC recommendations. The study subjects were 115 healthy male workers occupationally exposed to PAH at low...... levels and 121 reference subjects non-occupationally exposed to PAH. Tentative reference values for urinary 1-hydroxypyrene were estimated. In addition, 236 healthy male workers were used to estimate tentative reference values for urinary alpha-naphthol. The reference populations were described...

  17. Nutrient reference values for bioactives: new approaches needed?

    DEFF Research Database (Denmark)

    Biesalski, Hans Konrad; Erdman Jr., John W.; Hathcock, John

    2013-01-01

    , include an EAR, a RDA that is derived from the EAR, an AI for nutrients without appropriate data to identify an EAR, and an UL. From the RDA, the United States derives a labeling value called the DV, which applies to older children and most adults. In Codex, the equivalents of the DVs are the NRVs...

  18. Reference Values of Pulmonary Function Tests for Canadian Caucasians

    Directory of Open Access Journals (Sweden)

    Carlos Gutierrez

    2004-01-01

    Full Text Available A multicentre, cross-sectional study was carried out in six centres across Canada to establish a national standard for pulmonary function tests using healthy, lifetime nonsmokers, with each centre aiming to test 10 men and 10 women from each decade from 20 to 80 years of age. Data from each centre were used to derive prediction equations for each centre, and pooled data from all centres (total: 327 women and 300 men were used to derive Canadian predicted equations. The predictive models were compared with three widely used published models for selected tests. It was found that, in general, the equations modelled for each centre could be replaced by the models obtained when pooling all data (Canadian model. Comparisons with the published references showed good agreement and similar slopes for most tests. The results suggest that pulmonary function test results obtained from different centres in Canada were comparable and that standards currently used remain valid for Canadian Caucasians.

  19. The Influence of the Reference Values on the Interpretation of Lung Function in Children: Comparison of Global Lung Initiative 2012 and Polish 1998 Reference Values.

    Science.gov (United States)

    Peradzyńska, Joanna; Krenke, Katarzyna; Szylling, Anna; Krenke, Rafał; Kulus, Marek

    2015-01-01

    Interpretation of spirometry strongly depends on the applied predicted values. New Global Lung Initiative (GLI) reference values have recently been published but their influence on spirometry interpretation in children has not been widely evaluated. The aim of the study was to compare the interpretation of spirometry using GLI-2012 vs. Polish-1998 reference values. Spirometry results of 315 Caucasian children aged 4-18 were analyzed. Airway obstruction was defined as FEV1/FVCLLN. The findings were that FEV1 and FVC expressed as GLI-2012 or Polish-1998 z-scores differed significantly (pPolish-1998, respectively. There was no difference for FEV1/FVC z-scores. Obstructive and restrictive ventilatory patterns were diagnosed in 20.3% and 7.6% children using GLI-2012 values compared with 17.5% and 3.8% when using Polish-1998 reference values, respectively. In conclusion, the use of GLI-2012 reference values in the population of Polish children increases the number of detected lung function abnormalities compared with Polish-1998 reference values.

  20. [Reference values of folic acid for the Venezuelan population].

    Science.gov (United States)

    García-Casal, María Nieves; Carias, Diamela; Soto de Sanabria, Ingrid; Victoria López, Ana

    2013-12-01

    The review on folic acid requirements for Venezuela comprise the definitions adopted worldwide known as Dietary Reference Intakes (DRIs) that include Recommended Dietary Allowance (RDA), Estimated Average Requirement (EAR), Adequate Intake (AI) and Tolerable Upper Intake Levels (UL). In contrast with the situation in some countries, that required adjustments in fortification policies in order to avoid excessive folic acid consumption, in Venezuela several studies show an elevated prevalence of deficiency. National evidence at this point is insufficient to establish the recommendation, and as in the 2000 review of the Venezuelan RDAs, the actual recommendations are based on the reported for the United States population. The Recommended Dietary Allowances for Venezuela are 65-80 microg/day for infants less than 1 year old, 150-300 microg/day for children and 400 microg/day for adolescents and adults, increasing to 600 microg/day during pregnancy and to 500 microg/day during lactation. The estimated average requirement is 120-250 microg/day for children, 330 microg/day for adolescents, 320 microg/day for adults, 520 microg/day for pregnancy and 450 microg/day during lactation. The tolerable upper intake levels for folic acid are 300-600 microg/day for children, 800 microg/day for adolescents and 1000 microg/day for adults. During pregnancy and lactation the UL is 800 microg/day for pregnant and lactating women between 14 and 18 years of age, and 1000 microg/day for older pregnant and lactating women. The continuous evaluation of folic acid status is important to design adequate and efficient policies to control both, the deficiency and the excess of folic acid consumption.

  1. CONCEPTS IN HUMAN NUTRITION AND ANIMAL FEEDING New Reference Values for nutrient intake in Germany, Austria and Switzerland (DACH-reference values

    Directory of Open Access Journals (Sweden)

    Wolfram Günther

    2001-01-01

    Full Text Available In accordance to their very good collaboration through decades especially at the “3 Countries Meetings” the Nutrition Societies of Germany, Austria and Switzerland (D, A, CH decided to prepare new Reference Values for nutrient intake as a joint edition in the year 2000. The Reference Values consist of two parts: Part 1, Nutritive aspects of nutrients. Part 2, Preventive aspect of nutrient and food components. The Reference Values presented should protect almost all individuals of the respective group against potential damage to health from their diet and provide a basis for full functional capacity. In detail recommendations, estimates or guideline values are presented for the different nutrients. Total fat should not exceed 30% of energy, saturated fatty acids should not provide more than 10% of energy and polyunsaturated fatty acids 7% of energy with n-6 and n-3 fatty acids in a ratio of 5:1. Preventive aspect concern the prophylaxis of nutrition-related diseases.

  2. Reference values for serum creatinine in children younger than 1 year of age

    NARCIS (Netherlands)

    D. Boer (Dirk); Y.B. de Rijke (Yolanda); W.C.J. Hop (Wim); K. Cransberg (Karlien); E.M. Dorresteijn (Eiske)

    2010-01-01

    textabstractReliable reference values of enzymatically assayed serum creatinine categorized in small age intervals are lacking in young children. The aim of this study was to determine reference values for serum creatinine during the first year of life and study the influence of gender, weight and h

  3. Systematic review to support the development of nutrient reference intake values: challenges and solutions

    Science.gov (United States)

    Workshops sponsored by the Institute of Medicine (IOM) and the World Health Organization (WHO) suggested that incorporating systematic reviews into the process of updating nutrient reference values would enhance the transparency of the process. The IOM issues the Dietary Reference Intake values (DR...

  4. Normal reference value of hemoglobin of young women and geographical factors in China

    Institute of Scientific and Technical Information of China (English)

    GEMiao

    2003-01-01

    A research is conducted on the relationship between the normal reference value of 20,475 examples of hemoglobin of young women and five geographical factors in 208 areas in China, the normal reference value is determined by the hemoglobincyanide method. It is found that the correlation of geographical factors and the normal reference value of hemoglobin of young women are quite significant (F=142.81). By using the method of multiple linear regression analysis, one regression equation is inferred. If geographical values are obtained in some areas, the normal reference value of hemoglobin of young women of this area can be reckoned by using the regression equation. Furthermore, depending on the geographical factors, China can be divided into six regions:Oinghai-Tibet (Qingzang) Plateau. Southwest. Northwest. Southeast. North and Northeast China.

  5. Normal reference value of forced vital capacity of Chinese younger women and geographical factors

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    Objective To supply a scientific basis for standardizing the normal reference value of forced vital capacity(FVC)of Chinese younger women.Methods We studied the relationship between the normal reference value of 21767 samples of FVC of younger women and eight geographical factors in 157 areas in China.Results It was found that the correlation between geographical factors and the normal reference value of FVC of younger women was quite significant(F=5.884,P=0.000).By adopting the method of mathematical regre...

  6. Polynomial estimation of the smoothing splines for the new Finnish reference values for spirometry.

    Science.gov (United States)

    Kainu, Annette; Timonen, Kirsi

    2016-07-01

    Background Discontinuity of spirometry reference values from childhood into adulthood has been a problem with traditional reference values, thus modern modelling approaches using smoothing spline functions to better depict the transition during growth and ageing have been recently introduced. Following the publication of the new international Global Lung Initiative (GLI2012) reference values also new national Finnish reference values have been calculated using similar GAMLSS-modelling, with spline estimates for mean (Mspline) and standard deviation (Sspline) provided in tables. The aim of this study was to produce polynomial estimates for these spline functions to use in lieu of lookup tables and to assess their validity in the reference population of healthy non-smokers. Methods Linear regression modelling was used to approximate the estimated values for Mspline and Sspline using similar polynomial functions as in the international GLI2012 reference values. Estimated values were compared to original calculations in absolute values, the derived predicted mean and individually calculated z-scores using both values. Results Polynomial functions were estimated for all 10 spirometry variables. The agreement between original lookup table-produced values and polynomial estimates was very good, with no significant differences found. The variation slightly increased in larger predicted volumes, but a range of -0.018 to +0.022 litres of FEV1 representing ± 0.4% of maximum difference in predicted mean. Conclusions Polynomial approximations were very close to the original lookup tables and are recommended for use in clinical practice to facilitate the use of new reference values.

  7. Establishing normal reference values for liver mineral concentrations in elk and bison on Region 6 Refuges

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Final report on a project to develop normal reference range values for minerals in elk across several habitats and management scenarios within Region 6, including...

  8. Measurements of interrupter resistance: reference values for children 3-13 yrs of age

    NARCIS (Netherlands)

    P.J.F.M. Merkus (Peter); H.G. Arets (Hubertus); T. Joosten; A. Siero; M. Brouha; J.Y. Mijnsbergen; J.C. de Jongste (Johan); C.K. van der Ent (Cornelis)

    2002-01-01

    textabstractThe interrupter technique is a convenient and sensitive technique for studying airway function in subjects who cannot actively participate in (forced) ventilatory function tests. Reference values for preschool children exist but are lacking for children >7 yrs. Referenc

  9. Reference values for total blood volume and cardiac output in humans

    Energy Technology Data Exchange (ETDEWEB)

    Williams, L.R. [Indiana Univ., South Bend, IN (United States). Division of Liberal Arts and Sciences

    1994-09-01

    Much research has been devoted to measurement of total blood volume (TBV) and cardiac output (CO) in humans but not enough effort has been devoted to collection and reduction of results for the purpose of deriving typical or {open_quotes}reference{close_quotes} values. Identification of normal values for TBV and CO is needed not only for clinical evaluations but also for the development of biokinetic models for ultra-short-lived radionuclides used in nuclear medicine (Leggett and Williams 1989). The purpose of this report is to offer reference values for TBV and CO, along with estimates of the associated uncertainties that arise from intra- and inter-subject variation, errors in measurement techniques, and other sources. Reference values are derived for basal supine CO and TBV in reference adult humans, and differences associated with age, sex, body size, body position, exercise, and other circumstances are discussed.

  10. The value of cows in reference populations for genomic selection of new functional traits

    DEFF Research Database (Denmark)

    Buch, Line Hjortø; Kargo, Morten; Berg, Peer;

    2012-01-01

    Today, almost all reference populations consist of progeny tested bulls. However, older progeny tested bulls do not have reliable estimated breeding values (EBV) for new traits. Thus, to be able to select for these new traits, it is necessary to build a reference population. We used a deterministic...... prediction model to test the hypothesis that the value of cows in reference populations depends on the availability of phenotypic records. To test the hypothesis, we investigated different strategies of building a reference population for a new functional trait over a 10-year period. The trait was either...... recorded on a large scale (30 000 cows per year) or on a small scale (2000 cows per year). For large-scale recording, we compared four scenarios where the reference population consisted of 30 sires; 30 sires and 170 test bulls; 30 sires and 2000 cows; or 30 sires, 2000 cows and 170 test bulls in the first...

  11. A review and critique of the statistical methods used to generate reference values in pediatric echocardiography.

    Science.gov (United States)

    Mawad, Wadi; Drolet, Christian; Dahdah, Nagib; Dallaire, Frederic

    2013-01-01

    Several articles have proposed echocardiographic reference values in normal pediatric subjects, but adequate validation is often lacking and has not been reviewed. The aim of this study was to review published reference values in pediatric two-dimensional and M-mode echocardiography with a specific focus on the adequacy of the statistical and mathematical methods used to normalize echocardiographic measurements. All articles proposing reference values for transthoracic pediatric echocardiography were reviewed. The types of measurements, the methods of normalization, the regression models used, and the methods used to detect potential bias in proposed reference values were abstracted. The detection of residual associations, residual heteroscedasticity, and departures from the normal distribution theory predictions were specifically analyzed. Fifty-two studies met the inclusion criteria. Most authors (87%) used parametric normalization to account for body size, but their approaches were very heterogeneous. Linear regression and indexing were the most common models. Heteroscedasticity was often present but was mentioned in only 27% of studies. The absence of residual heteroscedasticity and residual associations between the normalized measurements and the independent variables were mentioned in only 9% and 22% of the studies, respectively. Only 14% of studies documented that the distribution of the residual values was appropriate for Z score calculation or that the proportion of subjects falling outside the reference range was appropriate. Statistical suitability of the proposed reference ranges was often incompletely documented. This review underlines the great need for better standardization in echocardiographic measurement normalization.

  12. Population-based reference values for bone mineral density in young men

    DEFF Research Database (Denmark)

    Høiberg, M; Nielsen, Torben Leo; Wraae, K;

    2007-01-01

    SUMMARY: Population-based reference values for peak bone mass density in Danish men. BMD of total hip (1.078 +/- 0,14 g/cm2) differed significantly from values from National Health and Nutrition Examination Survey III and of total lumbar spine ((1.073 +/- 0.125 g/cm2) differed significantly from ...

  13. Population-based reference values for bone mineral density in young men

    DEFF Research Database (Denmark)

    Høiberg, M; Nielsen, T L; Wraae, Kristian;

    2007-01-01

    Population-based reference values for peak bone mass density in Danish men. BMD of total hip (1.078 +/- 0,14 g/cm2) differed significantly from values from National Health and Nutrition Examination Survey III and of total lumbar spine ((1.073 +/- 0.125 g/cm2) differed significantly from Hologic v...

  14. Reference values for peak flow and FEV1 variation in healthy schoolchildren using home spirometry

    NARCIS (Netherlands)

    Brouwer, A. F. J.; Duiverman, E. J.; Brand, P. L. P.

    2008-01-01

    Current reference values for diurnal peak flow variation in healthy children (median 8.2%; 95th percentile 31%) are so high that considerable overlap exists with those of asthmatic children. These values have been obtained using written peak flow diaries, which are unreliable. The aim of the present

  15. Implications of the Transition From Zapletal to GLI Reference Values for Spirometry

    NARCIS (Netherlands)

    Raaijmakers, Lena; Zwitserloot, Annelies; Merkus, Peter; Gappa, Monika

    2016-01-01

    The current standard for monitoring lung function in children with asthma is spirometry. In Europe, results of these lung function tests have been related to Zapletal reference values published in 1977. Recently, the Global Lung Function Initiative (GLI) published predicted values of spirometry for

  16. Reference values and clinical application of magnetic peripheral nerve stimulation in cats

    NARCIS (Netherlands)

    Van Soens, Iris; Struys, Michel M. R. F.; Bhatti, Sofie F. M.; Van Ham, Luc M. L.

    Magnetic stimulation of radial (RN) and sciatic (SN) nerves was performed bilaterally in 40 healthy cats. Reference values for onset latency and peak-to-peak amplitude of magnetic motor evoked potentials (MMEPs) were obtained and compared with values of electric motor evoked potentials (EMEPs) in

  17. Reference values for anxiety questionnaires: the Leiden Routine Outcome Monitoring Study.

    Science.gov (United States)

    Schulte-van Maaren, Yvonne W M; Giltay, Erik J; van Hemert, Albert M; Zitman, Frans G; de Waal, Margot W M; Carlier, Ingrid V E

    2013-09-25

    The monitoring of patients with an anxiety disorder can benefit from Routine Outcome Monitoring (ROM). As anxiety disorders differ in phenomenology, several anxiety questionnaires are included in ROM: Brief Scale for Anxiety (BSA), PADUA Inventory Revised (PI-R), Panic Appraisal Inventory (PAI), Penn State Worry Questionnaire (PSWQ), Worry Domains Questionnaire (WDQ), Social Interaction, Anxiety Scale (SIAS), Social Phobia Scale (SPS), and the Impact of Event Scale-Revised (IES-R). We aimed to generate reference values for both 'healthy' and 'clinically anxious' populations for these anxiety questionnaires. We included 1295 subjects from the general population (ROM reference-group) and 5066 psychiatric outpatients diagnosed with a specific anxiety disorder (ROM patient-group). The MINI was used as diagnostic device in both the ROM reference group and the ROM patient group. To define limits for one-sided reference intervals (95th percentile; P95) the outermost 5% of observations were used. Receiver Operating Characteristics (ROC) analyses were used to yield alternative cut-off values for the anxiety questionnaires. For the ROM reference-group the mean age was 40.3 years (SD=12.6), and for the ROM patient-group it was 36.5 years (SD=11.9). Females constituted 62.8% of the reference-group and 64.4% of the patient-group. P95 ROM reference group cut-off values for reference versus clinically anxious populations were 11 for the BSA, 43 for the PI-R, 37 for the PAI Anticipated Panic, 47 for the PAI Perceived Consequences, 65 for the PAI Perceived Self-efficacy, 66 for the PSWQ, 74 for the WDQ, 32 for the SIAS, 19 for the SPS, and 36 for IES-R. ROC analyses yielded slightly lower reference values. The discriminative power of all eight anxiety questionnaires was very high. Substantial non-response and limited generalizability. For eight anxiety questionnaires a comprehensive set of reference values was provided. Reference values were generally higher in women than in men

  18. Repeatability, variability and reference values of pulsed wave Doppler echocardiographic measurements in healthy Saanen goats

    Directory of Open Access Journals (Sweden)

    Leroux Aurélia A

    2012-10-01

    Full Text Available Abstract Background Pulsed wave (PW Doppler echocardiography has become a routine non invasive cardiac diagnostic tool in most species. However, evaluation of intracardiac blood flow requires reference values, which are poorly documented in goats. The aim of this study was to test the repeatability, the variability, and to establish the reference values of PW measurements in healthy adult Saanen goats. Using a standardised PW Doppler echocardiographic protocol, 10 healthy adult unsedated female Saanen goats were investigated three times at one day intervals by the same observer. Mitral, tricuspid, aortic and pulmonary flows were measured from a right parasternal view, and mitral and aortic flows were also measured from a left parasternal view. The difference between left and right side measurements and the intra-observer inter-day repeatability were tested and then the reference values of PW Doppler echocardiographic parameters in healthy adult female Saanen goats were established. Results As documented in other species, all caprine PW Doppler parameters demonstrated a poor inter-day repeatability and a moderate variability. Tricuspid and pulmonary flows were best evaluated on the right side whereas mitral and aortic flows were best obtained on the left side, and reference values are reported for healthy adult Saanen goats. Conclusions PW Doppler echocardiography allows the measurement of intracardiac blood flow indices in goats. The reference values establishment will help interpreting these indices of cardiac function in clinical cardiac cases and developing animal models for human cardiology research.

  19. Reference values of hematological indices of infants, children, and adolescents in Port Harcourt, Nigeria

    Directory of Open Access Journals (Sweden)

    FI Buseri

    2010-07-01

    Full Text Available FI Buseri1, IJ Siaminabo2, ZA Jeremiah11Hematology and Blood Transfusion Sciences Unit, Department of Medical Laboratory Sciences, Niger Delta University, Wilberforce Island, Bayelsa State, Nigeria; 2Department of Hematology and Blood Transfusion, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, NigeriaBackground: Lack of standard local reference values have been a problem facing hematological practice in Nigeria. Our aim was to establish reference hematological values from infancy to adolescence for future use in Nigeria.Methods: A total of 1,021 apparently healthy Nigerian children aged 0–17 years were recruited for this cross-sectional descriptive study from the University of Port Harcourt Teaching ­Hospital, Port Harcourt, during preparatory exercises for immunization for Hepatitis B vaccine and from the Rivers State University of Science and Technology Day Care/Nursery, Primary, and International Demonstration Secondary School, Port Harcourt, during their standard medical examination prior to starting school. All hematological parameters were carried out using International Committee on Standardization in Hematology (ICSH approved manual methods.Results: We report a reference range study conducted in Port Harcourt infants (aged 1 day to less than 1 year, children (1 to less than 5 years, 5 to less than 9 years, 9 to 14 years, and adolescents (14 to 17 years old, establishing reference intervals for hematological parameters. Several differences were observed when compared to previously established values from Caucasians, most notably in hemoglobin, packed cell volume, platelets, total white blood cell count, and neutrophil values.Conclusion: The values reported in this study can be used as local reference values for Port Harcourt infants, children, and adolescents.Keywords: reference values, hematologic indices, infants, children, adolescents, Port Harcourt, Nigeria

  20. The impact of gender and puberty on reference values for urinary growth hormone excretion

    DEFF Research Database (Denmark)

    Main, K M; Jarden, M; Angelo, L

    1994-01-01

    , which allows direct measurement of U-GH in untreated urine specimens. We established a reference range for the geometric mean of 3 morning urine samples in 446 healthy children and 71 adults. U-GH could be determined in all but 9 of 1526 samples (99.4%). U-GH excretion was significantly dependent...... purposes. Our reference values may be useful for further studies of patients with GH disorders....

  1. Endurance Times of the Thoracolumbar Musculature: Reference Values for Female Recreational Resistance Training Participants.

    Science.gov (United States)

    Hanney, William J; Kolber, Morey J; Pabian, Patrick S; Cheatham, Scott W; Schoenfeld, Brad J; Salamh, Paul A

    2016-02-01

    The assessment of thoracolumbar muscle endurance (TLME) is common among strength and conditioning professionals and clinicians desiring to quantify baseline muscle performance and determine injury risk. Reference values for such assessments are documented in the literature; however, their utility may be of limited value due to heterogeneous participant selection and limited demographic reporting. Moreover, active cohorts who engage in resistance training (RT) may reach a ceiling effect on existing reference values when testing routinely trained muscles. Thus, the purpose of this study was to establish reference values for standardized TLME tests among women who participate in recreational RT and to determine whether imbalances or asymmetries exist. Participants included 61 women aged 18-59 years who engaged in RT for at least 1 year. Flexor, extensor, and lateral flexor TLME was isometrically assessed using standardized procedures with documented reproducibility (r ≥ 0.93). Results identified significant differences (p values, suggesting a training effect or bias. Moreover, similar imbalances favoring the flexors are a documented risk factor for low back pain. Thus, training considerations inclusive of the extensors may benefit women who engage in RT as a means of mitigating risk. Individuals evaluating muscle performance should consider reference values that represent the population of interest.

  2. The nutritional requirements of infants. Towards EU alignment of reference values: the EURRECA network.

    Science.gov (United States)

    Hermoso, Maria; Tabacchi, Garden; Iglesia-Altaba, Iris; Bel-Serrat, Silvia; Moreno-Aznar, Luis A; García-Santos, Yurena; García-Luzardo, Ma del Rosario; Santana-Salguero, Beatriz; Peña-Quintana, Luis; Serra-Majem, Lluis; Moran, Victoria Hall; Dykes, Fiona; Decsi, Tamás; Benetou, Vassiliki; Plada, Maria; Trichopoulou, Antonia; Raats, Monique M; Doets, Esmée L; Berti, Cristiana; Cetin, Irene; Koletzko, Berthold

    2010-10-01

    This paper presents a review of the current knowledge regarding the macro- and micronutrient requirements of infants and discusses issues related to these requirements during the first year of life. The paper also reviews the current reference values used in European countries and the methodological approaches used to derive them by a sample of seven European and international authoritative committees from which background scientific reports are available. Throughout the paper, the main issues contributing to disparities in micronutrient reference values for infants are highlighted. The identification of these issues in relation to the specific physiological aspects of infants is important for informing future initiatives aimed at providing standardized approaches to overcome variability of micronutrient reference values across Europe for this age group. © 2010 Blackwell Publishing Ltd.

  3. Establish Albumin-creatinine Ratio Reference Value of Adults in the Rural Area of Hebei Province

    Institute of Scientific and Technical Information of China (English)

    Qiao-jing Liang; Wen Huang; Guo-juan Zhang; Ning-li Wang

    2016-01-01

    Objective To establish albumin-creatinine ratio (ACR) reference value of the rural population in Hebei province. Methods This study enrolled 5154 participants. By excluding subjects with hypertension, diabetes, dyslipidemia, cardiovascular and cerebrovascular diseases, kidney diseases, and overweight condition, as well as those with an estimated glomerular filtration rate (eGFR) Results The normal upper limit of ACR was 28.71 mg/g (3.25 mg/mmol) for males and 31.85 mg/g (3.60 mg/mmol) for females. Based on this ACR reference value, the age-gender standardized prevalence of albuminuria in the rural areas of Hebei province was 12.9%. Conclusion The ACR reference value in the rural of Hebei province is higher than that of the Western population.

  4. Ovine blood: establishment of a list of reference values relevant for blood coagulation in sheep.

    Science.gov (United States)

    Wilhelmi, Mathias H; Tiede, Andreas; Teebken, Omke E; Bisdas, Theodosios; Haverich, Axel; Mischke, Reinhard

    2012-01-01

    Ovine animal models are widely used to conduct preclinical studies, e.g., to evaluate cardiovascular prostheses intended to be applied in man. However, although analyzed in many of those studies, information about ovine blood reference values is scanty. The aim of this study is to establish a reference list of ovine blood parameters relevant for blood coagulation. A cohort of 47 mature ewes was evaluated. Parameters comprised the following: cells and cellular components-platelet, red, and white cell counts (including subsets), hemoglobin (Hb), hematocrit (HCT), mean corpuscular hemoglobin (MCH) and mean corpuscular volume (MCV), and MCH concentration (MCHC); global tests of coagulation-prothrombin time (Quick's time) and activated partial thromboplastin time (aPTT); and parameters relevant for blood coagulation-fibrinogen, antithrombin (AT), and von Willebrand Factor. After explorative data analysis, a list of ovine reference values was established. Interestingly, a comparison with human reference values revealed some interspecies differences between sheep and man, i.e., much higher ovine ranges for some cell counts (neutrophils, lymphocytes, basophils, eosinophils, and platelets) but lower values for some other parameters (Hb, HCT, MCV, MCH, AT, and Quick's test). We established a reference list of ovine blood count and blood coagulation parameters. Because of some peculiarities of the ovine blood, this list may have implications for the interpretation of experimental data.

  5. Reference values of M-mode echocardiographic parameters and indices in conscious Labrador Retriever dogs

    OpenAIRE

    M.B.Gugjoo; Hoque, M.; Saxena, A. C; Shamsuz Zama, M. M.; Dey, S.

    2014-01-01

    Breed-wise standard echocardiographic values in dogs have been reported as there is variation in body and chest conformation which limits the application of data of one breed for other breed. Labrador Retrievers being originated from hunting dogs, might have different echocardiographic values from standard normal range of other dog breeds. So, the present study was aimed to determine the M-mode echocardiographic reference ranges in Labrador Retriever dogs and to evaluate the effect of body we...

  6. Critical evaluation of approaches in setting indoor air quality guidelines and reference values.

    Science.gov (United States)

    Salthammer, Tunga

    2011-03-01

    The importance of good indoor air quality for the health of the individual was recognized as long as 150 years ago and that period also saw recommendations, which essentially related to questions of ventilation and carbon dioxide. The first evaluation standards for organic and inorganic substances were laid down in the 1970s, often on an empirical basis. It was in the mid-1980s of the 20th century that a shift occurred towards systematically evaluating the results of indoor air measurements, carrying out representative environmental surveys and deriving guideline values and reference values on the basis of toxicological, epidemiological and statistical criteria. Generally speaking the indoor environment is an area which can only be assessed with difficulty since its occupants are in most cases exposed to mixtures of substances and there can be great local and temporal variations in the substance spectrum. Data are available today for a large number of substances and this makes it possible, with the aid of statistically derived reference values and toxicologically based guideline values, to make useful recommendations regarding good indoor air quality. Nevertheless, it is still difficult to evaluate reactive compounds and reaction products. What is disadvantageous, however, is the fact that different guideline values may be published for one and the same substance, whose justification and area of application are often not transparent. A guideline or reference value can only be regarded as rational when necessary and when a strategy for its verification is available. Copyright © 2010 Elsevier Ltd. All rights reserved.

  7. The nutritional requirements of infants. Towards EU alignment of reference values: the EURRECA network

    NARCIS (Netherlands)

    Hermoso, M.; Tabacchi, G.; Iglesia-Altaba, I.; Bel-Serrat, S.; Moreno-Aznar, L.A.; Garcia-Santos, Y.; Rosario Garcia-Luzardo, Del M.; Santana-Salguero, B.; Pena-Quintana, L.; Serra-Majem, L.; Hall Moran, V.; Dykes, F.; Decsi, T.; Benetou, V.; Plada, M.; Trichopoulou, A.; Raats, M.M.; Doets, E.L.; Berti, C.; Cetin, I.; Koletzko, B.

    2010-01-01

    This paper presents a review of the current knowledge regarding the macro- and micronutrient requirements of infants and discusses issues related to these requirements during the first year of life. The paper also reviews the current reference values used in European countries and the methodological

  8. Reference values for frequency volume chart and uroflowmetry parameters in adolescent and adult enuresis patients

    NARCIS (Netherlands)

    Hofmeester, Ilse; Brinker, Astrid E.; Steffens, Martijn G.; Mulder, Zwaan; van Capelle, Jan Willem; Feitz, Wout F.J.; Blanker, Marco H.

    2017-01-01

    Aims: Reference values of Frequency Volume Chart (FVC) and uroflowmetry parameters for adolescent and adult enuresis patients are lacking. In this study, we aim to describe those parameters, in order to interpret findings from FVCs and uroflowmetries in those patients. Methods: Retrospective, descri

  9. Reference values for the muscle power sprint test in 6- to 12-year-old children.

    NARCIS (Netherlands)

    Douma-van Riet, Danielle; Verschuren, O.; Jelsma, Dorothee; Kruitwagen, C.L.J.J.; Smits-Engelsman, B.; Takken, T.

    2012-01-01

    Purpose: The aims of this study were (1) to develop centile reference values for anaerobic performance of Dutch children tested using the Muscle Power Sprint Test (MPST) and (2) to examine the test-retest reliability of the MPST. Methods: Children who were developing typically (178 boys and 201 girl

  10. Normal Reference Value of Red Blood Cell Count of Chinese Presenile Men and Geographical Factors

    Institute of Scientific and Technical Information of China (English)

    HE Jinwei; GE Miao; SU Huimin; LIANG Wei; CHEN Hongfei

    2007-01-01

    This paper aims at providing a scientific basis for unifying the normal reference value standards of red blood cell count of Chinese presenile men. The paper, using microscopical counting method, studies the relationship between the normal reference values of 38,061 samples of red blood cell count ofpresenile men and eight geographical factors in297 units in China. It is found that the correlation of geographical factors and the normal reference value of red blood cell count of presenile men is quite significant (F=303.00, P=0.000). By using the method of stepwise regression analysis,one regression equation is inferred. It is concluded that if geographical data are obtained in a certain area, the normal reference value of red blood cell count of presenile men in this area can be reckoned by using the regression analysis.Furthermore, according to the geographical factors, China can be divided into eight regions: Northeast China Region,North China Region, Shanxi-Shaanxi-Inner Mongolia Region, Middle and Lower Reaches of the Changjiang River Region, Southeast China Region, Northwest China Region, Southwest China Region and Qinghai-Tibet Plateau Region.

  11. Dynamic sonographic measurements at the carpal tunnel inlet: Reliability and reference values in healthy wrists

    NARCIS (Netherlands)

    A. Filius (Anika); J.-W.H. Korstanje (Jan-Wiebe); R.W. Selles (Ruud); S.E.R. Hovius (Steven); H.P. Slijper

    2013-01-01

    textabstractIntroduction: Reliability and reference values are not well-established for most dynamic sonographic measurements of the median nerve (MN) and flexor tendons that may be used for diagnosing carpal tunnel syndrome (CTS). Methods: Wrists of 20 healthy participants were imaged using ultraso

  12. Reference value for the 6-minute walk test in children and adolescents : A systematic review

    NARCIS (Netherlands)

    Mylius, C F; Paap, D; Takken, T

    2016-01-01

    INTRODUCTION: The 6-minute walk test is a submaximal exercise test used to quantify the functional exercise capacity in clinical populations. It measures the distance walked within a period of 6-minutes. Obtaining reference values in the pediatric population is especially demanding due to factors as

  13. Reference values for alveolar membrane diffusion capacity and pulmonary capillary blood volume

    NARCIS (Netherlands)

    Zanen, P; van der Lee, [No Value; van der Mark, T; van den Bosch, JMM

    2001-01-01

    The reference values for diffusion capacity of the alveolar capillary membrane (Tm,CO) and pulmonary capillary volume (Qc) are scarce, while the standard deviations of the equations are large. New equations and residual standard deviations (RSDs) were determined in a sample of healthy subjects. Tm,C

  14. Reference values for anaerobic performance and agility in ambulatory children and adolescents with cerebral palsy

    NARCIS (Netherlands)

    Verschuren, Olaf; Bloemen, Manon; Kruitwagen, Cas; Takken, Tim

    2010-01-01

    Aim The aim of this study was to provide reference values of anaerobic performance and agility in a group of children and adolescents with spastic cerebral palsy (CP). Method A total of 300 children (184 males, 116 females) with spastic CP were recruited from 26 rehabilitation centres in six differe

  15. Normalized mean shapes and reference index values for computerized quantitative assessment indices of chest wall deformities

    Science.gov (United States)

    Kim, Ho Chul; Park, Man Sik; Lee, Seong Keon; Nam, Ki Chang; Park, Hyung Joo; Kim, Min Gi; Song, Jae-Jun; Choi, Hyuk

    2015-11-01

    We previously proposed a computerized index (eccentricity index [EI]) for chest-wall deformity measurements, such as pectus excavatum. We sought to define mean shapes based on normal chest walls and to propose for computerized index reference values of that are used in the quantitative analysis of the severity of chest-wall deformities. A total of 584 patients were classified into 18 groups, and a database of their chest-wall computed tomography (CT) scan images was constructed. The boundaries of the chest wall were extracted by using a segmentation algorithm, and the mean shapes were subsequently developed. The reference index values were calculated from the developed mean shapes. Reference index values for the EI were compared with a conventional index, the Haller index (HI). A close association has been shown between the two indices in multiple subjects (r = 0.974, P < 0.001). The newly developed mean shapes and reference index values supply both reliability and objectivity to the diagnosis, analysis, and treatment of chest-wall deformities. They promise to be highly useful in clinical settings.

  16. ES2 neck injury assessment reference values for lateral loading in side facing seats

    NARCIS (Netherlands)

    Philippens, M.M.G.M.; Wismans, J.S.H.M.; Forbes, P.A.; Yoganandan, N.; Pintar, F.; Soltis, S.J.

    2009-01-01

    Injury assessment reference values (IARV) predicting neck injuries are currently not available for side facing seated aircraft passengers in crash conditions. The aircraft impact scenario results in inertial loading of the head and neck, a condition known to be inherently different from common autom

  17. Age and gender-specific reference values of orbital fat and muscle volumes in Caucasians

    NARCIS (Netherlands)

    Regensburg, N.I.; Wiersinga, W.M.; van Velthoven, M.E.J.; Berendschot, T.T.J.M.; Zonneveld, F.W.; Baldeschi, L.; Saeed, P.; Mourits, M.P.

    2011-01-01

    To provide age and gender-specific reference values for orbital fat and muscle volumes (MV) in Caucasian adults. Computed tomographic scans of 160 orbits from 52 men and 55 women, aged 20-80 years, not affected by orbital disease were evaluated. Orbital bony cavity volume (OV), fat volume (FV) and M

  18. Age and gender-specific reference values of orbital fat and muscle volumes in Caucasians

    NARCIS (Netherlands)

    Regensburg, N.I.; Wiersinga, W.M.; van Velthoven, M.E.J.; Berendschot, T.T.J.M.; Zonneveld, F.W.; Baldeschi, L.; Saeed, P.; Mourits, M.P.

    2011-01-01

    To provide age and gender-specific reference values for orbital fat and muscle volumes (MV) in Caucasian adults. Computed tomographic scans of 160 orbits from 52 men and 55 women, aged 20-80 years, not affected by orbital disease were evaluated. Orbital bony cavity volume (OV), fat volume (FV) and

  19. Re-evaluation of the haptoglobin reference values with the radial immunodiffusion technique

    NARCIS (Netherlands)

    Rijn, H.J.M. van; Schreurs, W.H.P.; Schrijver, J.

    1984-01-01

    The reference values of the three main types of serum haptoglobin Hp 1-1, Hp 2-1, and Hp 2-2, as determined by radial immunodiffusion and with phenotype determination on polyacrylamide gel electrophoresis have been re-evaluated for both sexes. For that purpose about 500 serum samples were collected

  20. Reference values for cardiopulmonary exercise testing in healthy volunteers: the SHIP study.

    Science.gov (United States)

    Koch, B; Schäper, C; Ittermann, T; Spielhagen, T; Dörr, M; Völzke, H; Opitz, C F; Ewert, R; Gläser, S

    2009-02-01

    Cardiopulmonary exercise testing (CPET) is a widely applied clinical procedure. The aim of the present study was to acquire a comprehensive set of reference values for cardiopulmonary responses to exercise and to evaluate possible associations with sex, age and body mass index (BMI). A standardised progressive incremental exercise protocol on a cycle ergometer was applied to 1,708 volunteers of a cross-sectional epidemiologic survey, called "Study of Health in Pomerania". Individuals with cardiopulmonary disorders, or echocardiographic or lung function pathologies, were excluded. The influence of potential confounding factors, such as smoking, taking beta-blockers, hypertension, diastolic dysfunction, BMI and physical activity, were analysed for their influencing power. Reference values of CPET parameters were determined by regression analyses. Of the volunteers, 542 current smokers and obese individuals were excluded for not being representative of a healthy population. The final sample size was 534 (253 males), with age 25-80 yrs. The current study provides a representative set of reference values for CPET parameters based on age and weight. Sex and age have a significant influence on exercise parameters. While addressing the problem of a selection bias, the current study provides the first comprehensive set of reference values obtained in a large number of healthy volunteers within a population-based survey.

  1. The Use of Reference Values in Indicator-Based Methods for the Environmental Assessment of Agricultural Systems

    Directory of Open Access Journals (Sweden)

    Hayo M. G. van der Werf

    2011-02-01

    Full Text Available Many indicator-based methods for the environmental assessment of farming systems have been developed. It is not the absolute values of the indicators that reveal whether the impact of a system is acceptable, but rather the distance between these values and some reference values. We reviewed eight frameworks for the environmental assessment of agricultural systems that define reference values for their indicators. We analyzed the methods used to establish reference values and explored how to improve these methods to increase their usage and relevance. This analysis revealed a striking diversity of terminology, sources, and modes of expression of results. Normative reference values allow the assessment of a single system with a previously defined value; Relative reference values are based on indicator values for similar systems or a reference system. Normative reference values can be Science-based or Policy-based. A science-based normative reference value can be a Target value, which identifies desirable conditions, or an Environmental limit, which is the level beyond which conditions are unacceptable. The quantification of the uncertainty of reference values is a topic which is barely explored and warrants further research. Reference values present a means of introducing site specificity into methods for environmental assessment which seems, at present, largely under-exploited.

  2. Reference values for Schirmer tear tests I and II in clinically normal pigs.

    Science.gov (United States)

    Trbolova, Alexandra; Ghaffari, Masoud Selk

    2012-05-01

    To determine reference values for Schirmer tear tests I and II in clinically normal pigs. Twenty clinically normal Landrace pigs (10 males and females) without ocular abnormalities were used in this study. In all pigs, Schirmer tear tests (STT) I and II were performed by using a sterile Schirmer tear test standardized strip (Schirmer-Tränentest(®), Germany) placed in the lower conjunctival fornix for 1 min. For each test (STT I and STT II), no differences were observed between the right and left eyes (P ≥ 0.5). The mean ± SD STT I value was 15.6 ± 3.7 mm/min (range, 10-22 mm/min), while the mean STT II value was 12.4 ± 3.8 mm/minute (range, 5-18 mm/min). The mean STT II value was significantly lower than the STT I level (P STT I and II values (P = 0.52). The mean ± SD STT I/II values of 10 juvenile pigs were significantly lower than the mean ± SD STT I/II values of 10 adult pigs (P STT I/II in this species. Knowledge of normal STT reference values in pigs enables the clinician to evaluate corneal pathology and diagnose tear deficiency syndromes with greater accuracy. © 2011 American College of Veterinary Ophthalmologists.

  3. Palm-based standard reference materials for iodine value and slip melting point.

    Science.gov (United States)

    Tarmizi, Azmil Haizam Ahmad; Lin, Siew Wai; Kuntom, Ainie

    2008-09-22

    This work described study protocols on the production of Palm-Based Standard Reference Materials for iodine value and slip melting point. Thirty-three laboratories collaborated in the inter-laboratory proficiency tests for characterization of iodine value, while thirty-two laboratories for characterization of slip melting point. The iodine value and slip melting point of palm oil, palm olein and palm stearin were determined in accordance to MPOB Test Methods p3.2:2004 and p4.2:2004, respectively. The consensus values and their uncertainties were based on the acceptability of statistical agreement of results obtained from collaborating laboratories. The consensus values and uncertainties for iodine values were 52.63 +/- 0.14 Wijs in palm oil, 56.77 +/- 0.12 Wijs in palm olein and 33.76 +/- 0.18 Wijs in palm stearin. For the slip melting points, the consensus values and uncertainties were 35.6 +/- 0.3 degrees C in palm oil, 22.7 +/- 0.4 degrees C in palm olein and 53.4 +/- 0.2 degrees C in palm stearin. Repeatability and reproducibility relative standard deviations were found to be good and acceptable, with values much lower than that of 10%. Stability of Palm-Based Standard Reference Materials remained stable at temperatures of -20 degrees C, 0 degrees C, 6 degrees C and 24 degrees C upon storage for one year.

  4. Reliability of measurement of endothelial function across multiple institutions and establishment of reference values in Japanese.

    Science.gov (United States)

    Tomiyama, Hirofumi; Kohro, Takahide; Higashi, Yukihito; Takase, Bonpei; Suzuki, Toru; Ishizu, Tomoko; Ueda, Shinichiro; Yamazaki, Tsutomu; Furumoto, Tomoo; Kario, Kazuomi; Inoue, Teruo; Koba, Shinji; Watanabe, Kentaro; Takemoto, Yasuhiko; Hano, Takuzo; Sata, Masataka; Ishibashi, Yutaka; Node, Koichi; Maemura, Koji; Ohya, Yusuke; Furukawa, Taiji; Ito, Hiroshi; Ikeda, Hisao; Yamashina, Akira

    2015-10-01

    For the standardization of flow-mediated vasodilatation (FMD) assessment as a clinical tool, validation of its reliability across multiple institutions and the establishment of normal/reference values based on reliable data from multiple institutions are needed. In Study 1, assessment of FMD (scan recording and analysis) using an ultrasonographic semi-automatic measuring system (sFMD) was conducted at 18 participating institutions (sFMD-INST) (n = 981). All of the brachial arterial scans were also analyzed at a core laboratory (sFMD-COLB). After 111 subjects with inadequate sFMD recordings were excluded (n = 880), the correlation between the sFMD-INST and sFMD-COLB improved from R = 0.725 to R = 0.838 (p data obtained from 6660 subjects without cardiovascular disease (CVD) and 729 subjects with CVD from 27 institutions, reference values of sFMD are proposed by the Framingham risk score (FRS)-based risk categories and according to gender and age. The receiver-operating characteristic curve analysis revealed a significant power of sFMD values in reference ranges to discriminate between subjects with and without CVD (e.g., area under curve = 0.64 in the FRS-low risk group). When the analysis was limited to cases with clear sFMD recordings, the reliability of the sFMD assessment (scan and its analysis) conducted in individual institutions appeared to be acceptable. Reference sFMD values (lower cuff occlusion) for the Japanese population are proposed based on reliable data derived from multiple institutions, and the reference values may identify patients without advanced vascular damage. Copyright © 2015 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  5. Reference Values for Cardiac and Aortic Magnetic Resonance Imaging in Healthy, Young Caucasian Adults

    Science.gov (United States)

    Eikendal, Anouk L. M.; Bots, Michiel L.; Haaring, Cees; Saam, Tobias; van der Geest, Rob J.; Westenberg, Jos J. M.; den Ruijter, Hester M.; Hoefer, Imo E.; Leiner, Tim

    2016-01-01

    Background Reference values for morphological and functional parameters of the cardiovascular system in early life are relevant since they may help to identify young adults who fall outside the physiological range of arterial and cardiac ageing. This study provides age and sex specific reference values for aortic wall characteristics, cardiac function parameters and aortic pulse wave velocity (PWV) in a population-based sample of healthy, young adults using magnetic resonance (MR) imaging. Materials and Methods In 131 randomly selected healthy, young adults aged between 25 and 35 years (mean age 31.8 years, 63 men) of the general-population based Atherosclerosis-Monitoring-and-Biomarker-measurements-In-The-YOuNg (AMBITYON) study, descending thoracic aortic dimensions and wall thickness, thoracic aortic PWV and cardiac function parameters were measured using a 3.0T MR-system. Age and sex specific reference values were generated using dedicated software. Differences in reference values between two age groups (25–30 and 30–35 years) and both sexes were tested. Results Aortic diameters and areas were higher in the older age group (all p<0.007). Moreover, aortic dimensions, left ventricular mass, left and right ventricular volumes and cardiac output were lower in women than in men (all p<0.001). For mean and maximum aortic wall thickness, left and right ejection fraction and aortic PWV we did not observe a significant age or sex effect. Conclusion This study provides age and sex specific reference values for cardiovascular MR parameters in healthy, young Caucasian adults. These may aid in MR guided pre-clinical identification of young adults who fall outside the physiological range of arterial and cardiac ageing. PMID:27732640

  6. Motor performance reference values: Percentile charts based on Cole and Green LMS method

    Directory of Open Access Journals (Sweden)

    Raquel Nichele de Chaves

    2014-02-01

    Full Text Available The main purpose of this study was to construct reference standards for physical fitness (PF values, and to graphically highlight differences between Vouzela children and adolescents’ PF levels with those from other national and international references samples. Sample comprised 1920 children and adolescents aged 7 to 17 years. PF was assessed by five tests: handgrip, standing jump, shuttle run, 50-yard dash and 1-mile walk/run. Centile charts were constructed using the LMS method using the LMSchartmarker Pro software. Results suggest pervasive interindividual differences in motor performance. Boys showed higher values than girls for all tests, mainly during the pubertal period. Vouzela children and adolescents had similar performance to other samples in handgrip test, while the 50th percentile values from US sample were higher in standing jump, shuttle run, 50-yard dash tests. Vouzela performance in one mile walk/run was better than Azores and US samples.

  7. Cerebrospinal fluid glucose and lactate: age-specific reference values and implications for clinical practice.

    Directory of Open Access Journals (Sweden)

    Wilhelmina G Leen

    Full Text Available Cerebrospinal fluid (CSF analysis is an important tool in the diagnostic work-up of many neurological disorders, but reference ranges for CSF glucose, CSF/plasma glucose ratio and CSF lactate based on studies with large numbers of CSF samples are not available. Our aim was to define age-specific reference values. In 1993 The Nijmegen Observational CSF Study was started. Results of all CSF samples that were analyzed between 1993 and 2008 at our laboratory were systematically collected and stored in our computerized database. After exclusion of CSF samples with an unknown or elevated erythrocyte count, an elevated leucocyte count, elevated concentrations of bilirubin, free hemoglobin, or total protein 9,036 CSF samples were further studied for CSF glucose (n = 8,871, CSF/plasma glucose ratio (n = 4,516 and CSF lactate values (n = 7,614. CSF glucose, CSF/plasma glucose ratio and CSF lactate were age-, but not sex dependent. Age-specific reference ranges were defined as 5-95(th percentile ranges. CSF glucose 5(th percentile values ranged from 1.8 to 2.9 mmol/L and 95(th percentile values from 3.8 to 5.6 mmol/L. CSF/plasma glucose ratio 5(th percentile values ranged from 0.41 to 0.53 and 95(th percentile values from 0.82 to 1.19. CSF lactate 5(th percentile values ranged from 0.88 to 1.41 mmol/L and 95(th percentile values from 2.00 to 2.71 mmol/L. Reference ranges for all three parameters were widest in neonates and narrowest in toddlers, with lower and upper limits increasing with age. These reference values allow a reliable interpretation of CSF results in everyday clinical practice. Furthermore, hypoglycemia was associated with an increased CSF/plasma glucose ratio, whereas hyperglycemia did not affect the CSF/plasma glucose ratio.

  8. Reference values for lysosomal enzymes activities using dried blood spots samples - a Brazilian experience

    Directory of Open Access Journals (Sweden)

    Martins Ana M

    2010-09-01

    Full Text Available Abstract Background Lysosomal storage diseases (LSD are inherited disorders caused by deficiency of lysosomal enzymes in which early diagnosis is essential to provide timely treatment. This study reports interval values for the activity of lysosomal enzymes that are deficient in Mucopolysaccharidosis type I, Fabry, Gaucher and Pompe disease, using dried blood spots on filter paper (DBS samples in a Brazilian population. Results Reference activity values were obtained from healthy volunteers samples for alpha-galactosidase A (4.57 ± 1.37 umol/L/h, beta-glucosidase (3.06 ± 0.99 umol/L/h, alpha-glucosidase (ratio: 13.19 ± 4.26; % inhibition: 70.66 ± 7.60, alpha-iduronidase (3.45 ± 1.21 umol/L/h and beta-galactosidase (14.09 ± 4.36 umol/L/h. Conclusion Reference values of five lysosomal enzymes were determined for a Brazilian population sample. However, as our results differ from other laboratories, it highlights the importance of establishing specific reference values for each center.

  9. Serum chemistry reference values in adult Japanese quail (Coturnix coturnix japonica) including sex-related differences.

    Science.gov (United States)

    Scholtz, N; Halle, I; Flachowsky, G; Sauerwein, H

    2009-06-01

    Serum chemistry reference values may provide useful information about the physical condition of individuals, making them a useful tool in differentiating normal and healthy animals from abnormal or diseased states. For Japanese quail that are used for producing eggs and meat for human consumption and also as laboratory animals, we aimed to extend the available array of reference values and to compare 16-wk-old adult male versus female birds. In the present study, clinical chemistry data (albumin, total protein, glucose, uric acid, cholesterol, bilirubin, cholinesterase, creatinine, triglycerides, alanine aminotransferase, aspartate aminotransferase, and gamma-glutamyltransferase) in blood serum from up to 125 male and 151 female Japanese quail were established. Statistical comparisons were made between male and female birds. Aspartate aminotransferase, alanine aminotransferase, glucose, cholinesterase, and bilirubin values were higher (P sex-based differences were observed for creatinine and uric acid. The reference values provided are relevant in particular for the use of quail as laboratory animals when responses to specific treatments have to be monitored and appraised.

  10. Erythrocyte reference values in Emirati people with and without α+ thalassemia

    Directory of Open Access Journals (Sweden)

    Showqi Saad

    2011-02-01

    Full Text Available Abstract Background Interpreting the erythroid lineage in populations with high frequency of α+ thalassemia allele is challenging due to the high prevalence of α+ thalassemia homozygotes. For such populations, separate reference values for normal and α+ thalassemia homozygotes are needed. Methods We studied the erythroid lineage in 1,079 citizens of United Arab Emirates (UAE. Subjects with abnormal hemoglobin (39, iron deficiency (136 or erroneous entries (8 were excluded. MCV distribution in the remaining individuals (896 was visibly bimodal. Statistical mixture analysis with Normix program was used to separate subpopulations with normal and small red cells. Hardy-Weinberg equation was used to estimate genotype frequencies. Results MCV of 78.0 fl separated phenotype-derived normal homozygotes (715 from phenotype-derived α+ thalassemia homozygotes (181. The erythrocyte indices were significantly different between the two groups (p + thalassemia homozygotes (-α/-α was 0.20 and markedly varied among tribes, 0 to 0.31 (Mean = 0.15. The frequency of phenotype-derived α+ thalassemia allele was 0.44; when accounting for tribal population structure and inbreeding, the calculated frequency was 0.34. These values were very similar to those found in the same population by genotyping and other phenotyping methods. The erythrocyte reference values for phenotype-derived normal homozygotes in Emiratis closely overlapped with those for Caucasians and normal homozygotes defined by genotyping. The reference values for phenotype-derived α+ thalassemia homozygotes in Emiratis also closely overlapped with those for α+ thalassemia homozygotes defined by genotyping. Conclusion In populations with frequent α+ thalassemia mutations, two sets of erythrocyte reference values could be determined without genotyping.

  11. Reference values of brachial-ankle pulse wave velocity for Northern Chinese

    Institute of Scientific and Technical Information of China (English)

    WANG Xian; XIE Jiang; ZHANG Li-jing; HU Da-yi; LUO Ya-li; WANG Jin-wen

    2009-01-01

    Background Brachial-ankle pulse wave velocity (baPWV) is a reliable method for measuring arterial elasticity, but the absence of reference value for baPWV has limited its wide use. We conducted an epidemical study in north China to investigate the reference value of baPWV for Chinese people and its influential factors.Methods A total of 974 identified healthy subjects were recruited in this study. The values of baPWV were evaluated noninvasively with an automatic device.Results For healthy population, the mean value of baPWV was higher for male (P <0.001). Multiple regression analysis demonstrated that both age and systolic blood pressure were positively associated with baPWV for male and female (P <0.001). BaPWV value was higher in male than in female in younger group (<50 years) but not in older group (P≤0.001). The upper limits of baPWV were 1394/1264 cm/s, 1435/1361 cm/s, 1552/1433 cm/s, 1597/1609 cm/s and 1798/1915 cm/s for healthy male/female at 10 years interval (age range 20-70 years).Conclusions Aging is the most important reason of arterial stiffness, but the effect of age on baPWV augmentation is greater for healthy female than their male counterpart. The reference values of baPWV by sex and age are very useful for clinical and preventive medicine.

  12. Comparing Methods for Extracting Heavy Metals from Histosols for Establishing Quality Reference Values

    Directory of Open Access Journals (Sweden)

    Erica Souto Abreu Lima

    Full Text Available ABSTRACT The diversity of methods for heavy metal extraction from soils complicates comparison of results used by environmental agencies to establish quality reference values. The aim of this study was to evaluate three soil digestion methods regarding the solubilizing capacity of Ba, Cr, Cu, Fe, Mn, Ni, Pb and Zn, and to propose a standard method to establish Quality Reference Values (QRVs for Brazilian Histosols. Twenty soil samples were selected to evaluate the USEPA 3051, USEPA 3051A and Aqua Regia methods in a closed system. The methods tested were statistically similar regarding Cu, Fe and Mn extraction from soils. However, the methods can not be considered similar for Ba, Cr, Ni, Pb and Zn; Aqua Regia recorded the highest levels, except for Ba. The Aqua Regia method proved suitable for metal extraction from soils with organic characteristics and can be used to establish QRVs.

  13. Establishing new principles for nutrient reference values (NRVs) for food labeling purposes

    OpenAIRE

    Yates, Allison A

    2007-01-01

    Many countries such as The Republic of Korea have established their own nutritional standards, collectively termed Nutrient Reference Values(NRVs), and they vary due to the science which was reviewed, the purposes for which they are developed, and issues related to nutrition and food policy in the country. The current effort by the Codex Alimentarius Committee on Nutrition and Foods for Special Dietary Uses (CNFSDU) to update the NRVs that were established following the Helsinki Consultation ...

  14. Spectral effect: each population must have its own normal midnight salivary cortisol reference values determined

    OpenAIRE

    MERT, Meral; TANAKOL, Refik; Karpuzoglu, Hande; Abbasoglu, Semra; Yarman, Sema; BOZTEPE, Harika; Alagol, Faruk

    2013-01-01

    Introduction The mesurement of midnight salivary cortisol provides the most sensitive method for screening of Cushing's sendrome. However the clinical significance of spectral error is the requirement for determination of normal reference values in each population for each test, which will be used as the diagnostic method. Salivary cortisol levels may be affected by individual factors such as nutrition, sleep, medication, activity, and gender. Being a non-invasive method, midnight salivary co...

  15. Reference values for venous and capillary S100B in children

    DEFF Research Database (Denmark)

    Astrand, Ramona; Romner, Bertil; Lanke, Jan

    2011-01-01

    The current management guidelines for pediatric mild head injury (MHI) liberally recommend computed tomography (CT) and frequent admission. Serum protein S100B, currently used in management of adult head injury, has recently shown potential for reducing unnecessary CT scans after pediatric mild...... head injury. Capillary sampling in children is commonly used when venous sampling fails or is inappropriate. We present reference values for both venous and capillary samples of protein S100B in children....

  16. Furthering the derivation of predictive wildlife toxicity reference values for use in soil cleanup decisions.

    Science.gov (United States)

    Mayfield, David B; Johnson, Mark S; Burris, Janet A; Fairbrother, Anne

    2014-07-01

    The development of media-specific ecological values for risk assessment includes the derivation of acceptable levels of exposure for terrestrial wildlife (e.g., birds, mammals, reptiles, and amphibians). Although the derivation and subsequent application of these values can be used for screening purposes, there is a need to identify toxicological effects thresholds specifically for making remedial decisions at individual contaminated sites. A workshop was held in the fall of 2012 to evaluate existing methods and recent scientific developments for refining ecological soil screening levels (Eco-SSLs) and improving the derivation of site-specific ecological soil clean-up values for metals (Eco-SCVs). This included a focused session on the development and derivation of toxicity reference values (TRVs) for terrestrial wildlife. Topics that were examined included: methods for toxicological endpoint selection, techniques for dose-response assessment, approaches for cross-species extrapolation, and tools to incorporate environmental factors (e.g., metal bioavailability and chemistry) into a reference value. The workgroup also made recommendations to risk assessors and regulators on how to incorporate site-specific wildlife life history and toxicity information into the derivation of TRVs to be used in the further development of soil cleanup levels.

  17. Palm-Based Standard Reference Materials for Iodine Value and Slip Melting Point

    Directory of Open Access Journals (Sweden)

    Azmil Haizam Ahmad Tarmizi

    2008-01-01

    Full Text Available This work described study protocols on the production of Palm-Based Standard Reference Materials for iodine value and slip melting point. Thirty-three laboratories collaborated in the inter-laboratory proficiency tests for characterization of iodine value, while thirty-two laboratories for characterization of slip melting point. The iodine value and slip melting point of palm oil, palm olein and palm stearin were determined in accordance to MPOB Test Methods p3.2:2004 and p4.2:2004, respectively. The consensus values and their uncertainties were based on the acceptability of statistical agreement of results obtained from collaborating laboratories. The consensus values and uncertainties for iodine values were 52.63 ± 0.14 Wijs in palm oil, 56.77 ± 0.12 Wijs in palm olein and 33.76 ± 0.18 Wijs in palm stearin. For the slip melting points, the consensus values and uncertainties were 35.6 ± 0.3 °C in palm oil, 22.7 ± 0.4 °C in palm olein and 53.4 ± 0.2 °C in palm stearin. Repeatability and reproducibility relative standard deviations were found to be good and acceptable, with values much lower than that of 10%. Stability of Palm-Based Standard Reference Materials remained stable at temperatures of –20 °C, 0 °C, 6 °C and 24 °C upon storage for one year.

  18. MRI-based Determination of Reference Values of Thoracic Aortic Wall Thickness in a General Population

    Energy Technology Data Exchange (ETDEWEB)

    Mensel, Birger; Quadrat, Alexander; Schneider, Tobias; Kuehn, Jens-Peter; Hegenscheid, Katrin [University Medicine Greifswald, Institute of Diagnostic Radiology and Neuroradiology, Greifswald (Germany); Doerr, Marcus [University Medicine Greifswald, Department of Internal Medicine, Greifswald (Germany); DZHK (German Center for Cardiovascular Research), Greifswald (Germany); Voelzke, Henry [University Medicine Greifswald, Institute for Community Medicine, Greifswald (Germany); DZHK (German Center for Cardiovascular Research), Greifswald (Germany); Lieb, Wolfgang [Christian Albrechts University, Institute of Epidemiology, Kiel (Germany); Lorbeer, Roberto [University Medicine Greifswald, Institute for Community Medicine, Greifswald (Germany)

    2014-09-15

    To provide age- and sex-specific reference values for MRI-derived wall thickness of the ascending and descending aorta in the general population. Data of 753 subjects (311 females) aged 21-81 years were analysed. MRI was used to determine the aortic wall thickness (AWT). Equations for reference value calculation according to age were established for females and males. Median wall thickness of the ascending aorta was 1.46 mm (5th-95th range: 1.15-1.88 mm) for females and 1.56 mm (1.22-1.99 mm) for males. Median wall thickness of the descending aorta was 1.26 mm (0.97-1.58 mm) in females and 1.36 mm (1.04-1.75 mm) in males. While median and 5th and 95th percentiles for the ascending and descending aorta increased with age in both sexes, the association between age and median AWT was stronger in males than in females for both the ascending and descending aorta. Reference values for the ascending and descending AWT are provided. In a healthy sample from the general population, the wall of the ascending aorta is thicker than the wall of the descending aorta, and both walls are thicker in males than females. The increase in wall thickness with age is greater in males. (orig.)

  19. Reference Values of Arterial Gases and Electrolytes in Canines from the Bogota Savanna

    Directory of Open Access Journals (Sweden)

    Carlos Andrés Trujillo Jurado

    2014-06-01

    Full Text Available Due to the lack of arterial gas values that meet our environmental conditions and the wide variety of out-of-date data in literature and used in everyday practice, obtained with different heights, breeds and equipment to the ones available in our context, it becomes necessary to generate our own knowledge adjusted to our reality. A random systematic measurement of arterial and venous blood was made on 100 healthy canines in the Bogota Savanna (Chia: 2652 m.a.s.l.; Cajica: 2558 m.a.s.l.; Sopo: 2650 m.a.s.l.; La Calera: 2718 m.a.s.l.; and Bogota: 2630 m.a.s.l.;, using the I-STAT® analyzer with EG7+ cartridge. Reference values were found for gasometry, electrolytes, effective basis and pH. The values were compared between four groups by weight. Descriptive statistics were made for each parameter based on average, standard deviation and standard error, and the trust limits (95% and the intervals with standard deviation (one and two deviations were found. A decrease on PCO2, PO2, SO2, bicarbonate and BE was evident. The pH was found to be slightly increased, similar to the one reported by authors at great heights and different (not statistically confirmed from reports in literature, where height was not a variable. Even so, they are frequently used as reference in the practice of small animals; only PO2 presented statistical differences by groups of weight. As a conclusion, effective regulation of blood pH was evident at 2600 m.a.s.l., with different bicarbonate values, PCO2, PO2, BE, which suggest the need to obtain and use reference values consistent with local conditions.

  20. Reference values for respiratory system impedance using impulse oscillometry in healthy preschool children

    Directory of Open Access Journals (Sweden)

    Jye Hae Park

    2011-02-01

    Full Text Available Purpose : The normal values for lung resistance and lung capacity of children, as determined by impulse oscillometry (IOS, are different for children of different ethnicities. However, reference values there is no available reference value for Korean preschool children have yet to be determined. The aim of the present study was to determine the normal ranges of IOS parameters in Korean preschool children. Methods : A total of 133 healthy Korean preschool children were selected from 639 children (aged 3 to 6 years who attended kindergarten in Seongnam, Gyeonggi province, Korea. Healthy children were defined according to the European Respiratory Society (ERS criteria. All subjects underwent lung function tests using IOS. The relationships between IOS value (respiratory resistance (Rrs and reactance (Xrs at 5 and 10 Hz and resonance frequency (RF and age, height, and weight were analyzed by simple linear and multiple linear regression analyses. Results : The IOS success rate was 89.5%, yielding data on 119 children. Linear regression identified height as the best predictor of Rrs and Xrs. Using stepwise multiple linear regressions based on age, height, and weight, we determined regression equations and coefficients of determination (R2 for boys (Rrs5=1.934&#8211; 0.009¡¿Height, R2=12.1%; Xrs5=0.774+0.006¡¿Height&#8211;0.002¡¿Age, R2=20.2% and for girls (Rrs5=2.201&#8211;0.012¡¿Height, R2=18.2%; Xrs5=-0.674+0.004¡¿Height, R2=10.5%. Conclusion : This study provides reference values for IOS measurements of normal Korean preschool children. These provide a basis for the diagnosis and monitoring of preschool children with a variety of respiratory diseases.

  1. New Danish reference values for height, weight and body mass index of children aged 0-5 years

    DEFF Research Database (Denmark)

    Nielsen, A M; Olsen, E M; Juul, A

    2010-01-01

    To derive new reference values for height, weight and body mass index (BMI) of children aged 0-5 years in Denmark and to compare them with the national reference from the 1970s and the 2006 WHO standard.......To derive new reference values for height, weight and body mass index (BMI) of children aged 0-5 years in Denmark and to compare them with the national reference from the 1970s and the 2006 WHO standard....

  2. Opportunities and challenges in conducting systematic reviews to support development of nutrient reference values: vitamin A as an example

    Science.gov (United States)

    Nutrient reference values have significant public health and policy implications. Given the importance of defining reliable nutrient reference values, there is a need for an explicit, objective, and transparent process to set these values. The Tufts Medical Center Evidence-based Practice Center asse...

  3. Nutrient reference value: non-communicable disease endpoints--a conference report.

    Science.gov (United States)

    Lupton, J R; Blumberg, J B; L'Abbe, M; LeDoux, M; Rice, H B; von Schacky, C; Yaktine, A; Griffiths, J C

    2016-03-01

    Nutrition is complex-and seemingly getting more complicated. Most consumers are familiar with "essential nutrients," e.g., vitamins and minerals, and more recently protein and important amino acids. These essential nutrients have nutrient reference values, referred to as dietary reference intakes (DRIs) developed by consensus committees of scientific experts convened by the Institute of Medicine of the National Academy of Sciences, Engineering, and Medicine and carried out by the Food and Nutrition Board. The DRIs comprise a set of four nutrient-based reverence values, the estimated average requirements, the recommended dietary allowances (RDAs), the adequate intakes and the tolerable upper intake levels for micronutrient intakes and an acceptable macronutrient distribution range for macronutrient intakes. From the RDA, the US Food and Drug Administration (FDA) derives a labeling value called the daily value (DV), which appears on the nutrition label of all foods for sale in the US. The DRI reports do not make recommendations about whether the DV labeling values can be set only for what have been defined to date as "essential nutrients." For example, the FDA set a labeling value for "dietary fiber" without having the DV. Nutrient reference values-requirements are set by Codex Alimentarius for essential nutrients, and regulatory bodies in many countries use these Codex values in setting national policy for recommended dietary intakes. However, the focus of this conference is not on essential nutrients, but on the "nonessential nutrients," also termed dietary bioactive components. They can be defined as "Constituents in foods or dietary supplements, other than those needed to meet basic human nutritional needs, which are responsible for changes in health status (Office of Disease Prevention and Health Promotion, Office of Public Health and Science, Department of Health and Human Services in Fed Regist 69:55821-55822, 2004)." Substantial and often persuasive

  4. Spirometric reference values for Hopi Native American children ages 4-13 years.

    Science.gov (United States)

    Arnall, David A; Nelson, Arnold G; Hearon, Christopher M; Interpreter, Christina; Kanuho, Verdell

    2016-04-01

    Spirometry is the most important tool in diagnosing pulmonary disease and is the most frequently performed pulmonary function test. Respiratory disease is also one of the greatest causes for morbidity and mortality on the Hopi Nation, but no specific reference equations exist for this unique population. The purpose of this study was to determine if population reference equations were necessary for these children and, if needed, to create new age and race-specific pulmonary nomograms for Hopi children. Two hundred and ninety-two healthy children, ages 4-13 years, attending Hopi Nation elementary schools in Arizona, were asked to perform spirometry for a full battery of pulmonary volumes and capacities of which the following were analyzed: forced vital capacity (FVC), forced expiratory volume in 1 sec (FEV1 ), FEV1 % (FEV1 /FVC), FEF25-75% and peak expiratory flow rate (PEFR). Spirometric data from Navajo children living in the same geographical region as the Hopi children were compared as well as spirometric data from common reference values used for other ethnic groups in the USA. Spirometry tests from 165 girls and 127 boys met American Thoracic Society quality control standards. We found that the natural log of height, body mass and age were significant predictors of FEV1 , FVC, and FEF25-75% in the gender-specific models and that lung function values all increased with height and age as expected. The predictions using the equations derived for Navajo, Caucasian, Mexican-American, African-American youth were significantly different (P ≤ 0.05) from the predictions derived from the Hopi equations for all of the variables across both genders, with the exceptions of Hopi versus Navajo FEV1 /FVC in the males and Hopi versus Caucasians FEF25-75% in the females. Thus it would appear for this population important to have specific formulae to provide more accurate reference values.

  5. Age-specific reference values for serum FSH and estradiol levels throughout the reproductive period.

    Science.gov (United States)

    Grisendi, Valentina; Spada, Elena; Argento, Cindy; Plebani, Maddalena; Milani, Silvano; Seracchioli, Renato; Volpe, Annibale; La Marca, Antonio

    2014-06-01

    High serum day 3 FSH levels are associated with poor ovarian reserve and reduced fertility, but the interpretation of FSH values according to age is still not univocal. The purpose of this study was to determine age-dependent reference values in women with regular menstrual cycles and FSH as a guide for specialists. The study was performed at the Department of Mother-Infant of a University-based tertiary care centre. One-hundred ninety-two healthy normal menstruating women were recruited for the study. All patients attended the department on menstrual cycle day 3 for a blood sample for FSH and estradiol determination. A linear relationship between FSH or estradiol serum levels and age was observed. The FSH level increased by 0.11 IU for every year of age (1 IU for every 9 years of age). The values of FSH and estradiol corresponding to the 5th, 25th, 50th, 75th, 95th centiles for any specific age have been calculated. Serum FSH levels need to be interpreted according to age-dependent reference values. Serum FSH levels on 95th centile for any age may represent a warning sign for reduced ovarian reserve.

  6. Reference values for selected ophthalmic diagnostic tests of the ferret (Mustela putorius furo).

    Science.gov (United States)

    Montiani-Ferreira, Fabiano; Mattos, Bianca Chaim; Russ, Heloisa Helena Abil

    2006-01-01

    To perform selected ophthalmic diagnostic tests in healthy ferrets with the aim of establishing normal physiological reference values for this species. A total of 15 healthy, unrelated ferrets were used to test most of the parameters in this investigation. Eight of the 15 ferrets were used for central corneal thickness evaluation. Ages varied from 1.5 to 6 years of age. Selected diagnostic ocular tests were performed including Schirmer tear test, tonometry using an applanation tonometer (Tonopen), central corneal thickness using an ultrasonic pachymeter (Sonomed, Micropach, Model 200P +) and culture of the normal conjunctival bacterial flora. Staphylococcus sp. and Corynebacterium sp. were isolated from healthy conjunctival and eyelid margins, suggesting they are normal constituents of the conjunctival flora of the ferret. Results for selected ocular diagnostic tests investigated here for the ferret eye were as follows: intraocular pressure: 14.50 +/- 3.27 mmHg; Schirmer tear test: 5.31 +/- 1.32 mm/min; central corneal thickness: 0.337 +/- 0.020 mm. No statistically significant differences between ages or genders were found for any of the results. The reference data for the ocular tests obtained in this investigation will help veterinary ophthalmologists to more accurately diagnose ocular diseases in the ferret. Knowledge of these reference values will be particularly useful to diagnose discrete or unusual pathological changes of the ferret eye.

  7. Exhaled nitric oxide levels in asthma: Personal best versus reference values.

    Science.gov (United States)

    Smith, Andrew D; Cowan, Jan O; Taylor, D Robin

    2009-10-01

    Factors affecting the fraction of nitric oxide in exhaled air (FE(NO)) are multiple. Interpreting values when assessing airways disease may be problematic. Clinically optimum levels have not been defined. We aimed to establish the relationship between predicted values for FE(NO) obtained from equations by Olin et al, Travers et al, and Dressel et al, and normalized levels after oral prednisone. We also compared postprednisone FE(NO) levels with those obtained during optimized treatment with inhaled fluticasone. Data were obtained before and after a trial of oral prednisone (30mg/d for 14 days), and also from a previously published study in which patients had their dose of inhaled corticosteroid adjusted using either FE(NO) or symptoms/lung function to optimize treatment. Seventy-three patients completed the study. The geometric mean FE(NO) after prednisone (17.7 parts per billion [ppb]; 95% CI, 15.5-20.2) was significantly lower than mean FE(NO) at the optimized fluticasone dose (20.2 ppb; 95% CI, 17.1-23.8; P=.04) and at loss of control (27.6 ppb; 95% CI, 22.8-33.4; P values of Olin et al (16.8 ppb, 95% CI, 16.0-17.5; P=.44), but were significantly lower than values of Travers et al (predicted, 21.5 ppb; 95% CI, 20.9-22.2; P=.005) and Dressel et al (predicted, 27.8 ppb; 95% CI, 26.7-28.9; P values from the reference equation by Olin et al. However, at optimized doses of inhaled corticosteroid, although FE(NO) levels were higher than predicted, asthma was well controlled. Targeting FE(NO) on reference values is not justified.

  8. Reference values for serum leptin in healthy non-obese children and adolescents

    DEFF Research Database (Denmark)

    Lausten-Thomsen, Ulrik; Christiansen, Michael; Louise Hedley, Paula

    2016-01-01

    of reference values from pediatric settings. Accordingly, this study aims to evaluate serum concentrations of leptin, soluble leptin receptor (sOB-R), and free leptin index (FLI) in healthy Danish schoolchildren aged 6-18 years and subsequently to establish reference intervals across sex and age groups...... leptin index were calculated using the General Additive Model for Location Scale and Shape (GAMLSS). RESULTS: Significant age and sex-dependent differences in circulating leptin levels were found. In boys, the median leptin concentration for all ages combined was 3.35 μg/L (95%-interval: 0.......71-22.47) and in girls, it was 9.89 ng/L (95%-interval: 2.06-41.49). For SOB-R, no sex-specific difference was found, and the median sOB-R concentration was 8.24 μg/L (IQR: 3.58-23.74; range: 

  9. Reference Values and Gender Differences of the Functional Parameters in Romanian Elite Junior Tennis Players

    Directory of Open Access Journals (Sweden)

    Adrian NAGEL

    2013-06-01

    Full Text Available Purpose: To establish the reference values and gender differences regarding fitness, strength, and time reaction of the Romanian elite junior tennis players. Material and Methods: Thirty four junior tennis players (19 male, 15 female with a mean age of 15 years were selected from the database of the Cardiopulmonary Effort Testing and Physical Performance Laboratory from Faculty of Physical Education and Sport, West University of Timisoara. To be included in the study, a tennis player had to belong to the Romanian Tennis Federation as a junior, be among the 50 best players in his/her category, and have no pathology at the evaluation moment. All subjects underwent functional evaluation by performing a maximal cardiopulmonary exercise test, the counter movement jump test and complex opto-acoustic reaction test. Results: The functional performance are significantly different for males and females in all parameters studied, with male tennis players showing better performance than female tennis players. Conclusions: The mean values of functional parameters of the Romanian elite junior tennis players are lower than international competitive tennis athletes. There are significant gender differences in junior tennis players. We hope that the present study results provide useful reference values for coaches and physical trainers in order to improve functional performance of their junior tennis players.

  10. Bioelectrical impedance analysis: population reference values for phase angle by age and sex.

    Science.gov (United States)

    Barbosa-Silva, Maria Cristina G; Barros, Aluísio J D; Wang, Jack; Heymsfield, Steven B; Pierson, Richard N

    2005-07-01

    Phase angle is an indicator based on reactance and resistance obtained from bioelectrical impedance analysis (BIA). Although its biological meaning is still not clear, phase angle appears to have an important prognostic role. The aim of this study was to estimate population averages and SDs of phase angle that can be used as reference values. BIA and other methods used to evaluate body composition, including hydrodensitometry and total body water, were completed in 1967 healthy adults aged 18-94 y. Phase angle was calculated directly from body resistance and reactance, and fat mass (FM) was estimated from the combination of weight, hydrodensitometry, and total body water by using the 3-compartment Siri equation. Phase angle values were compared across categories of sex, age, body mass index (BMI), and percentage FM. Phase angle was significantly (P < 0.001) smaller in women than in men and was lower with greater age (P < 0.001). Phase angle increased with an increase in BMI and was significantly inversely associated with percentage fat in men. Phase angle was significantly predicted from sex, age, BMI, and percentage FM in multiple regression models. Phase angle differs across categories of sex, age, BMI, and percentage fat. These reference values can serve as a basis for phase angle evaluations in the clinical setting.

  11. Reference values for ethylenethiourea in urine in Northern Italy: results of a pilot study.

    Science.gov (United States)

    Colosio, Claudio; Visentin, Sara; Birindelli, Sarah; Campo, Laura; Fustinoni, Silvia; Mariani, Franco; Tiramani, Manuela; Tommasini, Michele; Brambilla, Gabri; Maroni, Marco

    2006-04-10

    This study was carried out to define reference values for urinary ethylenethiourea (ETU) in the Northern Italy population and to identify the sources of exposure. Ninety-five healthy subjects were selected. A spot urine sample was collected in the morning, and analyzed using GC/MS in the EI/SIM mode. Thirty-nine subjects showed urinary ETU concentrations lower than the limit of detection (LOD, 0.4 microg/g creatinine), and the remainders ETU concentrations ranging from 0.5 to 11.6 microg/g creatinine. No correlation was shown between smoke or alcohol intake and urinary ETU concentrations. Based on data on ethylene-bis-dithiocarbamate (EBDC) concentrations in food, we estimated a total EBDCs intake of 31.7-50.1 microg/day. These values are largely below the ADIs, but explain the presence of small amounts of ETU in the urine samples we have analyzed. Finally, it was estimated that the mean ETU in urine in the Italian general population is 0.6-0.8 microg/g creatinine, with a 95th percentile of 4.5-5.0 microg/g creatinine. These values can be used as reference, to compare the results of biological monitoring activities carried out on EBDCs occupationally and environmentally exposed populations.

  12. Establishment of age-dependent reference values for IgA subclasses.

    Science.gov (United States)

    Schauer, Uwe; Stemberg, Frank; Rieger, Christian H L; Borte, Michael; Schubert, Simone; Riedel, Frank; Herz, Udo; Renz, Harald; Wick, Manfred; Herzog, Wilhelm

    2003-02-01

    Recently, subclass-specific antisera have been introduced for application in a nephelometric assay. The aim of this study was to establish age-dependent reference values for serum concentrations of the two IgA subclasses in children and adults. Serum levels of IgA1 and IgA2 were measured by automated immunonephelometry in samples from 235 clinically healthy children between 6 months and 18 years of age and 36 healthy adults. Both IgA1 and IgA2 were detectable in all samples, and both IgA1 and IgA2 increased with increasing age. In adults, the mean value for IgA1 is 1.46 g/l for IgA2 0.21 g/l and for total IgA 1.94 g/l. Individual IgA2 values correlate significantly (p < 0.0001) with IgA1 values (r(2) = 0.5433). In addition, there was a highly significant (p < 0.0001) correlation (r(2) = 0.9530) between the measured total IgA and the sum of the two IgA subclasses indicating that immunonephelometry using highly specific polyclonal antisera might be superior to other methods. These results and the availability of age-dependent reference values make it worthwhile to reassess the role of IgA subclasses in immunodeficiency and autoimmune diseases where conventional methods have led to conflicting results. Copyright 2002 Elsevier Science B.V.

  13. Hand-Held Dynamometry Isometric Torque Reference Values for Children and Adolescents

    OpenAIRE

    Hébert, Luc J.; Maltais, Désirée B.; Lepage, Céline; Saulnier, Joanne; Crête, Mélanie

    2015-01-01

    Purpose: To establish hand-held dynamometry (HHD) maximal isometric muscle torque (MIT) reference values for children and adolescents who are developing typically. Methods: The MIT of 10 upper and lower limb muscle groups was assessed in 351 Caucasian youth (4 years 2 months to 17 years) using a standardized HHD protocol, previously shown to be feasible, valid, and reliable. Results: The mean MIT and 95% confidence interval of the mean for all muscle groups, for each of the 14 age groups (1 y...

  14. Calibrating Pyrgeometers Outdoors Independent from the Reference Value of the Atmospheric Longwave Irradiance

    Energy Technology Data Exchange (ETDEWEB)

    Reda, I.; Hickey, J. R.; Grobner, J.; Andreas, A.; Stoffel, T.

    2006-08-01

    In this article, we describe a method for the calibration of thermopile pyrgeometers in the absence of a reference for measurement of atmospheric longwave irradiance. This is referred to as the incoming longwave irradiance in this article. The method is based on an indoor calibration using a low-temperature blackbody source to obtain the calibration coefficients that determine the pyrgeometer's radiation characteristics. From these coefficients the outgoing irradiance of the pyrgeometer can be calculated. The pyrgeometer is then installed outdoors on an aluminum plate that is connected to a circulating temperature bath. By adjusting the temperature bath to the approximate value of the effective sky temperature, the pyrgeometer's body temperature is lowered changing the pyrgeometer's thermopile output. If the incoming longwave irradiance is stable, the slope of the outgoing irradiance versus the pyrgeometer's thermopile output is the outdoor net irradiance responsivity (RSnet), independent of the absolute value of the atmospheric longwave irradiance. The indoor calibration coefficients and the outdoor RSnet are then used in the pyrgeometer equation to calculate the incoming longwave irradiance. To evaluate this method, the calculated irradiance using the derived coefficients was compared to the irradiance measured using a pyrgeometer with direct traceability to the World Infrared Standard Group (WISG). This is maintained at the Physikalisch-Meteorologisches Observatorium Davos, World Radiation Center, Switzerland. Based on results from four pyrgeometers calibrations, this method suggests measurement agreement with the WISG to within +/- 3 W/m2 for all sky conditions.

  15. Reference values for acoustic rhinometry in decongested school children and adults

    DEFF Research Database (Denmark)

    Straszek, Sune P; Schlünssen, Vivi; Sigsgaard, Torben;

    2007-01-01

    INTRODUCTION: Only a limited reference material for acoustic rhinometry (AR) exists for school children most often calculated as the minimum cross-sectional area (MCA) in the non-decongested nose. We want to establish a set of reference values for MCA and nasal volumes for both adults and children...... and include values also for the decongested nose and determine the most sensitive measurement for change in nasal patency. METHOD: Data from two studies were used; one comprising of 53 (20M, 33F) school children, age 9-11 years, and one comprising 146 (127M, 19F) healthy workers in the wood industry....... Measurements by acoustic rhinometry were done before and after decongestion with two puffs of oxymethazoline nasal spray (1mg/ml). RESULTS: We found the decongested nasal volume (2-5 cm) to be 3.71 cm3 (3.58 - 3.84) in school children and 5.44 cm3 (5.21-5.67) in adults. We found the volume from 2-5 cm...

  16. Reference values in ovarian response to controlled ovarian stimulation throughout the reproductive period.

    Science.gov (United States)

    La Marca, Antonio; Grisendi, Valentina; Spada, Elena; Argento, Cindy; Milani, Silvano; Plebani, Maddalena; Seracchioli, Renato; Volpe, Annibale

    2014-01-01

    Abstract The age-related decline in ovarian response to gonadotropins has been well known since the beginning of ovarian stimulation in IVF cycles and has been considered secondary to the age-related decline in ovarian reserve. The objective of this study was to establish reference values and to construct nomograms of ovarian response for any specific age to gonadotropins in IVF/ICSI cycles. We analyzed our database containing information on IVF cycles. According to inclusion and exclusion criteria, a total of 703 patients were selected. Among inclusion criteria, there were regular menstrual cycle, treatment with a long GnRH agonist protocol and starting follicle-stimulating hormone (FSH) dose of at least 200 IU per day. To estimate the reference values of ovarian response, the CG-LMS method was used. A linear decline in the parameters of ovarian response with age was observed: the median number of oocytes decreases approximately by one every three years, and the median number of follicles >16 mm by one every eight years. The number of oocytes and growing follicles corresponding to the 5th, 25th, 50th, 75th and 95th centiles has been calculated. This study confirmed the well known negative relationship between ovarian response to FSH and female ageing and permitted the construction of nomograms of ovarian response.

  17. Reference values for lung function tests: II. Maximal respiratory pressures and voluntary ventilation

    Directory of Open Access Journals (Sweden)

    J.A. Neder

    1999-06-01

    Full Text Available The strength of the respiratory muscles can be evaluated from static measurements (maximal inspiratory and expiratory pressures, MIP and MEP or inferred from dynamic maneuvers (maximal voluntary ventilation, MVV. Although these data could be suitable for a number of clinical and research applications, no previous studies have provided reference values for such tests using a healthy, randomly selected sample of the adult Brazilian population. With this main purpose, we prospectively evaluated 100 non-smoking subjects (50 males and 50 females, 20 to 80 years old, selected from more than 8,000 individuals. Gender-specific linear prediction equations for MIP, MEP and MVV were developed by multiple regression analysis: age and, secondarily, anthropometric measurements explained up to 56% of the variability of the dependent variables. The most cited previous studies using either Caucasian or non-Caucasian samples systematically underestimated the observed values of MIP (P<0.05. Interestingly, the self-reported level of regular physical activity and maximum aerobic power correlates strongly with both respiratory and peripheral muscular strength (knee extensor peak torque (P<0.01. Our results, therefore, provide a new frame of reference to evaluate the normalcy of some useful indexes of respiratory muscle strength in Brazilian males and females aged 20 to 80.

  18. Reference values for selected ophthalmic diagnostic tests of the capuchin monkey (Cebus apella).

    Science.gov (United States)

    Montiani-Ferreira, Fabiano; Shaw, Gillian; Mattos, Bianca Chaim; Russ, Heloisa Helena Abil; Vilani, Ricardo G D'O C

    2008-01-01

    To perform selected ophthalmic diagnostic tests in healthy capuchin monkeys (Cebus apella) with the aim of establishing normal physiological reference values for this species. A total of 15 healthy, capuchin monkeys were used to test most of the parameters in this investigation. Five of the 15 monkeys were used for the evaluation of normal conjunctival flora. Ages varied from 6 to 20 years of age. Selected diagnostic ocular tests were performed including Schirmer tear test (STT), tonometry using an applanation tonometer (Tonopen), central corneal thickness (CCT) using an ultrasonic pachymeter (Sonomed, Micropach), Model 200P+) and culture of the normal conjunctival bacterial flora. Results for selected ocular diagnostic tests investigated here for the capuchin monkey eye were as follows: IOP: 18.4 +/- 3.8 mmHg; STT: 14.9 +/- 5.1 mm/min; CCT: 0.46 +/- 0.03 mm. No statistically significant differences between ages or genders were found for any of the results. Streptococcus sp. and Corynebacterium sp. were isolated from healthy conjunctival and eyelid margins, suggesting they are normal constituents of the conjunctival flora of the capuchin monkey. The data obtained in this investigation will help veterinary ophthalmologists and laboratory animal medicine specialists to more accurately diagnose ocular diseases in the capuchin monkey. These ophthalmic reference values will be particularly useful to diagnose discrete or unusual pathological changes of the capuchin monkey eye.

  19. The reference model of supply chain operational controlling in value management

    Directory of Open Access Journals (Sweden)

    2010-03-01

    Full Text Available The systemic approach of the controlling function to supporting the operations management results from its complex analysis of the supply chain business and operating results and from influencing the operations management factors - products, processes and resources that determine the achieved result (revenues, costs, profitability and assets turnover as well as the return on invested capital. All product features which stand for customer value and its competitiveness are the basis for designing, planning and controlling the interconnected processes responsible for manufacturing and delivery of products. The effectiveness of methods applied in developing products, processes and resources depends on the precise analysis and appraisal of the operating conditions that justify their application. Supporting the operations management, focused on the product value and improving the company's financial result, apart from financial, technical and economic analyses requires transferring the product value to activities control methods and to developing the resources in the product supply chain already at the stage of planning. As a result of an analysis of requirements supporting the development of processes and resources in the supply chain, a reference model of operational controlling in product value management was developed. The multicriterion selection and appropriate application of material flow management methods in the supply chain is each time preceded by an operating and financial analysis as well as by an appraisal of operating conditions that influence the choice of control methods.

  20. Reference values of hematology, biochemistry, and blood type in cynomolgus monkeys from cambodia origin.

    Science.gov (United States)

    Choi, Kangmoo; Chang, Jaejin; Lee, Min-Jae; Wang, Seungsu; In, Kimhong; Galano-Tan, Wilhelm C; Jun, Sanghun; Cho, Kahee; Hwang, Yong-Hwa; Kim, Sung-Ju; Park, Wanje

    2016-03-01

    Cynomolgus monkeys as nonhuman primates are valuable animal models because they have a high level of human gene homology. There are many reference values for hematology and biochemistry of Cynomolgus monkeys that are needed for proper clinical diagnosis and biomedical research conduct. The body weight information and blood type are also key success factors in allogeneic or xenogeneic models. Moreover, the biological parameters could be different according to the origin of the Cynomolgus monkey. However, there are limited references provided, especially of Cambodia origin. In this study, we measured average body weight of 2,518 Cynomolgus monkeys and analyzed hematology and serum biochemistry using 119 males, and determined blood types in 642 monkeys with Cambodia origin. The average body weight of male Cynomolgus monkeys were 2.56±0.345 kg and female group was 2.43±0.330 kg at the age from 2 to 3 years. The male group showed relatively sharp increased average body weight from the 3 to 4 age period compared to the female group. In hematology and biochemistry, it was found that most of the data was similar when compared to other references even though some results showed differences. The ABO blood type result showed that type A, B, AB, and O was approximately 15.6, 33.3, 44.2, and 6.9%, respectively. The main blood type in this facility was B and AB. These biological background references of Cambodia origin could be used to provide important information to researchers who are using them in their biomedical research.

  1. Leptin Reference Values and Cutoffs for Identifying Cardiometabolic Abnormalities in the Spanish Population.

    Science.gov (United States)

    Gijón-Conde, Teresa; Graciani, Auxiliadora; Guallar-Castillón, Pilar; Aguilera, M Teresa; Rodríguez-Artalejo, Fernando; Banegas, José R

    2015-08-01

    Estimate leptin reference values and calculate leptinemia cutoff values for identifying cardiometabolic abnormalities in Spain. Cross-sectional study carried out between 2008 and 2010 in 11 540 individuals representing the Spanish population aged ≥ 18 years. Data were obtained by standardized physical examination and analyses were performed at a central laboratory. Leptinemia was measured using ELISA. Cardiometabolic abnormality was defined as the presence of at least two of the following: high blood pressure, high triglycerides, reduced high density lipoprotein cholesterol, high insulin resistance values, and elevated C-reactive protein and glucose. Leptin values were higher in women than men (geometric mean, 21.9 and 6.6 ng/mL; P<.001). The median [interquartile range] was 24.5 [14.1-37.0] ng/mL in women, and 7.2 [3.3-14.3] ng/mL in men. In the multivariate analysis, leptin was significantly associated with anthropometric measures, insulin, and C-reactive protein, and inversely associated with age, smoking, and physical activity in women (r(2)=0.53; P<.001) and in men (r(2)=0.61; P<.001). The leptin values that identified cardiometabolic abnormality were 23.75 ng/mL in women (area under the curve, 0.722; sensitivity, 72.3%; specificity, 58.7%) and 6.45 ng/mL in men (area under the curve, 0.716; sensitivity, 71.4%; specificity, 60.2%). These results facilitate the interpretation of leptin values in clinical and population studies. Leptin has moderate sensitivity and specificity for identifying cardiometabolic abnormalities. Copyright © 2014 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.

  2. Reference values for biochemical analytes in Mexican dairy farms: interactions and adjustments between production groups

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    C.A.C. García

    Full Text Available ABSTRACT Blood samples of 189 healthy Holstein cows classified as high-producers, low-producers, or dry cows, were collected with the purpose of establishing reference values for several biochemical analytes in Mexican dairy farms. Mean values were calculated for: 1 Energy profile: glucose, cholesterol, triglycerides, β-hydroxybutyrate, and non-esterified fatty acids, 2 Protein profile: urea, albumin, globulin, and total protein, 3 Mineral profile: calcium, phosphorus, sodium, potassium, magnesium, chlorine, carbon dioxide, bicarbonate, and anion gap, and 4 Hepatic enzyme: γ-glutamyl transpeptidase. The resulting data set was analyzed using Gaussian distribution and descriptive statistics. Confidence intervals of 95% were established. The linear relationships between the biochemical analytes were quantified, and an analysis of variance was performed to compare the mean values between the three production groups. The overall concentrations of the described analytes are consistent with values reported by international literature. However, lower values were found for urea, calcium, and sodium; higher values were found for cholesterol, and γ-glutamyl transpeptidase. Negative correlations were found between β-hydroxybutyrate and glucose or urea, γ-glutamyl transpeptidase and urea, and bicarbonate and urea or phosphorus or anion gap. Positive correlations were found between β-hydroxybutyrate and cholesterol or anion gap, non-esterified fatty acids and anion gap, cholesterol and globulin, different analytes of mineral profile and anion gap or urea or glucose, and between sodium and calcium. Differences among the three production groups were observed for β-hydroxybutyrate and cholesterol concentrations. The γ-glutamyl transpeptidase concentration was similar in high and low-producing cows but was higher in comparison to serum levels of dry cows. Calcium showed differences between high-producing cows and the other two groups, and sodium showed

  3. Toxicity reference values for chlorophacinone and their application for assessing anticoagulant rodenticide risk to raptors

    Science.gov (United States)

    Rattner, Barnett A.; Horak, Katherine E.; Lazarus, Rebecca; Schultz, Sandra; Knowles, Susan N.; Abbo, B.G.; Volker, Steven F.

    2015-01-01

    Despite widespread use and benefit, there are growing concerns regarding hazards of second-generation anticoagulant rodenticides to non-target wildlife which may result in expanded use of first-generation compounds, including chlorophacinone (CPN). The toxicity of CPN over a 7-day exposure period was investigated in American kestrels (Falco sparverius) fed either rat tissue mechanically-amended with CPN, tissue from rats fed Rozol® bait (biologically-incorporated CPN), or control diets (tissue from untreated rats or commercial bird of prey diet) ad libitum. Nominal CPN concentrations in the formulated diets were 0.15, 0.75 and 1.5 µg/g food wet weight, and measured concentrations averaged 94 % of target values. Kestrel food consumption was similar among groups and body weight varied by less than 6 %. Overt signs of intoxication, liver CPN residues, and changes in prothrombin time (PT), Russell’s viper venom time (RVVT) and hematocrit, were generally dose-dependent. Histological evidence of hemorrhage was present at all CPN dose levels, and most frequently observed in pectoral muscle and heart. There were no apparent differences in toxicity between mechanically-amended and biologically-incorporated CPN diet formulations. Dietary-based toxicity reference values at which clotting times were prolonged in 50 % of the kestrels were 79.2 µg CPN consumed/kg body weight-day for PT and 39.1 µg/kg body weight-day for RVVT. Based upon daily food consumption of kestrels and previously reported CPN concentrations found in small mammals following field baiting trials, these toxicity reference values might be exceeded by free-ranging raptors consuming such exposed prey. Tissue-based toxicity reference values for coagulopathy in 50 % of exposed birds were 0.107 µg CPN/g liver wet weight for PT and 0.076 µg/g liver for RVVT, and are below the range of residue levels reported in raptor mortality incidents attributed to CPN exposure. Sublethal responses associated

  4. The neck shaft angle: CT reference values of 800 adult hips

    Energy Technology Data Exchange (ETDEWEB)

    Boese, Christoph Kolja; Jostmeier, Janine; Oppermann, Johannes; Dargel, Jens; Eysel, Peer [University Hospital of Cologne, Department of Orthopaedic and Trauma Surgery, Cologne (Germany); Chang, De-Hua [University Hospital of Cologne, Department of Radiology and Neuroradiology, Cologne (Germany); Lechler, Philipp [University of Giessen and Marburg, Center of Orthopedic and Trauma Surgery, Marburg (Germany)

    2016-04-15

    A precise understanding of the radiological anatomy and biomechanics as well as reliable reference values of the hip are essential. The primary goal of this study was to provide reference values of the neck-shaft angle (NSA) for adult patients based on the analysis of rotation corrected computed tomography (CT) scans of 800 hips. The secondary aim was to compare these measurements with simulated anteroposterior roentgenograms of the pelvis. Pelvic CT scans of 400 patients (54.3 years, range 18-100 years; 200 female) were reconstructed in the derotated coronal plane of the proximal femur and as CT-based simulated anteroposterior roentgenograms of the pelvis in the anterior pelvic plane. Femora were categorized as coxa vara (<120 ), physiologic (≥120 to <135 ), and coxa valga (≥135 ). Intra- and inter-rater reliability were analyzed. Primary research question: Mean NSA for male adults was 129.6 (range 113.2 -148.2 ; SD 5.9 ) and 131.9 (range 107.1 -151.9 ; SD 6.8 ) for females in derotated coronal reconstructions. Age (p < 0.001 in both views) and sex influenced the NSA significantly (p = 0.002 and p < 0.001); no significant differences were found between sides (p = 0.722 and p = 0.955). Overall, an excellent reliability of repeated measurements of one or two observers was found (ICC 0.891-0.995). Secondary research question: NSA values measured in the simulated anteroposterior roentgenogram and the rotation corrected coronal reconstruction differed significantly (p < 0.001). While anteroposterior pelvis radiographs are susceptible to rotational errors, the coronal reconstruction of the proximal femur in the femoral neck plane allows the correct measurement of the NSA. (orig.)

  5. Reference values of nonword repetition test for Brazilian Portuguese-speaking children

    Directory of Open Access Journals (Sweden)

    Simone Rocha de Vasconcellos Hage

    2009-01-01

    Full Text Available Evaluation of the phonological working memory (PWM through repetition of nonwords can provide important information on the linguistic abilities of children, thus differentiating those with and without communication disorders. OBJECTIVE: The aim of this study was to obtain reference values in the Nonword Repetition Test (NWRT in order to investigate the performance of children without language disorders concerning this type of memory. Material and METHODS: The study was conducted on 480 normal children of both genders aged 4 years to 8 years and 11 months, attending preschool and elementary school. The NWRT consisted of repeating 20 (children up to 4 years or 40 (for children aged 5 years or more invented words with 2 to 5 syllables. The results were subjected to descriptive statistical analysis. Comparison between ages and between the number of syllables in nonwords was performed by the Tukey's multiple-comparison test and one-way analysis of variance, at a significance value of p<0.05. RESULTS: There was statistically significant difference (p<0.05 in performance between children of different age groups, except between 7- and 8-year-olds. The analysis also showed statistically significant difference (p<0.05 in the number of syllables between the different age groups. CONCLUSIONS: The reference values obtained indicated an improvement in performance with the increase of age of children, indicating an improvement in the storage of verbal material in the PWM. The performance was worsened with the increase in the number of syllables in words, demonstrating that the greater the number of syllables, the greater is the difficulty in storing verbal material.

  6. Estimation of the reference values of coefficients of confidence in innovative project success

    Directory of Open Access Journals (Sweden)

    L.K. Hlinenko

    2015-09-01

    Full Text Available The aim of the article. Probability of successful innovative decision-making on the early stages of new product development (NPD process can be increased by abandonment from further development of the decisions deliberately doomed to failure. Such decisions can be identified by certain values of some critical characteristics of innovative system. Ultimate impact of some features of innovative system, e.g. state and characteristics of a new product, innovator, market, NPD process etc. is generally acknowledged though no methodology of the practical taking into account the values of these factors for estimation of project feasibility and risks is available. To great extent it can be explained by a variety of indicators by which the influence of these factors is quantitatively appraised. A purpose of this research was to substantiate the possibility of method application of coefficients (equivalents of project success confidence for feasibility estimation and selection of innovative projects on the early NPD stages on the basis of comparison of values of these coefficients for actual values of innovative system characteristics for a certain project with a priori confidence coefficients for successful projects and to develop a methodology of determination the priori values of these confidence coefficients for different variants of empiric data presentation concerning impact of success driving factors on project results. The results of the analysis. An advantage of method of confidence coefficients as method of innovative project feasibility estimation and selection consists in the possibility of recalculation of various quantitative indexes (probability of success, failure, risk etc. and qualitative statements of experts as well as quantitative statistical data referring to probable influence of the critical factors on project success to the value of the confidence coefficient. Extending the estimation of confidence coefficients to the revealed

  7. Contrast reference values in panoramic radiographic images using an arch-form phantom stand

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Jae Myung [Dept. of Oral and Maxillofacial Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang (Korea, Republic of); Lee, Che Na; Kim, Jo Eun; Huh, Kyung Hoe; Yi, Won Jin; Heo, Min Suk; Choi, Soon Chul; Lee, Sam Sun [Dept. of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University, Seoul (Korea, Republic of)

    2016-09-15

    The purpose of this study was to investigate appropriate contrast reference values (CRVs) by comparing the contrast in phantom and clinical images. Phantom contrast was measured using two methods: (1) counting the number of visible pits of different depths in an aluminum plate, and (2) obtaining the contrast-to-noise ratio (CNR) for 5 tissue-equivalent materials (porcelain, aluminum, polytetrafluoroethylene [PTFE], polyoxymethylene [POM], and polymethylmethacrylate [PMMA]). Four panoramic radiographs of the contrast phantom, embedded in the 4 different regions of the arch-form stand, and 1 real skull phantom image were obtained, post-processed, and compared. The clinical image quality evaluation chart was used to obtain the cut-off values of the phantom CRV corresponding to the criterion of being adequate for diagnosis. The CRVs were obtained using 4 aluminum pits in the incisor and premolar region, 5 aluminum pits in the molar region, and 2 aluminum pits in the temporomandibular joint (TMJ) region. The CRVs obtained based on the CNR measured in the anterior region were: porcelain, 13.95; aluminum, 9.68; PTFE, 6.71; and POM, 1.79. The corresponding values in the premolar region were: porcelain, 14.22; aluminum, 8.82; PTFE, 5.95; and POM, 2.30. In the molar region, the following values were obtained: porcelain, 7.40; aluminum, 3.68; PTFE, 1.27; and POM, - 0.18. The CRVs for the TMJ region were: porcelain, 3.60; aluminum, 2.04; PTFE, 0.48; and POM, - 0.43. CRVs were determined for each part of the jaw using the CNR value and the number of pits observed in phantom images.

  8. A STUDY TO DETERMINE THE REFERENCE VALUES FOR TWO MINUTE WALK DISTANCE IN HEALTHY INDIAN ADULTS

    Directory of Open Access Journals (Sweden)

    T. Krishna Priya

    2015-10-01

    Full Text Available Background: The use of functional scales to assess the prognosis of the individuals is widely being encouraged by the International classification of Functioning, Disability and Health. Two, six and twelve minute walk tests are the existing functional walk tests, among which 6MWT is being considered as the gold standard. Patients in acute stages of illnesses and early stages of recovery, it is difficult and tiring to accomplish a 6MWT. 2MWT is presently being used as a pre and post-test. To comment on the status of the patient and the test results in the first attempt, it is necessary to look at the reference values of 2MWT. Purpose of the study: This study aims to establish reference values for 2MWT in healthy Indian adults. Objective of the study: To establish reference values for 2 minute walk distance in healthy Indian adults of 20-80 years age. Methods: Three hundred subjects met the inclusion criteria through convenience sampling. Two trials of 2MWT were administered. Instructions for the test were adopted from American Thoracic Society guidelines for 6MWT. Out of the two trials, the one in which more distance was covered by the subject was taken for the analysis. Descriptive statistics were used to analyse the data. Results: The mean 2MWD was 182.69 + 32.40 meters. 2MWD had shown moderate significant negative correlation with age (r = -0.58 and weak but significant positive correlation with height (r = 0.35. The correlations with weight (r= 0.1 and BMI (r= -0.13 were found to be negligible. It was also found that males walked 21.55 + 3.5 meters more than females and aye2MWD during the second trial was found to be 3.011 + 1.44 meters greater than the first trial. Conclusion: The average distance covered by a healthy Indian individual is approximately 182.69 + 32.40 meters in 2 minutes duration. Implication: Patients in early stages of rehabilitation, early post-operative period and patients with severe disability, found 6MWT difficult

  9. Biomechanical and Scaling Basis for Frontal and Side Impact Injury Assessment Reference Values.

    Science.gov (United States)

    Mertz, Harold J; Irwin, Annette L; Prasad, Priya

    2016-11-01

    In 1983, General Motors Corporation (GM) petitioned the National Highway Traffic Safety Administration (NHTSA) to allow the use of the biofidelic Hybrid III midsize adult male dummy as an alternate test device for FMVSS 208 compliance testing of frontal impact, passive restraint systems. To support their petition, GM made public to the international automotive community the limit values that they imposed on the Hybrid III measurements, which were called Injury Assessment Reference Values (IARVs). During the past 20 years, these IARVs have been updated based on relevant biomechanical studies that have been published and scaled to provide IARVs for the Hybrid III and CRABI families of frontal impact dummies. Limit values have also been developed for the biofidelic side impact dummies, BioSID, ES-2 and SID-IIs. The purpose of the original publication was to provide in a single document: 1) a listing of the IARVs for measurements made with the Hybrid III and CRABI families of frontal impact dummies, and for the biofidelic side impact dummies, 2) the biomechanical and/or scaling bases for these IARVs, and 3) a comparison of IARVs and regulatory compliance limits and how they affect restraint design. The purpose for republication is to correct errors in the original publication and update the regulatory compliance limits.

  10. Hematology and serum chemistry reference values of stray dogs in Bangladesh

    Directory of Open Access Journals (Sweden)

    N. Haider

    2011-02-01

    Full Text Available Hematology and serum chemistry values were obtained from 28 male and 22 female stray dogs in Chittagong Metropolitan area, Bangladesh. The goal of the study was to establish reference value for hematology and serum chemistry for these semi wild animals in relation to age, sex, reproductive stage and body condition. No significant differences were found for mean values of hemoglobin, packed cell volume, mean corpuscular hemoglobin concentration, white blood cell, differential leukocyte count, total protein, albumin, glucose, cholesterol, phosphorus and potassium among or between sexes, ages, reproductive states or body conditions. Significant differences were noted for erythrocyte sedimentation rate (p<0.02 between sexes. Among different age groups significant differences were found for total red blood cell count (p<0.001. Different body conditions have significant differences in red blood cell count, mean corpuscular volume and mean corpuscular hemoglobin (p<0.001. Pregnant and non-pregnant females differed significantly in their red blood cell count, mean corpuscular volume and mean corpuscular hemoglobin (p<0.001.

  11. Hematology and plasma biochemistry reference range values for free-ranging desert tortoises in Arizona.

    Science.gov (United States)

    Dickinson, Vanessa M; Jarchow, James L; Trueblood, Mark H

    2002-01-01

    Baseline values and ranges for 10 hematologic and 32 plasma chemistry parameters were analyzed for 36 free-ranging Sonoran desert tortoises (Gopherus agassizzi) collected in Yavapai and La Paz Counties (Arizona, USA) from 1990 to 1995. Tortoises were radio tagged from 1990 to 1994, and attempts were made to recapture them three times a year. Tortoises were weighed, measured, and chemically immobilized to collect blood for hematology and blood chemistry assessments. Tortoise biochemistry differed (P < 0.01) between sites and sexes and among seasons and years. Normal reference ranges for hematologic and plasma biochemistry parameters were determined. Seasonal and annual differences in hematology and blood chemistry were related to rainfall patterns, forage availability, and physiological condition.

  12. Reference Values of Oxidative Stress Parameters in Adult Iranian Fat-Tailed Sheep

    Directory of Open Access Journals (Sweden)

    S. Nazifi*, N. Ghafari1, F. Farshneshani, M. Rahsepar and S. M. Razavi1

    2010-01-01

    Full Text Available The present study was performed on 111 adult clinically healthy Iranian fat-tailed sheep from both sexes (28 male and 83 female. Blood concentrations of oxidative stress parameters viz. malondialdehyde (MDA, superoxide dismutase (SOD, catalase (CAT and glutathione peroxidase (GPX were determined. The reference values for oxidative stress parameters of adult clinically healthy Iranian fat-tailed sheep were as followed: MDA 0.53-0.60 mmol/l, SOD 948.65-1011.50 U/gHb, CAT 1834.29-1915.63 U/gHb and GPX 191.67-196.52 U/gHb. There were no significant differences in oxidative stress parameters among animal of the two sexes.

  13. Spectral effect: each population must have its own normal midnight salivary cortisol reference values determined.

    Science.gov (United States)

    Mert, Meral; Tanakol, Refik; Karpuzoglu, Hande; Abbasoglu, Semra; Yarman, Sema; Boztepe, Harika; Alagol, Faruk

    2013-10-31

    The mesurement of midnight salivary cortisol provides the most sensitive method for screening of Cushing's sendrome. However the clinical significance of spectral error is the requirement for determination of normal reference values in each population for each test, which will be used as the diagnostic method. Salivary cortisol levels may be affected by individual factors such as nutrition, sleep, medication, activity, and gender. Being a non-invasive method, midnight salivary cortisol (MSC) has been used as a valuable indicator of free plasma cortisol. Midnight salivary cortisol was assessed in randomly selected 100 Turkish patents who underwent to a detailed physical examination. Saliva samples were collected at 00:00 to plastic tubes with the help of plastic pipettes, without brushing their teeth, but after rinsing their mouth. Salivary cortisol was measured with luminescense immunoassay kit. Differences and correlations were analysed. The mean midnight salivary cortisol of the healthy population was 0.21 ±0.03 µg/dl. Body mass index, age, sex, smoking, exercise, educational status alcohol, had no effect on the MSC. Consequently, normal salivary cortisol reference ranges must be used for different assays and different populations in order to evaluate more accurately pituitary-adrenal axis pathology in clinical practice.

  14. Reference Values for IGF-I Serum Concentrations: Comparison of Six Immunoassays.

    Science.gov (United States)

    Chanson, Philippe; Arnoux, Armelle; Mavromati, Maria; Brailly-Tabard, Sylvie; Massart, Catherine; Young, Jacques; Piketty, Marie-Liesse; Souberbielle, Jean-Claude

    2016-09-01

    Measurement of IGF-I is essential for diagnosis and management of patients with disorders affecting the somatotropic axis. However, even when IGF-I kit manufacturers follow recent consensus guidelines, different kits can give very different results for a given sample. We sought to establish normative data for six IGF-I assay kits based on a large random sample of the French general adult population. In a cross-sectional multicenter cohort study, we measured IGF-I in 911 healthy adults (18-90 years) with six immunoassays (iSYS, LIAISON XL, IMMULITE, IGFI RIACT, Mediagnost ELISA, and Mediagnost RIA). Pairwise concordance between assays was assessed with Bland-Altman plots for both IGF-1 raw data and standard deviation scores (SDS), as well as with the percentage of observed agreement and the weighted Kappa coefficient for categorized IGF-I SDS. Normative data included the range of values (2.5-97.5 percentiles) given by the six IGF-I assays according to age group and sex. A formula for SDS calculation is provided. Although the lower limits of the reference intervals of the six assays were similar, the upper limits varied markedly. Pairwise concordances were moderate to good (0.38-0.70). Despite being obtained in the same healthy population, the reference intervals of the six commercial IGF-1 assay kits showed noteworthy differences. Agreement between methods was moderate to good.

  15. Feasibility and reference values of left atrial longitudinal strain imaging by two-dimensional speckle tracking

    Directory of Open Access Journals (Sweden)

    Lisi Matteo

    2009-02-01

    Full Text Available Abstract Background The role of speckle tracking in the assessment of left atrial (LA deformation dynamics is not established. We sought to determine the feasibility and reference ranges of LA longitudinal strain indices measured by speckle tracking in a population of normal subjects. Methods In 60 healthy individuals, peak atrial longitudinal strain (PALS and time to peak longitudinal strain (TPLS were measured using a 12-segment model for the left atrium. Values were obtained by averaging all segments (global PALS and TPLS and by separately averaging segments measured in the two apical views (4- and 2-chamber average PALS and TPLS. Results Adequate tracking quality was achieved in 97% of segments analyzed. Inter and intra-observer variability coefficients of measurements ranged between 2.9% and 5.4%. Global PALS was 42.2 ± 6.1% (5–95° percentile range 32.2–53.2%, and global TPLS was 368 ± 30 ms (5–95° percentile range 323–430 ms. The 2-chamber average PALS was slightly higher than the 4-chamber average PALS (44.3 ± 6.0% vs 40.1 ± 7.9%, p Conclusion Speckle tracking is a feasible technique for the assessment of longitudinal myocardial LA deformation. Reference ranges of strain indices were reported.

  16. Reference value of long-time exercise test in the diagnosis of primary periodic paralysis

    Institute of Scientific and Technical Information of China (English)

    Ding Zeyu; Liu Mingsheng; Cui Liying

    2014-01-01

    Background The long-time exercise test (ET) is used to diagnose the primary periodic paralyses (PPs).However the reference values of ET are many and various.This study aimed to investigate the reference value of long-time ET in the diagnosis of PPs.Methods We recruited 108 healthy subjects,68 patients with PPs,and 72 patients with other diseases for the study.The procedure of ET was made on the basis of the McManis' method.Electrical responses were recorded from right abductor digiti minimi (ADM) muscle when stimulation of the ulnar nerve at the wrist.After the compound muscle action potential (CMAP) was monitored,subjects were then asked to contract the muscle as strongly as possible for 5 minutes.CMAPs were recorded for 2 seconds immediately after cessation of exercise,then every 5 minutes for 10 minutes,and finally every 10 minutes for 50 minutes.In general,the CMAP amplitudes will fall below the pre-exercise levels in an hour.The largest decrease was calculated and used as results of ET.Results The CMAP amplitude decreases had no significant differences between groups when the healthy adults were grouped according to age,gender,height,weight and test time.Decreases in PPs patients (57.76%) were significantly more than in healthy subjects (15.21%) and other disease patients (18.10%,P <0.001).Receiver operating characteristic (ROC) curve analysis showed that the best threshold is 35.50%.Conclusions In the long-time exercise test,threshold of 35.50% for the CMAP amplitude decrease was identified for abnormal.The result is not influenced by age,gender,height,weight,and test time.About 7.4% of healthy subjects were abnormal in ET.

  17. [Serum S100β protein reference values in a paediatric population].

    Science.gov (United States)

    Arroyo Hernández, M; Rodríguez Suárez, J; Álvarez Menéndez, F

    2016-05-01

    S100β protein has been proposed as a potential biomarker for both chronic and acute neurological disorders. Reference values of this protein are well defined in adults but not in children, in whom serum levels appear to vary with age. Reference values for serum S100β in children from 0 to 14 years are presented. A prospective study was conducted on 257 healthy children, who were divided into three age groups (under 12 months, 12 to 24 months and over 24 months). The study included179 boys and 78 girls, with a mean age of 5.5 (3.75) years. The mean serum concentration of protein S100β was 0.156 (0.140-0.172) μg/l. In children under 12 months, serum S100β concentration was 0.350 (0.280-0.421) μg/l; 0.165 (0.139-0.190) μg/l in the group between 12 and 24 months and 0.121 (0.109-0.133) μg/l in children older than 24 months. An inverse relationship was observed between age and serum S100β, which declines as age increases. No differences were observed between sexes. The concentration of S100β remains stable after two years of age, being possible to establish a baseline of S100β for over two years. During the first two years of life, S100β serum concentration is higher, the lower the age of the child. No differences in serum S100β levels between sexes are observed. Copyright © 2015 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.

  18. Whether western normative laboratory values used for clinical diagnosis are applicable to Indian population? An overview on reference interval.

    Science.gov (United States)

    Malati, T

    2009-04-01

    Reference Intervals denote normative values related to laboratory parameters/analytes used by diagnostic centers for clinical diagnosis. International guidelines recommend that every country must establish reference intervals for healthy individuals belonging to a group of homogeneous population. Considering enormous racial and ethnic diversity of Indian population, it is mandatory to establish reference intervals specific to Indian population. The overview on reference interval describes why the national organizations in India need to initiate nationwide efforts to establish its own laboratory standards for apparently healthy reference individuals belonging to our polygenetic, polyethnic, polyracial, multilinguistic and multicultural predominantly rural and appreciable urban Indian population with varied dietary habits.

  19. EFSA Panel on Dietetic Products, Nutrition, and Allergies (NDA); Scientific Opinion on principles for deriving and applying Dietary Reference Values

    DEFF Research Database (Denmark)

    Tetens, Inge

    This Opinion of the EFSA Panel on Dietetic products, Nutrition, and Allergies (NDA) deals with the general principles for development and application of Dietary Reference Values (DRVs). These quantitative reference values for nutrient intakes for healthy individuals and populations are based...... Requirement (AR), 3) Lower Threshold Intake (LTI), 4) Adequate Intake (AI), 5) Reference Intake ranges for macronutrients (RI). Nutrient requirements differ with age, sex and physiological condition. The Panel proposes to define the age ranges used for each nutrient on a case-by-case basis depending...... on the available data. For the age group values will be established for pregnant and lactating women. Interpolation or extrapolation between population groups...

  20. Reference values of M-mode echocardiographic parameters and indices in conscious Labrador Retriever dogs.

    Science.gov (United States)

    Gugjoo, M B; Hoque, M; Saxena, A C; Shamsuz Zama, M M; Dey, S

    2014-01-01

    Breed-wise standard echocardiographic values in dogs have been reported as there is variation in body and chest conformation which limits the application of data of one breed for other breed. Labrador Retrievers being originated from hunting dogs, might have different echocardiographic values from standard normal range of other dog breeds. So, the present study was aimed to determine the M-mode echocardiographic reference ranges in Labrador Retriever dogs and to evaluate the effect of body weight and gender on these parameters. The data obtained were also compared with that of the other dog breeds. Conscious clinically healthy Labrador Retriever dogs (n=24) of both sexes were made the subject of the study. All the measurements were made from a right parasternal long axis left ventricular outflow tract view and the parameters measured were: left ventricular dimensions, left ventricular function, left ventricular volumes, left atrial and aortic root diameter and mitral valve parameters. Data obtained were also compared with that available for other dog breeds. Significant correlation (P0.5); moderate for LVPWd, LVPWs, EPSS, EF Slope and SV (r=0.3 to 0.5); weak for EDV and ESV (rcardiology.

  1. Comparison of International Reference Values for Bone Speed of Sound in Pediatric Populations: Meta-analysis.

    Science.gov (United States)

    Rivas-Ruiz, R; Méndez-Sánchez, L; Castelán-Martínez, O D; Clark, P; Tamayo, J; Talavera, J O; Huitrón, G; Salmerón-Castro, J

    2016-01-01

    The aim of this study was to compare international reference values (RV) for tibial and radial speed of sound (SoS) assessed by quantitative ultrasound (QUS) in pediatric populations. These values were compared by age and country of origin in a systematic review with meta-analysis from studies published on QUS (Sunlight Omnisense). A search was carried out in electronic databases. Nine studies with 6963 patients were included in the meta-analysis. For the newborn populations, 3 studies (from Italy, Portugal, and Israel) were used. These studies included subjects with 27-42 wk gestational age. The mean difference (Portugal-Israel) was found to be 23.62 m/s [95% confidence interval [CI] 6.29, 40.95]. Additionally, no difference was found between Italy-Portugal (p = 0.69), or Italy-Israel (p = 0.28). In pediatric populations, we compared 8 studies from Canada, Mexico, Israel, Greece, Portugal, and Turkey. No significant differences found for SoS RV between Israel-Turkey, Israel-Greece, or Israel-Canada (p > 0.05). Significant differences were found in Mexico-Israel -105.29 m/s (95% CI -140.05, -70.54) (p pediatric populations between Mexico and other countries (Israel, Portugal, Greece, Turkey, and Canada).

  2. Clinical reference value of retinal microvascular changes in patients with cerebral microbleeds

    Directory of Open Access Journals (Sweden)

    Ji-Yuan Guo

    2014-12-01

    Full Text Available AIM: To study clinical reference value of retinal microvascular changes in patients with cerebral microbleeds(CMBsand discuss its clinical significance. METHODS:From January 2012 to December 2013, 125 hospitalized patients were collected, including 81 cases were male, 44 cases were female, mean age 76.3±11.2 years old. For all patients, functions of liver and kidney, blood-lipoids, blood sugar and blood biochemical examination were tested, and fundus photography and cerebral MR was done. According to the fundus camera eyes, retinal arteriolar equivalent(RAE, retinal venular equivalent(RVE, retinal vein diameter ratio(AVRand arteriovenous crossing sign(AVNwere identified, CMBs were classified with cerebral MRI. All the data were processed by SPSS statistical software. RESULTS: The central retinal arteriolar equivalent(CRAE, central retinal venular equivalent(CRVEand AVR values in the eyes were found no statistical difference(PPCOCLUSION: The results show that retinal microvascular changes, especially small retinal vein arteriovenous cross width, and arteriovenous crossing phenomenon, in which CMBs will happen more likely. After sex, age, hypertension and hyperglycemia in patients with traditional cardiovascular risk factors being ruled out, the retinal microvascular changes are still relatively factors of CMB's occurrence.

  3. delta 15N and non-carbonate delta 13C values for two petroleum source rock reference materials and a marine sediment reference material

    Science.gov (United States)

    Dennen, Kristin O.; Johnson, Craig A.; Otter, Marshall L.; Silva, Steven R.; Wandless, Gregory A.

    2006-01-01

    Samples of United States Geological Survey (USGS) Certified Reference Materials USGS Devonian Ohio Shale (SDO-1), and USGS Eocene Green River Shale (SGR-1), and National Research Council Canada (NRCC) Certified Marine Sediment Reference Material (PACS-2), were sent for analysis to four separate analytical laboratories as blind controls for organic rich sedimentary rock samples being analyzed from the Red Dog mine area in Alaska. The samples were analyzed for stable isotopes of carbon (delta13Cncc) and nitrogen (delta15N), percent non-carbonate carbon (Wt % Cncc) and percent nitrogen (Wt % N). SDO-1, collected from the Huron Member of the Ohio Shale, near Morehead, Kentucky, and SGR-1, collected from the Mahogany zone of the Green River Formation are petroleum source rocks used as reference materials for chemical analyses of sedimentary rocks. PACS-2 is modern marine sediment collected from the Esquimalt, British Columbia harbor. The results presented in this study are, with the exceptions noted below, the first published for these reference materials. There are published information values for the elemental concentrations of 'organic' carbon (Wt % Corg measured range is 8.98 - 10.4) and nitrogen (Wt % Ntot 0.347 with SD 0.043) only for SDO-1. The suggested values presented here should be considered 'information values' as defined by the NRCC Institute for National Measurement Reference Materials and should be useful for the analysis of 13C, 15N, C and N in organic material in sedimentary rocks.

  4. Nutritional requirements during lactation. Towards European alignment of reference values: the EURRECA network.

    Science.gov (United States)

    Hall Moran, Victoria; Lowe, Nicola; Crossland, Nicola; Berti, Cristiana; Cetin, Irene; Hermoso, Maria; Koletzko, Berthold; Dykes, Fiona

    2010-10-01

    There is considerable variation in reference values for micronutrient intake during lactation across Europe. The European Micronutrients Recommendations Aligned project aims to harmonize dietary recommendations throughout Europe. Recommended nutrient intakes during lactation are based on limited data and are often extrapolated from known secretion of the nutrient in milk with adjustments for bioavailability, so that differences between values can be partly ascribed to differences in methodological approaches and how these approaches were applied. Few studies have considered the impact of lactation on the mother's nutritional status. Rather, focus has been placed on the influence of maternal nutritional status on the composition of her breast milk. Most common nutritional deficits in breast milk are the result of maternal deficiencies of the water-soluble vitamins, thiamine, riboflavin and vitamins B6 and B12. Other than maternal vitamin A status, which to some extent is reflected in breast milk, concentrations of fat-soluble vitamins and most minerals in breast milk are less affected by maternal status. Factors relating to suboptimal maternal nutritional status during lactation include maternal age, diet and lifestyle factors and spacing of consecutive births. Recent research is providing new knowledge on the micronutrient requirements of lactating women. Identifying needs for research and improving understanding of the differences in values that have been derived by various committees and groups across Europe will enhance transparency and facilitate the application of dietary recommendations in policy-making decision and their translation into recommendations for lactating women. Given the wide variation in breastfeeding practices across Europe, making nutritional recommendations for lactating women is complex and challenging. Thus, it is crucial to first examine the cultural practices within and across European populations and to assess its relevance before

  5. Reference values for lung function tests: III. Carbon monoxide diffusing capacity (transfer factor

    Directory of Open Access Journals (Sweden)

    Neder J.A.

    1999-01-01

    Full Text Available Carbon monoxide diffusing capacity (DLCO or transfer factor (TLCO is a particularly useful test of the appropriateness of gas exchange across the lung alveolocapillary membrane. With the purpose of establishing predictive equations for DLCO using a non-smoking sample of the adult Brazilian population, we prospectively evaluated 100 subjects (50 males and 50 females aged 20 to 80 years, randomly selected from more than 8,000 individuals. Gender-specific linear prediction equations were developed by multiple regression analysis with single breath (SB absolute and volume-corrected (VA DLCO values as dependent variables. In the prediction equations, age (years and height (cm had opposite effects on DLCOSB (ml min-1 mmHg-1, independent of gender (-0.13 (age + 0.32 (height - 13.07 in males and -0.075 (age + 0.18 (height + 0.20 in females. On the other hand, height had a positive effect on DLCOSB but a negative one on DLCOSB/VA (P<0.01. We found that the predictive values from the most cited studies using predominantly Caucasian samples were significantly different from the actually measured values (P<0.05. Furthermore, oxygen uptake at maximal exercise (VO2max correlated highly to DLCOSB (R = 0.71, P<0.001; this variable, however, did not maintain an independent role to explain the VO2max variability in the multiple regression analysis (P>0.05. Our results therefore provide an original frame of reference for either DLCOSB or DLCOSB/VA in Brazilian males and females aged 20 to 80 years, obtained from the standardized single-breath technique.

  6. The reference values for semen parameters of 1213 fertile men in Guangdong Province in China

    Directory of Open Access Journals (Sweden)

    Yun-Ge Tang

    2015-04-01

    Full Text Available Semen samples were collected from 1213 fertile men whose partners had a time-to-pregnancy (TTP ≤12 months in Guangdong Province in Southern China, and semen parameters including semen volume, sperm concentration, total counts, motility, and morphology were evaluated according to the World Health Organization (WHO 2010 guideline. All semen parameters analyzed were normal in ~62.2% of the total samples, whereas ~37.8% showed at least one of the semen parameters below normal threshold values. The fifth centiles (with 95% confidence intervals were 1.3 (1.2-1.5 ml for semen volume, 20 × 10 6 (18×10 6 -20×10 6 ml−1 for sperm concentration, 40 × 10 6 (38×10 6 -44×10 6 per ejaculate for total sperm counts, 48% (47%-53% for vitality, 39% (36%-43% for total motility, 25% (23%-27% for sperm progressive motility, 5.0% (4%-5% for normal morphology. The pH values ranged from 7.2 to 8.0 with the mean ± standard deviation at 7.32 ± 0.17. No effects of age and body mass index were found on semen parameters. Occupation, smoking and alcohol abuse, varicocele appeared to decrease semen quality. Sperm concentration, but not sperm morphology, is positively correlated with TTP, whereas vitality is negatively correlated with TTP. Our study provides the latest reference values for the semen parameters of Chinese fertile men in Guangdong Province, which are close to those described in the new WHO guidelines (5 th Edition.

  7. Serum biochemistry and electrophoretic patterns in the Eurasian Buzzard (Buteo buteo): reference values.

    Science.gov (United States)

    Gelli, D; Ferrari, V; Franceschini, F; Lai, O; Laricchiuta, P; Zanella, A; Bernardini, D; Romagnoli, S

    2009-07-01

    In avian medicine, hematologic and biochemical laboratory investigations are still in their infancy, because of the difficulty involved in collecting data. This has led to a lack of reference values and a nonstandardized approach to specimens obtained in critical conditions. The Eurasian Buzzard (Buteo buteo) is one of the most common raptors in Italy, yet little is known about the physiologic blood parameters of this species. Serum biochemistry and electrophoretic investigations were performed in 40 healthy Eurasian Buzzards in different Italian wildlife rescue centers waiting to be released after recovering from trauma injuries. Mean values for biochemistry parameters were pancreatic amylase 626.9 IU/l, uric acid 7.5 mg/dl, aspartate aminotransferase 330.9 IU/l, glucose 375.1 mg/dl, lipase 26.3 IU/ l, total protein 38.4 g/l, total bilirubin 0.04 mg/ dl, lactate dehydrogenase 2,008.4 IU/l, creatinine kinase 1,604.1 IU/l, alanine aminotransferase 40.4 IU/l, alkaline phosphatase 89.8 IU/l, magnesium 2.3 mg/dl, calcium 10.2 mg/dl, phosphorus 2.02 mg/dl, cholesterol 192.2 mg/ dl, triglyceride 116.4 mg/dl, albumin 14.5 g/l, creatinine 0.1 mg/dl. Mean electrophoretic values were prealbumin 1.4 g/l, albumin 14.2 g/l, alpha 1 globulin 5.9 g/l, alpha 2 globulin 4.7 g/l, beta globulin 7.5 g/l, gamma globulin 3.6 g/l, albumin/globulins ratio 0.8 g/l.

  8. Reference values for respiratory rate in the first 3 years of life.

    Science.gov (United States)

    Rusconi, F; Castagneto, M; Gagliardi, L; Leo, G; Pellegatta, A; Porta, N; Razon, S; Braga, M

    1994-09-01

    Raised respiratory rate is a useful sign to diagnose lower respiratory infections in childhood. However, the normal range for respiratory rate has not been defined in a proper, large sample. To assess the respiratory rate in a large number of infants and young children in order to construct percentile curves by age; to determine the repeatability to the assessment using a stethoscope and compare it with observation. Respiratory rate was recorded for 1 minute with a stethoscope in 618 infants and children, aged 15 days to 3 years old, without respiratory infections or any other severe disease when awake and calm and when asleep. In 50 subjects we compared respiratory rate taken 30 to 60 minutes apart to assess repeatability, and in 50 others we compared simultaneous counts obtained by stethoscope versus observation. Repeatability was good as the standard deviation of differences was 2.5 breaths/minute in awake and 1.7 breaths/minute in asleep children. Respiratory rate obtained with a stethoscope was systematically higher than that obtained by observation (mean difference 2.6 breaths/minute in awake and 1.8 breaths/minute in asleep children; P = .015 and P < .001, respectively). A decrease in respiratory rate with age was seen for both states, and it was faster in the first few months of life when also a greater dispersion of values was observed. A second degree polynomial curve accurately fitted the data. Reference percentile values were developed from these data. The repeatability of respiratory rate measured with a stethoscope was good. Percentile curves would be particularly helpful in the first months of life when the decline in respiratory rate is very rapid and prevents to use cut off values for defining "normality."

  9. Bayesian methods for uncertainty factor application for derivation of reference values.

    Science.gov (United States)

    Simon, Ted W; Zhu, Yiliang; Dourson, Michael L; Beck, Nancy B

    2016-10-01

    In 2014, the National Research Council (NRC) published Review of EPA's Integrated Risk Information System (IRIS) Process that considers methods EPA uses for developing toxicity criteria for non-carcinogens. These criteria are the Reference Dose (RfD) for oral exposure and Reference Concentration (RfC) for inhalation exposure. The NRC Review suggested using Bayesian methods for application of uncertainty factors (UFs) to adjust the point of departure dose or concentration to a level considered to be without adverse effects for the human population. The NRC foresaw Bayesian methods would be potentially useful for combining toxicity data from disparate sources-high throughput assays, animal testing, and observational epidemiology. UFs represent five distinct areas for which both adjustment and consideration of uncertainty may be needed. NRC suggested UFs could be represented as Bayesian prior distributions, illustrated the use of a log-normal distribution to represent the composite UF, and combined this distribution with a log-normal distribution representing uncertainty in the point of departure (POD) to reflect the overall uncertainty. Here, we explore these suggestions and present a refinement of the methodology suggested by NRC that considers each individual UF as a distribution. From an examination of 24 evaluations from EPA's IRIS program, when individual UFs were represented using this approach, the geometric mean fold change in the value of the RfD or RfC increased from 3 to over 30, depending on the number of individual UFs used and the sophistication of the assessment. We present example calculations and recommendations for implementing the refined NRC methodology.

  10. Reference values for serum leptin in healthy non-obese children and adolescents.

    Science.gov (United States)

    Lausten-Thomsen, Ulrik; Christiansen, Michael; Louise Hedley, Paula; Esmann Fonvig, Cilius; Stjernholm, Theresa; Pedersen, Oluf; Hansen, Torben; Holm, Jens-Christian

    2016-11-01

    Adipokines are biologically active, low-molecular weight peptides, which play a major role in metabolic homeostasis in humans. Leptin has gained increasing attention in pediatrics as a biomarker for various metabolic pathologies. Yet, its usefulness is hampered by the relative lack of reference values from pediatric settings. Accordingly, this study aims to evaluate serum concentrations of leptin, soluble leptin receptor (sOB-R), and free leptin index (FLI) in healthy Danish schoolchildren aged 6-18 years and subsequently to establish reference intervals across sex and age groups. A total of 1193 healthy, non-obese Danish schoolchildren (730 girls, 463 boys) aged 6-18 years (median 11.9) were examined by trained medical staff. Serum leptin and sOB-R concentrations in venous fasting blood samples were quantitated by immunoassay. Percentile curves of leptin, sOB-R, and free leptin index were calculated using the General Additive Model for Location Scale and Shape (GAMLSS). Significant age and sex-dependent differences in circulating leptin levels were found. In boys, the median leptin concentration for all ages combined was 3.35 μg/L (95%-interval: 0.71-22.47) and in girls, it was 9.89 ng/L (95%-interval: 2.06-41.49). For SOB-R, no sex-specific difference was found, and the median sOB-R concentration was 8.24 μg/L (IQR: 3.58-23.74; range: leptin concentration and free leptin index with a gradual and significant increase in girls throughout childhood and adolescence and a significantly higher leptin concentration and free leptin index bell-shaped peak in early adolescence in boys.

  11. Patient dose reference values for explorations of radiodiagnostic. Valores de referencia de dosis al paciente en exploraciones de radiodiagnostico

    Energy Technology Data Exchange (ETDEWEB)

    Vano, E.; Gonzalez, L.; Moran, P.; Calzado, A.; Delgado, V.; Ruiz, M.J. (Universidad Complutense de Madrid (Spain) Facultad de Medicina)

    1992-01-01

    Among the results of the research programs developed in the European Community dealing with radiological protection, dose estimation and quality control in radiodiagnostics, the preparation of a document on Quality Criteria for Radiodiagnostic Images is worthy of note. This document proposes criteria for image quality and patient dose reference values for explorations of thorax, cranium, lumbar region, pelvis, urinary tract and breast. Said reference values, while indicative, are merely an average approximation, from which the radiodiagnostic services of each area may differ significantly, as can be deduced from a EC-coordinated project. With this in mind, and following a strategy applied in the EC to establish said reference values, in this report, provisional reference values, specific for Spain, are proposed for simple examinations (those analyzed by the group of EC experts, among others) and complex probes (intravenous urography, opaque enema and esophagogastroduodenal enema). (author)

  12. Reference values for soil structural degradation evaluation: an approach using shrinkage analysis

    Science.gov (United States)

    Johannes, Alice; Weisskopf, Peter; Schulin, Rainer; Boivin, Pascal

    2015-04-01

    Introduction Diagnosis of soil compaction and other soil structural degradation require reference threshold values defining non-degraded soil structure versus degraded soil structure. Large-scale application, e.g. for soil protection regulation, require accurate, cost-efficient and robust methods providing meaningful information with respect to soil quality. The shrinkage curve analysis (ShC)(Braudeau et al., 2004) does not only provide relevant parameters for soil functions such as water and air content of structural porosity but also holds promises to fulfil these requirements. Our objective was to test the potential of ShC analysis to define reference values for soil structural degradation at Swiss scale. Material and Methods Agricultural soils of the most common soil order on the Swiss plateau, namely cambi-luvisol, were sampled. Undisturbed samples were collected from topsoil at 200 locations from spring 2012 to fall 2014 on a large area (240 km) across Switzerland. Three types of soil managements were represented, namely permanent pasture (PP), conventional tillage and no-till. Only soils showing no evidence of structural degradation, as assessed visually and according to a VESS score smaller than 3 (Ball et al., 2007), were sampled. Compaction, erosion, waterlogging and poor degradation of organic matter were criteria to discard sampling locations. The undisturbed soil samples were analysed for SOC, texture, CEC and ShC, from which a set of parameters defining the soil porosities and hydrostructural stability was obtained. Results and Discussion The texture properties were similar between the different soil management, with clay content ranging from 10 to 35%. SOC content ranged from 0.5 to 4.5% and was significantly larger in average for PP, though the ranges were largely overlapping amongst the 3 soil managements. ShC parameters were found to be highly determined by SOC, with the R2 of the regressions usually over 70%, regardless of soil management, large

  13. Part I--Comparing Noncancer Chronic Human Health Reference Values: An Analysis of Science Policy Choices.

    Science.gov (United States)

    Holman, Elizabeth; Francis, Royce; Gray, George

    2016-09-24

    The goal of this study was to systematically evaluate the choices made in deriving a chronic oral noncancer human health reference value (HHRV) for a given chemical by different organizations, specifically those from the U.S. Environmental Protection Agency, Health Canada, RIVM (the Netherlands), and the U.S. Agency for Toxic Substances and Disease Registry. This analysis presents a methodological approach for comparing both the HHRVs and the specific choices made in the process of deriving an HHRV across these organizations. Overall, across the 96 unique chemicals and 171 two-way organizational comparisons, the HHRV agreed approximately 26% of the time. A qualitative method for identifying the primary factors influencing these HHRV differences was also developed, using arrays of HHRVs across organizations for the same chemical. The primary factors identified were disagreement on the critical or principal study and differential application of the total uncertainty factor across organizations. Of the cases where the total UF was the primary factor influencing HHRV disagreement, the database UF had the greatest influence.

  14. Reference values comparisons between DMD and C57B whole blood mice using neutron activation analysis

    Energy Technology Data Exchange (ETDEWEB)

    Metairon, Sabrina; Zamboni, Cibele Bugno; Suzuki, Miriam F. [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil); Sant' Anna, Oswaldo A. [Instituto Butantan, Sao Paulo, SP (Brazil); Carvalho, Maria Denise F. [Universidade de Sao Paulo (USP), SP (Brazil)

    2010-07-01

    Full text: In health area animal models are used to perform clinical investigations, for example, to test new medicines for medical diagnostic and treatment investigations before to be applied in human being. Currently, the conventional bio chemistries analyses are performed using serum, but when small size animal model is involved the biological material can be scarce restricting its collection. In the last years the NAA has been successfully applied at LEER at IPEN for investigation of several elements in blood of small sized animals, resulting in an efficiency procedure for clinical practice. The advantage in using whole blood is relate to the fact that this nuclear procedure needs small quantity of biological material (10 to 100 ?L of whole blood ) when compared with the conventional analyses (0.5 to 1.0 ml of serum). But, to use whole blood to perform these biochemistry investigations it is essential to establish the reference value in blood for the species or animal models. In this study we intend to evaluate a normal range of Br, Ca, Cl, K, Mg and Na concentrations in whole blood using NAA in samples of DMDmdx and C57B/6J mice model used for muscular dystrophy investigations. Thirty whole blood samples were analyzed in the IEA R1- nuclear reactor at IPEN (Sao Paulo, Brazil). These data contribute for applications in veterinary medicine related to biochemistry analyses using whole blood. (author)

  15. Exposure limits for nanoparticles: report of an international workshop on nano reference values.

    Science.gov (United States)

    van Broekhuizen, Pieter; van Veelen, Wim; Streekstra, Willem-Henk; Schulte, Paul; Reijnders, Lucas

    2012-07-01

    This article summarizes the outcome of the discussions at the international workshop on nano reference values (NRVs), which was organized by the Dutch trade unions and employers' organizations and hosted by the Social Economic Council in The Hague in September 2011. It reflects the discussions of 80 international participants representing small- and medium-size enterprises (SMEs), large companies, trade unions, governmental authorities, research institutions, and non-governmental organizations (NGOs) from many European countries, USA, India, and Brazil. Issues that were discussed concerned the usefulness and acceptability of precaution-based NRVs as a substitute for health-based occupational exposure limits (OELs) and derived no-effect levels (DNELs) for manufactured nanoparticles (NPs). Topics concerned the metrics for measuring NPs, the combined exposure to manufactured nanomaterials (MNMs) and process-generated NPs, the use of the precautionary principle, the lack of information about the presence of nanomaterials, and the appropriateness of soft regulation for exposure control. The workshop concluded that the NRV, as an 8-h time-weighted average, is a comprehensible and useful instrument for risk management of professional use of MNMs with a dispersible character. The question remains whether NRVs, as advised for risk management by the Dutch employers' organization and trade unions, should be under soft regulation or that a more binding regulation is preferable.

  16. Haematological and serum biochemical reference values in free-ranging red deer (Cervus elaphus atlanticus

    Directory of Open Access Journals (Sweden)

    Olav Rosef

    2004-04-01

    Full Text Available Analyses of haematological and biochemical constituents were carried out on the Norwegian subspecies of free-ranging red deer (Cervus elaphus atlanticus. All animals were captured from January to March by using a mixture of xylazine and tiletamin-zolazepam. Immobilisation was performed with plastic projectile syringes fired from a dart gun. Fourteen haematological parameters were analysed. There were no differences in the values between hinds and stags and between adults and calves (P > 0.01. Of the 22 biochemical compounds investigated there was a significant difference (P < 0.01 between calves and adults for lactate dehydrogenase (LD, globulin, beta globulin, gamma globulin, and the minerals Na, K, Mg, Zn, Ca, and P. Differences (P < 0.01 between hinds and stags were found in cholesterol, gamma glutamyl transferase (GGT, alpha-1 globulin, alpha-2 globulin and Cu. The blood values determined in this study can be used as reference values for this red deer subspecies immobilised with a mixture of xylazine-tiletamin-zolazepam for health control and diagnosis of diseases.Abstract in Norwegian /Sammendrag:Hematologiske og biokjemiske parametere er analysert på norsk frittlevende hjort (Cervus elaphus atlanticus. Hjorten ble immobilisert i tidsrommet januar til mars ved hjelp av et spesialgevær ladet med plast kanyler som inneholdt en blanding av xylazin og tiletamin-zolazepam. Det var ingen forskjeller i de14 undersøkte hematologiske verdiene mellom hinder, kalver og bukker (P>0,01. Av de 22 biokjemiske parametrene som ble undersøkt var det en signifikant forskjell mellom kalver og voksne (P<0,01 når det gjelder laktat dehydrogenase, globulin, beta globulin, gamma globulin og mineralene Na, K, Mg, Zn, Ca og P. Det var en signifikant forskjell mellom hinder og bukker (P<0.01 på parametrene kolesterol, gamma glutamyl transferase, alfa-1 globulin, alfa-2 globulin og Cu. Blodverdiene som ble målt i dette studiet kan bli brukt som referanseverdier

  17. Analytical performance, reference values and decision limits. A need to differentiate between reference intervals and decision limits and to define analytical quality specifications.

    Science.gov (United States)

    Petersen, Per Hyltoft; Jensen, Esther A; Brandslund, Ivan

    2011-12-23

    With the increasing use of decision limits (action limits, cut-off points) specified for a number of analytical components in diagnosis and for action in critical situations, formulated in national or international recommendations, the traditional interpretation of reference intervals has been uncertain, and sometimes the two concepts are being mixed up by incorporating risk calculations in the reference intervals. There is, therefore, a need to clarify the two concepts and to keep them definitely separated. Reference intervals are the 95% limits for the descriptions of the distributions of the values of analytical components measured on reference samples from reference individuals. Decision limits are based on guidelines from national and international expert groups defining specific concentrations of certain components as limits for decision about diagnosis or well-defined specific actions. Analytical quality specifications for reference intervals have been defined for bias since the 1990s, but in the recommendations specified in the clinical guidelines analytical quality specifications are only scarcely defined. The demands for negligible biases are, however, even more essential for decision limits, as the choice is no longer left to the clinician, but emerge directly from the concentration. Even a small bias will change the number of diseased individuals, so the demands for negligible biases are obvious. A view over the analytical quality as published gives a variable picture of bias for many components, but with many examples of considerable bias which must be critical--yet no specifications have been stipulated until now.

  18. Sonographic Estimation of Umbilical Cord Cross-section Area and its Reference Value in Normal Pregnancy.

    Science.gov (United States)

    Afroze, Khizer Hussain; Prabha, Subhash Lakshmi; Chandrakala, V; Deepak, M

    2017-08-01

    The routine antenatal sonographic investigations of the umbilical cord are limited for assessment of number of umbilical vessels and doppler evaluation of umbilical blood flow. With the advancements of the sonographic techniques it is now possible to have more detailed evaluation of umbilical cord. There exist only few literatures on assessment of umbilical cord cross-sectional area during pregnancy to provide a baseline reference value. To establish the reference intervals of cross-sectional area of the umbilical cord during gestation and to find the correlation of umbilical cord cross-sectional area with the foetal anthropometric measurements. This study was conducted among 214 normal pregnant women who underwent a routine antenatal sonogram during gestational age ranging from 24-39 weeks in the Department of Radiodiagnosis. The umbilical cord cross-sectional area was calculated at a plane immediately close to the umbilical cord insertion to the foetal abdomen. The following foetal parameters were studied: Biparietal Diameters (BPD), Head Circumference (HC), Abdominal Circumference (AC), Femur Length (FL), and Estimated Foetal weight (EFW). The relationship between foetal anthropometric measurements and umbilical cord cross sectional area was assessed using spearman rank correlation. The 5(th), 10(th), 50(th), 90(th) and 95(th) percentiles of umbilical cord cross-sectional area were calculated for each gestational groups using polynomial regression analysis. A statistically significant correlation was observed between cross-sectional area of umbilical cord with both gestational age and foetal anthropometric parameters. The mean age of study population was 25.08±3.5 years and the mean gestational age was 34.42±2.5 weeks. We observed a strong correlation between head circumference and umbilical cord cross-sectional area. The mean umbilical cord cross-section area increases steadily with gestational age for up to 34 weeks and then it declines. Umbilical cord cross

  19. Valores de referência para plumbemia em população urbana Lead reference values in the blood of the urban population

    Directory of Open Access Journals (Sweden)

    Monica M. B. Paolielo

    1997-04-01

    Full Text Available INTRODUÇÃO: Os valores de referência utilizados no Brasil, para chumbo em sangue, advêm de estudos realizados em outros países onde as condições socioeconômicas, clínicas, nutricionais e ocupacionais diferem bastante das brasileiras. Para garantir uma correta biomonitorização da população ocupacionalmente exposta ao chumbo, um dos principais problemas identificados no município estudado, foram estabelecidos valores de referência na população não exposta ocupacionalmente da região sul do município. MATERIAL E MÉTODO: Diferentes estratégias foram utilizadas para assegurar a qualidade de amostragem, que foi dimensionada em 206 sujeitos acima de 15 anos. Sujeitos que apresentaram valores clínicos e laboratoriais fora da faixa de normalidade foram excluídos, bem como os que apresentaram atividades específicas que pudessem interferir nos valores de plumbemia. RESULTADOS: Foram encontrados valores de referência para chumbo em sangue de 2,4 a 16,6 mg.dL-1, obtidos através do intervalo ± 2s (onde é o valor médio e s é o desvio-padrão dos valores observados e mediana = 7,9 µg.dL-1.INTRODUCTION: The lead reference values for blood used in Brazil come from studies conducted in other countries, where socioeconomic, clinical, nutritional and occupational conditions are significantly different. In order to guarantee an accurate biomonitoring of the population which is occupationally exposed to lead, a major health concern of the studied community, reference values for individuals who are not occupationally exposed and who live in the southern region of the city were established. MATERIAL AND METHOD: The sample was composed of 206 subjects of at least 15 years of age. Various strategies were employed to assure good-quality sampling. Subjects who presented values outside clinical or laboratory norms were excluded, as well as those whose specific activities might interfere with the results. RESULTS: Lead reference values for blood

  20. Background concentrations and reference values for heavy metals in soils of Cuba.

    Science.gov (United States)

    Alfaro, Mirelys Rodríguez; Montero, Alfredo; Ugarte, Olegario Muñiz; do Nascimento, Clístenes Williams Araújo; de Aguiar Accioly, Adriana Maria; Biondi, Caroline Miranda; da Silva, Ygor Jacques Agra Bezerra

    2015-01-01

    The potential threat of heavy metals to human health has led to many studies on permissible levels of these elements in soils. The objective of this study was to establish quality reference values (QRVs) for Cd, Pb, Zn, Cu, Ni, Cr, Fe, Mn, As, Hg, V, Ba, Sb, Ag, Co, and Mo in soils of Cuba. Geochemical associations between trace elements and Fe were also studied, aiming to provide an index for establishing background concentrations of metals in soils. Surface samples of 33 soil profiles from areas of native forest or minimal anthropic influence were collected. Samples were digested (USEPA method 3051A), and the metals were determined by ICP-OES. The natural concentrations of metals in soils of Cuba followed the order Fe > Mn > Ni > Cr > Ba > V > Zn > Cu > Pb > Co > As > Sb > Ag > Cd > Mo > Hg. The QRVs found for Cuban soils were as follows (mg kg(-1)): Ag (1), Ba (111), Cd (0.6), Co (25), Cr (153), Cu (83), Fe (54,055), Mn (1947), Ni (170), Pb (50), Sb (6), V (137), Zn (86), Mo (0.1), As (19), and Hg (0.1). The average natural levels of heavy metals are above the global average, especially for Ni and Cr. The chemical fractionation of soil samples presenting anomalous concentrations of metals showed that Cu, Ni, Cr, Sb, and As have low bioavailability. This suggests that the risk of contamination of agricultural products via plant uptake is low. However, the final decision on the establishment of soil QRVs in Cuba depends on political, economic, and social issues and in-depth risk analyses considering all routes of exposure to these elements.

  1. Hematologic reference values for clinically healthy captive golden conures (Guaruba guarouba).

    Science.gov (United States)

    Prioste, Fabíola Eloisa Setim; Zwarg, Ticiana; Teixeira, Rodrigo Hidalgo; Vanstreels, Ralph Eric Thijl; Rocha, Arnaldo; Matushima, Eliana Reiko

    2012-12-01

    Golden conures or ararajubas (Guaruba guarouba) are endangered parrots endemic to the Brazilian Amazon forest. Body mass, blood cell counts, and total plasma protein were determined for 70 clinically healthy golden conures captive at zoologic parks and private breeder facilities in Brazil. Hematologic results (mean +/- SD) were: Erythrocytes 3.6 +/- 0.5 x 10(6) cells/mm3, hemoglobin 12.8 +/- 1.4 g/dl, packed cell volume 46 +/- 3.8%, mean corpuscular volume 132 +/- 20 fl, mean corpuscular hemoglobin (MCH) 36 +/- 5.7 pg, mean corpuscular hemoglobin concentration (MCHC) 28 +/- 3.5%, thrombocytes 26.3 +/- 9.3 x 10(3) cells/mm3, leukocytes 11.9 +/- 4.5 x 10(3) cells/mm3, heterophils 6284 +/- 2715 cells/mm3, lymphocytes 5473 +/- 2408 cells/ mm3, monocytes 113 +/- 162 cells/mm3, eosinophils 10 +/- 42 cells/mm3, basophils 27 +/- 64 cells/mm3. Body mass was 254 +/- 24.9 g and total plasma protein (TPP) was 3.54 +/- 0.58 g/dl. No statistical differences were observed between genders within age groups. Differences between juveniles (J) and adults (A) were identified for TPP (J A), and MCHC (J > A). These results provide reliable reference values for the clinical interpretation of hematologic results for the species. Hematology may be an important tool for population health investigations on free-ranging golden conure populations and will also be essential to survey the health of release candidates in future reintroduction programs.

  2. Toxicity reference values for methylmercury effects on avian reproduction: Critical review and analysis.

    Science.gov (United States)

    Fuchsman, Phyllis C; Brown, Lauren E; Henning, Miranda H; Bock, Michael J; Magar, Victor S

    2017-02-01

    Effects of mercury (Hg) on birds have been studied extensively and with increasing frequency in recent years. The authors conducted a comprehensive review of methylmercury (MeHg) effects on bird reproduction, evaluating laboratory and field studies in which observed effects could be attributed primarily to Hg. The review focuses on exposures via diet and maternal transfer in which observed effects (or lack thereof) were reported relative to Hg concentrations in diet, eggs, or adult blood. Applicable data were identified for 23 species. From this data set, the authors identified ranges of toxicity reference values suitable for risk-assessment applications. Typical ranges of Hg effect thresholds are approximately 0.2 mg/kg to >1.4 mg/kg in diet, 0.05 mg/kg/d to 0.5 mg/kg/d on a dose basis, 0.6 mg/kg to 2.7 mg/kg in eggs, and 2.1 mg/kg to >6.7 mg/kg in parental blood (all concentrations on a wet wt basis). For Hg in avian blood, the review represents the first broad compilation of relevant toxicity data. For dietary exposures, the current data support TRVs that are greater than older, commonly used TRVs. The older diet-based TRVs incorporate conservative assumptions and uncertainty factors that are no longer justified, although they generally were appropriate when originally derived, because of past data limitations. The egg-based TRVs identified from the review are more similar to other previously derived TRVs but have been updated to incorporate new information from recent studies. While important research needs remain, a key recommendation is that species not yet tested for MeHg toxicity should be evaluated using toxicity data from tested species with similar body weights. Environ Toxicol Chem 2017;36:294-319. © 2016 SETAC.

  3. The effect of time from last food intake on arterial blood gases: Implication on reference values

    Directory of Open Access Journals (Sweden)

    Zahedpour Anaraki M

    2000-08-01

    Full Text Available Arterial blood gas parameters were analyzed in forty-nine healthy persons (31 males, 18 females to detemine reference values fo these parameters and their relation to the time from last food intake to arterial puncture (T. The mean ± standard deviation of arterial oxygen pressure, arterial carbon dioxide pressure and pH at core body temperature were 84.4±7.0 mmHg (Male: 83.0±6.5, Female: 86.7±73, 37.7±2.8 mmHg (Male: 38.5±2.7, Female: 36.2±2.4 respectively 7.41±0.02 (Male: 7.41±0.02 Female: 7.42±0.03. the mean PCO2 was lower in comparison with most of the studies at sea level. The difference between males and females was significant in PCO2 and PH (P=0.004, P=0.02 respectively but in was not significant in PO2 (P=0.07. The PCO2 and pH had no statistically significant relatioship with age (P=0.42, P=0.25 respectively. The relationship between Po2 with age, PCO2 and T was significant (P=0.02, P=0.017, and P=0.019 respectively. The best linear predictive equation was: Po2= 1.28 AO2-29.4 for T10hours Þ AO2 = 0.21(Baro-47 – (1.2PCO2

  4. Reference values of pulmonary diffusing capacity for nitric oxide in an adult population.

    Science.gov (United States)

    Zavorsky, Gerald S; Cao, Jiguo; Murias, Juan M

    2008-02-01

    Our objective was to create reference values for single-breath DLNO based on a sample of non-smoking healthy males and females using a short breath-hold time. The sample included 130 individuals varied in age (18-85 yr), height (149-190 cm), and weight (49.4-102.6 kg). The subjects performed single-breath-hold maneuvers at rest inhaling 41 +/- 6 ppm NO and a standard diffusion mixture. The breath-hold time was 5.5 +/ -0.6 s. Multiple linear regression with backward elimination of the independent variables age, weight, gender, and either measured lung volume (called alveolar volume or VA) or height revealed specific prediction equations for DLNO. Inserting VA instead of height into the regression equation determined how much of an abnormality of DLNO was due to gas exchange versus low lung volume. The predicted DLNO adjusted for lung volume (ml/min/mmHg) = DLNO = 73.1 + 17.26 x (VA)+17.56 x (gender) - 1.0 x (age). The predicted DLNO unadjusted for lung volume (ml/min/mmHg) = -20.1 + 1.167 x (height)+31.81 x (gender) - 1.21 x (age). For gender, 1 = males, 0 = females; VA = liters; height = cm. Age, gender and VA (lung volume) were the best predictors of DLNO and DLCO. Weight was not a good independent predictor of DLNO or DLCO. When normalizing for height and age, women have 650 ml lower forced vital capacity, 660 ml lower VA, and a 6 and 32 ml/min/mmHg lower DLCO and DLNO, respectively, compared to men. Normalizing for lung volume and age, women have, on average, a 3.2 and 18 ml/min/mmHg lower DLCO and DLNO, respectively, compared to men.

  5. Normal reference values for vertebral artery flow volume by color Doppler sonography in Korean adults

    Energy Technology Data Exchange (ETDEWEB)

    Hong, Hyun Sook; Cha, Jang Gyu; Park, Seong Jin; Joh, Joon Hee; Park, Jai Soung; Kim, Dae Ho; Lee, Hae Kyung; Ahn, Hyun Cheol [Soonchunhyang University Bucheon Hospital, Bucheon (Korea, Republic of)

    2003-09-15

    Vertebrobasilar ischemia has been attributed to a reduction of net vertebral artery flow volume. This study was to establish the reference values for the flow volume of the vertebral artery using color Doppler sonography in the normal Korea adults. Thirty five normal Korea adults without any underlying disease including hypertension, hyperlipidemia, diabetes, heart disease, obesity (body mas index>30), or carotid artery stenosis was included. There were 17 males and 18 females, age ranged from 20 to 53 years (average=32.86 years). Flow velocities and vessel diameters were recorded in the intertransverse (V2) segment, usually at C5-6 level, bilaterally. The flow volume (Q) was calculated. (Q=time averaged mean velocity x cross sectional area of vessel) A lower Flow velocity and smaller vessel diameter were measured on the right side compared to those of the left side, resulting in a lower flow volume. The calculated flow volumes using the equation were 77.0 +- 39.7 ml/min for the right side and 127.6 +- 71.0 ml/min for the left side (p=0.0001) while the net vertebral artery flow volume was 204.6 +- 81.8 ml/min. Decrease in the vertebral artery flow volume was statistically significant with advanced age. (r=-0.36, p=0.032). Vertebral artery blood flow volume was 191.20 +- 59.19 ml/min in male, and 217.28 +- 98.67 ml/min in female (p=0.6). The normal range for the net vertebral artery flow volume defined by the 5th to 95th percentiles was between 110.06 and 364.1 ml/min. The normal range for the net vertebral artery flow volume was between 110.06 and 364.1 ml/min. Vertebral artery flow volume decreased with the increase of age. However, gender did not affect the blood flow volume.

  6. Protein standardization V: value transfer. A practical protocol for the assignment of serum protein values from a Reference Material to a Target Material.

    Science.gov (United States)

    Blirup-Jensen, Søren; Johnson, A Myron; Larsen, Marianne

    2008-01-01

    We present a practical protocol for the assignment of values to serum proteins in a Target Material using a Reference Material. This protocol is based on the model of Direct Value Transfer between serum matrices and is intended to improve the value assignment of commercial calibrators using the Reference Material CRM 470 (now labeled ERM-DA 470) or similar reference materials. The procedure describes the general as well as the practical principles involved in the value assignment (with examples). The practical transfer protocol is based on multiple assays of 6 dilutions of the Reference Material and 6 dilutions of the Target Material. The transfer protocol requires several measurements a day repeated on several days, an important prerequisite being that all reconstitutions and dilutions are controlled by weighing thus reducing uncertainty in the transfer. In open systems that allow the use of the Reference Material as calibrator and the Target Material as samples, the proportionality of the two materials (the presence or absence of matrix effects) can now be directly assessed by evaluating a single regression plot. If no matrix effects are found, the regression line will pass through zero with a slope equal to the ratio of the concentrations of the two materials. In closed systems, the dedicated commercial calibrator has to be used as such; the Reference Material and the Target Material are now assayed as samples against this calibrator. Two regression plots are therefore obtained; if no matrix effects are present among the two materials and the calibrator, both the Reference and Target Materials will show zero intercepts, and the ratio of the two slopes will equal the ratio of the concentrations.

  7. Health Related Quality of Life in a Dutch Rehabilitation Population: Reference Values and the Effect of Physical Activity

    Science.gov (United States)

    Jaarsma, Eva A.; Dijkstra, Pieter U.; Geertzen, Jan H. B.; Dekker, Rienk

    2017-01-01

    Purpose To establish reference values for Health Related Quality of Life (HRQoL) in a Dutch rehabilitation population, and to study effects of patient characteristics, diagnosis and physical activity on HRQoL in this population. Method Former rehabilitation patients (3169) were asked to fill in a questionnaire including the Dutch version of the RAND-36. Differences between our rehabilitation patients and Dutch reference values were analyzed (t-tests). Effects of patient characteristics, diagnosis and movement intensity on scores on the subscales of the RAND-36 were analyzed using block wise multiple regression analyses. Results In total 1223 patients (39%) returned the questionnaire. HRQoL was significantly poorer in the rehabilitation patients compared to Dutch reference values on all subscales (phealth change (p = 0.197). Longer time between questionnaire and last treatment was associated with a smaller health change (p = 0.035). Higher age negatively affected physical functioning (phealth change (p = 0.001). Diagnosis affected outcomes on all subscales except role limitations physical, and mental health (p ranged health (p ranged HRQoL is poorer in rehabilitation patients compared to Dutch reference values. Physical components of HRQoL are affected by diagnosis. In rehabilitation patients an association between movement intensity and HRQoL was found. For clinical purposes, results of this study can be used as reference values for HRQoL in a rehabilitation setting. PMID:28060949

  8. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies), 2015. Scientific Opinion on Dietary Reference Values for magnesium

    DEFF Research Database (Denmark)

    Tetens, Inge

    2015-01-01

    Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies (NDA) derived Dietary Reference Values (DRVs) for magnesium. The Panel considers that Average Requirements (ARs) and Population Reference Intakes (PRIs) for magnesium cannot be derived....... For adults, an AI for magnesium is set at 350 mg/day for men and 300 mg/day for women. For children aged 1 to sexes. For children aged 3 to sexes. For children aged 10 to

  9. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies), 2015. Scientific Opinion on Dietary Reference Values for calcium

    DEFF Research Database (Denmark)

    Tetens, Inge

    2015-01-01

    Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies derived Dietary Reference Values for calcium. These include Average Requirement (AR), Population Reference Intake (PRI) and Adequate Intake (AI). For adults, data were analysed from a number...... in bones, is 1 000 mg/day. This is the intermediate value between children aged 11–17 years and adults. Taking into consideration adaptive changes in calcium metabolism that occur during pregnancy and lactation, the PRI for non-pregnant women also applies to pregnant and lactating women of the same age...

  10. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies), 2014. Scientific Opinion on Dietary Reference Values for zinc

    DEFF Research Database (Denmark)

    Tetens, Inge

    Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies (NDA) derived Dietary Reference Values for zinc, using a two-stage factorial approach and reference values for body weight. The first stage of estimating physiological requirements used studies...... that had physiologically plausible data, specifically related to faecal excretion of endogenous zinc. Adult physiological requirements were closely related to body size, and sex differences were not detectable after adjustment for body weight. Average Requirements (ARs) for dietary zinc necessary to meet...

  11. Communication of scientific uncertainty: international case studies on the development of folate and vitamin D Dietary Reference Values.

    Science.gov (United States)

    Brown, Kerry A; de Wit, Liesbeth; Timotijevic, Lada; Sonne, Anne-Mette; Lähteenmäki, Liisa; Brito Garcia, Noé; Jeruszka-Bielak, Marta; Sicińska, Ewa; Moore, Alana N; Lawrence, Mark; Raats, Monique M

    2015-06-01

    Transparent evidence-based decision making has been promoted worldwide to engender trust in science and policy making. Yet, little attention has been given to transparency implementation. The degree of transparency (focused on how uncertain evidence was handled) during the development of folate and vitamin D Dietary Reference Values was explored in three a priori defined areas: (i) value request; (ii) evidence evaluation; and (iii) final values. Qualitative case studies (semi-structured interviews and desk research). A common protocol was used for data collection, interview thematic analysis and reporting. Results were coordinated via cross-case synthesis. Australia and New Zealand, Netherlands, Nordic countries, Poland, Spain and UK. Twenty-one interviews were conducted in six case studies. Transparency of process was not universally observed across countries or areas of the recommendation setting process. Transparency practices were most commonly seen surrounding the request to develop reference values (e.g. access to risk manager/assessor problem formulation discussions) and evidence evaluation (e.g. disclosure of risk assessor data sourcing/evaluation protocols). Fewer transparency practices were observed to assist with handling uncertainty in the evidence base during the development of quantitative reference values. Implementation of transparency policies may be limited by a lack of dedicated resources and best practice procedures, particularly to assist with the latter stages of reference value development. Challenges remain regarding the best practice for transparently communicating the influence of uncertain evidence on the final reference values. Resolving this issue may assist the evolution of nutrition risk assessment and better inform the recommendation setting process.

  12. Food adulteration analysis without laboratory prepared or determined reference food adulterant values.

    Science.gov (United States)

    Kalivas, John H; Georgiou, Constantinos A; Moira, Marianna; Tsafaras, Ilias; Petrakis, Eleftherios A; Mousdis, George A

    2014-04-01

    Quantitative analysis of food adulterants is an important health and economic issue that needs to be fast and simple. Spectroscopy has significantly reduced analysis time. However, still needed are preparations of analyte calibration samples matrix matched to prediction samples which can be laborious and costly. Reported in this paper is the application of a newly developed pure component Tikhonov regularization (PCTR) process that does not require laboratory prepared or reference analysis methods, and hence, is a greener calibration method. The PCTR method requires an analyte pure component spectrum and non-analyte spectra. As a food analysis example, synchronous fluorescence spectra of extra virgin olive oil samples adulterated with sunflower oil is used. Results are shown to be better than those obtained using ridge regression with reference calibration samples. The flexibility of PCTR allows including reference samples and is generic for use with other instrumental methods and food products. Copyright © 2013 Elsevier Ltd. All rights reserved.

  13. Reference values for serum total adiponectin in healthy non-obese children and adolescents

    DEFF Research Database (Denmark)

    Lausten-Thomsen, Ulrik; Christiansen, Michael; Fonvig, Cilius Esmann

    2015-01-01

    optimization. RESULTS: In a generalized linear model adjusted for BMI SDS, total serum adiponectin concentrations were correlated to age in girls (psexes combined (psexes was found. Reference intervals were calculated using...... age as a continuous variable. The best fitted reference curve for both sexes was: 50th percentile: Y=-0.1478∗X+6.046; 2.5th percentile: Y=-0.06256∗X+2.34; 97.5th percentile: Y=-0.4086∗X+22.39, where Y=adiponectin in μg/mL and X=years of age (from 6 to 18years). CONCLUSION: We developed a pediatric...... reference levels for total serum adiponectin in a sample of 1193 Danish children and adolescents aged 6-18years. A correlation with age was demonstrated in children, but no significant difference was seen between the sexes....

  14. IgG subclass concentrations in certified reference material 470 and reference values for children and adults determined with the binding site reagents.

    Science.gov (United States)

    Schauer, Uwe; Stemberg, Frank; Rieger, Christian H L; Borte, Michael; Schubert, Simone; Riedel, Frank; Herz, Udo; Renz, Harald; Wick, Manfred; Carr-Smith, Hugh D; Bradwell, Arthur R; Herzog, Wilhelm

    2003-11-01

    There is currently no international reference preparation for IgG subclass (IgGSc) quantification. This situation has led to calibration differences among assays and a variety of reference interval values with consequential difficulties in comparing results. We therefore evaluated IgGSc concentrations in Certified Reference Material 470 (CRM 470). Pure, polyclonal IgG1, -2, -3, and -4 were prepared from a large serum pool for use as primary standards. The IgG mass in each preparation was calculated from amino-acid analysis data. IgGSc concentrations were assessed in CRM 470 by nephelometry with modern analytical techniques, using these reference preparations. Subsequently, IgGSc concentrations were measured in 380 healthy individuals (250 males and 130 females), and age-dependent reference intervals were established. IgGSc concentrations in CRM 470 were as follows: IgG1, 5028 mg/L; IgG2, 3418 mg/L; IgG3, 579 mg/L, and IgG4, 381 mg/L, with a total IgG concentration of 9406 mg/L, 2.83% below the certified total IgG value of 9680 mg/L. Age-dependent percentile curves for the four IgGSc were constructed using a Box-Cox transformation. Maximum median values were as follows: IgG1, 6.02 g/L at 11 years; IgG2, 3.45 g/L at 31 years; IgG3, 0.63 g/L at 17 years; and IgG4, 0.48 g/L at 14 years. No significant sex-related differences were observed. The correlation between the summation of individual IgGSc and separate measurements of total IgG concentrations was good and supports the accuracy of the results. The results are based on The Binding Site assays and should not be considered appropriate for other assays unless so demonstrated.

  15. The values underlying the Draft Common Frame of Reference: what role for fairness and 'social justice'?

    NARCIS (Netherlands)

    Hesselink, M.W.

    2008-01-01

    This study provides an in-depth analysis of the provisions of the draft Common Frame of Reference (DCFR), in order to assess if the DCFR perceives contract law only as a tool for regulating private law relations between equally strong parties or if it contains elements of 'social justice' in favour

  16. Reference Values of the Pain Disability Index in Patients With Painful Musculoskeletal and Spinal Disorders

    NARCIS (Netherlands)

    Soer, Remko; Koke, Albere J. A.; Speijer, Bert L. G. N.; Vroomen, Patrick C. A. J.; Smeets, Rob J. E. M.; Coppes, Maarten H.; Reneman, Michiel F.; Gross, Douglas P.

    2015-01-01

    Study Design. Cross-sectional study. Objective. To examine reference data for the Pain Disability Index (PDI) in Dutch and Canadian patient samples with a variety of musculoskeletal pain disorders and to test which potential factors are independently associated with the PDI score. Summary of Backgro

  17. Dietary Reference Intakes for vitamin D: justification for a review of the 1997 values123

    OpenAIRE

    Yetley, Elizabeth A.; Brulé, Danielle; Cheney, Margaret C; Davis, Cindy D.; Esslinger, Krista A; Fischer, Peter WF; Friedl, Karl E.; Greene-Finestone, Linda S.; Guenther, Patricia M.; Klurfeld, David M.; L'Abbe, Mary R; McMurry, Kathryn Y; Starke-Reed, Pamela E.; Trumbo, Paula R.

    2009-01-01

    Recent Institute of Medicine (IOM) reviews of the process for deriving Dietary Reference Intakes (DRIs) suggest that determining the need for a new nutrient review should be evaluated against criteria set a priori. After selecting the criterion of significant new and relevant research, a working group of US and Canadian government scientists used results from a systematic review and 2 ...

  18. The values underlying the Draft Common Frame of Reference: what role for fairness and 'social justice'?

    NARCIS (Netherlands)

    Hesselink, M.W.

    2008-01-01

    This study provides an in-depth analysis of the provisions of the draft Common Frame of Reference (DCFR), in order to assess if the DCFR perceives contract law only as a tool for regulating private law relations between equally strong parties or if it contains elements of 'social justice' in favour

  19. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies), 2013. Scientific Opinion on Dietary Reference Values for manganese

    DEFF Research Database (Denmark)

    Tetens, Inge

    Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies (NDA) derived Dietary Reference Values (DRVs) for manganese. Manganese is an essential dietary mineral which is a component of a number of metalloenzymes involved in amino acid, lipid...

  20. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies), 2014. Scientific Opinion on Dietary Reference Values for niacin

    DEFF Research Database (Denmark)

    Tetens, Inge

    Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies (NDA) derived Dietary Reference Values (DRVs) for niacin. Niacin is a generic term for nicotinic acid and nicotinamide. Niacin can be synthesised in the human body from the indispensable amino...

  1. EFSA Panel on Dietetic Products, Nutrition, and Allergies (NDA); Scientific Opinion on Dietary reference values for water

    DEFF Research Database (Denmark)

    Tetens, Inge

    This Opinion of the EFSA Panel on Dietetic Products, Nutrition, and Allergies (NDA) deals with the setting of dietary reference values for water for specific age groups. Adequate Intakes (AI) have been defined derived from a combination of observed intakes in population groups with desirable...

  2. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies), 2014. Scientific Opinion on Dietary Reference Values for biotin

    DEFF Research Database (Denmark)

    Tetens, Inge

    Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies (NDA) derived Dietary Reference Values (DRVs) for biotin. Biotin is a water-soluble vitamin which serves as a co-factor for several carboxylases that play critical roles in the synthesis...

  3. Extended Reference Values for the Muscle Power Sprint Test in 6- to 18-Year-Old Children

    NARCIS (Netherlands)

    Steenman, Katie; Verschuren, Olaf; Rameckers, Eugene; Douma-Van Riet, Danielle; Takken, Tim

    2016-01-01

    Purpose: The first aim was to extend the reference values and curves of the Muscle Power Sprint Test (MPST) in children with typical development. The second aim was to examine test/retest and intertester reliability of the MPST. Methods: A total of 683 children aged 6 to 18 years (mean = 11.9 ± 3.8

  4. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies), 2013 . Scientific opinion on Dietary Reference Values for fluoride

    DEFF Research Database (Denmark)

    Tetens, Inge

    Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies (NDA) derived Dietary Reference Values (DRVs) for fluoride, which are provided as Adequate Intake (AI) from all sources, including non-dietary sources. Fluoride is not an essential nutrient. ...

  5. Reference values of exhaled nitric oxide in healthy children 1-5 years using off-line tidal breathing

    NARCIS (Netherlands)

    Heijden, H.H. van der; Brouwer, M.L.; Hoekstra, F.; Pol, P. van der; Merkus, P.J.F.M.

    2014-01-01

    Measurement of the fraction of exhaled nitric oxide (FeNO) is a useful test to diagnose and/or monitor eosinophilic airway inflammation. The off-line tidal breathing method is used for measurements in young children, but reference values for preschool children are scarce. The objective of this study

  6. Aortic augmentation index: reference values in a large unselected population by means of the SphygmoCor device

    DEFF Research Database (Denmark)

    Janner, Julie; Godtfredsen, Nina S; Ladelund, Steen

    2010-01-01

    Arterial stiffness and pulse wave reflection are associated with cardiovascular disease (CVD). Pulse wave analyses (PWAs) allow the estimation of the central augmentation index (AIx), a measurement of pulse wave reflection. To understand the predictive role of AIx, reference values for AIx are ne...

  7. Reference values of maximum walking speed among independent community-dwelling Danish adults aged 60 to 79 years

    DEFF Research Database (Denmark)

    Tibaek, S; Holmestad-Bechmann, N; Pedersen, Trine B

    2015-01-01

    OBJECTIVES: To establish reference values for maximum walking speed over 10m for independent community-dwelling Danish adults, aged 60 to 79 years, and to evaluate the effects of gender and age. DESIGN: Cross-sectional study. SETTING: Danish companies and senior citizens clubs. PARTICIPANTS: Two ...

  8. Reference Values for the Six-Minute Walk Test in Healthy Children and Adolescents: a Systematic Review

    Directory of Open Access Journals (Sweden)

    Lucas de Assis Pereira Cacau

    Full Text Available Abstract Objective: The aim of the study is to compare the available reference values and the six-minute walk test equations in healthy children/adolescents. Our systematic review was planned and performed in accordance with the PRISMA guidelines. We included all studies that established reference values for the six-minute walk test in healthy children/adolescents. Methods: To perform this review, a research was performed in PubMed, EMBASE (via SCOPUS and Cochrane (LILACS, Bibliographic Index Spanish in Health Sciences, Organization Collection Pan-American Health Organization, Publications of the World Health Organization and Scientific Electronic Library Online (SciELO via Virtual Health Library until June 2015 without language restriction. Results: The initial research identified 276 abstracts. Twelve studies met the inclusion criteria and were fully reviewed and approved by both reviewers. None of the selected studies presented sample size calculation. Most of the studies recruited children and adolescents from school. Six studies reported the use of random samples. Most studies used a corridor of 30 meters. All studies followed the American Thoracic Society guidelines to perform the six-minute walk test. The walked distance ranged 159 meters among the studies. Of the 12 included studies, 7 (58% reported descriptive data and 6 (50% established reference equation for the walked distance in the six-minute walk test. Conclusion: The reference value for the six-minute walk test in children and adolescents ranged substantially from studies in different countries. A reference equation was not provided in all studies, but the ones available took into account well established variables in the context of exercise performance, such as height, heart rate, age and weight. Countries that did not established reference values for the six-minute walk test should be encouraged to do because it would help their clinicians and researchers have a more precise

  9. Reference Values for the Six-Minute Walk Test in Healthy Children and Adolescents: a Systematic Review

    Science.gov (United States)

    Cacau, Lucas de Assis Pereira; de Santana-Filho, Valter Joviniano; Maynard, Luana G.; Gomes Neto, Mansueto; Fernandes, Marcelo; Carvalho, Vitor Oliveira

    2016-01-01

    Objective The aim of the study is to compare the available reference values and the six-minute walk test equations in healthy children/adolescents. Our systematic review was planned and performed in accordance with the PRISMA guidelines. We included all studies that established reference values for the six-minute walk test in healthy children/adolescents. Methods To perform this review, a research was performed in PubMed, EMBASE (via SCOPUS) and Cochrane (LILACS), Bibliographic Index Spanish in Health Sciences, Organization Collection Pan-American Health Organization, Publications of the World Health Organization and Scientific Electronic Library Online (SciELO) via Virtual Health Library until June 2015 without language restriction. Results The initial research identified 276 abstracts. Twelve studies met the inclusion criteria and were fully reviewed and approved by both reviewers. None of the selected studies presented sample size calculation. Most of the studies recruited children and adolescents from school. Six studies reported the use of random samples. Most studies used a corridor of 30 meters. All studies followed the American Thoracic Society guidelines to perform the six-minute walk test. The walked distance ranged 159 meters among the studies. Of the 12 included studies, 7 (58%) reported descriptive data and 6 (50%) established reference equation for the walked distance in the six-minute walk test. Conclusion The reference value for the six-minute walk test in children and adolescents ranged substantially from studies in different countries. A reference equation was not provided in all studies, but the ones available took into account well established variables in the context of exercise performance, such as height, heart rate, age and weight. Countries that did not established reference values for the six-minute walk test should be encouraged to do because it would help their clinicians and researchers have a more precise interpretation of the test

  10. Frame of Reference Effects on Values in Mathematics: Evidence from German Secondary School Students

    Science.gov (United States)

    Cambria, Jenna; Brandt, Holger; Nagengast, Benjamin; Trautwein, Ulrich

    2017-01-01

    Expectancy-value theory of achievement motivation identifies two classes of beliefs that are important predictors of educational choices and achievement: expectancies and values. It is well known that high achieving peers can have a negative impact on self-concept and other measures of expected success: holding individual achievement constant,…

  11. Application of RF correction in thin-layer chromatography by means of two reference RF values

    NARCIS (Netherlands)

    Dhont, J.H.; Vinkenborg, C.; Compaan, H.; Ritter, F.J.; Labadie, R.P.; Verweij, A.; Zeeuw, R.A. de

    1972-01-01

    Results of the inter-laboratory experiment described in this paper show that the GALANOS AND KAPOULAS equation can be applied satisfactorily to correct RF values obtained on thin-layer chromatograms in a polar multi-component solvent. Addition of Kieselguhr to the silica gel gives RFc values

  12. Reference values for the incremental shuttle walk test in patients with cardiovascular disease entering exercise-based cardiac rehabilitation.

    Science.gov (United States)

    Cardoso, Fernando M F; Almodhy, Meshal; Pepera, Garyfalia; Stasinopoulos, Dimitrios M; Sandercock, Gavin R H

    2017-01-01

    The incremental shuttle walk test (ISWT) is used to assess functional capacity of patients entering cardiac rehabilitation. Factors such as age and sex account for a proportion of the variance in test performance in healthy individuals but there are no reference values for patients with cardiovascular disease. The aim of this study was to produce reference values for the ISWT. Participants were n = 548 patients referred to outpatient cardiac rehabilitation who underwent a clinical examination and performed the ISWT. We used regression to identify predictors of performance and produced centile values using the generalised additive model for location, scale and shape model. Men walked significantly further than women (395 ± 165 vs. 269 ± 118 m; t = 9.5, P sex. Age (years) was the strongest predictor of performance in men (β = -5.9; 95% CI: -7.1 to -4.6 m) and women (β = -4.8; 95% CI: -6.3 to 3.3). Centile curves demonstrated a broadly linear decrease in expected ISWT values in males (25-85 years) and a more curvilinear trend in females. Patients entering cardiac rehabilitation present with highly heterogeneous ISWT values. Much of the variance in performance can be explained by patients' age and sex. Comparing absolute values with age-and sex-specific reference values may aid interpretation of ISWT performance during initial patient assessment at entry to cardiac rehabilitation.

  13. [Risk assessment of manual handling of loads: the choice of reference values in light of Leg. 81/2008].

    Science.gov (United States)

    Baracco, A; Coggiola, M; Discalzi, G; Perrelli, F; Romano, C

    2009-01-01

    Italian law on safety at work does not clarify specific levels of load for safe manual material handling. For this reason professionals appointed for safety need to define new target range value for the correct application of D.Lgs. 81/2008 law. Authors, discussing about indication of the national laws and international rules, suggest the assumption of a load of 25 and 20 kg as reference values for male and female adult and healthy workers. They also examine the graduation of the acceptable loads in relation to workers' age and the Lifting Index values to be adopted as action limit and exposure limit.

  14. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies), 2015. Scientific Opinion on Dietary Reference Values for phosphorus

    DEFF Research Database (Denmark)

    Tetens, Inge

    2015-01-01

    Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies derived Dietary Reference Values (DRVs) for phosphorus. The Panel considered data from balance studies, losses of phosphorus from the body and intestinal absorption for possible use in a fact......Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies derived Dietary Reference Values (DRVs) for phosphorus. The Panel considered data from balance studies, losses of phosphorus from the body and intestinal absorption for possible use...... countries, which are considerably higher than the values calculated. The AI is 160 mg/day for infants (7–11 months) and between 250 and 640 mg/day for children. For adults, the AI is 550 mg/day. Taking into consideration adaptive changes in phosphorus metabolism that occur during pregnancy and lactation...

  15. Reference values for acoustic rhinometry in children from 4 to 13 years

    DEFF Research Database (Denmark)

    Straszek, Sune; Moeller, Alexander; Hall, Graham L

    2008-01-01

    a reference range for nasal volumes and minimum cross-sectional areas (MCA) in healthy non-decongested children aged 4 to 13 years. Methods: 256 primary school children (mean 7.95 years, range 3.8 - 13.1 ys, 123m/133f) were measured by acoustic rhinometry. Variables were MCA (first, second and absolute...... minimum) and nasal volumes from 0 to 4 (Vol0-4), 0 to 5 (Vol0-5), 1 to 4 (Vol1-4) and 2 to 5 (Vol2-5) cm into the nasal cavity. Height and weight were measured and atopic status determined by skin prick test. Age and current and past respiratory health were recorded from a questionnaire. Results...... nasal patency. Conclusion: This paper presents the presently most extensive reference material for AR inm non-decongested pre-pubescent healthy children. The presented reference material will facilitate the interpretation and evaluation of future and present epidemiological studies based on AR...

  16. Salivary cortisol monitoring: determination of reference values in healthy children and application in asthmatic children.

    Science.gov (United States)

    Nagakura, Toshikazu; Tanaka, Toshiaki; Arita, Masahiko; Nishikawa, Kiyoshi; Shigeta, Makoto; Wada, Noriyuki; Matsumoto, Tsutomu; Hiraba, Kazumi; Fukuda, Norimasa

    2012-01-01

    Venipuncture testing of adrenocortical function in asthmatic infants and young children receiving inhaled corticosteroids can raise cortisol levels and mask physiological responses. This study aimed to establish reference ranges for salivary cortisol levels and evaluate the safety and effects of jet-nebulized budesonide inhalation suspension (BIS) on salivary cortisol levels and patient outcomes in infants and young children with mild or persistent asthma. Reference salivary cortisol levels were determined in healthy children aged 6 months to 4 years old. A 12-week multicenter, randomized, parallel-group, open-label study was performed involving 53 age-matched asthmatic children who received either 0.5 mg/day of BIS or 40-60 mg/day of cromolyn sodium inhalation suspension (CIS) via compressor nebulizer. The effective measuring range of salivary cortisol concentration in asthmatic children was 0.12-3.00 micrograms/dL. The upper and lower limits of the reference range were 0.827 and 0.076 micrograms/dL, respectively. No significant difference was seen from baseline through week 12 in the CIS and BIS groups. BIS was safe in these patients, with no inhibitory effects on adrenocortical function. Salivary cortisol measurement offers a useful and accurate tool for testing adrenocortical function in infants and young children. Longer-term studies that incorporate testing of the hypothalamic-pituitary-adrenal axis are warranted to confirm our findings.

  17. Protein standardization IV: Value transfer procedure for the assignment of serum protein values from a reference preparation to a target material.

    Science.gov (United States)

    Blirup-Jensen, S; Johnson, A M; Larsen, M

    2001-11-01

    A new approach for the assignment of values to serum proteins in a target material using a reference preparation has been developed. The procedure describes the general as well as the practical principles involved in the value assignment (with examples). Two models have been developed: 1) The direct value transfer between serum matrices and 2) the indirect value transfer from a pure protein preparation to a serum protein material. The necessary mathematical equations are developed and explained. The data reduction and statistical evaluation are discussed. The practical procedure (the transfer protocol) is based on six dilutions of the reference preparation assayed together with six dilutions of the target material. In this way imprecision is reduced and the proportionality of the two materials (i.e. the presence or absence of matrix effects) can be assessed directly by evaluating a single regression plot. If no matrix effects are found, the regression line will pass through zero with a slope equal to the ratio of the concentrations of the two materials. The transfer protocol is based on a multiple point value assignment obtained by several measurements a day repeated on several days, an important prerequisite being that all reconstitutions and dilutions are controlled by weighing.

  18. EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA); Scientific Opinion on Dietary Reference Values for protein

    DEFF Research Database (Denmark)

    Tetens, Inge

    This opinion of the EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) deals with the setting of Dietary Reference Values (DRVs) for protein. The Panel concludes that a Population Reference Intake (PRI) can be derived from nitrogen balance studies. Several health outcomes possibly...... associated with protein intake were also considered but data were found to be insufficient to establish DRVs. For healthy adults of both sexes, the average requirement (AR) is 0.66 g protein/kg body weight per day based on nitrogen balance data. Considering the 97.5th percentile of the distribution...

  19. Reference values for feeding parameters of isopods (Porcellio scaber, Isopoda, Crustacea)

    Science.gov (United States)

    Drobne, Damjana; Drobne, Samo

    2014-01-01

    Abstract The advantage of using terrestrial isopods in toxicity studies is that a battery of parameters can be tested at different levels of biological complexity. Feeding parameters for example link organism level response to potential ecological consequences but a problem with using feeding parameters in toxicity tests with terrestrial isopods is their high variability. The aim of our study was to set benchmark values for feeding parameters for isopod Porcellio scaber (Isopoda, Crustacea) in laboratory-controlled experiments. In the work presented here, the daily feeding rate of the central 50% of the control population of Porcellio scaber and a correlation between feeding rate and isopod weight were set. Values outside these ranges need additional evaluation to increase the relevance of test outcomes. We suggest using benchmark values for feeding parameters as well as the coefficient of variation (a) to identify animals with altered feeding parameters with respect to controls, and (b) to assess the data quality in each experiment. PMID:25561844

  20. Reference values for feeding parameters of isopods (Porcellio scaber, Isopoda, Crustacea

    Directory of Open Access Journals (Sweden)

    Damjana Drobne

    2014-11-01

    Full Text Available The advantage of using terrestrial isopods in toxicity studies is that a battery of parameters can be tested at different levels of biological complexity. Feeding parameters for example link organism level response to potential ecological consequences but a problem with using feeding parameters in toxicity tests with terrestrial isopods is their high variability. The aim of our study was to set benchmark values for feeding parameters for isopod Porcellio scaber (Isopoda, Crustacea in laboratory-controlled experiments. In the work presented here, the daily feeding rate of the central 50% of the control population of P. scaber and a correlation between feeding rate and isopod weight were set. Values outside these ranges need additional evaluation to increase the relevance of test outcomes. We suggest using benchmark values for feeding parameters as well as the coefficient of variation (a to identify animals with altered feeding parameters with respect to controls, and (b to assess the data quality in each experiment.

  1. Sickle Cell Anemia: Reference Values of Cerebral Blood Flow Determined by Continuous Arterial Spin Labeling MRI

    Science.gov (United States)

    Arkuszewski, M.; Krejza, J.; Chen, R.; Melhem, E.R.

    2013-01-01

    Sickle cell anemia (SCA) is a chronic illness associated with progressive deterioration in patients' quality of life. The major complications of SCA are cerebrovascular accidents (CVA) such as asymptomatic cerebral infarct or overt stroke. The risk of CVA may be related to chronic disturbances in cerebral blood flow (CBF), but the thresholds of “normal” steady-state CBF are not well established. The reference tolerance limits of CBF can be useful to estimate the risk of CVA in asymptomatic children with SCA, who are negative for hyperemia or evidence of arterial narrowing. Continuous arterial spin labeling (CASL) MR perfusion allows for non-invasive quantification of global and regional CBF. To establish such reference tolerance limits we performed CASL MR examinations on a 3-Tesla MR scanner in a carefully selected cohort of 42 children with SCA (mean age, 8.1±3.3 years; range limits, 2.3–14.4 years; 24 females), who were not on chronic transfusion therapy, had no history of overt stroke or transient ischemic attack, were free of signs and symptoms of focal vascular territory ischemic brain injury, did not have intracranial arterial narrowing on MR angiography and were at low risk for stroke as determined by transcranial Doppler ultrasonography. PMID:23859242

  2. Sickle cell anemia: reference values of cerebral blood flow determined by continuous arterial spin labeling MRI.

    Science.gov (United States)

    Arkuszewski, M; Krejza, J; Chen, R; Melhem, E R

    2013-04-01

    Sickle cell anemia (SCA) is a chronic illness associated with progressive deterioration in patients' quality of life. The major complications of SCA are cerebrovascular accidents (CVA) such as asymptomatic cerebral infarct or overt stroke. The risk of CVA may be related to chronic disturbances in cerebral blood flow (CBF), but the thresholds of "normal" steady-state CBF are not well established. The reference tolerance limits of CBF can be useful to estimate the risk of CVA in asymptomatic children with SCA, who are negative for hyperemia or evidence of arterial narrowing. Continuous arterial spin labeling (CASL) MR perfusion allows for non-invasive quantification of global and regional CBF. To establish such reference tolerance limits we performed CASL MR examinations on a 3-Tesla MR scanner in a carefully selected cohort of 42 children with SCA (mean age, 8.1±3.3 years; range limits, 2.3-14.4 years; 24 females), who were not on chronic transfusion therapy, had no history of overt stroke or transient ischemic attack, were free of signs and symptoms of focal vascular territory ischemic brain injury, did not have intracranial arterial narrowing on MR angiography and were at low risk for stroke as determined by transcranial Doppler ultrasonography.

  3. Reference values of fetal erythrocytes in maternal blood during pregnancy established using flow cytometry.

    Science.gov (United States)

    de Wit, Harry; Nabbe, Karin C A M; Kooren, Jurgen A; Adriaansen, Henk J; Roelandse-Koop, Elianne A; Schuitemaker, Joost H N; Hoffmann, Johannes J M L

    2011-10-01

    The aim of our study was to assess the fetal RBC count in maternal blood during uncomplicated pregnancies from 26 weeks onward. We used a flow cytometric method specifically designed for use in a routine hematology analyzer. Pregnant women were recruited through midwives. The participating laboratories used the FMH QuikQuant method (Trillium Diagnostics, Brewer, ME) in a CELL-DYN Sapphire hematology analyzer (Abbott Diagnostics, Santa Clara, CA). The method is based on a monoclonal antibody to hemoglobin F. Flow cytometric data were analyzed by 2 independent observers. The 95th percentile reference range was estimated according to Clinical and Laboratory Standards Institute guidelines. A total of 236 samples were statistically analyzed. Gestational ages ranged from 21.6 to 41 weeks (mean, 32.0 weeks), and the fetal RBC count in maternal blood ranged from 0.00% to 0.50% (median, 0.025%). The fetal RBC count in maternal blood shows no correlation with gestational age. The established reference range during normal pregnancy is less than 0.125%.

  4. Plasma biochemical reference values in clinically healthy captive bearded dragons (Pogona vitticeps) and the effects of sex and season.

    Science.gov (United States)

    Tamukai, Kenichi; Takami, Yoshinori; Akabane, Yoshihito; Kanazawa, Yuko; Une, Yumi

    2011-09-01

    Bearded dragons are one of the most popular pet lizard species, and biochemical reference values are useful for health management of these reptiles. The objectives of this study were to measure plasma biochemical values in healthy captive bearded dragons, determine reference values, and evaluate the effects of sex and season on the results. Blood samples were collected from 100 captive healthy bearded dragons in Tokyo during the summer and winter. Plasma biochemical measurements were performed using a dry-slide automated biochemical analyzer. The data were then compared based on sex and season using 2-way ANOVA. Globulin, cholesterol, and calcium concentrations of females were higher in both summer and winter compared with the values obtained for males. Both males and females had higher uric acid concentrations in winter than in summer. When compared with males, females had a higher chloride concentration in summer and a higher total protein concentration and aspartate aminotransferase activity in winter. Potassium concentration in males was lower in winter than in summer, whereas in females cholesterol concentration was lower in winter than in summer. Biochemical values that differed based on sex and season in bearded dragons were similar to those in other lizards. These differences reflect physiologic differences in reproductive status in females and seasonal changes in temperature and hydration status. Plasma biochemical values established for bearded dragons in this study will be useful in the diagnostic assessment of captive animals. ©2011 American Society for Veterinary Clinical Pathology.

  5. Cephalometric analysis for the diagnosis of sleep apnea: a comparative study between reference values and measurements obtained for Brazilian subjects

    Directory of Open Access Journals (Sweden)

    Patrícia Superbi Lemos Maschtakow

    2013-06-01

    Full Text Available OBJECTIVE: To verify if the reference values of Sleep Apnea cephalometric analysis of North American individuals are similar to the ones of Brazilian individuals presenting no craniofacial anomalies. The study also aimed to identify craniofacial alterations in Obstructive Sleep Apnea-Hypopnea Syndrome (OSAHS patients in relation to individuals without clinical characteristics of the disease through this cephalometric analysis. METHOD: It were used 55 lateral cephalograms consisting of 29 for the control group of adult individuals without clinical characteristics of OSAHS and 26 apneic adults. All radiographs were submitted to Sleep Apnea cephalometric analysis through Radiocef Studio 2.0. The standard values of this analysis were compared, by means of z test, to the ones obtained from the control group and these were compared to values from apneic group through Student's t test. RESULTS: There were no significant differences between values obtained from control group and standard values. On the group of OSAHS patients it was observed a decrease on the dimensions of upper airways and an increase on the soft palate length. CONCLUSIONS: The standard values of Sleep Apnea analysis can be used as reference in Brazilian individuals. Besides, through lateral cephalograms it was possible to identify craniofacial alterations in OSAHS patients.

  6. The impact of gender and puberty on reference values for urinary growth hormone excretion

    DEFF Research Database (Denmark)

    Main, K M; Jarden, M; Angelo, L

    1994-01-01

    Some recent studies have indicated that measurement of urinary GH (U-GH) excretion may be a useful tool for the evaluation of GH insufficiency in children with growth disorders, although some investigators are skeptical about the diagnostic value of U-GH. Most current assays are only available fo...

  7. Electromyographic activity of the jaw muscles and mandibular kinematics in young adults with theoretically ideal dental occlusion: Reference values.

    Science.gov (United States)

    Campillo, B; Martín, C; Palma, J-C; Fuentes, A-D; Alarcón, J-A

    2017-05-01

    A necessary step to use neuromuscular analysis as diagnostic tool is to establish normal reference values for the physiological range in a healthy population. Surface electromyographic (sEMG) activity of the jaw muscles and mandibular kinematics were measured in young adults with theoretically ideal dental occlusion to determine normal reference values during different tasks. Differences between the sexes were evaluated. Forty young adults (20 men, 20 women; mean age 22.8 ± 3.9 years) with theoretically ideal dental occlusion were selected using very restrictive criteria. sEMG activity of the anterior temporalis (AT), posterior temporalis, masseter (MA), and suprahyoid muscles were evaluated in the rest position and during swallowing, mastication, and clenching. Mandibular kinematics in the rest position and during maximum excursions were assessed. Asymmetry, activity, and torque indices and MA/AT ratios were calculated. For all muscles, sEMG values were 1.01-3.57 µV at rest, 3.50-10.85 µV during swallowing, and 41.04-86.59 µV during mastication. During clenching, values were 230.08-243.55 µV for the AT and MA muscles. Mean total asymmetry, activity, and torque indices at rest were 20.34 %, -15.04 %, and 19.02 %, respectively; during clenching, these values were 6.14 %, -2.62 %, and 4.46 %. MA/AT ratios were near 1. Kinematic measurements during lateral excursion, protrusive and maximum opening were 7.54, 8.44, and 37.38 mm respectively; lateral mandibular shift was 1.41 mm; free way and lateral displacement at rest were 1.40 and 0.26 mm. Right MA activity during mastication and clenching was higher in men than women. Reference values for sEMG activity and mandibular kinematics were determined. Some muscular asymmetry and torque were observed.

  8. Establishing Normative Reference Values for Standing Broad Jump among Hungarian Youth

    Science.gov (United States)

    Saint-Maurice, Pedro F.; Laurson, Kelly R.; Kaj, Mónika; Csányi, Tamás

    2015-01-01

    Purpose: The purpose of this study was to examine age and sex trends in anaerobic power assessed by a standing broad jump and to determine norm-referenced values for youth in Hungary. Method: A sample of 2,427 Hungarian youth (1,360 boys and 1,067 girls) completed the standing broad jump twice, and the highest distance score was recorded. Quantile…

  9. Reference values for feeding parameters of isopods (Porcellio scaber, Isopoda, Crustacea)

    OpenAIRE

    Damjana Drobne; Samo Drobne

    2014-01-01

    Abstract The advantage of using terrestrial isopods in toxicity studies is that a battery of parameters can be tested at different levels of biological complexity. Feeding parameters for example link organism level response to potential ecological consequences but a problem with using feeding parameters in toxicity tests with terrestrial isopods is their high variability. The aim of our study was to set benchmark values for feeding parameters for isopod Porcellio scaber ( Isopoda , Crustacea ...

  10. Reference values for feeding parameters of isopods ( Porcellio scaber , Isopoda , Crustacea )

    OpenAIRE

    Damjana Drobne; Samo Drobne

    2014-01-01

    Abstract The advantage of using terrestrial isopods in toxicity studies is that a battery of parameters can be tested at different levels of biological complexity. Feeding parameters for example link organism level response to potential ecological consequences but a problem with using feeding parameters in toxicity tests with terrestrial isopods is their high variability. The aim of our study was to set benchmark values for feeding parameters for isopod Porcellio scaber ( Isopoda , Crustacea ...

  11. Reference values and physiological characterization of a specific isolated pig kidney perfusion model

    OpenAIRE

    Meissler Michael; Fischer Axel; Fehrenberg Claudia; Grosse-Siestrup Christian; Unger Volker; Groneberg David A

    2007-01-01

    Abstract Background Models of isolated and perfused kidneys are used to study the effects of drugs, hazardous or toxic substances on renal functions. Since physiological and morphological parameters of small laboratory animal kidneys are difficult to compare to human renal parameters, porcine kidney perfusion models have been developed to simulate closer conditions to the human situation, but exact values of renal parameters for different collection and perfusion conditions have not been repo...

  12. Effect of predictor traits on accuracy of genomic breeding values for feed intake based on a limited cow reference population.

    Science.gov (United States)

    Pszczola, M; Veerkamp, R F; de Haas, Y; Wall, E; Strabel, T; Calus, M P L

    2013-11-01

    The genomic breeding value accuracy of scarcely recorded traits is low because of the limited number of phenotypic observations. One solution to increase the breeding value accuracy is to use predictor traits. This study investigated the impact of recording additional phenotypic observations for predictor traits on reference and evaluated animals on the genomic breeding value accuracy for a scarcely recorded trait. The scarcely recorded trait was dry matter intake (DMI, n = 869) and the predictor traits were fat-protein-corrected milk (FPCM, n = 1520) and live weight (LW, n = 1309). All phenotyped animals were genotyped and originated from research farms in Ireland, the United Kingdom and the Netherlands. Multi-trait REML was used to simultaneously estimate variance components and breeding values for DMI using available predictors. In addition, analyses using only pedigree relationships were performed. Breeding value accuracy was assessed through cross-validation (CV) and prediction error variance (PEV). CV groups (n = 7) were defined by splitting animals across genetic lines and management groups within country. With no additional traits recorded for the evaluated animals, both CV- and PEV-based accuracies for DMI were substantially higher for genomic than for pedigree analyses (CV: max. 0.26 for pedigree and 0.33 for genomic analyses; PEV: max. 0.45 and 0.52, respectively). With additional traits available, the differences between pedigree and genomic accuracies diminished. With additional recording for FPCM, pedigree accuracies increased from 0.26 to 0.47 for CV and from 0.45 to 0.48 for PEV. Genomic accuracies increased from 0.33 to 0.50 for CV and from 0.52 to 0.53 for PEV. With additional recording for LW instead of FPCM, pedigree accuracies increased to 0.54 for CV and to 0.61 for PEV. Genomic accuracies increased to 0.57 for CV and to 0.60 for PEV. With both FPCM and LW available for evaluated animals, accuracy was highest (0.62 for CV and 0.61 for PEV in

  13. New red blood cell and reticulocyte parameters and reference values for healthy individuals and in chronic kidney disease

    Directory of Open Access Journals (Sweden)

    Patrícia S. Scherer

    2015-04-01

    Full Text Available Introduction: The importance of local references values has been well described in the literature; this is because the characteristics of the population may influence the laboratory tests. Objective: To establish the reference range for traditional and extended red blood cell parameters and reticulocyte indices in order to investigate its application in patients with chronic kidney disease (CKD. Materials and methods: 249 blood donors (125 males and 124 females were selected to establish the reference values. The hemodialysis sample consisted of 62 patients with terminal CKD (48 male and 14 female. All analyzes were performed using the Sysmex XE-5000 automated hematology analyzer. Results: Differences between reference values was observed in relation to gender: red blood cells (RBC, hemoglobin (HGB, hematocrit (HCT, mean corpuscular hemoglobin concentration (MCHC, percentage of hyperchromic red blood cells (%HYPER, percentage of microcytosis (%MICRO, percentage of macrocytosis (%MACRO, absolute reticulocyte count (RET, reticulocyte hemoglobin content (RET-He, immature reticulocyte fraction (IFR, low fluorescence reticulocytes (LFR, medium fluorescence reticulocytes (MFR, and high fluorescence reticulocytes (HFR. Individuals with CKD presented RBC, HGB, HCT, MCHC, red cell distribution width expressed as coefficient of variation (RDW-CV, percentage of hypochromic red blood cells (%HYPO, percentage of reticulocytes (RET%, RET (female group, IFR, LFR, MFR, and HFR results compatible with the anemic state, which can be observed in 91.8% of patients. All studied parameters were in the area under the curve (AUC > 0.4. In male group, %HYPO (AUC: 0.806 and IFR (AUC: 0.762 presented higher AUC values, while female group presented %HYPO (AUC: 0.806, %HYPER (AUC: 0.815, and IFR (AUC: 0.660. Conclusion: The medical advancement, the development of new techniques and hematological parameters have revealed important information about functional integrity of

  14. The value of the Thomas-plot in the diagnostic work up of anemic patients referred by general practitioners.

    Science.gov (United States)

    Leers, M P G; Keuren, J F W; Oosterhuis, W P

    2010-12-01

    In patients with inflammatory conditions, diagnosing classic iron deficiency or anemia of chronic disease is challenging. In this study, we assessed the diagnostic value of the so-called Thomas'-plot [soluble transferrin receptor (sTfR)/log ferritin (sTfr/log Ferr) and the reticulocyte hemoglobin equivalent (Ret-HE)] in the anemia work up of patients referred by general practitioners. During July 2008-March 2009, 337 consecutive patients were included because of lowered Hb values. The laboratory results of the first 133 consecutive patients were used to determine the cut-off values for the diagnostic plot. The laboratory results of these patients were assessed and interpreted independently by two investigators, blinded from sTfR/log Ferr and Ret-HE values. The following 204 patients were used to test the plot in practice. In 32% of the first 133 patients, no indication of the cause of anemia could be found. However, when using the diagnostic plot in the following 204 patients, this fraction decreased to 14%. The 'Thomas'-plot is of diagnostic value for distinguishing functional iron deficiency from classic iron deficiency in a patient population referred by general practitioners.

  15. Larger Thyroid Volume and Adequate Iodine Nutrition in Chinese Schoolchildren: Local Normative Reference Values Compared with WHO/IGN

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    Zhe Mo

    2016-01-01

    Full Text Available Objective. Thyroid volume measured by ultrasound to define goiter needs reliable local thyroid volume reference from iodine-sufficient populations. The aim of this study is to explore the reference interval for normal thyroid volume in schoolchildren aged 8–10 years from Zhejiang Province, China. Methods. A probability-proportionate-to-size sampling method was applied to select a representative sample of 1213 children aged 8–10 years in Zhejiang Province to detect the thyroid volume, salt iodine, and urine iodine. Results. Median urinary iodine concentration in involved schoolchildren was 178.30 (125.00 μg l−1, with the percentage of samples less than 100 μg l−1 as 12.69% and more than 300 μg l−1 as 15.25%. Thyroid volume was significantly correlated with age and anthropometric measurements independently of each other. The 97th percentile of thyroid volume in our study was larger generally than the new international reference. Conclusions. The iodine nutritional status in Zhejiang Province was at an adequate level. Despite some limitations in this study, we initially established the reference values for thyroid volume in 8–10-year-old schoolchildren in Zhejiang Province, China, as a local reference to be used for monitoring iodine deficiency disorders.

  16. The chinchilla eye: morphologic observations, echobiometric findings and reference values for selected ophthalmic diagnostic tests.

    Science.gov (United States)

    Lima, Leandro; Montiani-Ferreira, Fabaino; Tramontin, Mariana; Leigue Dos Santos, Lucianne; Machado, Marcello; Ribas Lange, Rogério; Helena Abil Russ, Heloisa

    2010-09-01

    To carry out a descriptive investigation into the most relevant morphological features of the chinchilla eye and bony orbit, as well as to perform selected ophthalmic diagnostic tests with the aim of establishing normal anatomic and physiologic references for this species. A total of 57 healthy, chinchillas were used to test most of the parameters in this investigation. Besides morphologic observations of the globe and adnexa, selected ocular tests and parameters were investigated, including blink frequency, palpebral fissure length (PFL), Schirmer tear test (STT), esthesiometry, intraocular pressure (IOP), central corneal thickness (CCT), B-mode echobiometric measurements of the globe and culture of the normal conjunctival bacterial microbiota. Morphologic observations were made using six formalin-fixed globes and four macerated skulls. Normal parameters found for selected ocular diagnostic tests were: blink frequency: 2.6 ± 0.84 blinks per 10 min; STT: 1.07 ± 0.54 mm; esthesiometry: 1.24 ± 0.46 cm; IOP: 17.71 ± 4.17 mmHg; CCT: 0.34 ± 0.03 mm; PFL: 1.44 ± 0.11 cm; anterior chamber depth: 2.01 ± 0.2 mm; axial lens thickness: 5.49 ± 0.43 mm; vitreous chamber depth (internal): 3.69 ± 0.52 mm; axial globe length: 1.14 ± 0.07 cm. The most frequent bacteria isolated from the conjunctiva were Streptococcus sp. (27.45%), Staphylococcus aureus (23.52%) and coagulase-negative Staphylococcus (19.60%). No statistically significant differences between left or right eyes or genders were found for any of the results. Reference data and morphologic observations obtained in this investigation will help veterinary ophthalmologists to recognize unique morphological features and more accurately diagnose ocular diseases in the chinchilla, an animal already being used as a biological model for ophthalmic studies.

  17. No-reference video quality measurement: added value of machine learning

    Science.gov (United States)

    Mocanu, Decebal Constantin; Pokhrel, Jeevan; Garella, Juan Pablo; Seppänen, Janne; Liotou, Eirini; Narwaria, Manish

    2015-11-01

    Video quality measurement is an important component in the end-to-end video delivery chain. Video quality is, however, subjective, and thus, there will always be interobserver differences in the subjective opinion about the visual quality of the same video. Despite this, most existing works on objective quality measurement typically focus only on predicting a single score and evaluate their prediction accuracies based on how close it is to the mean opinion scores (or similar average based ratings). Clearly, such an approach ignores the underlying diversities in the subjective scoring process and, as a result, does not allow further analysis on how reliable the objective prediction is in terms of subjective variability. Consequently, the aim of this paper is to analyze this issue and present a machine-learning based solution to address it. We demonstrate the utility of our ideas by considering the practical scenario of video broadcast transmissions with focus on digital terrestrial television (DTT) and proposing a no-reference objective video quality estimator for such application. We conducted meaningful verification studies on different video content (including video clips recorded from real DTT broadcast transmissions) in order to verify the performance of the proposed solution.

  18. MOLECULAR TOOL FOR SEX IDENTIFICATION (FEMALE IN MOMORDICA DIOICA ROXB WITH REFERENCE TO MEDICINAL VALUES

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    Baratakke R.C.

    2013-08-01

    Full Text Available Spine gourd (Momordica dioica Roxb. is an important vegetable with high food value and sex specific versatile medicinal value. Momordica dioica, a perennial, rhizomatous, distinctly dioecious climber belongs to family cucurbitaceae. As there are no distinguished morphological markers to identify sex, an easy, rapid and reliable molecular method for female plant identification at pre-flowering stage in Momordica dioica is reported in this paper. Molecular tool like Random amplification of polymorphic DNA was used to identify female plants before pre-flowering stage. A total of 50 random decamer primers were used for screening of specific Random amplification of polymorphic DNA markers in male and female populations. Only one primer OPA-15 amplified genomic DNA in different patterns in male and female genotypes. This sex specific band OPA-15900 was identified only in female lines but not in male lines. This marker may be efficiently used as effective, convenient and reliable molecular markers for female identification in Momordica dioica at pre-flowering stages so that it can be cultivated and utilized for its medicinal purpose.

  19. Nutrition issues in Codex: health claims, nutrient reference values and WTO agreements: a conference report.

    Science.gov (United States)

    Aggett, Peter J; Hathcock, John; Jukes, David; Richardson, David P; Calder, Philip C; Bischoff-Ferrari, Heike; Nicklas, Theresa; Mühlebach, Stefan; Kwon, Oran; Lewis, Janine; Lugard, Maurits J F; Prock, Peter

    2012-03-01

    Codex documents may be used as educational and consensus materials for member governments. Also, the WTO SPS Agreement recognizes Codex as the presumptive international authority on food issues. Nutrient bioavailability is a critical factor in determining the ability of nutrients to provide beneficial effects. Bioavailability also influences the quantitative dietary requirements that are the basis of nutrient intake recommendations and NRVs. Codex, EFSA and some national regulatory authorities have established guidelines or regulations that will permit several types of health claims. The scientific basis for claims has been established by the US FDA and EFSA, but not yet by Codex. Evidence-based nutrition differs from evidence-based medicine, but the differences are only recently gaining recognition. Health claims on foods may provide useful information to consumers, but many will interpret the information to mean that they can rely upon the food or nutrient to eliminate a disease risk. NRVs are designed to provide a quantitative basis for comparing the nutritive values of foods, helping to illustrate how specific foods fit into the overall diet. The INL-98 and the mean of adult male and female values provide NRVs that are sufficient when used as targets for individual intakes by most adults. WTO recognizes Codex as the primary international authority on food issues. Current regulatory schemes based on recommended dietary allowances are trade restrictive. A substantial number of decisions by the EFSA could lead to violation of WTO agreements.

  20. Reference values and physiological characterization of a specific isolated pig kidney perfusion model

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    Meissler Michael

    2007-01-01

    Full Text Available Abstract Background Models of isolated and perfused kidneys are used to study the effects of drugs, hazardous or toxic substances on renal functions. Since physiological and morphological parameters of small laboratory animal kidneys are difficult to compare to human renal parameters, porcine kidney perfusion models have been developed to simulate closer conditions to the human situation, but exact values of renal parameters for different collection and perfusion conditions have not been reported so far. If the organs could be used out of regular slaughtering processes animal experiments may be avoided. Methods To assess renal perfusion quality, we analyzed different perfusion settings in a standardized model of porcine kidney hemoperfusion with organs collected in the operating theatre (OP: groups A-D or in a public abattoir (SLA: group E and compared the data to in vivo measurements in living animals (CON. Experimental groups had defined preservation periods (0, 2 and 24 hrs, one with additional albumin in the perfusate (C for edema reduction. Results Varying perfusion settings resulted in different functional values (mean ± SD: blood flow (RBF [ml/min*100 g]: (A 339.9 ± 61.1; (C 244.5 ± 53.5; (D 92.8 ± 25.8; (E 153.8 ± 41.5; glomerular fitration (GFR [ml/min*100 g]: (CON 76.1 ± 6.2; (A 59.2 ± 13.9; (C 25.0 ± 10.6; (D 1.6 ± 1.3; (E 16.3 ± 8.2; fractional sodium reabsorption (RFNa [%] (CON 99.8 ± 0.1; (A 82.3 ± 8.1; (C 86.8 ± 10.3; (D 38.4 ± 24.5; (E 88.7 ± 5.8. Additionally the tubular coupling-ratio of Na-reabsorption/O2-consumption was determined (TNa/O2-cons [mmol-Na/mmol- O2] (CON 30.1; (A 42.0, (C 80.6; (D 17.4; (E 23.8, exhibiting OP and SLA organs with comparable results. Conclusion In the present study functional values for isolated kidneys with different perfusion settings were determined to assess organ perfusion quality. It can be summarized that the hemoperfused porcine kidney can serve as a biological model with

  1. Dietary Reference Intakes for vitamin D: justification for a review of the 1997 values123

    Science.gov (United States)

    Yetley, Elizabeth A; Brulé, Danielle; Cheney, Margaret C; Davis, Cindy D; Esslinger, Krista A; Fischer, Peter WF; Friedl, Karl E; Greene-Finestone, Linda S; Guenther, Patricia M; Klurfeld, David M; L'Abbe, Mary R; McMurry, Kathryn Y; Starke-Reed, Pamela E; Trumbo, Paula R

    2009-01-01

    Recent Institute of Medicine (IOM) reviews of the process for deriving Dietary Reference Intakes (DRIs) suggest that determining the need for a new nutrient review should be evaluated against criteria set a priori. After selecting the criterion of significant new and relevant research, a working group of US and Canadian government scientists used results from a systematic review and 2 conferences on vitamin D and health to evaluate whether significant new and relevant scientific evidence had become available since the 1997 IOM publication of the DRIs for vitamin D. This working group concluded that there appears to be new research meeting the criteria for 4 key DRI questions. The new research is of larger quantity and quality for the elderly than for other groups, but overall 1) adds to the bone-related and status evidence available to the 1997 DRI Committee for several of the life-stage groups, 2) identifies new outcomes with respect to risk of falls and performance measures in the elderly and potential adverse effects, and 3) provides additional information on dose-response relations between intakes and circulating 25-hydroxyvitamin D concentrations and between 25-hydroxyvitamin D concentrations and several health outcomes (ie, bone-related outcomes for all ages and risk of falls and performance measures in older adults). Members of the working group concluded that significant new and relevant research was available for reviewing the existing DRIs for vitamin D while leaving the decision of whether the new research will result in changes to the current DRIs to a future IOM-convened DRI committee. PMID:19176741

  2. Measurements of the total-body potassium contents. Application of reference value with the whole-body counter

    Energy Technology Data Exchange (ETDEWEB)

    Yamamoto, Tetsuo [Chiba Univ. (Japan). Inst. for Training Radiological Technicians; Saegusa, Kenji; Arimizu, Noboru; Kuniyasu, Yoshio; Itoh, Hisao

    2001-08-01

    The total-body potassium contents were measured in 405 healthy volunteers and 186 patients with whole body counter in Chiba University Hospital. The total-body potassium contents was expressed by the reference value (R value). The R value was calculated as measured potassium contents (g) divided by the body surface area (m{sup 2}) and adjusted by age and sex of healthy persons. The R value was 100.65{+-}9.22% in 405 healthy volunteers. Those of each disease were as follows: liver cirrhosis; 94.24{+-}11.22%, chronic hepatitis; 95.74{+-}11.24%, hyperthyroidism; 99.37{+-}10.8%, periodic paralysis; 82.0{+-}9.01%, Barter's syndrome; 93.99{+-}9.86%, myasthenia gravis; 97.34{+-}6.42% and hypo-potassemia; 90.64{+-}11.76%, respectively. The R values of other diseases such as uterine cancer, breast cancer, anemia, hypertension were 97.78{+-}11.5%, 99.22{+-}8.88%, 96.64{+-}12.73%, 98.5{+-}9.63% respectively. Fourteen patients showed especially lower R values under 75%. These were 1 liver cirrhosis, 3 hypertension, 1 diabetes mellitus, 3 hypo-potassemia, 1 periodic paralysis, 2 Barter's syndrome, 2 chemical poisoning, and 1 breast cancer. Follow-up study was performed in some patients with the lower R values. The result of follow-up study showed that there was a relationship between improvement of symptoms and increase of total body potassium contents. (author)

  3. Morphology and anatomy of vegetative perko organs with reference to their fodder value

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    H. Dalkiewicz-Baranowska

    2013-12-01

    Full Text Available A new forage crop - perko is a hybrid of tetraploid winter tumiplike rapa (Brassica campestris L. × tetraploid chinese cabbage (Brassica chinensis L.. Young perko plants grow slowly, at a later period their herbage yield rapidly increases, therefore they can be cut as fodder after 60 days of vegetation. The anatomical structure of perko plants shows features characteristic for Cruciferae, particularly those of the genus Brassica. The good feeding value of this plant is indicated by its anatomical structure: a large proportion of parenchymal tissues and low proportion of vascular tissues with only few lignified elements, the occurrence of colenchyma as supporting tissue and the absence of sclerenchyma. Therefore in the crude fibres the proportion of completely indigestibile parts is small since the tissues contain but scarce lignified andcutinised walls. It may be concluded there from that the content of structure-forming tissues in perko is favourable from the point of view of digestibility.

  4. Reference values of MRI measurements of the common bile duct and pancreatic duct in children

    Energy Technology Data Exchange (ETDEWEB)

    Gwal, Kriti; Bedoya, Maria A.; Patel, Neal; Darge, Kassa; Anupindi, Sudha A. [University of Pennsylvania Perelman School of Medicine, Department of Radiology, The Children' s Hospital of Philadelphia, Philadelphia, PA (United States); Rambhatla, Siri J. [Beth Israel Medical Center, Department of Pediatrics, Newark, NJ (United States); Sreedharan, Ram R. [University of Pennsylvania, Departments of Gastroenterology, Hepatology and Nutrition, The Children' s Hospital of Philadelphia, Perelman School of Medicine, Philadelphia, PA (United States)

    2015-08-15

    Magnetic resonance imaging/cholangiopancreatography (MRI/MRCP) is now an essential imaging modality for the evaluation of biliary and pancreatic pathology in children, but there are no data depicting the normal diameters of the common bile duct (CBD) and pancreatic duct. Recognition of abnormal duct size is important and the increasing use of MRCP necessitates normal MRI measurements. To present normal MRI measurements for the common bile duct and pancreatic duct in children. In this retrospective study we searched all children ages birth to 10 years in our MR urography (MRU) database from 2006 until 2013. We excluded children with a history of hepatobiliary or pancreatic surgery. We stratified 204 children into five age groups and retrospectively measured the CBD and the pancreatic duct on 2-D axial and 3-D coronal T2-weighted sequences. We performed statistical analysis, using logistic and linear regressions to detect the age association of the visibility and size of the duct measurements. We used non-parametric tests to detect gender and imaging plane differences. Our study included 204 children, 106 (52%) boys and 98 (48%) girls, with a median age of 33 months (range 0-119 months). The children were distributed into five age groups. The common bile duct was visible in all children in all age groups. The pancreatic duct was significantly less visible in the youngest children, group 1 (54/67, 80.5%; P = 0.003) than in the oldest children, group 5 (22/22, 100%). In group 2 the pancreatic duct was seen in 19/21 (90.4%), in group 3 52/55 (94.5%), and in group 4 39/39 (100%). All duct measurements increased with age (P < 0.001; r-value > 0.423), and the incremental differences between ages were significant. The measurement variations between the axial and coronal planes were statistically significant (P < 0.001); however these differences were fractions of millimeters. For example, in group 1 the mean coronal measurement of the CBD was 2.1 mm and the axial

  5. Urinary parameters of Trichechus inunguis (Mammalia, Sirenia): reference values for the Amazonian Manatee.

    Science.gov (United States)

    Pantoja, T M A; Da Rosas, F C W; Dos Silva, V M F; Santos, A M F

    2010-08-01

    The Amazonian manatee, Trichechus inunguis (Natterer 1883) is endemic to the Amazon Basin and is currently considered a vulnerable species. In order to establish normality ranges of urinary parameters to help monitor the health of this species in captivity, chemical urinalyses were performed on twelve males and nine females of various age groups. Urine was collected once a month for twelve months in the tanks just after being drained, by placing stainless steel containers under the genital slit of females and applying abdominal massages to males in order to stimulate urination. Quantitative data of glucose, urea, creatinine, uric acid and amylase levels were obtained using colorimetric spectrophotometry. Dip strips were also useful for routine analyses, despite only providing qualitative results. Normal range to glucose levels, regardless of sex or age class, was 3.0 to 3.6 mgxdL-1, coinciding with qualitative values of glucose measured by dip strips. Statistical differences observed in some parameter levels suggest that some urine parameters analysed must take into consideration the sex and the age class of the animal studied, being these differences less remarkable in creatinine and amylase levels. To this last one, statistical difference was detected only in the calve's urine (7.0 to 11.5 mgxdL-1) compared to other age classes samples (4.1 to 5.3 mgxdL-1). The results presented here may be used as comparative data in future research on urinalysis in related species.

  6. Urinary parameters of Trichechus inunguis (Mammalia, Sirenia: reference values for the Amazonian Manatee

    Directory of Open Access Journals (Sweden)

    TMA. Pantoja

    Full Text Available The Amazonian manatee, Trichechus inunguis (Natterer 1883 is endemic to the Amazon Basin and is currently considered a vulnerable species. In order to establish normality ranges of urinary parameters to help monitor the health of this species in captivity, chemical urinalyses were performed on twelve males and nine females of various age groups. Urine was collected once a month for twelve months in the tanks just after being drained, by placing stainless steel containers under the genital slit of females and applying abdominal massages to males in order to stimulate urination. Quantitative data of glucose, urea, creatinine, uric acid and amylase levels were obtained using colorimetric spectrophotometry. Dip strips were also useful for routine analyses, despite only providing qualitative results. Normal range to glucose levels, regardless of sex or age class, was 3.0 to 3.6 mg.dL-1, coinciding with qualitative values of glucose measured by dip strips. Statistical differences observed in some parameter levels suggest that some urine parameters analysed must take into consideration the sex and the age class of the animal studied, being these differences less remarkable in creatinine and amylase levels. To this last one, statistical difference was detected only in the calve's urine (7.0 to 11.5 mg.dL-1 compared to other age classes samples (4.1 to 5.3 mg.dL-1. The results presented here may be used as comparative data in future research on urinalysis in related species.

  7. Technetium-99m mercaptoacetyltriglycine clearance: reference values for infants and children

    Energy Technology Data Exchange (ETDEWEB)

    Schofer, O. [Department of Pediatrics, Johannes-Gutenberg University, Mainz (Germany); Koenig, G. [Department of Pediatrics, Johannes-Gutenberg University, Mainz (Germany); Bartels, U. [Department of Pediatrics, Johannes-Gutenberg University, Mainz (Germany); Bockisch, A. [Department of Nuclear Medicine, Johannes-Gutenberg University, Mainz (Germany); Piepenburg, R. [Department of Nuclear Medicine, Johannes-Gutenberg University, Mainz (Germany); Beetz, R. [Department of Pediatrics, Johannes-Gutenberg University, Mainz (Germany); Meyer, G. [Department of Nuclear Medicine, Ludwig Maximilians University, Munich (Germany); Hahn, K. [Department of Nuclear Medicine, Ludwig Maximilians University, Munich (Germany)

    1995-11-01

    Six hundred and thirty-nine clearance studies performed in children aged 7 days to 19 years utilizing technetium-99m mercaptoacetyltriglycine (MAG 3) were retrospectively analysed. Standardized conditions for the investigation included: parenteral hydration (60 ml/hxm{sup 2} body surface) in addition to normal oral fluid intake, weight-related dose of {sup 99m}Tc-MAG 3 (1 MBq/kg body weight, minimum 15 MBq) and calculation of clearance according to Bubeck et al. Of the 513 children, 169 included in this analysis could be classified as ``normal`` with regard to their renal function. Normal kidney function was judged by the following criteria: normal GFR for age, normal tubular function (absence of proteinuria and glucosuria), normal renal parenchyma (on ultrasonography, MAG 3 scan and intravenous pyelography), absence of significant obstruction and gross reflux (> grade I) no single kidney and no difference in split renal function > 20%. Results showed increasing MAG 3 clearance values for infants during the first months of life, reaching the normal range for older children and adults between 7 and 12 months. (orig.)

  8. Downstream hydraulic geometry relationships: Gathering reference reach-scale width values from LiDAR

    Science.gov (United States)

    Sofia, G.; Tarolli, P.; Cazorzi, F.; Dalla Fontana, G.

    2015-12-01

    This paper examines the ability of LiDAR topography to provide reach-scale width values for the analysis of downstream hydraulic geometry relationships along some streams in the Dolomites (northern Italy). Multiple reach-scale dimensions can provide representative geometries and statistics characterising the longitudinal variability in the channel, improving the understanding of geomorphic processes across networks. Starting from the minimum curvature derived from a LiDAR DTM, the proposed algorithm uses a statistical approach for the identification of the scale of analysis, and for the automatic characterisation of reach-scale bankfull widths. The downstream adjustment in channel morphology is then related to flow parameters (drainage area and stream power). With the correct planning of a LiDAR survey, uncertainties in the procedure are principally due to the resolution of the DTM. The outputs are in general comparable in quality to field survey measurements, and the procedure allows the quick comparison among different watersheds. The proposed automatic approach could improve knowledge about river systems with highly variable widths, and about systems in areas covered by vegetation or inaccessible to field surveys. With proven effectiveness, this research could offer an interesting starting point for the analysis of differences between watersheds, and to improve knowledge about downstream channel adjustment in relation, for example, to scale and landscape forcing (e.g. sediment transport, tectonics, lithology, climate, geomorphology, and anthropic pressure).

  9. Determination of reference values of elements in whole blood of the wistar rats using neutron activation analysis (NAA)

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira, Laura C.; Zamboni, Cibele B., E-mail: laura@ipen.b [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

    2011-07-01

    Some investigations, especially biochemistry analysis, can be performed using whole blood if the normality limits are established. The present study deals with the determination of reference values for elements of clinical interest, in whole blood of Wistar rats using the Neutron Activation Analysis technique. Usually these small-sized animals are used as guinea-pig on experiments that involves testing new medicines and medical diagnostic studies. In this investigation, the reference values for blood were determined for: Br (0.0011 - 0.0095 gL{sup -1}), Ca (0.0 - 0.66 gL{sup -1}), Cl (2.35 - 4.91 gL{sup -1}), K (1.00 - 3.12 gL{sup -1}), Mg (0.044 - 0.108 gL{sup -1}), Na (1.13 - 3.09 gL{sup -1}) and S (0.53 - 1.81 gL{sup -1}). These data will allow researchers to optimize their studies, both in terms of cost and time by selecting species that fits to the experimental model as a clinical reference as well as performing biochemical analyses in whole blood using small quantities (few {mu}L) compared to the conventional analyses performed in serum (few mL). (author)

  10. Normal left ventricular mechanics by two-dimensional speckle-tracking echocardiography. Reference values in healthy adults.

    Science.gov (United States)

    Kocabay, Gonenc; Muraru, Denisa; Peluso, Diletta; Cucchini, Umberto; Mihaila, Sorina; Padayattil-Jose, Seena; Gentian, Denas; Iliceto, Sabino; Vinereanu, Dragos; Badano, Luigi P

    2014-08-01

    Two-dimensional speckle-tracking echocardiography is a novel tool to assess myocardial function. The purpose of this study was to evaluate left ventricular myocardial strain and rotation parameters by two-dimensional speckle-tracking echocardiography in a large group of healthy adults across a wide age range to establish their reference values and to assess the influence of age, sex, and hemodynamic factors. Transthoracic echocardiograms were acquired in 247 healthy volunteers (139 women, 44 years [standard deviation, 16 years old] (range, 18-80 years). We measured longitudinal, circumferential, and radial peak systolic strain values, and left ventricular rotation and twist. Average values of global longitudinal, radial, and circumferential strain were -21.5% (standard deviation, 2.0%), 40.1% (standard deviation, 11.8%) and -22.2% (standard deviation, 3.4%), respectively. Longitudinal strain was significantly more negative in women, whereas radial and circumferential strain and rotational parameters were similar in both sexes. Accordingly, lower limits of normality for the strain components were -16.9% in men and -18.5% in women for longitudinal strain, and -15.4% for circumferential and 24.6% for radial strain, irrespective of sex. Longitudinal strain values were more negative at the base than at apical segments. Mean rotational values were -6.9° (standard deviation, 3.5°) for the base, 13.0° (standard deviation, 6.5°) for apical rotation, and 20.0° (standard deviation, 7.3°) for net twist. We report the comprehensive assessment of normal myocardial deformation and rotational mechanics in a large cohort of healthy volunteers. We found that women have more negative longitudinal strain, accounting for their higher left ventricular ejection fraction. Availability of reference values for these parameters may foster their implementation in the clinical routine. Copyright © 2013 Sociedad Española de Cardiología. Published by Elsevier Espana. All rights reserved.

  11. Differentiation strategies in coffee global value chains through reference to territorial origin in Latin American countries

    Directory of Open Access Journals (Sweden)

    Marescotti, Andrea

    2016-06-01

    Full Text Available For many years coffee has been regarded as a commodity. Recently, new trends both at consumption and production level created new opportunities for de-commodifying the coffee market, by a differentiation based on social, environmental and territorial resources, and consequently for strengthening local agro-food systems and improving the position of farmers in the value chain. In this perspective, territorial origin is one promising lever of differentiation, and there is a growing number of initiatives trying to develop protected Geographical Indications in coffee value chains. This work aims at identifying the different logics surrounding the construction of protected Geographical Indications (GIs in the coffee industry in Latin America, and to discuss the role of history and tradition in relation to the link to specific local resources. Our analysis highlights a variety of typologies of GI initiatives, which follow different logics and strategies, and interpret the concept of “origin” in different ways, especially when compared to the European Union one. However the role that history and traditions play in American coffee GIs is not yet relevant.Durante mucho tiempo, el café ha sido considerado como un producto commodity, de carácter indiferenciado. Recientemente, nuevas tendencias en la producción y el consumo de café han creado nuevas oportunidades para emprender estrategias de diferenciación (de-commodify en el mercado del café, basadas en los recursos locales de carácter social, medioambiental y territorial y, consecuentemente, con una finalidad de impulsar los sistemas agroalimentarios locales y de mejorar la situación de los agricultores en la cadena de valor. Desde esta perspectiva, el origen territorial se convierte en una herramienta prometedora de diferenciación del producto. Existe un número creciente de iniciativas cuyo propósito es desarrollar Indicaciones Geográficas (IGs en el ámbito de las cadenas de valor del

  12. Determination of insulin-like growth factor-I reference values using an immunoradiometric assay in a Brazilian adult population

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    Denise B Leite

    2012-01-01

    Full Text Available Background: Serum levels of total insulin-like growth factor I (IGF-I reflect endogenous growth hormone (GH secretion in healthy adults, which makes it a good diagnostic marker for screening of GH-related disorders. Studies also have supported a possible relation between IGF-I levels and the risk and prognostic for some malignancies, besides a relation between IGF-I levels and mortality. Objective: As the determination of the IGF-I normal values for local populations is strongly desired, the aim of this investigation was to determine reference values for IGF-I using an immunoradiometric assay (IRMA in an adult Brazilian population of Rio de Janeiro city, since there is no other study using this methodology in Brazilian population, and that this method is widely used in Brazil and worldwide. Materials and Methods: The study included samples of blood taken from 484 healthy subjects (251 men and 233 women aged 18-70. The subjects agreed with this study, approved by the Ethical Committee of the Instituto Estadual de Hematologia Arthur de Siqueira Cavalcanti, Rio de Janeiro, Brazil. The samples were analyzed using a Diagnostic System Laboratories kit. For data analysis, age- and sex-specific figures were fitted after transformation of IGF-I values. Results: In adulthood, a slow age-dependent decrease was found. There was no significant difference in IGF-I values between men and women. Conclusion: This study established age-specific IGF-I reference values, for a healthy Brazilian adult population, determined by a widely IGF-I, IRMA used currently in Brazil.

  13. Determination of insulin-like growth factor-I reference values using an immunoradiometric assay in a Brazilian adult population.

    Science.gov (United States)

    Leite, Denise B; Meirelles, Ricardo M R; Mandarim-De-Lacerda, Carlos A; Matos, Haroldo J; Santos-Filho, Sebastião D; Bernardo-Filho, Mario

    2012-01-01

    Serum levels of total insulin-like growth factor I (IGF-I) reflect endogenous growth hormone (GH) secretion in healthy adults, which makes it a good diagnostic marker for screening of GH-related disorders. Studies also have supported a possible relation between IGF-I levels and the risk and prognostic for some malignancies, besides a relation between IGF-I levels and mortality. As the determination of the IGF-I normal values for local populations is strongly desired, the aim of this investigation was to determine reference values for IGF-I using an immunoradiometric assay (IRMA) in an adult Brazilian population of Rio de Janeiro city, since there is no other study using this methodology in Brazilian population, and that this method is widely used in Brazil and worldwide. The study included samples of blood taken from 484 healthy subjects (251 men and 233 women) aged 18-70. The subjects agreed with this study, approved by the Ethical Committee of the Instituto Estadual de Hematologia Arthur de Siqueira Cavalcanti, Rio de Janeiro, Brazil. The samples were analyzed using a Diagnostic System Laboratories kit. For data analysis, age- and sex-specific figures were fitted after transformation of IGF-I values. In adulthood, a slow age-dependent decrease was found. There was no significant difference in IGF-I values between men and women. This study established age-specific IGF-I reference values, for a healthy Brazilian adult population, determined by a widely IGF-I, IRMA used currently in Brazil.

  14. Age dependency of oxygen uptake and related parameters in exercise testing: an expert opinion on reference values suitable for adults.

    Science.gov (United States)

    Schneider, Joachim

    2013-10-01

    Spiroergometry has been established to determine physical capacity. Reference values collected mostly in a younger population can be obtained from a number of studies and therefore may differ. Regression equations are complex and cannot be transferred easily to clinical practice. Our aim was to obtain reference values for spiroergometric parameters in cardiopulmonary exercise in healthy adult populations. Eighteen studies of healthy adults (>40 years) that assessed maximal oxygen uptake (VO2max), oxygen uptake in relation to body weight (VO2max/kg), and oxygen pulse (VO2max/heart rate) were included. After data processing, spiroergometric parameters were correlated to age. Regression analysis was performed separately for each study and also weighted with the number of participants. For all spiroergometric parameters, age dependency was detectable for both males and females. After performing regression analysis, the following linear regression equations were determined: VO2max: Males = -28 × age (years) + 4,000; females = -20 × age (years) + 2,700 (ml/min); VO2max/kg: Males = -0.42 × age (years) + 58; females = -0.35 × age (years) + 46 (ml/min/kg); VO2max/heart rate: Males = -0.10 × age (years) + 20.50; females = -0.05 × age (years) + 13 (ml/min/heart rate). The present study provides practicable reference values for the spiroergometric parameters of adult men and women.

  15. Local patient dose diagnostic reference levels in pediatric interventional cardiology in Chile using age bands and patient weight values

    Energy Technology Data Exchange (ETDEWEB)

    Ubeda, Carlos, E-mail: cubeda@uta.cl [Medical Technology Department, Radiological Sciences Center, Health Sciences Faculty, Tarapaca University, Arica 1000000 (Chile); Miranda, Patricia [Hemodynamic Department, Cardiovascular Service, Luis Calvo Mackenna Hospital, Santiago 7500539 (Chile); Vano, Eliseo [Radiology Department, Faculty of Medicine, Complutense University and IdIS, San Carlos Hospital, Madrid 28040 (Spain)

    2015-02-15

    Purpose: To present the results of a patient dose evaluation program in pediatric cardiology and propose local diagnostic reference levels (DRLs) for different types of procedure and age range, in addition to suggesting approaches to correlate patient dose values with patient weight. This study was the first conducted in Latin America for pediatric interventional cardiology under the auspices of the International Atomic Energy Agency. Methods: Over three years, the following data regarding demographic and patient dose values were collected: age, gender, weight, height, number of cine series, total number of cine frames, fluoroscopy time (FT), and two dosimetric quantities, dose-area product (DAP) and cumulative dose (CD), at the patient entrance reference point. The third quartile values for FT, DAP, CD, number of cine series, and the DAP/body weight ratio were proposed as the set of quantities to use as local DRLs. Results: Five hundred and seventeen patients were divided into four age groups. Sample sizes by age group were 120 for <1 yr; 213 for 1 to <5 yr; 82 for 5 to <10 yr; and 102 for 10 to <16 yr. The third quartile values obtained for DAP by diagnostic and therapeutic procedures and age range were 1.17 and 1.11 Gy cm{sup 2} for <1 yr; 1.74 and 1.90 Gy cm{sup 2} for 1 to <5 yr; 2.83 and 3.22 Gy cm{sup 2} for 5 to <10 yr; and 7.34 and 8.68 Gy cm{sup 2} for 10 to <16 yr, respectively. The third quartile value obtained for the DAP/body weight ratio for the full sample of procedures was 0.17 (Gy cm{sup 2}/kg) for diagnostic and therapeutic procedures. Conclusions: The data presented in this paper are an initial attempt at establishing local DRLs in pediatric interventional cardiology, from a large sample of procedures for the standard age bands used in Europe, complemented with the values of the ratio between DAP and patient weight. This permits a rough estimate of DRLs for different patient weights and the refining of these values for the age bands when there

  16. Fetal scalp blood lactate during second stage of labor: determination of reference values and impact of obstetrical interventions.

    Science.gov (United States)

    Wiberg, Nana; Källén, Karin

    2017-03-01

    To determine the reference interval of fetal scalp blood lactate during second stage of labor. Two hundred and fifty-three women in first stage of labor with a reassuring CTG were asked for permission to sample fetal scalp blood during second stage. In cases with reassuring CTG and five minute Apgar score ≥9, the mean lactate value (±2 SD) was 2.5 mmol/L (lower limit 1.1, higher limit 5.2). The lactate concentration was significantly higher among nulliparous and in cases with use of epidural or oxytocin (p oxytocin and active pushing time were analyzed together, they had equal influence on lactate values (p oxytocin and the duration of pushing are associated to increased lactate concentration; however, we could not demonstrate any correlation to advancing gestational age or birthweight.

  17. Morning Salivary Cortisol in Young Children: Reference Values and the Effects of Age, Sex, and Acute Bronchiolitis.

    Science.gov (United States)

    Rolfsjord, Leif Bjarte; Bakkeheim, Egil; Berents, Teresa Løvold; Alm, Johan; Skjerven, Håvard Ove; Carlsen, Kai-Håkon; Mowinckel, Petter; Sjöbeck, Ann-Christine; Carlsen, Karin Cecilie Lødrup

    2017-05-01

    To identify morning salivary cortisol reference values in infancy and at 2 years of age and to investigate the influence of age, sex and acute bronchiolitis. In this South-East Norwegian cohort study, 308 children hospitalized with moderate to severe acute bronchiolitis in infancy in 2010-2011 were compared with 223 healthy controls included in 2012 by measuring morning salivary cortisol levels at inclusion and at 2 years of age. Samples were collected shortly after awakening after 6 am. The influences of age, sex, and acute bronchiolitis were assessed by regression analysis. In infancy, cortisol values were higher in acute bronchiolitis, with an age- and sex-adjusted weighted mean group difference of 13.9 nmol/L (95% CI 8.1-19.7; P bronchiolitis than in healthy infants. ClinicalTrials.gov: NCT00817466. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

  18. Determinants of active and environmental exposure to tobacco smoke and upper reference value of urinary cotinine in not exposed individuals.

    Science.gov (United States)

    Campo, Laura; Polledri, Elisa; Bechtold, Petra; Gatti, Giulia; Ranzi, Andrea; Lauriola, Paolo; Goldoni, Carlo Alberto; Bertazzi, Pier Alberto; Fustinoni, Silvia

    2016-07-01

    The aims of this study were (1) to explore the behavioral and sociodemographic factors influencing urinary cotinine (COT-U) levels in active smokers and in environmental tobacco smoke (ETS)-exposed individuals, (2) to assess the specificity and sensitivity of the questionnaire for identifying active smokers and nonsmokers, and (3) to derive the upper reference value of COT-U in non-ETS exposed individuals. The COT-U levels of 495 adults (age range 18-69 years) who classified themselves as active smokers (29%) or as nonsmokers with (17%) or without (83%) ETS exposure were quantified by LC-MS-MS (quantification limit: 0.1µg/L, range of linearity: 0.1-4000µg/L). Median COT-U levels in these groups were 883, 1.38, and 0.39µg/L, respectively. Significant determinants of COT-U levels in active smokers were the number of cigarettes per day, type of smoking product, smoking environment, as well as time between the last cigarette and urine collection. Among ETS-exposed nonsmokers, significant determinants were living with smokers, being exposed to smoke at home, ETS exposure duration, as well as time between the last exposure and urine collection. When a 30-µg/L COT-U cut-off value was used to identify active daily smoking, the sensitivity and specificity of the questionnaire were 94% and 98%, respectively. For ETS exposure, the COT-U value of 1.78 (0.90 confidence interval 1.75-1.78) µg/L, corresponding to the 95th percentiles of the COT-U distribution in non-ETS-exposed participants, is proposed as upper reference value to identify environmental exposure.

  19. Health-related quality of life measured by the UW-QoL--reference values from a general dental practice.

    Science.gov (United States)

    Rogers, S N; O'donnell, J P; Williams-Hewitt, S; Christensen, J C; Lowe, D

    2006-03-01

    The objective of this study was to obtain age and sex-specific reference values for the University of Washington head and neck cancer questionnaire version 4 (UW-QoLv4) and to compare this with patients with oral and oropharyngeal cancer. Cross-sectional reference data was collected from 372 patients in six local general dental practices, 349 of whom presented for routine appointments. Quota sampling was used to collect data for similar numbers of patients by gender by four age bands (40-49, 50-59, 60-69, 70-79 yr). The longitudinal sample consisted of 450 consecutive patients undergoing primary surgery for previously untreated oral and oropharyngeal squamous cell carcinoma presenting to the Regional Maxillofacial Unit Liverpool, between the years 1995 and 2002. At baseline the key differences were anxiety, pain, swallowing, chewing, and mood. At 1yr there were big differences in all domains with deterioration in the oral cancer group. The difference was least notable in pain, shoulder, mood and anxiety. Reference data from a non-cancer population is very important when considering UW-QoL domains as an outcome parameter in clinical trials and also when discussing health-related quality of life outcomes with patients and their families.

  20. Second trimester ultrasound: reference values for two-dimensional speckle tracking-derived longitudinal strain, strain rate and time to peak deformation of the fetal heart

    NARCIS (Netherlands)

    Kapusta, L.; Mainzer, G.; Weiner, Z.; Deutsch, L.; Khoury, A.; Haddad, S.; Lorber, A.

    2012-01-01

    BACKGROUND: Data on myocardial deformation during the internationally widely used second-trimester screening are scarce and confusing. Reference values of time to peak strain are missing. The aims of this study were to assess reference values derived from two-dimensional speckle-tracking echocardiog

  1. Second trimester ultrasound: reference values for two-dimensional speckle tracking-derived longitudinal strain, strain rate and time to peak deformation of the fetal heart

    NARCIS (Netherlands)

    Kapusta, L.; Mainzer, G.; Weiner, Z.; Deutsch, L.; Khoury, A.; Haddad, S.; Lorber, A.

    2012-01-01

    BACKGROUND: Data on myocardial deformation during the internationally widely used second-trimester screening are scarce and confusing. Reference values of time to peak strain are missing. The aims of this study were to assess reference values derived from two-dimensional speckle-tracking

  2. Determinants of pulse wave velocity in healthy people and in the presence of cardiovascular risk factors: 'establishing normal and reference values'

    DEFF Research Database (Denmark)

    Hansen, Tine Willum

    2010-01-01

    Carotid-femoral pulse wave velocity (PWV), a direct measure of aortic stiffness, has become increasingly important for total cardiovascular (CV) risk estimation. Its application as a routine tool for clinical patient evaluation has been hampered by the absence of reference values. The aim...... of the present study is to establish reference and normal values for PWV based on a large European population....

  3. New specific bioelectrical impedance vector reference values for assessing body composition in the Italian-Spanish young adult population.

    Science.gov (United States)

    Ibáñez, Maria E; Mereu, Elena; Buffa, Roberto; Gualdi-Russo, Emanuela; Zaccagni, Luciana; Cossu, Stefano; Rebato, Esther; Marini, Elisabetta

    2015-01-01

    Specific bioelectrical impedance vector analysis (spBIVA) is a recently proposed technique for the analysis of body composition. The aim of this study was to apply spBIVA to a sample of Italian and Spanish young adults and to define the new bioelectrical references for this Western Mediterranean population. A sample of 440 individuals (220 from Italy, 220 from Spain; 213 men, 227 women) aged 18-30 years was considered. Anthropometric (height, weight, relaxed upper arm, waist, and calf girths) and bioelectrical (resistance, reactance; 50 kHz, 800 μA) measurements were taken. In order to verify the need for new references, specific bioelectrical values were compared to the reference values for U.S. adults and Italian elderly by tolerance ellipses and Student's t test. The mean specific bioelectrical values (resistivity, Rsp, and reactivity, Xcsp, Ohm·cm) were: Rsp (332.7 ± 41.7 Ω·cm), Xcsp (44.4 ± 6.8 Ω·cm), Zsp (335.6 ± 41.9 Ω·cm) and phase (7.6 ± 0.8°) in men; Rsp (388.6 ± 60 Ω·cm), Xcsp (43.7 ± 7.5 Ω·cm), Zsp (391.0 ± 60.3 Ω·cm) and phase (6.4 ± 0.7°) in women. Italo-Spanish bioelectrical vectors were mainly distributed (>90%) in the lower part of the tolerance ellipses for U.S. young adults, due to a shorter impedance (P 90%), due to a higher phase (P < 0.001), indicative of higher body cell mass. These population and age-related differences indicate the need for new specific tolerance ellipses that can be used as references for assessing body composition in young adults from Western Mediterranean populations. © 2015 Wiley Periodicals, Inc.

  4. Plasma butyrylcholinesterase concentrations in psittacine birds: reference values, factors of variation, and association with feather-damaging behavior.

    Science.gov (United States)

    Grosset, Claire; Bougerol, Christian; Sanchez-Migallon Guzman, David

    2014-03-01

    Butyrylcholinesterase is a glycoprotein enzyme used in the diagnosis of toxicosis by cholinesterase-inhibitor agents like organophosphates and carbamates. In animals, butyrylcholinesterase concentrations have been shown to vary depending on numerous factors such as age, sex, diet, and season of sampling. To establish reference values of plasma butyrylcholinesterase concentrations in common psittacine species, plasma butyrylcholinesterase concentrations were measured in 1942 companion psittacine birds. The birds were classified by age, sex, season, health status, and the presence of feather-damaging behavior. A significant difference was observed among species, with eclectus parrots (Eclectus roratus) having the lowest and African grey parrots (Psittacus erithacus) having the highest reference values. Plasma butyrylcholinesterase concentrations varied by age, health status, and season but not by sex. Concentrations were significantly higher during autumn and spring than during winter and summer, and significantly lower in healthy birds than in sick birds. No significant association between butyrylcholinesterase concentrations and feather-damaging behavior could be established except in lovebirds (Agapornis species). Further research is needed to better understand the effect of nutritional and hormonal factors on butyrylcholinesterase concentrations in psittacine birds and its possible effect on bird cognition.

  5. The human plasma-metabolome: Reference values in 800 French healthy volunteers; impact of cholesterol, gender and age.

    Science.gov (United States)

    Trabado, Séverine; Al-Salameh, Abdallah; Croixmarie, Vincent; Masson, Perrine; Corruble, Emmanuelle; Fève, Bruno; Colle, Romain; Ripoll, Laurent; Walther, Bernard; Boursier-Neyret, Claire; Werner, Erwan; Becquemont, Laurent; Chanson, Philippe

    2017-01-01

    Metabolomic approaches are increasingly used to identify new disease biomarkers, yet normal values of many plasma metabolites remain poorly defined. The aim of this study was to define the "normal" metabolome in healthy volunteers. We included 800 French volunteers aged between 18 and 86, equally distributed according to sex, free of any medication and considered healthy on the basis of their medical history, clinical examination and standard laboratory tests. We quantified 185 plasma metabolites, including amino acids, biogenic amines, acylcarnitines, phosphatidylcholines, sphingomyelins and hexose, using tandem mass spectrometry with the Biocrates AbsoluteIDQ p180 kit. Principal components analysis was applied to identify the main factors responsible for metabolome variability and orthogonal projection to latent structures analysis was employed to confirm the observed patterns and identify pattern-related metabolites. We established a plasma metabolite reference dataset for 144/185 metabolites. Total blood cholesterol, gender and age were identified as the principal factors explaining metabolome variability. High total blood cholesterol levels were associated with higher plasma sphingomyelins and phosphatidylcholines concentrations. Compared to women, men had higher concentrations of creatinine, branched-chain amino acids and lysophosphatidylcholines, and lower concentrations of sphingomyelins and phosphatidylcholines. Elderly healthy subjects had higher sphingomyelins and phosphatidylcholines plasma levels than young subjects. We established reference human metabolome values in a large and well-defined population of French healthy volunteers. This study provides an essential baseline for defining the "normal" metabolome and its main sources of variation.

  6. Reference Values of Reticulocyte Hemoglobin Content and Their Relation With Other Indicators of Iron Status in Healthy Children.

    Science.gov (United States)

    López-Ruzafa, Encarnación; Vázquez-López, Maria A; Lendinez-Molinos, Francisco; Poveda-González, Juan; Galera-Martínez, Rafael; Bonillo-Perales, Antonio; Martín-González, Manuel

    2016-10-01

    Reticulocyte hemoglobin content (CHr) is considered an indicator of functional iron deficiency, but is understudied in children. The goals of this study are to determine the reference intervals for CHr in healthy children, and their relation with iron parameters, erythropoiesis, and individual conditions. A total of 902 children without iron deficiency, aged 1 to 11 years were analyzed in a cross-sectional study. Besides a physical examination of the subjects and a questionnaire completed by their parents, the complete blood count, serum transferrin receptor, ferritin, transferrin saturation, erythrocyte protoporphyrin, serum erythropoietin, C-reactive protein, and CHr levels were measured. Changes in CHr, iron status, and erythropoiesis at different age intervals were analyzed and linear multiple regression was used to identify the factors that determine CHr variability. Mean value obtained for CHr was 30.9±1.8 pg (P2.5-P97.5: 26.9 to 34.3 pg), but the influence of age on CHr (the values increased with age) and on the iron parameters justified the establishment of different reference ranges. In addition to age, nutritional status, hematologic measurements, reticulocytes, transferrin saturation, and erythrocyte protoporphyrin accounted for 39% of CHr variability.

  7. Nationwide standardisation and evaluation of scintigraphic gastric emptying: reference values and comparisons between subgroups in a multicentre trial

    Energy Technology Data Exchange (ETDEWEB)

    Grybaeck, P. [Department of Radiology, Karolinska Hospital, Stockholm (Sweden); Hermansson, G. [Department of Clinical Physiology, Oestra Hospital, Goeteborg (Sweden); Lyrenaes, E. [Department of Medicine, Blekinge Hospital, Karlskrona (Sweden); Beckman, K.-W. [Hospital Physics, Oerebro Hospital (Sweden); Jacobsson, H. [Department of Radiology, Karolinska Hospital, Stockholm (Sweden); Department of Nuclear Medicine, Karolinska Hospital, Stockholm (Sweden); Hellstroem, P.M. [Department of Gastroenterology and Hepatology, Karolinska Hospital, Stockholm (Sweden)

    2000-06-01

    By means of a standardised procedure, reference values for scintigraphic gastric emptying were established. The influence of gender, age, menstrual cycle, body mass index (BMI) and smoking habits was also evaluated. Eight centres recruited 20 healthy subjects each. The meal consisted of a technetium-99m labelled omelet (1300 kJ) and of 150 ml unlabelled soft drink. Geometric means of frontal and dorsal acquisitions were utilised in a linear fit model for determination of the linear emptying rate, and by using the intercepts of the regression line with the 90% and 50% levels, the lag phase and half-emptying time, respectively, were defined. All individuals showed an initial lag phase and subsequent linear emptying. Because of a longer lag phase and a slower linear emptying rate, premenopausal women had a slower gastric emptying than postmenopausal women and men of all ages. The gastric emptying rate increased with age in the women, mainly due to a shortened lag phase, while the emptying rate remained almost unchanged with age in the males. There were no significant differences in results between the centres. The menstrual cycle, BMI and smoking habits did not affect emptying. In conclusion, the fact that the results showed a slower gastric emptying rate in younger women compared with older women and men indicates that it is necessary to use separate reference values for fertile females. (orig.)

  8. Differences in body composition and physical functions associated with sarcopenia in Chinese elderly: reference values and prevalence.

    Science.gov (United States)

    Zeng, Ping; Wu, Sinan; Han, Yiwen; Liu, Jingmin; Zhang, Yi; Zhang, Enyi; Zhang, Yan; Gong, Huan; Pang, Jing; Tang, Zhili; Liu, Hongxing; Zheng, Xiuyuan; Zhang, Tiemei

    2015-01-01

    This study investigates the age-related differences in skeletal muscle mass (SM), muscle strength and physical performance in mainland Chinese. Based on available data, the reference values (criteria) for the definition of sarcopenia in elderly Chinese were explored. Body composition measurements were obtained using a bioelectrical impedance analyzer (BIA); muscle strength was determined by handgrip strength (HS); and physical function was evaluated by the subjects' 6-m gait speed (GS). In this study, HS and GS declined significantly after 55 years and very dramatically after 75 years. Appendicular SM index of Sarcopenia (AWGS) criteria in our population results in a very low prevalence of low SM and low GS. If Western criteria for sarcopenia were adopted, the prevalence of low GS and low HS would be 2-4 times higher in the studied population, also exhibiting significant gender differences. These findings indicate that it is necessary to establish an outcomes-based and ethnic-specific set of reference values for the diagnosis of sarcopenia in elderly Chinese.

  9. Reference values of Forced Expiratory Volumes and pulmonary flows in 3–6 year children: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Cordola Giorgio

    2007-02-01

    Full Text Available Abstract Background The aims of this study were to verify the feasibility of respiratory function tests and to assess their validity in the diagnosis of respiratory disorders in young children. Methods We performed spirometry and collected information on health and parents' lifestyle on a sample of 960 children aged 3–6. Results The cooperation rate was 95.3%. Among the valid tests, 3 or more acceptable curves were present in 93% of cases. The variability was 5% within subjects in 90.8% of cases in all the parameters. We propose regression equations for FVC (Forced Vital Capacity, FEV1, FEV0.5, FEV0.75 (Forced Expiratory Volume in one second, in half a second and in 3/4 of a second, and for Maximum Expiratory Flows at different lung volume levels (MEF75, 50, 25. All parameters are consistent with the main reference values reported in literature. The discriminating ability of respiratory parameters versus symptoms always shows a high specificity (>95% and a low sensitivity ( Conclusion Our study confirms the feasibility of spirometry in young children; however some of the current standards are not well suited to this age group. Moreover, in this restricted age group the various reference values have similar behaviour.

  10. Functional MRI of the pelvic floor. Method and references values; Funktionelle MRT des Beckenbodens. Methodik und Referenzwerte

    Energy Technology Data Exchange (ETDEWEB)

    Lienemann, A.; Sprenger, D.; Reiser, M. [Klinikum Grosshadern, Muenchen (Germany). Inst. fuer Radiologische Diagnostik; Janssen, U.; Anthuber, C. [Klinikum Grosshadern, Muenchen (Germany). Frauenklinik

    2000-05-01

    Purpose. Functional cine MRI of the pelvic floor is a yet another modality in addition to various radiological fluoroscopic techniques. This article describes our own method in view of the recent literatur and provides morphometric reference values. Material and method. We examined 20 nulliparous women (range of age: 25-51 years) with normal findings in the gynecological and urodynamic examination. Functional cine MRI was performed on a 1.5 Tesla equipment after opacification of the vagina and rectum. We used a T2-weighted gradient-echo sequence (True-FISP) to determine the position of the reference organs at rest and during straining/defecation. Two different reference lines were used. In addition 29 morphometric and functional parameters were measured, all of them being observer independent. Results. Functional cine MRI was able to show the extent and interaction of the pelvic floor organs in all cases with the reference organs always remaining above the pubococcygeal reference line. The depth of the rectocele was 2 cm. With the exception of the diameter of urogenital hiatus the different parts of the levator ani muscle could not be determined. Discussion. Functional cine MRI using an appropiate organ opacification and slice positioning is an objective, unifying diagnostic approach of the pelvic floor. The reference data given can be of help to distinguish normal from abnormal findings. (orig.) [German] Zielsetzung. Die funktionelle MRT des Beckenbodens eroeffnet neue Perspektiven in der Diagnostik. In diesem Beitrag soll die eigene Methodik dargestellt und Referenzwerte bei einem Kollektiv gesunder Nulliparen ermittelt werden. Material und Methode. 20 Nulliparae (Alter 25-51 Jahre) mit unauffaelligem gynaekologischen und urodynamischen Befund. Funktionelle MRT mit Kontrastierung von Scheide und Rektum an einem 1,5-Tesla-System. Mit Hilfe einer T2-gewichteten Gradientenechosequenz (True-FISP) wurden die Veraenderungen der Referenzorgane in Ruhe und waehrend des

  11. Addressing Issues in the Development and Use of the Composite International Reference Values as Rorschach Norms for Adults.

    Science.gov (United States)

    Meyer, Gregory J; Shaffer, Thomas W; Erdberg, Philip; Horn, Sandra L

    2015-01-01

    This article describes 3 studies evaluating normative reference data for the Rorschach Comprehensive System (CS; Exner, 2003, 2007), with a particular focus on the viability of the Composite International Reference Values (CIRVs) that were compiled from 21 adult studies by Meyer, Erdberg, and Shaffer (2007). Study 1 documented how the CIRV norms are virtually identical when organized into 3 groups differentiated by the quality of their data collection effort, including an optimal group of 4 samples that relied on multiple experienced examiners and provided ongoing quality control over administration and coding. Analyses also showed that relative to the group of more optimal samples, the group of less optimal samples did not produce more variability in summary scores within or across samples or lower interrater reliability for coding. Study 2 used the existing CS reference norms to generate T scores for the CIRV means and documented how the CS norms make other samples of healthy nonpatients look psychologically impaired in multiple domains. Study 3 documented with examples from 4 different countries how 2 sets of within-country local norms produced notably different results on some variables, which compromises the ability of local norms to be used instead of the CIRVs. Taken together, the 3 studies provide support for the use of CIRVs in clinical practice as norms that are generalizable across samples, settings, languages, and cultures and that account for the natural variability that is present when clinicians and researchers contend with the ambiguity contained in the standard CS reference materials concerning the proper ways to administer and code. We conclude by urging CS users to rely on the CIRVs when making clinical inferences and to adopt alternative methods of ensuring they are following cohesively standardized administration and coding guidelines.

  12. Contribution for the derivation of a soil screening value (SSV for uranium, using a natural reference soil.

    Directory of Open Access Journals (Sweden)

    Ana Luisa Caetano

    Full Text Available In order to regulate the management of contaminated land, many countries have been deriving soil screening values (SSV. However, the ecotoxicological data available for uranium is still insufficient and incapable to generate SSVs for European soils. In this sense, and so as to make up for this shortcoming, a battery of ecotoxicological assays focusing on soil functions and organisms, and a wide range of endpoints was carried out, using a natural soil artificially spiked with uranium. In terrestrial ecotoxicology, it is widely recognized that soils have different properties that can influence the bioavailability and the toxicity of chemicals. In this context, SSVs derived for artificial soils or for other types of natural soils, may lead to unfeasible environmental risk assessment. Hence, the use of natural regional representative soils is of great importance in the derivation of SSVs. A Portuguese natural reference soil PTRS1, from a granitic region, was thereby applied as test substrate. This study allowed the determination of NOEC, LOEC, EC20 and EC50 values for uranium. Dehydrogenase and urease enzymes displayed the lowest values (34.9 and <134.5 mg U Kg, respectively. Eisenia andrei and Enchytraeus crypticus revealed to be more sensitive to uranium than Folsomia candida. EC50 values of 631.00, 518.65 and 851.64 mg U Kg were recorded for the three species, respectively. Concerning plants, only Lactuca sativa was affected by U at concentrations up to 1000 mg U kg(1. The outcomes of the study may in part be constrained by physical and chemical characteristics of soils, hence contributing to the discrepancy between the toxicity data generated in this study and that available in the literature. Following the assessment factor method, a predicted no effect concentration (PNEC value of 15.5 mg kg-1dw was obtained for U. This PNEC value is proposed as a SSV for soils similar to the PTRS1.

  13. Advances in the Metrology of Absolute Value Assignments to Isotopic Reference Materials: Consequences from the Avogadro Project

    Science.gov (United States)

    Vocke, Robert; Rabb, Savelas

    2015-04-01

    All isotope amount ratios (hereafter referred to as isotope ratios) produced and measured on any mass spectrometer are biased. This unfortunate situation results mainly from the physical processes in the source area where ions are produced. Because the ionized atoms in poly-isotopic elements have different masses, such processes are typically mass dependent and lead to what is commonly referred to as mass fractionation (for thermal ionization and electron impact sources) and mass bias (for inductively coupled plasma sources.) This biasing process produces a measured isotope ratio that is either larger or smaller than the "true" ratio in the sample. This has led to the development of numerous fractionation "laws" that seek to correct for these effects, many of which are not based on the physical processes giving rise to the biases. The search for tighter and reproducible precisions has led to two isotope ratio measurement systems that exist side-by-side. One still seeks to measure "absolute" isotope ratios while the other utilizes an artifact based measurement system called a delta-scale. The common element between these two measurement systems is the utilization of isotope reference materials (iRMs). These iRMs are used to validate a fractionation "law" in the former case and function as a scale anchor in the latter. Many value assignments of iRMs are based on "best measurements" by the original groups producing the reference material, a not entirely satisfactory approach. Other iRMs, with absolute isotope ratio values, have been produced by calibrated measurements following the Atomic Weight approach (AW) pioneered by NBS nearly 50 years ago. Unfortunately, the AW is not capable of calibrating the new generation of iRMs to sufficient precision. So how do we get iRMs with isotope ratios of sufficient precision and without bias? Such a focus is not to denigrate the extremely precise delta-scale measurements presently being made on non-traditional and tradition

  14. Ultrasonographic measurement of median nerve cross-sectional area reference values in a healthy Han population from Guiyang, China

    Institute of Scientific and Technical Information of China (English)

    Jun Chen; Shan Wu; Jun Ren

    2011-01-01

    High-resolution ultrasonography was used to analyze the nerve cross-sectional area (CSA) of the median nerve at 7 sites: the wrist crease, pisiform bone, hamate bone, 6 cm proximal to the tip of the wrist crease, proximal forearm (where the nerve enters the pronator teres muscle), 4 cm proximal to the tip of the medial epicondyle, and mid-humerus (mid-point between elbow crease and axilla) in 200 healthy volunteers from Guiyang, China. Results showed similar CSA values between the left and right sides, but the CSA 6 cm proximal to the tip of the wrist crease, proximal forearm, 4 cm proximal to tip of the medial epicondyle, and mid-humerus in males was greater than that of females. Moreover, CSA values at the wrist crease, pisiform bone, and hamate bone were greater in the middle-aged and old groups when compared to the young group, and correlated with body mass and height. Thus, reference values of median nerve CSA of the upper limbs can facilitate the analysis of abnormal nerve conditions.

  15. Oxygen Saturation Reference Value by Percutaneous Pulse Oximetry in Asymptomatic Newborn Babies in Nigeria: A Cross-Sectional Study

    Directory of Open Access Journals (Sweden)

    Obumneme Ezeanosike

    2016-08-01

    Full Text Available About 1/4 of all neonatal deaths in Nigeria are caused by birth asphyxia. Normal values of oxygen saturation vary according to regional altitudes. They are important for the screening of cyanotic congenital heart diseases and during newborn resuscitation. There is a dearth of such information in Nigeria. We determined reference values for oxygen saturation by pulse oximetry (SpO2 in asymptomatic newborns aged ≤7 days in Enugu at an altitude of 180 m. The study was cross-sectional. Neonates weighing ≥1500 g at birth were enrolled consecutively. Pre-and post-ductal oxygen saturation was measured using a Datex-Ohmeda Tuffsat® pulse oximeter with neonatal probes. Five hundred and fourteen babies comprising of 24 (4.4% preterm and 490 (95.3% term neonates were studied. The mean pre-ductal SpO2 of all babies was 96.1% ± 1.4% and higher than mean post-ductal SpO2 of 95.9% ± 1.4% (p = 0.022. The mean pre-ductal SpO2 were 96.1% ± 1.5% and 96.1% ± 1.3%, (p = 1.000 for males and females, respectively. The mean pre-ductal SpO2 values were higher than the mean post-ductal SpO2 for the corresponding post-natal ages.

  16. Part II: Quantitative Evaluation of Choices Used in Setting Noncancer Chronic Human Health Reference Values Across Organizations.

    Science.gov (United States)

    Holman, Elizabeth; Francis, Royce; Gray, George

    2016-09-21

    Environmental and public health organizations, including the World Health Organization (WHO) and the U.S. Environmental Protection Agency (USEPA), develop human health reference values (HHRV) that set "safe" levels of exposure to noncarcinogens. Here, we systematically analyze chronic HHRVs from four organizations: USEPA, Health Canada, RIVM (the Netherlands), and the U.S. Agency for Toxic Substances and Disease Registry. This study is an extension of our earlier work and both closely examines the choices made in setting HHRVs and presents a quantitative method for identifying the primary factors influencing HHRV agreement or disagreement.((1)) We evaluated 171 organizational comparisons, developing a quantitative method for identifying the factors to which HHRV agreement (that is, when both organizations considering the same data set the identical HHRV values) is most sensitive. To conduct this analysis, a Bayesian belief network was built using expert judgment, including the specific science policy choices analysis made in the context of setting an HHRV. Based on a sensitivity of findings analysis, HHRV agreement is most sensitive to the point of departure value, followed by the total uncertainty factor (UF), critical study, critical effect, animal model, and point of departure approach. This analysis also considered the specific impacts of individual UFs, with the database UF and the subchronic-to-chronic UF being identified as primary factors impacting the total UF differences observed across organizations. The sensitivity of findings analysis results were strengthened and confirmed by frequency analyses evaluating which choices most often disagreed when the HHRV and the total UF disagreed.

  17. CARDIOVASCULAR RISK ASSESSMENT AND SUPPORT TECHNIQUES Whole blood viscosity assessment issues I: Extrapolation chart and reference values

    Directory of Open Access Journals (Sweden)

    Ezekiel Uba Nwose

    2010-04-01

    Full Text Available Background: There are many different methods for the assessment of whole blood viscosity, but not every pathology unit has equipment for any of the methods. However, a validated arithmetic method exists whereby whole blood viscosity can be extrapolated from haematocrit and total serum proteins. Aims: The objective of this work is to develop an algorithm in the form of a chart by which clinicians can easily extrapolate whole blood viscosity values in their consulting rooms or on the ward. Another objective is to suggest normal, subnormal and critical reference ranges applicable to this method. Materials and Methods: Whole blood viscosity at high shear stress was determined, from various possible pairs of haematocrit and total proteins. A chart was formulated so that whole blood viscosity can be extrapolated. After determination of two standard deviations from the mean and ascertainment of symmetric distribution, normal and abnormal reference ranges were defined. Results: The clinicians’ user-friendly chart is presented. Considering presumptive lower and upper limits, the continuum of ≤14.28, 14.29 – 15.00, 15.01 – 19.01, 19.02 – 19.39 and ≥19.40 (208 Sec-1 is obtained as reference ranges for critically low, subnormal low, normal, subnormal high and critically high whole blood viscosity levels respectively. Conclusion: This article advances a validated method to provide a user-friendly chart that would enable clinicians to assess whole blood viscosity for any patients who has results for full blood count and total proteins. It would make the assessment of whole blood viscosity costless and the neglect of a known cardiovascular risk factor less excusable.

  18. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies), 2014. Scientific Opinion on Dietary Reference Values for chromium

    DEFF Research Database (Denmark)

    Tetens, Inge

    parenteral nutrition was considered to be the most convincing, but overall data do not provide sufficient information on the reversibility of the possible deficiencies and the nature of any dose–response curve in order to identify a dietary requirement for humans. The Panel concludes that no Average......Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies (NDA) considered the evidence for setting Dietary Reference Values for chromium. Trivalent chromium (Cr(III)) has been postulated to be necessary for the efficacy of insulin in regulating...... models have not produced consistent results, and that there is no evidence of essentiality of Cr(III) in animal nutrition. Evaluating the possibility of Cr(III) as an essential element for humans, the evidence from reported improvements associated with chromium supplementation in patients on total...

  19. MAJOR AND LYMPHOCYTE POPULATIONS OF HUMAN PERIPHERAL BLOOD LYMPHOCYTES AND THEIR REFERENCE VALUES, AS ASSAYED BY MULTI-COLOUR CYTOMETRY

    Directory of Open Access Journals (Sweden)

    S. V. Khaidukov

    2009-01-01

    Full Text Available Abstract. Determination of lymphocyte subpopulations and their phenotypes is an important diagnostic feature, in order to elucidate some disturbances connected with immune system functioning. However, insufficient data are obtained when analyzing only major populations of peripheral lymphocytes. In order to perform clinical diagnostics, the data about minor lymphocytic populations and activated cellular pools seem to be more pertinent.Studies of peripheral blood cell subpopulations of healthy donors performed in different Russian regions allowed to assess quantitative distribution intervals for both major and minor immune cell subpopulations in humans. The results obtained, as compared with data from literature, provide an evidence for similar reference intervals for main immune cell subpopulations in healthy donors, independent on their habitation area.Present work has resulted into development of algorithms for cytometric studies and generation of certain panels of monoclonal antibodies enabling evaluation of all main lymphocyte subpopulations, as well as their minor subsets participating in emerging immune response. The distribution intervals have been estimated for such minor subpopulations, as B1- and B2-lymphocytes, memory B-cells, γδ- and αβT-cells, regulatory and naїve T-cells, cytotoxic and secretory NK-cell polupations.The results of present study, while been performed with peripheral blood of healthy donors, may provide a basis of reference values when studying subpopulation profile of immune cells.

  20. The Impact of R-Optimized Administration Modeling Procedures on Brazilian Normative Reference Values for Rorschach Scores.

    Science.gov (United States)

    Pianowski, Giselle; Meyer, Gregory J; Villemor-Amaral, Anna Elisa de

    2016-01-01

    To generate normative reference data for the Rorschach Performance Assessment System (R-PAS), modeling procedures were developed to convert the distribution of responses (R) in protocols obtained using Comprehensive System (CS; Exner 2003 ) administration guidelines to match the distribution of R in protocols obtained using R-Optimized Administration (Meyer, Viglione, Mihura, Erard, & Erdberg, 2011 ). This study replicates the R-PAS study, examining the impact of modeling R-Optimized Administration on Brazilian normative reference values by comparing a sample of 746 CS administered protocols to its counterpart sample of 343 records modeled to match R-Optimized Administration. The results were strongly consistent with the R-PAS findings, showing the modeled records had a slightly higher mean R and, secondarily, slightly higher means for Complexity and V-Comp, as well as smaller standard deviations for R, Complexity, and R8910%. We also observed 5 other small differences not observed in the R-PAS study. However, when comparing effect sizes for the differences in means and standard deviations observed in this study to the differences found in the R-PAS study, the results were virtually identical. These findings suggest that using R-Optimized Administration in Brazil might produce normative results that are similar to traditional CS norms for Brazil and similar to the international norms used in R-PAS.

  1. 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

  2. The eye of the red-eared slider turtle: morphologic observations and reference values for selected ophthalmic diagnostic tests.

    Science.gov (United States)

    Somma, André T; Lima, Leandro; Lange, Rogério R; Turner-Giannico, Amália; Montiani-Ferreira, Fabiano

    2015-01-01

    To perform a descriptive investigation of the red-eared slider turtle (Trachemys scripta elegans) eye, performing selected ophthalmic diagnostic tests with the aim of establishing normal reference values for this species. Thirty adult healthy red-eared slider turtles were used to establish normal ophthalmic test values in this investigation. Selected ophthalmic tests included: collection of material for bacterial culture analysis, esthesiometry, intraocular pressure (IOP), A- and B-mode ultrasonic biometry, fundus photography, and central corneal thickness (CCT). Normal parameters found for the ocular diagnostic tests were: esthesiometry: 5.84 ± 0.48 cm; IOP: 5.42 ± 1.70 mmHg; CCT: 154.5 ± 0.14 μm; palpebral fissure length: 9.71 ± 0.55 mm; modified Schirmer tear test: 2.55 ± 3.4 mm; globe axial length: 7.60 ± 0.23 mm; anterior chamber depth: 0.76 ± 0.23 mm; lens axial length: 2.45 ± 0.28 mm; vitreous chamber depth: 4.31 ± 0.42 mm. An avascular retinal pattern with nerve fibers radiating from the small white circular optic disk was observed. None of the animals had a conus papillaris. The most frequent bacteria found were Bacillus spp. (33.33%) followed by Proteus vulgaris (20.69%) and Staphylococcus aureus (18.39%). No significant differences between left and right eyes or genders were found for any of the results. Reference data and morphologic observations obtained in this investigation might help veterinary ophthalmologists to diagnose ocular diseases in the red-eared slider turtle. © 2014 American College of Veterinary Ophthalmologists.

  3. Comparison of six-minute walk test in children with moderate/severe asthma with reference values for healthy children

    Directory of Open Access Journals (Sweden)

    Lívia Barboza de Andrade

    Full Text Available OBJECTIVE:to compare physical performance and cardiorespiratory responses in the six-minute walk test (6MWT in asthmatic children with reference values for healthy children in the same age group, and to correlate them with intervening variables.METHODS:this was a cross-sectional, prospective study that evaluated children with moderate/severe asthma, aged between 6 and 16 years, in outpatient follow-up. Demographic and spirometric test data were collected. All patients answered the pediatric asthma quality of life (QoL questionnaire (PAQLQ and level of basal physical activity. The 6MWT was performed, following the American Thoracic Society recommendations. Comparison of means was performed using Student's t-test and Pearson's correlation to analyze the 6MWT with study variables. The significance level was set at 5%.RESULTS:40 children with moderate or severe asthma were included, 52.5% males, 70% with normal weight and sedentary. Mean age was 11.3 ± 2.1 years, mean height was 1.5 ± 0.1 m, and mean weight was 40.8 ± 12.6 Kg. The mean distance walked in the 6MWT was significantly lower, corresponding to 71.9% ± 19.7% of predicted values; sedentary children had the worst values. The difference between the distance walked on the test and the predicted values showed positive correlation with age (r = 0.373, p = 0.018 and negative correlation with cardiac rate at the end of the test (r = -0.518, p < 0.001. Regarding QoL assessment, the values in the question about physical activity limitations showed the worst scores, with a negative correlation with walked distance difference (r = -0.311, p = 0.051.CONCLUSIONS:asthmatic children's performance in the 6MWT evaluated through distance walked is significantly lower than the predicted values for healthy children of the same age, and is directly influenced by sedentary life style.

  4. Comparison of six-minute walk test in children with moderate/severe asthma with reference values for healthy children.

    Science.gov (United States)

    Andrade, Lívia Barboza de; Silva, Diogo A R G; Salgado, Taíza L B; Figueroa, José N; Lucena-Silva, Norma; Britto, Murilo C A

    2014-01-01

    to compare physical performance and cardiorespiratory responses in the six-minute walk test (6MWT) in asthmatic children with reference values for healthy children in the same age group, and to correlate them with intervening variables. this was a cross-sectional, prospective study that evaluated children with moderate/severe asthma, aged between 6 and 16 years, in outpatient follow-up. Demographic and spirometric test data were collected. All patients answered the pediatric asthma quality of life (QoL) questionnaire (PAQLQ) and level of basal physical activity. The 6MWT was performed, following the American Thoracic Society recommendations. Comparison of means was performed using Student's t-test and Pearson's correlation to analyze the 6MWT with study variables. The significance level was set at 5%. 40 children with moderate or severe asthma were included, 52.5% males, 70% with normal weight and sedentary. Mean age was 11.3±2.1 years, mean height was 1.5±0.1 m, and mean weight was 40.8±12.6 Kg. The mean distance walked in the 6MWT was significantly lower, corresponding to 71.9%±19.7% of predicted values; sedentary children had the worst values. The difference between the distance walked on the test and the predicted values showed positive correlation with age (r=0.373, p=0.018) and negative correlation with cardiac rate at the end of the test (r=-0.518, p<0.001). Regarding QoL assessment, the values in the question about physical activity limitations showed the worst scores, with a negative correlation with walked distance difference (r=-0.311, p=0.051). asthmatic children's performance in the 6MWT evaluated through distance walked is significantly lower than the predicted values for healthy children of the same age, and is directly influenced by sedentary life style. Copyright © 2013 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.

  5. Centile curves and reference values for height, body mass, body mass index and waist circumference of Peruvian children and adolescents.

    Science.gov (United States)

    Bustamante, Alcibíades; Freitas, Duarte; Pan, Huiqi; Katzmarzyk, Peter T; Maia, José

    2015-03-09

    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.

  6. 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.

  7. Analytical performance, reference values and decision limits. A need to differentiate between reference intervals and decision limits and to define analytical quality specifications

    DEFF Research Database (Denmark)

    Petersen, Per Hyltoft; Jensen, Esther A; Brandslund, Ivan

    2012-01-01

    With the increasing use of decision limits (action limits, cut-off points) specified for a number of analytical components in diagnosis and for action in critical situations, formulated in national or international recommendations, the traditional interpretation of reference intervals has been....... Analytical quality specifications for reference intervals have been defined for bias since the 1990s, but in the recommendations specified in the clinical guidelines analytical quality specifications are only scarcely defined. The demands for negligible biases are, however, even more essential for decision...

  8. An evaluation of inorganic toxicity reference values for use in assessing hazards to American robins (Turdus migratorius)

    Science.gov (United States)

    Beyer, W. Nelson; Sample, Bradley E.

    2017-01-01

    When performing screening-level and baseline risk assessments, assessors usually compare estimated exposures of wildlife receptor species with toxicity reference values (TRVs). We modeled the exposure of American robins (Turdus migratorius) to 10 elements (As, Cd, Cr, Cu, Hg, Mn, Pb, Se, Zn, and V) in spring and early summer, a time when earthworms are the preferred prey. We calculated soil benchmarks associated with possible toxic effects to these robins from 6 sets of published TRVs. Several of the resulting soil screening-level benchmarks were inconsistent with each other and less than soil background concentrations. Accordingly, we examined the derivations of the TRVs as a possible source of error. In the case of V, a particularly toxic chemical compound (ammonium vanadate) containing V, not normally present in soil, had been used to estimate a TRV. In the cases of Zn and Cu, use of uncertainty values of 10 in estimating TRVs led to implausibly low soil screening values. In the case of Pb, a TRV was calculated from studies demonstrating reductions in egg production in Japanese quail (Coturnix coturnix japonica) exposed to Pb concentrations well below than those causing toxic effects in other species of birds. The results on quail, which were replicated in additional trials, are probably not applicable to other, unrelated species, although we acknowledge that only a small fraction of all species of birds has been tested. These examples underscore the importance of understanding the derivation and relevance of TRVs before selecting them for use in screening or in ecological risk assessment.

  9. An evaluation of inorganic toxicity reference values for use in assessing hazards to American robins (Turdus migratorius).

    Science.gov (United States)

    Beyer, W Nelson; Sample, Bradley E

    2017-03-01

    When performing screening-level and baseline risk assessments, assessors usually compare estimated exposures of wildlife receptor species with toxicity reference values (TRVs). We modeled the exposure of American robins (Turdus migratorius) to 10 elements (As, Cd, Cr, Cu, Hg, Mn, Pb, Se, Zn, and V) in spring and early summer, a time when earthworms are the preferred prey. We calculated soil benchmarks associated with possible toxic effects to these robins from 6 sets of published TRVs. Several of the resulting soil screening-level benchmarks were inconsistent with each other and less than soil background concentrations. Accordingly, we examined the derivations of the TRVs as a possible source of error. In the case of V, a particularly toxic chemical compound (ammonium vanadate) containing V, not normally present in soil, had been used to estimate a TRV. In the cases of Zn and Cu, use of uncertainty values of 10 in estimating TRVs led to implausibly low soil screening values. In the case of Pb, a TRV was calculated from studies demonstrating reductions in egg production in Japanese quail (Coturnix coturnix japonica) exposed to Pb concentrations well below than those causing toxic effects in other species of birds. The results on quail, which were replicated in additional trials, are probably not applicable to other, unrelated species, although we acknowledge that only a small fraction of all species of birds has been tested. These examples underscore the importance of understanding the derivation and relevance of TRVs before selecting them for use in screening or in ecological risk assessment. Integr Environ Assess Manag 2017;13:352-359. © 2016 SETAC.

  10. 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; Andrade, Armèle Dornelas de; Britto, Murilo Carlos Amorim de

    2016-01-01

    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. 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. 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. 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. Determinar os pontos de corte de resposta ao broncodilatador do VEF1, VEF0,75, VEF0,5 e FEF25-75% em crianças pré-escolares saudáveis e gerar valores de referência para o VEF0,75. Foi realizado um estudo transversal de base comunitária em crianças de 3-5 anos de idade. Pré-escolares saudáveis foram selecionados por um questionário padronizado. Foi realizada espirometria antes e depois do uso de broncodilatador. Foram definidos os pontos de corte dessa resposta como o percentil 95 de variação em cada parâmetro. Foram recrutadas 266 crianças, e 160 (60,0%) foram capazes de gerar manobras expiratórias aceitáveis e reprodut

  11. Semen analysis in fertile patients undergoing vasectomy: reference values and variations according to age, length of sexual abstinence, seasonality, smoking habits and caffeine intake

    National Research Council Canada - National Science Library

    Bernardo Passos Sobreiro; Antonio Marmo Lucon; Fábio Firmbach Pasqualotto; Jorge Hallak; Kelly Silveira Athayde; Sami Arap

    2005-01-01

    .... The objective was to establish reference values for semen analysis and to verify the effect that age, length of sexual abstinence, seasonality, smoking habits and coffee consumption have on fertile individuals...

  12. Analytical performance specifications for changes in assay bias (Δbias) for data with logarithmic distributions as assessed by effects on reference change values

    DEFF Research Database (Denmark)

    Hyltoft Petersen, Per; Lund, Flemming; Fraser, Callum G;

    2016-01-01

    BACKGROUND: The distributions of within-subject biological variation are usually described as coefficients of variation, as are analytical performance specifications for bias, imprecision and other characteristics. Estimation of specifications required for reference change values is traditionally...... performance specifications for reference change value, with combination of Δbias and CVA based on log-Gaussian distributions of CVI as natural logarithms. The model was tested using plasma prolactin and glucose as examples. RESULTS: Analytical performance specifications for reference change value generated...... using the new model based on log-Gaussian distributions were practically identical with the traditional model based on Gaussian distributions. CONCLUSION: The traditional and simple to apply model used to generate analytical performance specifications for reference change value, based on the use...

  13. Prevalence of abnormal findings when adopting new national and international Global Lung Function Initiative reference values for spirometry in the Finnish general population

    Directory of Open Access Journals (Sweden)

    Annette Kainu

    2016-09-01

    Full Text Available Background: New Finnish (Kainu2015 and international Global Lung Function Initiative (GLI2012 reference values for spirometry were recently published. The aim of this study is to compare the interpretative consequences of adopting these new reference values with older, currently used Finnish reference values (Viljanen1982 in the general population of native Finns. Methods: Two Finnish general population samples including 1,328 adults (45% males aged 21–74 years were evaluated. Airway obstruction was defined as a reduced ratio of forced expiratory volume in one second (FEV1/forced vital capacity (FVC, possible restrictive pattern as reduced FVC, and decreased ventilatory capacity as reduced FEV1 below their respective 2.5th percentiles. The severity gradings of reduced lung function were also compared. Results: Using the Kainu2015 reference values, the prevalence of airway obstruction in the population was 5.6%; using GLI2012 it was 4.0% and with Viljanen1982 it was 13.0%. Possible restrictive pattern was found in 4.2% using the Kainu2015 values, in 2.0% with GLI2012, and 7.9% with the Viljanen1982 values. The prevalence of decreased ventilatory capacity was 6.8, 4.0, and 13.3% with the Kainu2015, GLI2012 and Viljanen1982 values, respectively. Conclusions: The application of the GLI2012 reference values underestimates the prevalence of abnormal spirometric findings in native Finns. The adoption of the Kainu2015 reference values reduces the prevalences of airways obstruction, decreased ventilatory capacity, and restrictive impairment by approximately 50%. Changing from the 2.5th percentile, the previously used lower limit of normal, to the 5th percentile recommended by the American Thoracic Society/European Respiratory Society will not increase the prevalence of abnormal findings in the implementation of spirometry reference values.

  14. Reference values of lead in blood and related factors among Korean adolescents: the Korean National Health and Nutrition Examination Survey 2010-2013

    OpenAIRE

    Choi, Min-Gyu; Park, Mi-Jung; Kim, Shin-Hye

    2016-01-01

    Purpose This study aimed to assess the reference values and factors influencing blood lead levels among Korean adolescents. Methods The study population consisted of 1,585 adolescents (801 males, 784 females; aged 10-19 years) who participated in the Korea National Health and Nutrition Examination Survey 2010-2013. We analyzed blood lead concentrations in relation to demographic/lifestyle characteristics for all participants. "Reference values" of blood lead levels were calculated as the uppe...

  15. Comparison of two different segmentation methods on planar lung perfusion scan with reference to quantitative value on SPECT/CT

    Energy Technology Data Exchange (ETDEWEB)

    Suh, Min Seok; Kang, Yeon Koo; Ha, Seung Gyun [Dept. of Nuclear Medicine, Seoul National University Hospital, Seoul (Korea, Republic of); and others

    2017-06-15

    Until now, there was no single standardized regional segmentation method of planar lung perfusion scan. We compared planar scan based two segmentation methods, which are frequently used in the Society of Nuclear Medicine, with reference to the lung perfusion single photon emission computed tomography (SPECT)/computed tomography (CT) derived values in lung cancer patients. Fifty-five lung cancer patients (male:female, 37:18; age, 67.8 ± 10.7 years) were evaluated. The patients underwent planar scan and SPECT/CT after injection of technetium-99 m macroaggregated albumin (Tc-99 m-MAA). The % uptake and predicted postoperative percentage forced expiratory volume in 1 s (ppoFEV1%) derived from both posterior oblique (PO) and anterior posterior (AP) methods were compared with SPECT/CT derived parameters. Concordance analysis, paired comparison, reproducibility analysis and spearman correlation analysis were conducted. The % uptake derived from PO method showed higher concordance with SPECT/CT derived % uptake in every lobe compared to AP method. Both methods showed significantly different lobar distribution of % uptake compared to SPECT/CT. For the target region, ppoFEV1% measured from PO method showed higher concordance with SPECT/CT, but lower reproducibility compared to AP method. Preliminary data revealed that every method significantly correlated with actual postoperative FEV1%, with SPECT/CT showing the best correlation. The PO method derived values showed better concordance with SPECT/CT compared to the AP method. Both PO and AP methods showed significantly different lobar distribution compared to SPECT/CT. In clinical practice such difference according to different methods and lobes should be considered for more accurate postoperative lung function prediction.

  16. Reliability and reference values of two clinical measurements of dynamic and static knee position in healthy children

    DEFF Research Database (Denmark)

    Ortqvist, Maria; Moström, Eva B; Roos, Ewa M.

    2011-01-01

    PURPOSE: The purposes of this study were to evaluate reliability of the Single-limb mini squat test (a dynamic measure of medio-lateral knee position) and the Quadriceps-angle (Q-angle) (a static measure of medio-lateral knee position), present paediatric reference values of the Q......-angle, and evaluate the association between the tests. METHODS: Two hundred and forty-six healthy children (9-16 years) were included (intra/inter-rater reliability for Q-angle (n = 37/85) and for Single-limb mini squat test (n = 33/28)). Dynamic medio-lateral knee position was assessed by the Single-limb mini squat...... test. Static medio-lateral knee position was evaluated by the Q-angle. RESULTS: The reliability of the Single-limb mini squat test was found to be moderate (kappa 0.48-0.57, 95% CI 0.16-0.85, 76-79% agreement). Fair to moderate reliability (ICC 0.35-0.42, 95% CI 0.11-0.66, SEM 1.4°-1.9°, n.s.) of the Q...

  17. Reproducibility, interchangeability of measures, time to measure stabilization, and reference values of two tissue oximeters in healthy volunteers

    Science.gov (United States)

    Cournoyer, Alexis; Denault, André; Cossette, Sylvie; Fortier, Annik; Daoust, Raoul; Iseppon, Massimiliano; Chauny, Jean-Marc; Notebaert, Eric

    2016-09-01

    This study aimed to compare two tissue oximeters, the INVOS 5100c and the Equanox 7600, in terms of their reproducibility and the interchangeability of their measures. In a randomized order, three measurements were taken at six different sites on both sides of the body in 53 healthy volunteers. Intraclass correlation coefficients (ICC) and within-subject standard deviation (Sw) were calculated for each device. The ICCs were compared using Fisher r-to-z transformation and the Sw were compared using paired-sample t-tests. We found no difference between the reproducibility of the INVOS {ICC=0.92 [95% confidence interval (CI) 0.90 to 0.93]} and Equanox [ICC=0.90 (95% CI 0.88 to 0.93)] in terms of ICCs (p=0.06). However, the Equanox [Sw=1.96 (95% CI 1.91 to 2.02)] showed a better Sw than the INVOS [Sw=2.11 (95% CI 2.05 to 2.17)] (p=0.019). Also, when compared directly to stable condition, the readings produced by the two oximeters varied considerably [ICC 0.43 (95% CI 0.36 to 0.49)]. When taken individually, both tissue oximeters displayed good reproducibility, the Equanox being slightly better than the INVOS in terms of absolute reproducibility. However, when compared, the oximeters showed poor interdevices agreement. Reference values were also described.

  18. The Modified Femoral Neck-Shaft Angle: Age- and Sex-Dependent Reference Values and Reliability Analysis.

    Science.gov (United States)

    Boese, Christoph Kolja; Frink, Michael; Jostmeier, Janine; Haneder, Stefan; Dargel, Jens; Eysel, Peer; Lechler, Philipp

    2016-01-01

    Background. The femoral neck-shaft angle (NSA) is of high importance for the diagnostics and treatment of various conditions of the hip. However, rotational effects limit its precision and applicability using plain radiographs. This study introduces a novel method to measure the femoral NSA: the modified NSA (mNSA), possibly being less susceptible against rotational effects compared to the conventional NSA. Patients and Methods. The method of measurement is described and its applicability was tested in 400 pelvis computed tomography scans (800 hips). Age- and gender-dependent reference values are given and intra- and interrater reliability are analyzed. Results. The mean age of all 400 patients (800 hips) was 54.32 years (18-100, SD 22.05 years). The mean mNSA was 147.0° and the 95% confidence interval was 146.7°-147.4°. Differences of the mNSA between sexes, age groups, and sides were nonsignificant. The absolute difference between NSA and mNSA was 16.3° (range 3-31°; SD 4.4°); the correlation was high (0.738; p < 0.001). Overall, the intra- and interrater reliability were excellent for the mNSA. Interpretation. We introduced a novel concept for the analysis of the neck-shaft angle. The high reliability of the measurement has been proven and its robustness to hip rotation was demonstrated.

  19. Reference intervals and physiologic alterations in hematologic and biochemical values of free-ranging desert tortoises in the Mojave Desert

    Science.gov (United States)

    Christopher, Mary M.; Berry, Kristin H.; Wallis, I.R.; Nagy, K.A.; Henen, B.T.; Peterson, C.C.

    1999-01-01

    Desert tortoise (Gopherus agassizii) populations have experienced precipitous declines resulting from the cumulative impact of habitat loss, and human and disease-related mortality. Evaluation of hematologic and biochemical responses of desert tortoises to physiologic and environmental factors can facilitate the assessment of stress and disease in tortoises and contribute to management decisions and population recovery. The goal of this study was to obtain and analyze clinical laboratory data from free-ranging desert tortoises at three sites in the Mojave Desert (California, USA) between October 1990 and October 1995, to establish reference intervals, and to develop guidelines for the interpretation of laboratory data under a variety of environmental and physiologic conditions. Body weight, carapace length, and venous blood samples for a complete blood count and clinical chemistry profile were obtained from 98 clinically healthy adult desert tortoises of both sexes at the Desert Tortoise Research Natural area (western Mojave), Goffs (eastern Mojave) and Ivanpah Valley (northeastern Mojave). Samples were obtained four times per year, in winter (February/March), spring (May/June), summer (July/August), and fall (October). Years of near-, above- and below-average rainfall were represented in the 5 yr period. Minimum, maximum and median values, and central 95 percentiles were used as reference intervals and measures of central tendency for tortoises at each site and/or season. Data were analyzed using repeated measures analysis of variance for significant (P < 0.01) variation on the basis of sex, site, season, and interactions between these variables. Significant sex differences were observed for packed cell volume, hemoglobin concentration, aspartate transaminase activity, and cholesterol, triglyceride, calcium, and phosphorus concentrations. Marked seasonal variation was observed in most parameters in conjunction with reproductive cycle, hibernation, or seasonal

  20. THE REFERENCE VALUES OF THE MAIN BIOCHEMICAL PARAMETERS OF THE HEMOLYMPH OF APIS MELLIFERA CARPATHICA IN SOUTH-EASTERN ROMANIA

    Directory of Open Access Journals (Sweden)

    AGRIPINA SAPCALIU

    2013-12-01

    Full Text Available Although biochemical analyses of the blood were and are still used for the routinediagnosis and especially for the metabolic survey in farm animals, such analyses, maybe applied for the honeybee hemolymph (as a paraclinic examination. The aim of thisexperimental study was to investigate and to determine the reference values of themain biochemical parameters in the hemolymph of the healthy honeybees of Apismellifera carpathica. The honeybee samples were collected in order to analyze thehealth condition of the respective colony. All the samples coming from sick colonieswere removed, only healthy adult honeybees coming from strong colonies were keptand used for hemolymph collection. By special methods, samples of hemolymph (300μl/sample collected from about 50 individuals, were analyzed both during the activeseason (spring/summer and the inactive season (autumn/winter. The study wascarried out on 50 samples of undiluted hemolymph taken from a total number of about2,500 honeybees. The following 21 biochemical parameters were analyzed: GLU(mg/dl, HDL-c (mg/dl, ALP (UI/l, T-cho (mg/dl, Tprot (mg/dl, Alb. (g/dl, BUN(mg/dl, LDH (UI/l, CPK (UI/l, Mg (mg/dl, FRA (μm/l, IP (mg/dl, GGT (UI/l,GOT (UI/l, GPT (UI/l, Ca (mg/dl, Cre (mg/dl, Amy (UI/l, T–BIL (mg/dl, TG(mg/dl, UA (mg/dl. The test was carried out after the collection and processing of thesamples using the SPOTCHEM EZSP4430, equipment with dry kits, the slides technique,respectively.

  1. Reference change values and determinants of variability of NT-proANP and GDF15 in stable chronic heart failure.

    Science.gov (United States)

    Frankenstein, Lutz; Remppis, Andrew; Frankenstein, Joerdis; Hess, Georg; Zdunek, Dietmar; Gut, Simon; Slottje, Karen; Katus, Hugo A; Zugck, Christian

    2009-11-01

    Biovariability, reference change values (RCV), and index of individuality (IOI) have not been previously described for NT-proANP or GDF15. Also, the relation of changes of these markers to other clinical variables or biomarkers is unknown. In 41 patients with stable chronic systolic dysfunction, NT-proANP and GDF15 were measured alongside with clinical variables/markers comprising NT-proBNP, hsTnT, and hsCRP at four sampling intervals (2 weeks, 1-, 2-, 3-month intervals). At 2 weeks, 1-, 2-, and 3-month-follow-up, individual NT-proANP variations were 27.1, 22.5, 28.9, 15.6%, respectively, corresponding to RCVs of 53.2, 62.4, 80.2, and 43.2%, respectively. For GDF15, the respective individual variations were 6.8, 4.1, 5.5, 6.8%, corresponding to RCVs of 18.8, 11.5, 15.3 and 18.8%. Neither changes of NT-proANP or GDF15 correlated with changes in any of the clinical variables or biomarkers examined except for GDF15 with renal function. Baseline hormonal levels and clinical variables did not consistently influence the extent of change. The IOI was 0.19-0.35 according to interval for NT-proANP and 0.06-0.09 for GDF 15. In patients with CHF preselected for clinical stability changes of NT-proANP at intermediate follow-up do not correlate with changes in other variables; changes of GDF15 inversely correlate with renal function. The extent of change in both markers is not related to baseline hormonal levels or other baseline variables. RCVs are high for NT-proANP and low for GDF15, while inter-individual variation is high in GDF15 and intermediate in NT-proANP.

  2. An analysis of yearly trends in growing degree days and the relationship between growing degree day values and reference evapotranspiration in Turpan area, China

    Science.gov (United States)

    Su, Lijun; Wang, Quanjiu; Bai, Yungang

    2013-08-01

    The growth and development of crops is commonly regarded as a function of time alone. However, this approach can be inadequate due to temperatures which vary from year to year caused by global climate change. This prompted the development of the growing degree day concept, which incorporates information on both the passage of time and the temperature experienced by the crop plant during that time. Crop water requirements, which are estimated by multiplying reference evapotranspiration values by a crop-specific coefficient, play a crucial role in the management of hydrologic cycles on arable land. Consequently, it would be useful to identify the relationships between cumulative growing degree days and reference evapotranspiration, in order to develop new methods for predicting crop growth and development periods and calculating reference evapotranspiration. This paper describes annual trends in cumulative growing degree days values and their impact on grape growth. Three different methods for calculating cumulative growing degree days values were evaluated as well. Several key findings were achieved. First, for the period between 1952 and 1995, the cumulative growing degree days values for specific days of the year were normally distributed. Second, the relationship between the relative cumulative growing degree days value and the passage of time can be accurately described by using a cubic polynomial function. Third, the day-to-day change in the average relative cumulative reference evapotranspiration can be described using an exponential function of time, which can be used to calculate the relative cumulative reference evapotranspiration value for any given day of the year. Fourth, there was a significant correlation between the relative cumulative growing degree days and cumulative reference evapotranspiration values during the period between grape budding and maturity, which can be described using a cubic polynomial function. Finally, a new method for

  3. Six-minute walk test: reference values and prediction equation in healthy boys aged 5 to 12 years.

    Directory of Open Access Journals (Sweden)

    Nathalie Goemans

    Full Text Available OBJECTIVE: This study aimed to (1 generate normative data in healthy boys aged 5-12 years for the six-minute walk test (6MWT, an outcome measure currently used in clinical trials in Duchenne muscular dystrophy (DMD, (2 to describe the relation with anthropometric variables and myometry, and (3 to compare our data with published equations. METHODS: The 6MWT was conducted in 442 boys according to a standardized protocol, as currently used in clinical trials in DMD. Maximal voluntary isometric contractions for knee flexion and extension were recorded with a hand-held myometer. RESULTS: The 6MWD increased significantly with age, from 478.0 ± 44.1 m at age 5, to 650.0 ± 76.8 m at age 12, with the steepest increase between 5 and 8 years. Age- and height related percentile curves of the 6MWD were developed. Correlations with anthropometric variables were fair to good (age r = 0.60, height r = 0.57, weight r = 0.44. Myometric variables (knee flexors and extensors showed correlations of 0.46 and 0.50 respectively. When dividing into two age categories (5-8 years, 9-12 years, these magnitudes of correlations only applied to the younger age group. Additionally, predicted values were calculated according to available reference equations (Geiger and Ben Saad, indicating an overestimation by those equations. Finally, the Geiger equation was refitted to our population. CONCLUSION: The percentile curves according to age and height provide a useful tool in the assessment of ambulatory capacity in boys aged 5 to 12 years. Significant correlations with anthropometric variables and myometry were only found in the 5-8 years age group. The Geiger prediction equation, currently used to assess ambulatory capacity in DMD was refitted to obtain a more accurate prediction model based on a large sample with a homogenous distribution across the age categories 5 to 12 years and applying the methodology as currently used in clinical trials in DMD.

  4. Six-Minute Walk Test: Reference Values and Prediction Equation in Healthy Boys Aged 5 to12 Years

    Science.gov (United States)

    Goemans, Nathalie; Klingels, Katrijn; van den Hauwe, Marleen; Boons, Stefanie; Verstraete, Liese; Peeters, Charlotte; Feys, Hilde; Buyse, Gunnar

    2013-01-01

    OBJECTIVE This study aimed to (1) generate normative data in healthy boys aged 5–12 years for the six-minute walk test (6MWT), an outcome measure currently used in clinical trials in Duchenne muscular dystrophy (DMD), (2) to describe the relation with anthropometric variables and myometry, and (3) to compare our data with published equations. METHODS The 6MWT was conducted in 442 boys according to a standardized protocol, as currently used in clinical trials in DMD. Maximal voluntary isometric contractions for knee flexion and extension were recorded with a hand-held myometer. RESULTS The 6MWD increased significantly with age, from 478.0±44.1 m at age 5, to 650.0±76.8 m at age 12, with the steepest increase between 5 and 8 years. Age- and height related percentile curves of the 6MWD were developed. Correlations with anthropometric variables were fair to good (age r = 0.60, height r = 0.57, weight r = 0.44). Myometric variables (knee flexors and extensors) showed correlations of 0.46 and 0.50 respectively. When dividing into two age categories (5–8 years, 9–12 years), these magnitudes of correlations only applied to the younger age group. Additionally, predicted values were calculated according to available reference equations (Geiger and Ben Saad), indicating an overestimation by those equations. Finally, the Geiger equation was refitted to our population. CONCLUSION The percentile curves according to age and height provide a useful tool in the assessment of ambulatory capacity in boys aged 5 to 12 years. Significant correlations with anthropometric variables and myometry were only found in the 5–8 years age group. The Geiger prediction equation, currently used to assess ambulatory capacity in DMD was refitted to obtain a more accurate prediction model based on a large sample with a homogenous distribution across the age categories 5 to 12 years and applying the methodology as currently used in clinical trials in DMD. PMID:24391899

  5. Population-based biochemistry, immunologic and hematological reference values for adolescents and young adults in a rural population in Western Kenya.

    Directory of Open Access Journals (Sweden)

    Clement Zeh

    Full Text Available BACKGROUND: There is need for locally-derived age-specific clinical laboratory reference ranges of healthy Africans in sub-Saharan Africa. Reference values from North American and European populations are being used for African subjects despite previous studies showing significant differences. Our aim was to establish clinical laboratory reference values for African adolescents and young adults that can be used in clinical trials and for patient management. METHODS AND FINDINGS: A panel of 298, HIV-seronegative individuals aged 13-34 years was randomly selected from participants in two population-based cross-sectional surveys assessing HIV prevalence and other sexually transmitted infections in western Kenya. The adolescent (<18 years-to-adults (≥ 18 years ratio and the male-to-female ratio was 1∶1. Median and 95% reference ranges were calculated for immunohematological and biochemistry values. Compared with U.S-derived reference ranges, we detected lower hemoglobin (HB, hematocrit (HCT, red blood cells (RBC, mean corpuscular volume (MCV, neutrophil, glucose, and blood urea nitrogen values but elevated eosinophil and total bilirubin values. Significant gender variation was observed in hematological parameters in addition to T-bilirubin and creatinine indices in all age groups, AST in the younger and neutrophil, platelet and CD4 indices among the older age group. Age variation was also observed, mainly in hematological parameters among males. Applying U.S. NIH Division of AIDS (DAIDS toxicity grading to our results, 40% of otherwise healthy study participants were classified as having an abnormal laboratory parameter (grade 1-4 which would exclude them from participating in clinical trials. CONCLUSION: Hematological and biochemistry reference values from African population differ from those derived from a North American population, showing the need to develop region-specific reference values. Our data also show variations in hematological

  6. An estimate of the recreational value of the Agulhas Plain, South Africa, with special reference to the value of plant biodiversity

    Directory of Open Access Journals (Sweden)

    Beatrice Conradie

    2013-05-01

    Full Text Available The Agulhas Plain is a remarkable recreational site which combines the attraction of a pristine marine environment with exceptional plant biodiversity, rural tranquillity and the novelty of being at the southernmost tip of Africa. The resource is a public good to which the market cannot assign a full value. This paper presents an estimated recreational value based on individual travel cost models and a sample of 370 visitors surveyed in 2010. Trip demands were estimated with zero truncated negative binomial models to account for over-dispersion. The study established a recreational value of R2.167 billion in 2010 prices for the site as a whole. By partitioning the sample into visitors who indicated having been attracted or not to the area by its nature and biodiversity, a net biodiversity value of R2 866 per trip was calculated. Allocated between marine and terrestrial resources based on the proportion of activities related to each type of resource, the value of plant biodiversity was estimated to be R2 268 per hectare in 2010to 2010 prices.

  7. Reference values for the geometric centre analysis of colonic transit measurements with 111indium-labelled diethylenetriamine penta-acetic acid

    DEFF Research Database (Denmark)

    Madsen, Jan Lysgård; Fuglsang, Stefan; Graff, Jesper

    2003-01-01

    The geometric centre analysis is often used for evaluating colonic transit data obtained by scintigraphy after oral intake of 111indium-labelled diethylenetriamine penta-acetic acid (111In-DTPA). The purpose of this study was to establish reference values for the geometric centre analysis in adult...

  8. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies), 2014. Scientific Opinion on Dietary Reference Values for pantothenic acid

    DEFF Research Database (Denmark)

    Tetens, Inge

    Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies (NDA) derived Dietary Reference Values (DRVs) for pantothenic acid. Pantothenic acid is a water-soluble vitamin, which is a component of coenzyme A (CoA) and acyl-carrier proteins. Pantothenic...

  9. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies), 2013 . Scientific O pinion on Dietary Reference Values for molybdenum

    DEFF Research Database (Denmark)

    Tetens, Inge

    Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies (NDA) derived Dietary Reference Values (DRVs) for molybdenum. Molybdenum is efficiently and rapidly absorbed at a wide range of intakes, and the body is able to maintain homeostasis through t...

  10. Reference values for the geometric centre analysis of colonic transit measurements with 111indium-labelled diethylenetriamine penta-acetic acid

    DEFF Research Database (Denmark)

    Madsen, Jan Lysgård; Fuglsang, Stefan; Graff, Jesper

    2003-01-01

    The geometric centre analysis is often used for evaluating colonic transit data obtained by scintigraphy after oral intake of 111indium-labelled diethylenetriamine penta-acetic acid (111In-DTPA). The purpose of this study was to establish reference values for the geometric centre analysis in adult...

  11. Reference values and repeatability of the Schirmer tear tests I and II in domesticated, clinically normal dromedary camels (Camelus dromedarius).

    Science.gov (United States)

    Marzok, Mohamed A; Badawy, Adel M; El-Khodery, Sabry A

    2017-05-01

    To determine the normal values and repeatability for Schirmer tear test (STT) in clinically normal dromedary camels and to analyze the influence of the age and gender on these values. Thirty clinically normal dromedary camels of different ages (calves, immature, and mature). Schirmer tear tests I and II were performed using commercial STT strips. Three measurements were obtained from each eye over three consecutive weeks, and the variance of these measurements was determined. Mean values and coefficient of variation of STT I and STT II for the right and left eyes varied significantly among camel groups (P STT I, the most frequently recorded values were >14-18, > 22-26, and >30-34 mm/min in calves, immature camels, and mature camels, respectively. For STT II, however, the most frequently recorded values were 7-14, >10-18, and >26-30 mm/min, respectively. The interassay coefficients of variation were 1.7-14.4% and were significantly lower in mature camels than in calves and immature camels (P STT I (r = 0.81) and STT II values (r = 0.88). No significant variations were found between genders. This preliminary study reports STT I and II values and repeatability in normal dromedary camels. This information may assist veterinary practitioners in complete ophthalmic examinations and in accurate diagnosis of ocular surface diseases affecting the tear film in this species. © 2016 American College of Veterinary Ophthalmologists.

  12. Reference intervals for acute phase protein and serum protein electrophoresis values in captive Asian elephants (Elephas maximus).

    Science.gov (United States)

    Isaza, Ramiro; Wiedner, Ellen; Hiser, Sarah; Cray, Carolyn

    2014-09-01

    Acute phase protein (APP) immunoassays and serum protein electrophoresis (SPEP) are assays for evaluating the inflammatory response and have use as diagnostic tools in a variety of species. Acute phase proteins are markers of inflammation that are highly conserved across different species while SPEP separates and quantifies serum protein fractions based on their physical properties. In the current study, serum samples from 35 clinically healthy Asian elephants (Elephas maximus) were analyzed using automated assays for C-reactive protein, serum amyloid A, and haptoglobin and SPEP. Robust methods were used to generate reference intervals for the APPs: C-reactive protein (1.3-12.8 mg/l), serum amyloid A (0-47.5 mg/l), and haptoglobin (0-1.10 mg/ml). In addition, SPEP was performed on these samples to establish reference intervals for each protein fraction. A combination of APPs and SPEP measurements are valuable adjunctive diagnostic tools in elephant health care.

  13. Reference Values of 14 Serum Trace Elements for Pregnant Chinese Women: A Cross-Sectional Study in the China Nutrition and Health Survey 2010–2012

    Science.gov (United States)

    Liu, Xiaobing; Zhang, Yu; Piao, Jianhua; Mao, Deqian; Li, Yajie; Li, Weidong; Yang, Lichen; Yang, Xiaoguang

    2017-01-01

    The development of reference values of trace elements is recognized as a fundamental prerequisite for the assessment of trace element nutritional status and health risks. In this study, a total of 1400 pregnant women aged 27.0 ± 4.5 years were randomly selected from the China Nutrition and Health Survey 2010–2012 (CNHS 2010–2012). The concentrations of 14 serum trace elements were determined by high-resolution inductively coupled plasma mass spectrometry. Reference values were calculated covering the central 95% reference intervals (P2.5–P97.5) after excluding outliers by Dixon’s test. The overall reference values of serum trace elements were 131.5 (55.8-265.0 μg/dL for iron (Fe), 195.5 (107.0–362.4) μg/dL for copper (Cu), 74.0 (51.8–111.3) μg/dL for zinc (Zn), 22.3 (14.0–62.0) μg/dL for rubidium (Rb), 72.2 (39.9–111.6) μg/L for selenium (Se), 45.9 (23.8-104.3) μg/L for strontium (Sr), 1.8 (1.2–3.6) μg/L for molybdenum (Mo), 2.4 (1.2–8.4) μg/L for manganese (Mn), 1.9 (0.6–9.0) ng/L for lead (Pb), 1.1 (0.3-5.6) ng/L for arsenic (As), 835.6 (219.8–4287.7) ng/L for chromium (Cr), 337.9 (57.0–1130.0) ng/L for cobalt (Co), 193.2 (23.6–2323.1) ng/L for vanadium (V), and 133.7 (72.1–595.1) ng/L for cadmium (Cd). Furthermore, some significant differences in serum trace element reference values were observed between different groupings of age intervals, residences, anthropometric status, and duration of pregnancy. We found that serum Fe, Zn, and Se concentrations significantly decreased, whereas serum Cu, Sr, and Co concentrations elevated progressively compared with reference values of 14 serum trace elements in pregnant Chinese women. The reference values of serum trace elements established could play a key role in the following nutritional status and health risk assessment. PMID:28335545

  14. [Proposal for the harmonization of the values of reference for nutritional labeling in Latin America (NVR-LA)].

    Science.gov (United States)

    Vannucchi, Helio; Berezovsky, Mariela Weingarten; Masson, Lilian; Cortés, Yadira; Sifontes, Yaritza; Bourges, Hector

    2011-12-01

    The values of recommendation of intake of nutrients, important for nutritional labeling, present variations among the countries of Latin America. The aim of the NVR project is to establish consensually harmonized nutritional labeling values to be adopted among the Latin American countries. From the search and analysis of the different values of recommendations used in the countries of Latin America, was defined by consensus a proposal to a total of 36 nutrient values. The expectation of everyone involved with the project is to take its accessible results and encourage the countries of the region to adopt the proposal, with the support of scientific organizations, Governments and Academia. Thus labeling will be simpler, easy understanding and help the consumer a better selection of products.

  15. Reference values of tricuspid annular peak systolic velocity in healthy pediatric patients, calculation of z score, and comparison to tricuspid annular plane systolic excursion.

    Science.gov (United States)

    Koestenberger, Martin; Nagel, Bert; Ravekes, William; Avian, Alexander; Heinzl, Bernd; Cvirn, Gerhard; Fritsch, Peter; Fandl, Andrea; Rehak, Thomas; Gamillscheg, Andreas

    2012-01-01

    The tricuspid annular peak systolic velocity (TAPSV) is an echocardiographic measurement assessing right ventricular systolic function in children and adults. We determined the growth-related changes of the TAPSV to establish the references values for the entire pediatric age group. A prospective study was conducted of a group of 860 healthy pediatric patients (age 1 day to 18 years; body surface area [BSA] 0.14 to 2.30 m(2)). We determined the effects of age, gender, and BSA on the TAPSV values. Stepwise linear multiple regression analysis was used to estimate the TAPSV from the age, BSA, and gender. A correlation of normal TAPSV with normal tricuspid annular plane systolic excursion values was performed. The TAPSV ranged from a mean of 7.2 cm/s (z score ± 2: 4.8 to 9.5 cm/s) in the newborn to 14.3 cm/s (z score ± 2: 10.6 to 18.6 cm/s) in the 18-year-old adolescent. The TAPSV values showed a positive correlation with age and BSA, with a nonlinear course. No significant difference was found in the TAPSV values according to gender. A significant correlation was found between the TAPSV and tricuspid annular plane systolic excursion values in our pediatric population. In conclusion, the z scores of the TAPSV values were calculated, and percentile charts were established to serve as reference data for patients with congenital heart disease.

  16. [Full blood count reference values in children of 8 to 12 years old residing at 2,760 m above sea level].

    Science.gov (United States)

    Armando García-Miranda, L; Contreras, I; Estrada, J A

    2014-04-01

    To determine reference values for full blood count parameters in a population of children 8 to 12 years old, living at an altitude of 2760 m above sea level. Our sample consisted of 102 individuals on whom a full blood count was performed. The parameters included: total number of red blood cells, platelets, white cells, and a differential count (millions/μl and %) of neutrophils, lymphocytes, monocytes, eosinophils and basophils. Additionally, we obtained values for hemoglobin, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin, concentration of corpuscular hemoglobin and red blood cell distribution width. The results were statistically analyzed with a non-parametric test, to divide the sample in quartiles and obtain the lower and upper limits for our intervals. Moreover, the values for the intervals obtained from this analysis were compared to intervals obtained estimating+- 2 standard deviations above and below from our mean values. Our results showed significant differences compared to normal interval values reported for the adult Mexican population in most of the parameters studied. The full blood count is an important laboratory test used routinely for the initial assessment of a patient. Values of full blood counts in healthy individuals vary according to gender, age and geographic location; therefore, each population should have its own reference values. Copyright © 2013 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

  17. A proficiency test system to improve performance of milk analysis methods and produce reference values for component calibration samples for infrared milk analysis.

    Science.gov (United States)

    Wojciechowski, Karen L; Melilli, Caterina; Barbano, David M

    2016-08-01

    Our goal was to determine the feasibility of combining proficiency testing, analytical method quality-assurance system, and production of reference samples for calibration of infrared milk analyzers to achieve a more efficient use of resources and reduce costs while maximizing analytical accuracy within and among milk payment-testing laboratories. To achieve this, we developed and demonstrated a multilaboratory combined proficiency testing and analytical method quality-assurance system as an approach to evaluate and improve the analytical performance of methods. A set of modified milks was developed and optimized to serve multiple purposes (i.e., proficiency testing, quality-assurance and method improvement, and to provide reference materials for calibration of secondary testing methods). Over a period of years, the approach has enabled the group of laboratories to document improved analytical performance (i.e., reduced within- and between-laboratory variation) of chemical reference methods used as the primary reference for calibration of high-speed electronic milk-testing equipment. An annual meeting of the laboratory technicians allows for review of results and discussion of each method and provides a forum for communication of experience and techniques that are of value to new analysts in the group. The monthly proficiency testing sample exchanges have the added benefit of producing all-laboratory mean reference values for a set of 14 milks that can be used for calibration, evaluation, and troubleshooting of calibration adjustment issues on infrared milk analyzers.

  18. [Predictive value of breast imaging report and database system (BIRADS) to detect cancer in a reference regional hospital].

    Science.gov (United States)

    Bellolio, Enrique; Pineda, Viviana; Burgos, María Eugenia; Iriarte, M José; Becker, Renato; Araya, Juan Carlos; Villaseca, Miguel; Mardones, Noldy

    2015-12-01

    To validate the BIRADS in mammography, the calculation of its predictive value in each center is required, as recommended by the American College of Radiology. To determine the predictive value of the BIRADS system in our center. All ultrasound guided needle percutaneous biopsies, performed at our center between 2006 and 2010 were reviewed. Predictive value, sensitivity, specificity and diagnostic accuracy of BIRADS were calculated, with a confidence interval of 95%. Of 1,313 biopsies available, 1,058 met the inclusion criteria. Fifty eight percent of biopsies were performed to women with mammographies classified as BIRADS 4 or 5. The presence of cancer in mammographies classified as BIRADS 0 was 4%. The prevalence of cancer for mammographies BIRADS 1, 2, 3, 4 and 5 were 0, 3, 2.7, 17.7 and 72.4% respectively. The positive and negative predictive values of BIRADS classification were 55 and 92 % respectively. In our institution BIRADS classification 4 and 5 has a high positive predictive value for detecting cancer as in developed countries.

  19. EFSA Panel on Dietetic Products, Nutrition, and Allergies (NDA); Scientific Opinion on Dietary Reference Values for carbohydrates and dietary fibre

    DEFF Research Database (Denmark)

    Tetens, Inge

    but will depend on the amount of fat and protein ingested. The Panel proposes 45 to 60 E% as the reference Intake range for carbohydrates applicable to both adults and children older than one year of age. Although high frequency of intake of sugar-containing foods can increase the risk of dental caries......, there are insufficient data to set an upper limit for (added) sugar intake. Based on the available evidence on bowel function, the Panel considers dietary fibre intakes of 25 g/day to be adequate for normal laxation in adults. A fibre intake of 2 g/MJ is considered adequate for normal laxation in children from the age...

  20. Reference values for amino acids and acylcarnitines in peripheral blood in Quarter horses and American Miniature horses.

    Science.gov (United States)

    Rodríguez-Sánchez, Irám Pablo; Treviño-Alvarado, Víctor Manuel; Torres-Sepúlveda, María del Rosario; López-Saldaña, Liliana Aracely; Ponce-García, Gustavo; López-Uriarte, Graciela Areli; Ruiz-Herrera, María del Consuelo; Zamora-Ávila, Diana Elisa; Villarreal-Pérez, Jesús Zacarías; Dávalos-Aranda, Guillermo; Martínez-de-Villarreal, Laura Elia

    2015-09-29

    Free amino acids and acylcarnitines circulating in the blood can be used for diagnosis for metabolic illness and imbalances. To date, the normal reference ranges of amino acids and acylcarnitines in horse peripheral blood have not been established. In this study, the concentrations of 12 amino acids and 26 acylcarnitines were determined by tandem mass spectrometry in complete blood from 100 healthy horses (50 Quarter horses (QH) [23 males and 27 females] and 50 American Miniature horses (AMH) [15 males and 35 females]) with no signs of metabolic disease. The means and standard deviations were determined and data statistically analyzed. Concentrations of short, medium, and long chain acylcarnitines were significantly higher in male AMH than in male QH. The concentrations of the amino acids alanine, arginine, glycine, proline (glycogenic), and leucine (ketogenic) were higher in the QH than in the AMH. Female AMH had higher concentrations of propionylcarnitine, leucine, proline, arginine, and ornithine than female QH. Normal reference ranges of amino acids and acylcarnitines were established for AMH and QH. Significant differences were found in concentration of these compounds between breeds and gender.

  1. Validity of standard reference values irrespective of rest and time of day prior to blood sampling-results from albumin and thyrotropin

    DEFF Research Database (Denmark)

    Andersen, I. B.; Brasen, C. L.; Christensen, H.;

    2015-01-01

    Background: Preanalytical factors affects different biochemical parameters. Therefore reference intervals are recommended to apply to rules of standardization that state that blood samples should be taken in the morning after 15 min rest. However, both hospital and patients have a wish to minimize...... waiting time prior to blood sampling. Moreover, some parameters have diurnal variation and since there is a growing desire to expand opening hours in the clinics this variation is worth investigating further. Therefore our aim is to test whether the reference intervals of albumin and thyrotropin are valid...... electronically using Q-MATIC Suite. Impact of resting time and time of day on thyreotropin and albumin values was analyzed using a simple linear regression. The "maximum allowable bias" was used as quality indicator for the reference interval. Results: Using linear regression we found significant diurnal...

  2. Plasma osmolality reference values in African grey parrots (Psittacus erithacus erithacus), Hispaniolan Amazon parrots (Amazona ventralis), and red-fronted macaws (Ara rubrogenys).

    Science.gov (United States)

    Beaufrère, Hugues; Acierno, Mark; Mitchell, Mark; Guzman, David Sanchez-Migallon; Bryant, Heather; Tully, Thomas N

    2011-06-01

    Birds are routinely presented to veterinarians for dehydration. Success with these cases ultimately depends on providing replacement fluids and re-establishing fluid homeostasis. Few studies have been done to determine reference ranges for plasma osmolality in birds. The goals of this study were to determine reference values for plasma osmolality in 3 species of parrots and to provide recommendations on fluid selection for replacement therapy in these species. Blood samples were collected from 21 adult Hispaniolan Amazon parrots (Amazona ventralis), 21 Congo African grey parrots (Psittacus erithacus erithacus), and 9 red-fronted macaws (Ara rubrogenys), and were placed into lithium heparin containers. Plasma osmolality was measured in duplicate with a freezing point depression osmometer. Summary statistics were computed from the average values. Reference ranges, calculated by using the robust method, were 288-324, 308-345, and 223-369 mOsm/kg in African grey parrots, Hispaniolan Amazon parrots, and red-fronted macaws, respectively. The mean +/- SD values were 306 +/- 7, 327 +/- 7, and 304 +/- 18 mOsm/kg in African grey parrots, Hispaniolan Amazon parrots, and red-fronted macaws, respectively. Comparisons with osmolality values in mammals and values previously reported for psittacine bird species suggest that plasma osmolality is slightly higher in parrots than in mammals, species-specific differences exist, and differences between reported values occur. Overall, fluids with an osmolarity close to 300-320 mOsm/L, such as Normosol-R, Plasmalyte-R, Plasmalyte-A, and NaCl 0.9%, can be recommended in parrots for fluid replacement therapy when isotonic fluids are required.

  3. A semi-automated technique determining the liver standardized uptake value reference for tumor delineation in FDG PET-CT.

    Directory of Open Access Journals (Sweden)

    Kenji Hirata

    Full Text Available BACKGROUND: 18F-fluorodeoxyglucose (FDG positron emission tomography (PET-computed tomography (CT has been an essential modality in oncology. We propose a semi-automated algorithm to objectively determine liver standardized uptake value (SUV, which is used as a threshold for tumor delineation. METHODS: A large spherical volume of interest (VOI was placed manually to roughly enclose the right lobe (RL of the liver. For each voxel in this VOI, a coefficient of variation of voxel values (CVv was calculated for neighboring voxels within a radius of d/2. The voxel with the minimum CVv was then selected, where a 30-mm spherical VOI was placed at that voxel in accordance with PERCIST criteria. Two nuclear medicine physicians independently defined 30-mm VOIs manually on 124 studies in 62 patients to generate the standard values, against which the results from the new method were compared. RESULTS: The semi-automated method was successful in determining the liver SUV that was consistent between the two physicians in all the studies (d = 80 mm. The liver SUV threshold (mean +3 SD within 30-mm VOI determined by the new semi-automated method (3.12±0.61 was not statistically different from those determined by the manual method (Physician-1: 3.14±0.58, Physician-2: 3.15±0.58. The semi-automated method produced tumor volumes that were not statistically different from those by experts' manual operation. Furthermore, the volume change in the two sequential studies had no statistical difference between semi-automated and manual methods. CONCLUSIONS: Our semi-automated method could define the liver SUV robustly as the threshold value used for tumor volume measurements according to PERCIST. The method could avoid possible subjective bias of manual liver VOI placement and is thus expected to improve clinical performance of volume-based parameters for prediction of cancer treatment response.

  4. Study of Perceived Value and Performance of E-Banking in India with a Special Reference to Punjab National Bank

    OpenAIRE

    Ranjit Kumar Sahoo; Sukanta Chandra Swain

    2012-01-01

    Purpose of this paper is to find out whether e-banking is performing as per the perception amongst the customers and the employees or is there gape between the perceived value and the performance. Literature review: Literature review reveals that Customers in e-banking era can access services more easily from banks abroad and through wireless communication systems, which are developing more rapidly than traditional “wired” communication network. In fact, e-banking promises a lot to serve flaw...

  5. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies), 2013. Scientific Opinion on Dietary Reference Values for vitamin C

    DEFF Research Database (Denmark)

    Tetens, Inge

    Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies (NDA) derived Dietary Reference Values (DRVs) for vitamin C. The Panel concludes that an Average Requirement (AR) can be derived from indicators of vitamin C status, as well as a Population...... metabolic vitamin C losses and allows the maintenance of an adequate body pool characterised by fasting plasma ascorbate concentrations at around 50 µmol/L. In men, an AR of 90 mg/day of vitamin C and a PRI of 110 mg/day are proposed. As no value for metabolic losses is available in women, the AR for women...

  6. Measuring negative attitudes towards overweight and obesity in the German population - psychometric properties and reference values for the German short version of the Fat Phobia Scale (FPS.

    Directory of Open Access Journals (Sweden)

    Janine Stein

    Full Text Available Obesity is one of the leading public health problems worldwide. Obese individuals are often stigmatized and the psychosocial consequences of overweight and obesity are the subject of current research. To detect stigmatizing attitudes towards obese people, the Fat Phobia Scale (FPS was developed in the USA in the early nineties. In addition, the 14-item short form of the FPS was constructed. The FPS belongs to the most commonly used instruments for measuring negative attitudes towards obese people because of its good psychometric properties. For the recently developed German short form of the FPS, however, the comprehensive investigation of the psychometric properties and the determination of reference values are still pending. Thus, the main objectives of this study were the evaluation of the psychometric quality of the scale as well as the calculation of reference values.The study was based on a representative survey in the German general population. A sample of 1,657 subjects (18-94 years was assessed via structured telephone interviews including the 14-item German version of the FPS. Descriptive statistics and inference-statistical analyses were conducted. Reference values in terms of percentage ranks were calculated.Substantial evidence for the reliability and validity of the German short version of the FPS was found. This study, for the first time in Germany, provides age-specific reference values for the German short form of the FPS allowing the interpretation of individual test scores.Facing the far-reaching consequences of experienced stigmatization of obese individuals, these study results provide an important basis for further studies aiming at the investigation of negative attitudes towards overweight and obesity.

  7. [Cystine as a risk factor of the stone formation in kidney: the reference value range of urinary excretion, the stage diagnosis of cystine metabolism disorder].

    Science.gov (United States)

    Gres, A A; Nitkin, D M; Juraha, T M; Sivakow, A A

    2016-08-01

    to define the reference value ranges of cystine, lysine and arginine urinary excretion relative to creatinine in the morning urine samples for the metabolic disorders diagnosis leading to the formation of urinary stones. the study involved 695 healthy individuals aged 1-17 and 1564 patients with urolithiasis aged 7-45. The content of cystine in the urine samples was determined by high performance liquid chromatography. The chemical composition of urinary stones was investigated by methods of the qualitative chemical reaction and the crystals microscopy. the reference value ranges of cystine, lysine and arginine urinary excretion relative to creatinine in the morning urine samples were developed in the age aspect. Excess in cystine level in the urine samples of the relatively healthy individuals detected in 1.4% of cases. From 1564 urinary stones submitted for analysis, the frequency of cystine stones was 0.8%. for the objective assessment of the cystine metabolism status the evaluation of the degree of cystinuria is necessary in order to form the risk group for cystine nephrolithiasis. The reference value ranges of cystine urinary excretion developed in the age aspect and "cystine / creatinine index" in morning urine samples will provide the opportunity to identify the state of the cystine exchange from early childhood and develop differentiated program for the prevention of stone formation in the kidneys.

  8. Metacarpal index by digital X-ray radiogrammetry: normative reference values and comparison with dual X-ray absorptiometry

    DEFF Research Database (Denmark)

    Hyldstrup, Lars; Nielsen, S P

    2001-01-01

    database for women is presented. It has its maximum in the third decade, and a moderate biologic variation that seems to decline with age. It was found that DXR-MCI was independent of body weight and body surface area, whereas all DXA-BMD values were significantly dependent on them. Body height...... to individual metacarpal bone length. DXR-MCI correlated significantly with DXA-BMD at the sites measured, and particularly well with that of the distal radius (r = 0.67; p

  9. Water quality: Historic values and impact of drilling activities during FY 1988 at the reference repository location in southeastern Washington

    Energy Technology Data Exchange (ETDEWEB)

    Eddy, P.A.; Teel, S.S.; Raymond, J.R.; Bierschenk, W.H.

    1988-03-01

    The purpose of the Environmental Monitoring Program was to monitor the characterization activities related to the Basalt Waste Isolation Project (BWIP) at boreholes DC-24CX and DC-25CX and document any environmental impacts as a result of these activities including contamination and/or degradation of the aquifer water quality from the invasion of drilling fluids into the formation and surface contamination from the disposal of drilling fluid at the land surface. The first phase of this program involved describing the baseline water quality at the Reference Repository Location (RRL) including data for spring and surface waters, and both the unconfined and confined aquifers. The second phase involved the collection and analysis of samples collected during drilling operations at wells DC-24CX and DC-25CX. Five surface water and 25 spring sampling sites were designated for chemical and radiological background data collection for BWIP. Chemical and radiological background data from 61 wells that obtain water from the unconfined aquifers indicate that the chemistry of these aquifers is similar to the spring and surface water samples. However, some of the wells show contamination from existing operations and past operations of various facilities on the Hanford Site. These contaminants are both chemical and radiological in nature with nitrate as the primary chemical constituent and tritium as the major radiological constituent. 20 refs., 9 figs., 8 tabs.

  10. Metabolic syndrome in children and adolescents from Mérida city, Venezuela: Comparison of results using local and international reference values (CREDEFAR study).

    Science.gov (United States)

    Villalobos Reyes, Marjorie; Mederico, Maracelly; Paoli de Valeri, Mariela; Briceño, Yajaira; Zerpa, Yajaira; Gómez-Pérez, Roald; Camacho, Nolis; Martínez, José Luis; Valeri, Lenín; Arata-Bellabarba, Gabriela

    2014-11-01

    To obtain local reference values for blood lipids and blood pressure (BP), and to determine the prevalence of metabolic syndrome (MS) in children and adolescents from Mérida, Venezuela, and to compare results using local and international cut-off values. The study enrolled 916 participants of both sexes aged 9-18 years of age from educational institutions. Demographic, anthropometric, and BP data were collected. Fasting blood glucose and lipid profile were measured. Percentile distribution of lipid and BP values was done by age group and sex. Prevalence of MS was estimated based on the NCEP-ATPIII classification (as modified by Cook et al.) and the classification of the International Diabetes Federation, using percentiles of Mérida and the USA as cut-off points. Agreement between both classifications was estimated using the kappa test (κ). Prevalence of MS was 2.2% by Cook-Merida percentiles, as compared to 1.8% by Cook-USA percentiles, a moderate agreement (κ=0.54). Agreement between Cook et al. and IDF using Merida percentiles was weak (κ=0.28). There was a higher frequency of abdominal obesity, hypertriglyceridemia and hypertension, and a lower frequency of low HDL-C using Mérida percentiles. The risk (odds ratio) of having MS is greater if abdominal obesity exists (OR: 98.63, CI: 22.45-433.35, p=0.0001). MS was significantly more common in obese subjects (18.3%, p=0.0001). Prevalence of MS in this sample of children and adolescents was 2.2%. Lipid and BP values were lower in Venezuelan as compared to US, European, and Asian children and adolescents, and similar to those in Latin-American references. Own reference values are required for accurate diagnosis of MS, as well as a worldwide consensus on its diagnostic criteria. Copyright © 2014 SEEN. Published by Elsevier Espana. All rights reserved.

  11. Transfer factor (diffusing capacity) standardized for alveolar volume: validation, reference values and applications of a new linear model to replace KCO (TL/VA)

    Science.gov (United States)

    Chinn, D J; Cotes, J E; Flowers, R; Marks, A M; Reed, J W

    1996-06-01

    Transfer factor (TL) varies with alveolar volume (VA), but not in the manner implied by the carbon monoxide transfer coefficient (KCO (TL/VA)). This paper considers two other simple models (one linear and one exponential) which might standardize TL for VA, and asks the questions: 1) Is either model valid? 2) What are appropriate reference values? and 3) Will the model be useful? The relationship of TL to VA within subjects at different depths of inspiration, and between subjects having lungs of different sizes, were measured and compared. The subjects were asymptomatic, nonsmoking, Caucasian adults, including 31 males assessed in the laboratory and 503 male and female participants in population studies. The linear partial regression coefficients of TL on VA (L corrected for body temperature, atmospheric pressure and water saturation (BTPS)) standardized for height (H) in metres, were similar within- and between-subjects; the coefficients applied over a wide range of values for VA. This was not the case for the exponential model. The resulting reference equations in SI units for males and females were: TL = 11.52 H + 2.72 VA.H-2 - 0.051 Age -12.35. RSD 1.17; and TL = 4.87 H + 2.29 VA.H-2 - 0.019 Age -3.03. RSD 0.92, respectively. The residual standard deviations (RSD) about the new relationships were less than in other series. The new linear model could account for much of the variation between different published reference values for TL; it could be useful clinically, in circumstances when VA deviates from the norm. The model does not explain differences in TL associated with gender. Inclusion of VA.H-2 as a covariate in the reference equation for transfer factor, in addition to age and height, improves the accuracy of prediction of normal transfer factor compared with current reference values; its use suggests that some of the differences between published values is due to the volume term. The equations can be used clinically, and eliminate the need for carbon

  12. Novos valores de referência para espirometria forçada em brasileiros adultos de raça branca New reference values for forced spirometry in white adults in Brazil

    Directory of Open Access Journals (Sweden)

    Carlos Alberto de Castro Pereira

    2007-08-01

    Full Text Available OBJETIVO: Descrever novas equações de referência para a espirometria em adultos brasileiros saudáveis que nunca fumaram, e comparar os valores previstos atuais com os valores derivados em 1992. MÉTODOS: Equações e limites de referência foram derivados em 270 homens e 373 mulheres, habitantes de oito cidades brasileiras, por espirômetro. A idade variou de 20 a 85 anos nas mulheres e 26 a 86 anos nos homens. Os exames seguiram as normas recomendadas pela Sociedade Brasileira de Pneumologia e Tisiologia. Os limites inferiores foram derivados pela análise do 5º percentil dos resíduos. RESULTADOS: Os valores previstos para capacidade vital forçada (CVF, volume expiratório forçado no primeiro segundo (VEF1 e para as relações VEF1/CVF e VEF1/volume expiratório forçado nos primeiros seis segundos (VEF6 se ajustaram melhor em regressões lineares. Os fluxos ajustaram-se melhor em equações logarítmicas. Em ambos os sexos, maiores estaturas resultaram em menores valores para as relações VEF1/CVF, VEF1/VEF6 e fluxos/CVF. Os valores de referência do VEF1 e da CVF, no presente estudo, foram maiores do que aqueles derivados para adultos brasileiros em 1992. CONCLUSÃO: Novos valores previstos para a espirometria forçada foram obtidos em uma amostra da população brasileira de raça branca. Os valores são maiores do que os obtidos em 1992, provavelmente em decorrência de fatores técnicos.OBJECTIVE: To describe spirometric reference equations for healthy Brazilian adults who have never smoked and to compare the predicted values with those derived in 1992. METHODS: Reference equations for spirometry were derived in 270 men and 373 women living in eight cities in Brazil. Ages ranged from 20 to 85 years in women and from 26 to 86 years in men. Spirometry examinations followed the recommendations of the Brazilian Thoracic Society. Lower limits were derived by the analysis of the fifth percentiles of the residuals. RESULTS: Forced vital

  13. Detection of Crohn disease lesions of the small and large bowel in pediatric patients: diagnostic value of MR enterography versus reference examinations.

    Science.gov (United States)

    Maccioni, Francesca; Al Ansari, Najwa; Mazzamurro, Fabrizio; Civitelli, Fortunata; Viola, Franca; Cucchiara, Salvatore; Catalano, Carlo

    2014-11-01

    The purpose of this article is to prospectively determine the accuracy of MR enterography in detecting Crohn disease lesions from the jejunum to the anorectal region in pediatric patients, in comparison with main reference investigations. Fifty consecutive children with known Crohn disease underwent MR enterography with oral contrast agent and gadolinium-chelate intravenous injection. Two radiologists detected and localized lesions by dividing the bowel into nine segments (450 analyzed segments in 50 patients). Ileocolonoscopy, barium studies, intestinal ultrasound, and capsule endoscopy were considered as first- and second-level reference examinations and were performed within 15 days of MR enterography. MR enterography detected lesions in 164 of 450 segments, with 155 true-positive and nine false-positive findings; overall sensitivity, specificity, and positive and negative predictive values for small- and large-bowel lesions were 94.5%, 97%, 94.5%, and 97%, respectively (ĸ = 0.93; 95% CI, 0.89-0.97). Sensitivity and specificity values were 88% and 97%, respectively, for the jejunum, 100% and 97% for the proximal-to-mid ileum, 100% and 100% for the distal ileum, 93% and 100% for the cecum, 70% and 97% for the ascending colon, 80% and 100% for the transverse colon, 100% and 92% for the descending colon, 96% and 90% for the sigmoid colon, and 96% and 88% for the rectum. From jejunum to rectum, the AUC value ranged between 0.916 (jejunum) and 1.00 (distal ileum). Perianal fistulas were diagnosed in 15 patients, and other complications were found in 13 patients. MR enterography showed an accuracy comparable to that of reference investigations, for both small- and large-bowel lesions. Because MR enterography is safer and more comprehensive than the reference examinations, it should be considered the primary examination for detecting Crohn disease lesions in children.

  14. Reference values for digital X-ray radiogrammetry parameters in children and adolescents in comparison to estimates in patients with distal radius fractures.

    Science.gov (United States)

    Renz, Diane M; Malich, Ansgar; Ulrich, Andreas; Pfeil, Alexander; Mentzel, Hans-Joachim; Streitparth, Florian; Maurer, Martin H; Teichgräber, Ulf K; Böttcher, Joachim

    2016-01-01

    The first objective of this study was to determine normative digital X-ray radiogrammetry (DXR) values, based on original digital images, in a pediatric population (aged 6-18 years). The second aim was to compare these reference data with patients suffering from distal radius fractures, whereas both cohorts originated from the same geographical region and were evaluated using the same technical parameters as well as inclusion and exclusion criteria. DXR-BMD and DXR-MCI of the metacarpal bones II-IV were assessed on standardized digital hand radiographs, without printing or scanning procedures. DXR parameters were estimated separately by gender and among six age groups; values in the fracture group were compared to age- and gender-matched normative data using Student's t tests and Z scores. In the reference cohort (150 boys, 138 girls), gender differences were found in bone mineral density (DXR-BMD), with higher values for girls from 11 to 14 years and for boys from 15 to 18 years (p technique can be accurately applied in pediatric populations ≥ 6 years of age. The lower DXR-BMD and DXR-MCI values in the fracture group suggest promising early identification of individuals with increased fracture risk, without the need for additional radiation exposure, enabling the initiation of prevention strategies to possibly reduce the incidence of osteoporosis later in life.

  15. Reference values for the CAVIPRES-30 questionnaire, a global questionnaire on the health-related quality of life of patients with prostate cancer.

    Science.gov (United States)

    Gómez-Veiga, F; Silmi-Moyano, A; Günthner, S; Puyol-Pallas, M; Cózar-Olmo, J M

    2014-06-01

    Define and establish the reference values of the CAVIPRES-30 Questionnaire, a health related quality of life questionnaire specific for prostate cancer patients. The CAVIPRES-30 was administered to 2,630 males with prostate cancer included by 238 Urologist belonging to the Spanish National Healthcare System. Descriptive analysis on socio-demographic and clinical data were performed, and multivariate analyses were used to corroborate that stratification variables were statistically significantly and independently associated to the overall score of the questionnaire. The variables Time since diagnosis of the illness, whether the patient had a Stable partner or not, if he was, or not, undergoing Symptomatic treatment were statistically significantly and independently associated (P < .001) to the overall score of the questionnaire. The reference values table of the CAVIPRES-30 questionnaire is made up of different kinds of information of each patient profile: sample size, descriptive statistics with regard to the overall score, Cronbach's alpha value (between .791 and .875) and the questionnaire's values are reported by deciles. The results of this study contribute new proof as to the suitability and usefulness of the CAVIPRES-30 questionnaire as an instrument for assessing individually the quality of life of prostate cancer. Copyright © 2013 AEU. Published by Elsevier Espana. All rights reserved.

  16. Gamma-hydroxybutyric acid endogenous production and post-mortem behaviour - the importance of different biological matrices, cut-off reference values, sample collection and storage conditions.

    Science.gov (United States)

    Castro, André L; Dias, Mário; Reis, Flávio; Teixeira, Helena M

    2014-10-01

    Gamma-Hydroxybutyric Acid (GHB) is an endogenous compound with a story of clinical use, since the 1960's. However, due to its secondary effects, it has become a controlled substance, entering the illicit market for recreational and "dance club scene" use, muscle enhancement purposes and drug-facilitated sexual assaults. Its endogenous context can bring some difficulties when interpreting, in a forensic context, the analytical values achieved in biological samples. This manuscript reviewed several crucial aspects related to GHB forensic toxicology evaluation, such as its post-mortem behaviour in biological samples; endogenous production values, whether in in vivo and in post-mortem samples; sampling and storage conditions (including stability tests); and cut-off reference values evaluation for different biological samples, such as whole blood, plasma, serum, urine, saliva, bile, vitreous humour and hair. This revision highlights the need of specific sampling care, storage conditions, and cut-off reference values interpretation in different biological samples, essential for proper practical application in forensic toxicology. Copyright © 2014 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  17. An Italian national multicenter study for the definition of reference ranges for normal values of peripheral blood lymphocyte subsets in healthy adults.

    Science.gov (United States)

    Santagostino, A; Garbaccio, G; Pistorio, A; Bolis, V; Camisasca, G; Pagliaro, P; Girotto, M

    1999-06-01

    Reference ranges are necessary in clinical chemistry and hematology to compare an observed value and to provide meaningful information. The aim of this multicenter study was the definition of reference ranges of the relative and absolute numbers of lymphocyte subsets by evaluating a large cohort of healthy adults and by using a standard protocol to reduce the variability in both sample preparation methodology and flow cytometer operation. Other aims of this study were the evaluation of the influence of sex, age, obesity, smoking, sport and some methodological variables on lymphocyte subsets and the comparison of differential white blood cell values obtained by flow cytometry and those obtained by hematology counters. Blood samples from 1311 healthy adults (blood donors and volunteers chosen according to the Italian law for donor selection) were analyzed to study, by flow cytometry, the immunophenotype of lymphocyte subsets and their distribution in terms of percentages and absolute values. Pre-analytical and analytical phases were performed according to the guidelines of the International Federation of Clinical Chemistry (IFCC) and the Italian Group of Cytometry (GIC). T cells were defined by the expression of CD3; T subpopulations by the coexpression of CD4 or CD8 or HLA-DR; B-lymphocytes were identified by the expression of CD19 while natural killer lymphocytes were identified by positivity of CD16 and/or CD56 without CD3. We calculated, for each laboratory and for all data collected, the frequency distribution percent values and absolute values of each lymphocyte subset. The influence of age, sex, smoking, obesity and sport was calculated by the t-test. The influence of some methodological variables was calculated by the t-test and multiple regression test. Fifty-three flow cytometry laboratories at different institutions in Italy participated in this study. Data was obtained from 1311 healthy adults aged from 18 to 70; 968 phenotype analyses (74%) were

  18. Reference values for the geometric centre analysis of colonic transit measurements with 111indium-labelled diethylenetriamine penta-acetic acid

    DEFF Research Database (Denmark)

    Madsen, Jan Lysgård; Fuglsang, Stefan; Graff, Jesper

    2003-01-01

    The geometric centre analysis is often used for evaluating colonic transit data obtained by scintigraphy after oral intake of 111indium-labelled diethylenetriamine penta-acetic acid (111In-DTPA). The purpose of this study was to establish reference values for the geometric centre analysis in adult...... humans. Forty-eight healthy volunteers (24 women, 24 men) who were equally distributed among three age groups (young, middle-aged, elderly) were studied. In all subjects the geometric centre of radioactivity in the colon was calculated from abdominal gamma camera images acquired 24, 48, 72, and 96 h...... after oral administration of 111In-DTPA. Overall, the men had a higher geometric centre value than women after both 24 and 48 h indicating a faster progress of colonic contents in men at these time points. At each time point the geometric centre value was higher in both the young and middle...

  19. Valores de referência do eritrograma de bovinos da raça Jersey criados no Estado de São Paulo Reference values of the erythrogram of Jersey breed, raised in São Paulo state

    Directory of Open Access Journals (Sweden)

    E.H. Birgel Junior

    2001-04-01

    Full Text Available Com o objetivo de estabelecer os valores de referência do eritrograma de bovinos da raça Jersey, criados no Estado de São Paulo, e avaliar a influência exercida pelos fatores etários realizaram-se exames em amostras de sangue colhidas de 253 fêmeas clinicamente sadias (não reagentes ao antígeno glicoprotéico gp 51 da cápsula do vírus da leucose dos bovinos. Nas amostras de sangue, que continham EDTA como anticoagulante, foram realizadas as seguintes provas: contagem do número de hemácias em câmara de Neubauer modificada, utilizando líquido de Gower como diluidor; determinação do volume globular pelo método do microematócrito; dosagem de hemoglobina pelo método de cianometaemoglobina e cálculo dos índices hematimétricos absolutos (volume corpuscular médio - VCM, hemogloina corpuscular média - HCM, concentração de hemoglobina corpuscular média - CHCM. Observou-se influência dos fatores etários sobre os valores do eritrograma, sendo o número de hemácias e o volume globular significativamente maiores nos animais jovens, enquanto que os teores de hemoglobina não variaram em função da idade. Os valores de referência para o número de hemácias, volume globular e hemoglobina foram, respectivamente, 6,62±1,47 células × 10(6/mm³, 31,6±3,5% e 10,45±1,29 g/dl. Os resultados médios dos índices hematimétricos absolutos aumentaram com o desenvolvimento etário, sendo os valores de referência para o VCM, HCM e CHCM, 49,18±8,28mim³; 16,37±3,37pg e 33,14±2,57%, respectivamente.In order to determine erythrogram reference values for Jersey cattle raised in São Paulo State, Brazil, and the influence of bovine of leukosis virus (BLV, 253 BLV-negative blood samples were obtained from clinically healthy females. Samples were collected with EDTA and submitted to erythrocyte counting (Neubauer chamber; Gower diluent, determination of the packed cell volume (microhematocrit, evaluation of hemoglobin content

  20. The STANISLAS Cohort: a 10-year follow-up of supposed healthy families. Gene-environment interactions, reference values and evaluation of biomarkers in prevention of cardiovascular diseases.

    Science.gov (United States)

    Visvikis-Siest, Sophie; Siest, Gérard

    2008-01-01

    The description of this familial longitudinal cohort was published in this journal 10 years ago, in 1998. To date, 117 publications on the STANISLAS Cohort (SC) have appeared, corresponding to five main categories of results: familial resemblance and heritability; genetics and gene-environment interactions; mRNA and proteins as gene products; reference values and biological variations of proteins; and finally preventive medicine and prepathological epidemiological data. More than 600 data values on demographic and laboratory data have been collected on each individual taking part out of the 1006 families at the beginning and for all three recruitments. Serum and plasma are stored in liquid nitrogen for all participants for all three recruitments. DNA has been extracted from all participants and mRNA from 357 families. They are stored at -80 degrees C. Owing to the SC study, heritability and many gene-environment interactions have been described. The expression of 166 genes related to cardiovascular diseases was measured in peripheral blood mononuclear cells RNA. Reference values for proteins and vitamins have been established in addition to reference values for the carotid and femoral intima media thickness in adults and children. The data obtained contribute to a better understanding of the relation between the studied polymorphisms (161 polymorphic sites) and health, and predisposition to obesity, high blood pressure and metabolic syndrome. To the best of our knowledge, the SC study is internationally the only longitudinal family cohort of subjects who are presumed to be healthy, which enables the study of the chain DNA-RNA-proteins.

  1. Reference values for salivary testosterone in adolescent boys and girls determined using Isotope-Dilution Liquid-Chromatography Tandem Mass Spectrometry (ID-LC-MS/MS).

    Science.gov (United States)

    Büttler, Rahel M; Peper, Jiska S; Crone, Eveline A; Lentjes, Eef G W; Blankenstein, Marinus A; Heijboer, Annemieke C

    2016-05-01

    The measurement of testosterone in saliva is an attractive alternative to serum analysis due to the simple and non-invasive sample collection. In children and adolescents salivary testosterone is mainly measured to investigate whether puberty has started or not. This study aimed to establish reference values for salivary testosterone during puberty in boys and girls. We measured salivary testosterone using ID-LC-MS/MS in a cohort of 131 girls and 123 boys of whom each had salivary testosterone measured at two time points during puberty. Salivary testosterone concentrations start to increase with the start of puberty around eight years and continuously increase up to adult concentrations in the following ten years. Reference values were calculated using the Lambda-Mu-Sigma (LMS)-curve fitting method and provided per year from 8 to 26 years of age in boys and girls. These reference ranges may help clinicians and researchers to interpret salivary testosterone results in both individual patients and study subjects.

  2. Cadmium background concentrations to establish reference quality values for soils of São Paulo State, Brazil.

    Science.gov (United States)

    de Oliveira, Vinicius Henrique; de Abreu, Cleide Aparecida; Coelho, Ricardo Marques; Melo, Leônidas Carrijo Azevedo

    2014-03-01

    Proper assessment of soil cadmium (Cd) concentrations is essential to establish legislative limits. The present study aimed to assess background Cd concentrations in soils from the state of São Paulo, Brazil, and to correlate such concentrations with several soil attributes. The topsoil samples (n = 191) were assessed for total Cd contents and for other metals using the USEPA 3051A method. The background concentration was determined according to the third quartile (75th). Principal component analysis, Spearman correlation, and multiple regressions between Cd contents and other soil attributes (pH, cation exchange capacity (CEC), clay content, sum of bases, organic matter, and total Fe, Al, Zn, and Pb levels) were performed. The mean Cd concentration of all 191 samples was 0.4 mg kg(-1), and the background concentration was 0.5 mg kg(-1). After the samples were grouped by parent material (rock origin) and soil type, the background Cd content varied, i.e., soils from igneous, metamorphic, and sedimentary rocks harbored 1.5, 0.4, and 0.2 mg kg(-1) of Cd, respectively. The background Cd content in Oxisols (0.8 mg kg(-1)) was higher than in Ultisols (0.3 mg kg(-1)). Multiple regression demonstrated that Fe was primarily attributed to the natural Cd contents in the soils (R (2) = 0.79). Instead of a single Cd background concentration value representing all São Paulo soils, we propose that the concentrations should be specific for at least Oxisols and Ultisols, which are the primary soil types.

  3. Diagnostic value of frozen section study for thyroid nodules in patients referred to Shariati Hospital 1997-2000

    Directory of Open Access Journals (Sweden)

    "Shirzad M

    2001-11-01

    Full Text Available Frozen section is a useful method in the diagnosis of different malignancies including those of thyroid origin. However, there are still controversies about its application, sensitivity and specificity for thyroid neoplasm. In this study, diagnostic value of frozen section (FS was compared with permanent histopathologic and Fine Needle Aspiration (FNA. In this study, which was conducted in process research method, permanent sample, FNA, and frozen section results in 214 patients was compared. All of these 214 patients had been seeking medical evaluation for thyroid nodules between years 1997 and 1999 in Shariati hospital. All pathologic evaluations were performed by pathology staff of this hospital. Permanent pathology was considered as the gold standard; so the specificity, sensitivity and diagnostic precision of FNA and FS were evaluated on the basis of its results. We use Macnemar test for this purpose. The number of patients during this period were 214 (160 women and 54 men. Mean age of our patients was 42.3±5.4 and their age ranged between 12 to 84 years. Pathologic results revealed that 163 of the patients (76 percent had benign lesions, and 51 of them (24 percent had malignant lesions. Thyroid malignancies comparised papillary carcinoma (70 percent, follicular carcinoma (13.5 percent, papilofollicular carcinoma (6 percent, medulary carcinoma (6 percent, Hurtle cell carcinoma (4 percent and anaplastic carcinoma (5 percent. FNA was done in all of the patients before surgery and was able to determine the status of nodules in 150 patients. Sensitivity, specificity and precision of FNA in these 150 patients were 72, 96 and 90 percents respectively. When FNA was unable to determine the status of a nodule (64 remaining patients, FS was applied to do the job. A sensitivity of 36 percent, specificity of 85 percent and precision of 73 percent was found in this group of patients. Macnemar test showed that there is no significant difference between

  4. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies), 2015. Scientific Opinion on Dietary Reference Values for cobalamin (vitamin B12)

    DEFF Research Database (Denmark)

    Tetens, Inge

    2015-01-01

    Following a request from the European Commission, the EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) derived Dietary Reference Values (DRVs) for cobalamin (vitamin B12). The Panel considers that the approach based on a combination of biomarkers of cobalamin status, i.e. serum...... (AR) cannot be determined from the limited data available. There is consistent evidence in adults that a cobalamin intake of 4 μg/day and greater is associated with serum concentrations of holoTC and cobalamin within the reference ranges derived from healthy subjects, together with MMA and t....... For pregnancy and lactation, additional cobalamin intakes related to the accumulation of cobalamin in fetal tissues and transfer of cobalamin into breast milk are considered and AIs of 4.5 and 5 μg/day, respectively, are proposed....

  5. Ecological Evaluation Index continuous formula (EEI-c application: a step forward for functional groups, the formula and reference condition values

    Directory of Open Access Journals (Sweden)

    S. ORFANIDIS

    2011-04-01

    Full Text Available The Ecological Evaluation Index continuous formula (EEI-c was designed to estimate the habitat- based ecological status of rocky coastal and sedimentary transitional waters using shallow benthic macrophyte communities as bioindicators. This study aimed to remedy the weaknesses of the currently used EEI methodology in: (1 ecological status groups (ESG, (2 the formula, and (3 reference condition values. A cluster analysis of twelve species traits was used to delineate ESGs. Two main clusters (ESG I, late-successional; ESG II, opportunistic were identified that were hierarchically divided into three and two sub-clusters, respectively: ESG I comprised thick perennial (IA, thick plastic (IB and shade-adapted plastic (IC coastal water species, and angiosperm plastic (IA, thick plastic (IB and shade-adapted plastic (IC transitional water species. ESG II comprised fleshy opportunistic (IIB and filamentous sheet-like opportunistic (IIA species both in coastal and transitional waters. To avoid discrete jumps at the boundaries between predefined ecological categories, a hyperbolic model that approximates the index values and expresses the ecosystem status in continuous numbers was developed. Seventy-four quantitative and destructive samples of the upper infralittoralCystoseira crinita and coastal lagoonRuppia cirrhosa communities from tentative pristine to less impacted sites in Greece verified 10 as an ‘ideal’ EEI-c reference condition value.

  6. Cancer mode of action, weight of evidence, and proposed cancer reference value for hexahydro-1,3,5-trinitro-1,3,5-triazine (RDX).

    Science.gov (United States)

    Sweeney, Lisa M; Okolica, Michelle R; Gut, Chester P; Gargas, Michael L

    2012-11-01

    Hexahydro-1,3,5-trinitro-1,3,5-triazine (RDX, CAS No. 121-82-4) is a component of munitions formulations, and has been detected in groundwater samples collected at various US military sites. Clean up target levels for RDX may be derived based on consideration of acceptable cumulative human exposure as expressed in toxicity reference values. Evaluations of the cancer weight of evidence and possible modes of action (MOA) for RDX-induced cancer were conducted. It was concluded that the available data provide suggestive evidence of human carcinogenic potential for RDX. While a mutagenic/genotoxic MOA for RDX is unlikely, no alterative MOA is strongly supported by the available data. A nonlinear (threshold) approach to the assessment of human cancer risk was recommended, and a recommended chronic cancer reference dose of 0.08mg/kg/day was derived. For comparison only, computations using a linear approach were also conducted, yielding a cancer risk specific dose of 0.000235mg/kg/day for 1 in 10(5) risk; this value is 2.6-fold higher the current US EPA risk specific dose for 1 in 10(5) risk. Thus, cleanup standards based on human health risk from RDX exposure could potentially depend on the willingness of risk managers to accept a nonlinear MOA and nonlinear toxicity risk value derivation. Published by Elsevier Inc.

  7. Ecological Evaluation Index continuous formula (EEI-c application: a step forward for functional groups, the formula and reference condition values

    Directory of Open Access Journals (Sweden)

    S. ORFANIDIS

    2012-12-01

    Full Text Available The Ecological Evaluation Index continuous formula (EEI-c was designed to estimate the habitat- based ecological status of rocky coastal and sedimentary transitional waters using shallow benthic macrophyte communities as bioindicators. This study aimed to remedy the weaknesses of the currently used EEI methodology in: (1 ecological status groups (ESG, (2 the formula, and (3 reference condition values. A cluster analysis of twelve species traits was used to delineate ESGs. Two main clusters (ESG I, late-successional; ESG II, opportunistic were identified that were hierarchically divided into three and two sub-clusters, respectively: ESG I comprised thick perennial (IA, thick plastic (IB and shade-adapted plastic (IC coastal water species, and angiosperm plastic (IA, thick plastic (IB and shade-adapted plastic (IC transitional water species. ESG II comprised fleshy opportunistic (IIB and filamentous sheet-like opportunistic (IIA species both in coastal and transitional waters. To avoid discrete jumps at the boundaries between predefined ecological categories, a hyperbolic model that approximates the index values and expresses the ecosystem status in continuous numbers was developed. Seventy-four quantitative and destructive samples of the upper infralittoralCystoseira crinita and coastal lagoonRuppia cirrhosa communities from tentative pristine to less impacted sites in Greece verified 10 as an ‘ideal’ EEI-c reference condition value.

  8. The head-shaft angle of the hip in early childhood: a comparison of reference values for children with cerebral palsy and normally developing hips.

    Science.gov (United States)

    van der List, J P; Witbreuk, M M; Buizer, A I; van der Sluijs, J A

    2015-09-01

    The recognition of hips at risk of displacement in children with cerebral palsy (CP) is a difficult problem for the orthopaedic surgeon. The Gross Motor Function Classification System (GMFCS) and head-shaft angle (HSA) are prognostic factors for hip displacement. However, reference values for HSA are lacking. This study describes and compares the development of HSA in normal hips and children with CP. We selected 33 children from a retrospective cohort with unilateral developmental dysplasia of the hip (DDH) (five boys, 28 girls) and 50 children (35 boys, 15 girls) with CP with GMFCS levels II to V. HSA of normal developing hips was measured at the contralateral hip of unilateral DDH children (33 hips) and HSA of CP children was measured in both hips (100 hips). Measurements were taken from the radiographs of the children at age two, four and seven years. The normal hip HSA decreased by 2° per year (p GMFCS levels II and III HSA decreased by 0.6° (p = 0.046) and 0.9° (p = 0.049) per year, respectively. The HSA did not alter significantly in GMFCS levels IV and V. Between the ages of two and eight years, the HSA decreases in normal hips and CP children with GMFCS level, II to III but does not change in GMFCS levels IV to V. As HSA has a prognostic value for hip displacement, these reference values may help the orthopaedic surgeon to predict future hip displacement in children with CP.

  9. Left ventricular myocardial strain by three-dimensional speckle-tracking echocardiography in healthy subjects: reference values and analysis of their physiologic and technical determinants.

    Science.gov (United States)

    Muraru, Denisa; Cucchini, Umberto; Mihăilă, Sorina; Miglioranza, Marcelo Haertel; Aruta, Patrizia; Cavalli, Giacomo; Cecchetto, Antonella; Padayattil-Josè, Seena; Peluso, Diletta; Iliceto, Sabino; Badano, Luigi P

    2014-08-01

    Despite growing interest in applying three-dimensional (3D) speckle-tracking echocardiography (STE) to measure left ventricular (LV) myocardial deformation in various diseases, normative values for 3D speckle-tracking echocardiographic parameters and the effects of demographic, hemodynamic, and technical factors on these values are unknown. In 265 healthy volunteers (age range, 18-76; 57% women), longitudinal strain (3DLε), circumferential strain (3DCε), radial strain (3DRε), and area strain (3DAε) were measured by using vendor-specific (Vsp) 3D speckle-tracking echocardiographic equipment. LV strain was also measured by using Vsp two-dimensional (2D) and vendor-independent 3D speckle-tracking echocardiographic software packages, for comparison. Reference values (lower limit of normality) for Vsp 3D STE were -17% to -21% (-15%) for 3DLε, -17% to -20% (-14%) for 3DCε, -31% to -36% (-26%) for 3DAε, and 47% to 59% (38%) for 3DRε. Three-dimensional longitudinal strain decreased, whereas 3DCε increased, with aging (P < .003), with different trends in men and women. Men had lower 3DLε, 3DRε, 3DAε, and 2D longitudinal strain than women (P < .02). LV 3D strain parameters were also influenced by LV volumes and mass, image quality, and temporal resolution (P < .02). Reference values obtained by Vsp 2D STE were -20% to -23% (-18%) for 2D longitudinal strain, -20% to -24% (-17%) for 2D circumferential strain, and 39% to 54% (28%) for 2D radial strain (P < .001 vs Vsp 3D STE). Significantly different 3DCε and 3DRε values were obtained with vendor-independent versus Vsp 3D STE (P < .001). In healthy subjects, reference values of LV 3D strain parameters were significantly influenced by demographic, cardiac, and technical factors. Limits of normality of LV strain by Vsp 3D STE should not be used interchangeably with Vsp 2D STE or with Vin 3D STE software. Copyright © 2014 American Society of Echocardiography. Published by Mosby, Inc. All rights reserved.

  10. Determinants of Aortic Root Dilatation and Reference Values Among Young Adults Over a 20-Year Period: Coronary Artery Risk Development in Young Adults Study.

    Science.gov (United States)

    Teixido-Tura, Gisela; Almeida, Andre L C; Choi, Eui-Young; Gjesdal, Ola; Jacobs, David R; Dietz, Harry C; Liu, Kiang; Sidney, Stephen; Lewis, Cora E; Garcia-Dorado, David; Evangelista, Artur; Gidding, Samuel; Lima, João A C

    2015-07-01

    Aortic size increases with age, but factors related to such dilatation in healthy young adult population have not been studied. We aim to evaluate changes in aortic dimensions and its principal correlates among young adults over a 20-year time period. Reference values for aortic dimensions in young adults by echocardiography are also provided. Healthy Coronary Artery Risk Development in Young Adults (CARDIA) study participants aged 23 to 35 years in 1990-1991 (n=3051) were included after excluding 18 individuals with significant valvular dysfunction. Aortic root diameter (ARD) by M-mode echocardiography at year-5 (43.7% men; age, 30.2 ± 3.6 years) and year-25 CARDIA exams was obtained. Univariable and multivariable analyses were performed to assess associations of ARD with clinical data at years-5 and -25. ARD from year-5 was used to establish reference values of ARD in healthy young adults. ARD at year-25 was greater in men (33.3 ± 3.7 versus 28.7 ± 3.4 mm; P<0.001) and in whites (30.9 ± 4.3 versus 30.5 ± 4.1 mm; P=0.006). On multivariable analysis, ARD at year-25 was positively correlated with male sex, white ethnicity, age, height, weight, 20-year gain in weight, active smoking at baseline, and 20-year increase in diastolic, systolic, and mean arterial pressure. A figure showing the estimated 95th percentile of ARD by age and body surface area stratified by race and sex is provided. This study demonstrates that smoking, blood pressure, and increase in body weight are the main modifiable correlates of aortic root dilation during young adulthood. Our study also provides reference values for ARD in young adults.

  11. Reference values for the geometric centre analysis of colonic transit measurements with 111indium-labelled diethylenetriamine penta-acetic acid

    DEFF Research Database (Denmark)

    Madsen, Jan Lysgård; Fuglsang, Stefan; Graff, Jesper

    2003-01-01

    The geometric centre analysis is often used for evaluating colonic transit data obtained by scintigraphy after oral intake of 111indium-labelled diethylenetriamine penta-acetic acid (111In-DTPA). The purpose of this study was to establish reference values for the geometric centre analysis in adult...... humans. Forty-eight healthy volunteers (24 women, 24 men) who were equally distributed among three age groups (young, middle-aged, elderly) were studied. In all subjects the geometric centre of radioactivity in the colon was calculated from abdominal gamma camera images acquired 24, 48, 72, and 96 h...

  12. Comparison of Reference Values in Whole Blood of DMDmdx/J and C57BL/6J Mice Using Neutron Activation Analysis

    Science.gov (United States)

    Metairon, S.; Zamboni, C. B.; Suzuki, M. F.; Júnior, C. R. B.; Sant'Anna, O. A.

    2011-08-01

    The Br, Ca, Cl, K, Na and S concentrations in whole blood of DMDmdx/J and C57BL/6J mice were determined using Neutron Activation Analysis technique. Reference values obtained from twenty one whole blood samples of these strains were analyzed in the IEA-R1 nuclear reactor at IPEN (São Paulo, Brasil). These data contribute for applications in veterinary medicine related to biochemistry analyses using whole blood as well as to evaluate the performance of treatments in muscular dystrophy.

  13. Reference values assessment in a Mediterranean population for small dense low-density lipoprotein concentration isolated by an optimized precipitation method

    Directory of Open Access Journals (Sweden)

    Fernández-Cidón B

    2017-06-01

    Full Text Available Bárbara Fernández-Cidón,1–3 Ariadna Padró-Miquel,1 Pedro Alía-Ramos,1 María José Castro-Castro,1 Marta Fanlo-Maresma,4 Dolors Dot-Bach,1 José Valero-Politi,1 Xavier Pintó-Sala,4 Beatriz Candás-Estébanez1 1Clinical Laboratory, Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Spain; 2Department of Biochemistry, Molecular Biology and Biomedicine, Autonomous University of Barcelona (UAB, Barcelona, Spain; 3Department of Pharmacotherapy, Pharmacogenetics and Pharmaceutical Technology, Institut d’Investigació Biomèdica de Bellvitge (IDIBELL, L’Hospitalet de Llobregat, Spain; 4Cardiovascular Risk Unit, Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Spain Background: High serum concentrations of small dense low-density lipoprotein cholesterol (sd-LDL-c particles are associated with risk of cardiovascular disease (CVD. Their clinical application has been hindered as a consequence of the laborious current method used for their quantification. Objective: Optimize a simple and fast precipitation method to isolate sd-LDL particles and establish a reference interval in a Mediterranean population. Materials and methods: Forty-five serum samples were collected, and sd-LDL particles were isolated using a modified heparin-Mg2+ precipitation method. sd-LDL-c concentration was calculated by subtracting high-density lipoprotein cholesterol (HDL-c from the total cholesterol measured in the supernatant. This method was compared with the reference method (ultracentrifugation. Reference values were estimated according to the Clinical and Laboratory Standards Institute and The International Federation of Clinical Chemistry and Laboratory Medicine recommendations. sd-LDL-c concentration was measured in serums from 79 subjects with no lipid metabolism abnormalities. Results: The Passing–Bablok regression equation is y = 1.52 (0.72 to 1.73 + 0.07x (−0.1 to 0.13, demonstrating no significant statistical differences

  14. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies), 2015. Scientific Opinion on Dietary Reference Values for vitamin E as α-tocopherol

    DEFF Research Database (Denmark)

    Tetens, Inge

    2015-01-01

    Following a request from the European Commission, the EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) derived Dietary Reference Values (DRVs) for vitamin E. In this Opinion, the Panel considers vitamin E as α-tocopherol only. The Panel considers that Average Requirements (ARs...... of average intakes of α-tocopherol and of α-tocopherol equivalents estimated by EFSA from dietary surveys in children and adults in nine countries. The Panel notes the uncertainties in the available food composition and consumption data, the fact that most EU food composition databases contain values......-tocopherol is set at 6 mg/day for both sexes. For children aged 3 to sexes. For children aged 10 to

  15. Pedo-geochemical baseline content levels and soil quality reference values of trace elements in soils from the Mediterranean (Castilla La Mancha, Spain)

    Science.gov (United States)

    Ballesta, Raimundo; Bueno, Paz; Rubi, Juan; Giménez, Rosario

    2010-12-01

    To evaluate trace element soil contamination, geochemical baseline contents and reference values need to be established. Pedo-geochemical baseline levels of trace elements in 72 soil samples of 24 soil profiles from the Mediterranean, Castilla La Mancha, are assessed and soil quality reference values are calculated. Reference value contents (in mg kg-1) were: Sc 50.8; V 123.2; Cr 113.4; Co 20.8; Ni 42.6; Cu 27.0; Zn 86.5; Ga 26.7; Ge 1.3; As 16.7; Se 1.4; Br 20.1; Rb 234.7; Sr 1868.4; Y 38.3; Zr 413.1; Nb 18.7; Mo 2.0; Ag 7.8; Cd 4.4; Sn 8.7; Sb 5.7; I 25.4; Cs 14.2; Ba 1049.3; La 348.4; Ce 97.9; Nd 40.1; Sm 10.7; Yb 4.2; Hf 10.0; Ta 4.0; W 5.5; Tl 2.3; Pb 44.2; Bi 2.2; Th 21.6; U 10.3. The contents obtained for some elements are below or close to the detection limit: Co, Ge, Se, Mo, Ag, Cd, Sb, Yb, Hf, Ta, W, Tl and Bi. The element content ranges (the maximum value minus the minimum value) are: Sc 55.0, V 196.0, Cr 346.0, Co 64.4, Ni 188.7, Cu 49.5, Zn 102.3, Ga 28.7, Ge 1.5, As 26.4, Se 0.9, Br 33.0 Rb 432.7, Sr 3372.6, Y 39.8, Zr 523.2, Nb 59.7, Mo 3.9, Ag 10.1, Cd 1.8, Sn 75.2, Sb 9.9, I 68.0, Cs 17.6, Ba 1394.9, La 51.3, Ce 93.5, Nd 52.5, Sm 11.2, Yb 4.2, Hf 11.3, Ta 6.3, W 5.2, Tl 2.1, Pb 96.4, Bi 3.0, Th 24.4, U 16.4 (in mg kg-1). The spatial distribution of the elements was affected mainly by the nature of the bedrock and by pedological processes. The upper limit of expected background variation for each trace element in the soil is documented, as is its range as a criterion for evaluating which sites may require decontamination.

  16. Quantitative Analysis of Plutonium Content in Particles Collected from a Certified Reference Material by Total Nuclear Reaction Energy (Q Value) Spectroscopy

    Science.gov (United States)

    Croce, M. P.; Hoover, A. S.; Rabin, M. W.; Bond, E. M.; Wolfsberg, L. E.; Schmidt, D. R.; Ullom, J. N.

    2016-08-01

    Microcalorimeters with embedded radioisotopes are an emerging category of sensor with advantages over existing methods for isotopic analysis of trace-level nuclear materials. For each nuclear decay, the energy of all decay products captured by the absorber (alpha particles, gamma rays, X-rays, electrons, daughter nuclei, etc.) is measured in one pulse. For alpha-decaying isotopes, this gives a measurement of the total nuclear reaction energy (Q value) and the spectra consist of well-separated, narrow peaks. We have demonstrated a simple mechanical alloying process to create an absorber structure consisting of a gold matrix with small inclusions of a radioactive sample. This absorber structure provides an optimized energy thermalization environment, resulting in high-resolution spectra with minimal tailing. We have applied this process to the analysis of particles collected from the surface of a plutonium metal certified reference material (CRM-126A from New Brunswick Laboratory) and demonstrated isotopic analysis by microcalorimeter Q value spectroscopy. Energy resolution from the Gaussian component of a Bortels function fit was 1.3 keV FWHM at 5244 keV. The collected particles were integrated directly into the detector absorber without any chemical processing. The ^{238}Pu/^{239}Pu and ^{240}Pu/^{239}Pu mass ratios were measured and the results confirmed against the certificate of analysis for the reference material. We also demonstrated inter-element analysis capability by measuring the ^{241}Am/^{239}Pu mass ratio.

  17. Reference values for the cervical length measurement in the second trimester of pregnancy using the transvaginal ultrasound in a large Brazilian population

    Science.gov (United States)

    Peixoto, Alberto Borges; da Cunha Caldas, Taciana Mara Rodrigues; Alamy, Ana Helena Bittencourt; Martins, Wellington P.; Bruns, Rafael Frederico

    2016-01-01

    To establish reference values for the cervical length (CL) measurement by transvaginal ultrasound between 20 and 24+6 weeks of gestation in a large Brazilian population. A retrospective cross-sectional study was performed with 996 singleton pregnancies. The CL measurement (mm) using the transvaginal ultrasound was obtained in a sagittal view and the calipers positioned to measure the linear distance between the triangular area of echodensity at the external os and the internal os. The median±standard deviation and ranges for the CL measurement (mm) was 37.0±10.7 (range, 8 to 51). CL measurement did not modify significantly with gestational age. The observed percentiles for the CL measurement (mm) considering all number case were the following: 5th, 28 mm; 50th, 37 mm; and 95th, 45 mm. Reference values for the CL measurement by transvaginal ultrasound between 20 and 24+6 weeks of gestation in a large heterogeneous Brazilian population were established. PMID:27462597

  18. Thoracic and abdominal aortic diameters in a general population: MRI-based reference values and association with age and cardiovascular risk factors

    Energy Technology Data Exchange (ETDEWEB)

    Mensel, Birger; Hesselbarth, Lydia; Wenzel, Michael; Kuehn, Jens-Peter; Hegenscheid, Katrin [University Medicine Greifswald, Institute of Diagnostic Radiology and Neuroradiology, Greifswald (Germany); Doerr, Marcus [University Medicine Greifswald, Department of Internal Medicine, Greifswald (Germany); DZHK (German Center for Cardiovascular Research), partner site Greifswald, Greifswald (Germany); Voelzke, Henry [University Medicine Greifswald, Institute for Community Medicine, Greifswald (Germany); DZHK (German Center for Cardiovascular Research), partner site Greifswald, Greifswald (Germany); Lieb, Wolfgang [Christian Albrechts University, Institute of Epidemiology, Kiel (Germany); Lorbeer, Roberto [Ludwig-Maximilians-University Hospital, Institute of Clinical Radiology, Munich (Germany)

    2016-04-15

    To generate reference values for thoracic and abdominal aortic diameters determined by magnetic resonance imaging (MRI) and analyse their association with cardiovascular risk factors in the general population. Data from participants (n = 1759) of the Study of Health in Pomerania were used for analysis in this study. MRI measurement of thoracic and abdominal aortic diameters was performed. Parameters for calculation of reference values according to age and sex analysis were provided. Multivariable linear regression models were used for determination of aortic diameter-related risk factors, including smoking, blood pressure (BP), high-density lipoprotein cholesterol (HDL-C). For the ascending aorta (β = -0.049, p < 0.001), the aortic arch (β = -0.061, p < 0.001) and the subphrenic aorta (β = -0.018, p = 0.004), the body surface area (BSA)-adjusted diameters were lower in men. Multivariable-adjusted models revealed significant increases in BSA-adjusted diameters with age for all six aortic segments (p < 0.001). Consistent results for all segments were observed for the positive associations of diastolic BP (β = 0.001; 0.004) and HDL (β = 0.035; 0.087) with BSA-adjusted aortic diameters and for an inverse association of systolic BP (β = -0.001). Some BSA-adjusted median aortic diameters are smaller in men than in women. All diameters increase with age, diastolic blood pressure and HDL-C and decrease as systolic BP increases. (orig.)

  19. Value-Based Assessment of Radiology Reporting Using Radiologist-Referring Physician Two-Way Feedback System-a Design Thinking-Based Approach.

    Science.gov (United States)

    Shaikh, Faiq; Hendrata, Kenneth; Kolowitz, Brian; Awan, Omer; Shrestha, Rasu; Deible, Christopher

    2017-06-01

    In the era of value-based healthcare, many aspects of medical care are being measured and assessed to improve quality and reduce costs. Radiology adds enormously to health care costs and is under pressure to adopt a more efficient system that incorporates essential metrics to assess its value and impact on outcomes. Most current systems tie radiologists' incentives and evaluations to RVU-based productivity metrics and peer-review-based quality metrics. In a new potential model, a radiologist's performance will have to increasingly depend on a number of parameters that define "value," beginning with peer review metrics that include referrer satisfaction and feedback from radiologists to the referring physician that evaluates the potency and validity of clinical information provided for a given study. These new dimensions of value measurement will directly impact the cascade of further medical management. We share our continued experience with this project that had two components: RESP (Referrer Evaluation System Pilot) and FRACI (Feedback from Radiologist Addressing Confounding Issues), which were introduced to the clinical radiology workflow in order to capture referrer-based and radiologist-based feedback on radiology reporting. We also share our insight into the principles of design thinking as applied in its planning and execution.

  20. Evaluating the effective numbers of independent tests and significant p-value thresholds in commercial genotyping arrays and public imputation reference datasets.

    Science.gov (United States)

    Li, Miao-Xin; Yeung, Juilian M Y; Cherny, Stacey S; Sham, Pak C

    2012-05-01

    Current genome-wide association studies (GWAS) use commercial genotyping microarrays that can assay over a million single nucleotide polymorphisms (SNPs). The number of SNPs is further boosted by advanced statistical genotype-imputation algorithms and large SNP databases for reference human populations. The testing of a huge number of SNPs needs to be taken into account in the interpretation of statistical significance in such genome-wide studies, but this is complicated by the non-independence of SNPs because of linkage disequilibrium (LD). Several previous groups have proposed the use of the effective number of independent markers (M(e)) for the adjustment of multiple testing, but current methods of calculation for M(e) are limited in accuracy or computational speed. Here, we report a more robust and fast method to calculate M(e). Applying this efficient method [implemented in a free software tool named Genetic type 1 error calculator (GEC)], we systematically examined the M(e), and the corresponding p-value thresholds required to control the genome-wide type 1 error rate at 0.05, for 13 Illumina or Affymetrix genotyping arrays, as well as for HapMap Project and 1000 Genomes Project datasets which are widely used in genotype imputation as reference panels. Our results suggested the use of a p-value threshold of ~10(-7) as the criterion for genome-wide significance for early commercial genotyping arrays, but slightly more stringent p-value thresholds ~5 × 10(-8) for current or merged commercial genotyping arrays, ~10(-8) for all common SNPs in the 1000 Genomes Project dataset and ~5 × 10(-8) for the common SNPs only within genes.

  1. Semen analysis in fertile patients undergoing vasectomy: reference values and variations according to age, length of sexual abstinence, seasonality, smoking habits and caffeine intake

    Directory of Open Access Journals (Sweden)

    Bernardo Passos Sobreiro

    Full Text Available CONTEXT AND OBJECTIVE: Recent studies have shown regional and population differences in semen characteristics. The objective was to establish reference values for semen analysis and to verify the effect that age, length of sexual abstinence, seasonality, smoking habits and coffee consumption have on fertile individuals’ semen characteristics. DESIGN AND SETTING: Prospective study in the Urology Division, Hospital das Clínicas, Universidade de São Paulo. METHODS: Between September 1999 and August 2002, 500 fertile men requesting a vasectomy for sterilization purposes were asked to provide a semen sample before the vasectomy. We evaluated the effects of age, sexual abstinence, seasonality, smoking and coffee consumption on semen characteristics. RESULTS: Compared with World Health Organization values, 87.2% of the patients presented sperm morphology below the normal level. A significant decline in semen volume, sperm motility and sperm morphology in patients over 45 years of age was observed. In patients with 5 days or more of abstinence, there was reduced sperm motility. The lowest values for sperm concentration, motility and morphology were observed in summer and the highest in winter. No differences in semen parameters relating to smoking were detected. Patients who drank six or more cups of coffee per day presented higher sperm motility. CONCLUSIONS: Our sample had a very low percentage of normal sperm morphology. Only sperm morphology showed a high abnormality rate. Differences in semen parameters with regard to age, length of sexual abstinence, seasonality and coffee consumption were identified. No differences relating to smoking were detected.

  2. Limiares de reconhecimento de sentenças no ruído, em campo livre: valores de referência para adultos normo-ouvintes Speech recognition thresholds in noisy areas: reference values for normal hearing adults

    Directory of Open Access Journals (Sweden)

    Marília Oliveira Henriques

    2008-04-01

    Full Text Available Nas clínicas de audiologia, as queixas de dificuldade de compreensão da fala em ambientes ruidosos são freqüentes, mesmo para indivíduos normo-ouvintes. Assim, o audiologista deve não só identificar uma perda auditiva, mas também analisar a compreensão da fala, em condições de comunicação próximas às encontradas no cotidiano. OBJETIVO: Determinar o valor de referência para os limiares de reconhecimento de sentenças no ruído, em campo livre, para indivíduos adultos normo-ouvintes. MATERIAL E MÉTODO: O experimento foi realizado nos anos de 2005 e 2006. Participaram da pesquisa 150 indivíduos adultos normo-ouvintes, com idade entre 18 e 64 anos, avaliados em cabine acusticamente tratada. Realizou-se a avaliação a partir da aplicação do teste Listas de Sentenças em Português. As listas de sentenças foram apresentadas em campo livre, na presença de um ruído competitivo, na intensidade fixa de 65 dB A. O ângulo de incidência de ambos os estímulos foi de 0º- 0º azimute. RESULTADOS E CONCLUSÃO: Os limiares de reconhecimento de sentenças em campo-livre foram obtidos na relação sinal-ruído de -8,14 dB A, sendo este o valor de referência para indivíduos normo-ouvintes.In audiology clinics, complaints about difficulties in speech recognition in noise environments are frequent, even for normal-hearing individuals. Thus, the audiologist must not only identify a hearing loss, but also analyze speech recognition, under noisy conditions similar to those found in our daily lives. AIM: Determine the reference value for the recognition of phrases under noisy conditions, in the free field, for adult normal hearing patients. MATERIALS AND METHODS: This study was carried out in 2005 and 2006. We had 150 adult normal hearing individuals participating, with ages between 18 and 64 years, assessed in a sound-proof booth. We evaluation was based on lists of phrases in Portuguese. The phrases lists were presented in the free field

  3. Protocolo de Observação Comportamental - PROC: valores de referência para uma análise quantitativa Behavioral Observation Protocol: reference values for a quantitative analysis

    Directory of Open Access Journals (Sweden)

    Simone Rocha de Vasconcellos Hage

    2012-08-01

    Full Text Available OBJETIVO: obter valores de referência para protocolo de observação comportamental (PROC sobre o desenvolvimento de habilidades comunicativas e de esquemas simbólicos em crianças com desenvolvimento típico de linguagem. MÉTODO: foram avaliadas 44 crianças entre 24 e 47 meses de ambos os gêneros, selecionadas em escolas de educação infantil, por meio de triagem do desenvolvimento global Denver II e questionário com os pais. Todas as crianças foram filmadas durante 30 minutos em interação com um adulto em atividade envolvendo brinquedos. As gravações foram analisadas por meio do PROC. A análise estatística descreveu valores de média, mediana, valores mínimos e máximos. Foi utilizado o teste T de Student para comparação das idades. RESULTADOS: nas habilidades comunicativas, as crianças do estudo mostraram evolução com a idade (média para três e dois anos, respectivamente: 58,12 e 51,44, apesar de não ter sido encontrada diferença estatisticamente significante para as faixas etárias comparadas (p=0,486. Quanto ao item compreensão verbal, as crianças de três anos obtiveram melhor desempenho que as de dois (respectivas médias: 59,41 e 50,70, havendo diferença estatisticamente significante (p=0,0000020. Em relação ao item aspectos do desenvolvimento cognitivo, as crianças de três anos apresentaram melhor desempenho em comparação com as de dois (respectivas médias: 44,53 e 31,96, havendo diferença estatisticamente significante entre as pontuações obtidas (p=0,00364, mostrando que as crianças evoluem na hierarquia do simbolismo. CONCLUSÃO: a obtenção de valores de referência para o PROC veio combinar análise qualitativa e quantitativa, contribuindo, além do diagnóstico, para o acompanhamento objetivo de processos terapêuticos.PURPOSE: to obtain reference values for behavioral observation protocol on the development of communicative and symbolic schemes of children with typical language development

  4. Different percentages of false-positive results obtained using five methods for the calculation of reference change values based on simulated normal and ln-normal distributions of data

    DEFF Research Database (Denmark)

    Lund, Flemming; Petersen, Per Hyltoft; Fraser, Callum G;

    2016-01-01

    BACKGROUND: Reference change values provide objective tools to assess the significance of a change in two consecutive results for a biomarker from an individual. The reference change value calculation is based on the assumption that within-subject biological variation has random fluctuation around...... a homeostatic set point that follows a normal (Gaussian) distribution. This set point (or baseline in steady-state) should be estimated from a set of previous samples, but, in practice, decisions based on reference change value are often based on only two consecutive results. The original reference change value...... was based on standard deviations according to the assumption of normality, but was soon changed to coefficients of variation (CV) in the formula (reference change value = ± Z ċ 2(½) ċ CV). Z is being dependent on the desired probability of significance, which also defines the percentages of false...

  5. Vitamins A and E in liver, kidney, and whole blood of East Greenland polar bears sampled 1994–2008: reference values and temporal trends

    DEFF Research Database (Denmark)

    Bechshoft, T.; Sonne, C.; Jakobsen, Jette;

    2015-01-01

    Vitamins A (retinol) and E (α-tocopherol) are dietary vitamins, essential for, e.g., growth and development, reproduction, and immune function. Persistent organic pollutants (POPs) have been found to be related to vitamin A and E metabolism. However, few investigations have been published...... on this health issue in polar bears (Ursus maritimus). The aim of this study was thus to provide reference values for concentrations of vitamin A in liver, kidney cortex, and whole blood and vitamin E in kidney cortex and whole blood from 166 East Greenland polar bears, as well as to assess the relationship...... between POPs and vitamin concentrations. In addition, vitamin concentrations were analyzed for temporal trends (1994–2008). Results showed vitamin A in liver to be higher in adult bears and the concentrations of vitamin E in kidney and blood to likewise be generally higher in adult bears. In addition, all...

  6. Acute toxicity of metals and reference toxicants to a freshwater ostracod, Cypris subglobosa Sowerby, 1840 and correlation to EC{sub 50} values of other test models

    Energy Technology Data Exchange (ETDEWEB)

    Khangarot, B.S., E-mail: bkhangarot@hotmail.com [Ecotoxicology Division, Indian Institute of Toxicology Research (Formerly: Industrial Toxicology Research Centre), Post Box No. 80, Mahatma Gandhi Marg, Lucknow 226001 (India); Das, Sangita [Ecotoxicology Division, Indian Institute of Toxicology Research (Formerly: Industrial Toxicology Research Centre), Post Box No. 80, Mahatma Gandhi Marg, Lucknow 226001 (India)

    2009-12-30

    The ostracod Cypris subglobosa Sowerby, 1840 static bioassay test on the basis of a 48 h of 50% of immobilization (EC{sub 50}) has been used to measure the toxicity of 36 metals and metalloids and 12 reference toxicants. Among the 36 metals and metalloids, osmium (Os) was found to be the most toxic in the test while boron (B), the least toxic. The EC{sub 50} values of this study revealed positive linear relationship with the established test models of cladoceran (Daphnia magna), sludge worm (Tubifex tubifex), chironomid larvae (Chironomus tentans), protozoan (Tetrahymena pyriformis), fathead minnow (Pimephales promelas), bluegill sunfish (Lepomis macrochirus), and aquatic macrophyte duckweed (Lemna minor). Correlation coefficients (r{sup 2}) for 17 physicochemical properties of metals or metal ions and EC{sub 50}s (as pM) were examined by linear regression analysis. The electronegativity, ionization potential, melting point, solubility product of metal sulfides (pK{sub sp}), softness parameter and some other physicochemical characteristics were significantly correlated with EC{sub 50}s of metals to C. subglobosa. The reproducibility of toxicity test was determined using 12 reference toxicants. The coefficient of variability of the EC{sub 50}s ranged from 6.95% to 55.37% and variability was comparable to that noticed for D. magna and other aquatic test models. The study demonstrated the need to include crustacean ostracods in a battery of biotests to detect the presence of hazardous chemicals in soils, sewage sludges, sediments and aquatic systems.

  7. Normative reference values for the 20 m shuttle‐run test in a population‐based sample of school‐aged youth in Bogota, Colombia: the FUPRECOL study

    Science.gov (United States)

    Palacios‐López, Adalberto; Humberto Prieto‐Benavides, Daniel; Enrique Correa‐Bautista, Jorge; Izquierdo, Mikel; Alonso‐Martínez, Alicia; Lobelo, Felipe

    2016-01-01

    Abstract Objectives Our aim was to determine the normative reference values of cardiorespiratory fitness (CRF) and to establish the proportion of subjects with low CRF suggestive of future cardio‐metabolic risk. Methods A total of 7244 children and adolescents attending public schools in Bogota, Colombia (55.7% girls; age range of 9–17.9 years) participated in this study. We expressed CRF performance as the nearest stage (minute) completed and the estimated peak oxygen consumption (V˙O2peak). Smoothed percentile curves were calculated. In addition, we present the prevalence of low CRF after applying a correction factor to account for the impact of Bogota's altitude (2625 m over sea level) on CRF assessment, and we calculated the number of participants who fell below health‐related FITNESSGRAM cut‐points for low CRF. Results Shuttles and V˙O2peak were higher in boys than in girls in all age groups. In boys, there were higher levels of performance with increasing age, with most gains between the ages of 13 and 17. The proportion of subjects with a low CRF, suggestive of future cardio‐metabolic risk (health risk FITNESSGRAM category) was 31.5% (28.2% for boys and 34.1% for girls; X2 P = .001). After applying a 1.11 altitude correction factor, the overall prevalence of low CRF was 11.5% (9.6% for boys and 13.1% for girls; X2 P = .001). Conclusions Our results provide sex‐ and age‐specific normative reference standards for the 20 m shuttle‐run test and estimated V˙O2peak values in a large, population‐based sample of schoolchildren from a large Latin‐American city at high altitude. PMID:27500986

  8. Normal behaviour of circulatory parameters during exercise. Reference values for heart rate and systemic blood pressure. The ECCIS Project data. Epidemiologia e Clinica della Cardiopatia Ischemica Silente.

    Science.gov (United States)

    Menghini, F; Dally, L; Fazzini, P F; Menotti, A; Prati, P L; Rovelli, F; Antoniucci, D; Seccareccia, F

    1995-08-01

    The study of simultaneous variations in heart rate (HR) and systemic blood pressure is of great interest in ergometric practice complementing the analysis of the ST segment by ECG. This paper examines data proceeding from 500 consecutive, normal, exercise stress tests with the aim of offering reference values on the step-by-step behaviour of HR, systolic and diastolic blood pressure (SBP, DBP) during exercise in a normal population. The sample comes from a large epidemiological study (ECCIS Project) conducted on 4842 healthy, working men, aged 40-59, which proposes to identify, by a 3 stage procedure, subjects with totally asymptomatic coronary artery disease (type I silent ischemia). A further aim of our paper is to examine the influence of some physiological variables (age, height, weight, body mass index, resting HR, SBP and DBP) on the response to effort of HR, SBP and DBP; reciprocal HR/SBP adjustment during exercise; maximal attained workload and recovery time. Due to a preliminary observation that the rate of step-by-step increase in HR and SBP is inversely related to total duration, the population was split into 4 groups according to exercise tolerance (defined by maximal attained workload) to elaborate reference values. Furthermore our data demonstrate that: 1) SBP increases more rapidly with respect to HR for older and heavier subjects; 2) Exercise tolerance is inversely related to age, baseline HR and SBP, and directly related to weight and height; 3) return to baseline conditions, during recovery, is quicker for subjects with better exercise tolerance and lower baseline HR, SBP and weight.

  9. The National Football League Scouting Combine from 1999 to 2014: normative reference values and an examination of body mass normalization techniques.

    Science.gov (United States)

    Nuzzo, James L

    2015-02-01

    The primary purpose of this study was to identify the most appropriate method for normalizing physical performance measures to body mass in American football players. Data were obtained from the population of players (n = 4,603) that completed the vertical jump, broad jump, 40-yd sprint, 20-yd shuttle, 3-cone drill, and bench press at the National Football League Scouting Combine from 1999 to 2014. Correlation coefficients were used to assess relationships between body mass and physical performance measures. For the entire group and each playing position, absolute (i.e., non-normalized) performance measures were significantly (p ≤ 0.05) correlated with body mass, indicating that normalization is warranted. Ratio scaling, however, was not appropriate for normalizing most performance measures because it merely reversed (and increased in magnitude) the significant correlations between body mass and performance. Allometric scaling with derived allometric parameters was appropriate for normalizing all performance measures because correlations between body mass and performance were near to zero and no longer statistically significant. However, the derived allometric parameters differed by playing position. Thus, when normalizing physical performance measures to body mass, strength and conditioning professionals should use allometric scaling with test- and position-specific allometric parameters. Additionally, in the current study, percentile rankings were generated to provide test- and position-specific normative reference values for the absolute measures. Until body mass normalization techniques are adopted more broadly, strength and conditioning professionals can use these normative references values to compare current players with those who have already participated in the Scouting Combine.

  10. Strong or Weak Handgrip? Normative Reference Values for the German Population across the Life Course Stratified by Sex, Age, and Body Height.

    Science.gov (United States)

    Steiber, Nadia

    2016-01-01

    Handgrip strength is an important biomarker of healthy ageing and a powerful predictor of future morbidity and mortality both in younger and older populations. Therefore, the measurement of handgrip strength is increasingly used as a simple but efficient screening tool for health vulnerability. This study presents normative reference values for handgrip strength in Germany for use in research and clinical practice. It is the first study to provide normative data across the life course that is stratified by sex, age, and body height. The study used a nationally representative sample of test participants ages 17-90. It was based on pooled data from five waves of the German Socio-Economic Panel (2006-2014) and involved a total of 11,790 persons living in Germany (providing 25,285 observations). Handgrip strength was measured with a Smedley dynamometer. Results showed that peak mean values of handgrip strength are reached in men's and women's 30s and 40s after which handgrip strength declines in linear fashion with age. Following published recommendations, the study used a cut-off at 2 SD below the sex-specific peak mean value across the life course to define a 'weak grip'. Less than 10% of women and men aged 65-69 were classified as weak according to this definition, shares increasing to about half of the population aged 80-90. Based on survival analysis that linked handgrip strength to a relevant outcome, however, a 'critically weak grip' that warrants further examination was estimated to commence already at 1 SD below the group-specific mean value.

  11. Reference values of serum transferrin receptor (sTfR) and sTfR/log ferritin index in healthy children.

    Science.gov (United States)

    Vázquez-López, María A; López-Ruzafa, Encarnación; Lendinez-Molinos, Francisco; Ortiz-Pérez, María; Ruiz-Tudela, Lucía; Martín-González, Manuel

    2016-03-01

    ABSTARCT The aims of this study were to determine appropriate reference ranges for serum transferrin receptor (sTfR) and sTfR/log ferritin (sTfR-F index) in healthy children and their relationship with iron parameters, erythropoiesis, and other conditions presented by the subject. A total of 902 children with normal iron status, aged 1-11 years, were included in a cross-sectional study. A physical examination was conducted and z-score of body mass index (zBMI) obtained. Complete blood count, iron biomarkers, erythropoietin, C-reactive protein, sTfR, and sTfR/log ferritin were determined. Linear multiple regression was applied to identify the factors that determined sTfR and sTfR-F index variability. Mean values for sTfR and sTfR-F index were 1.22 ± 0.28 mg/L (95% confidence interval [CI]: 1.2-1.23) and 0.87 ± 0.25 (95% CI: 0.85-0.88). The reference intervals (2.5th to 97.5th percentiles [P2.5-P97.5]) were 0.78-1.9 mg/L and 0.49-1.46, respectively. sTfR and sTfR-F values decreased with age (P <.03 and P <.0001, respectively). No changes were observed with sex. Changes in sTfR and sTfR-F index were consistent with ferritin and erythropoietin variations. Iron biomarkers, erythropoietin, and zBMI predicted 19% and 18.1% of the sTfR and sTfR-F index variability. The results provide reference ranges for sTfR and sTfR-F index in healthy children for clinical use in the assessment of body iron status. Both biomarkers are predicted by iron parameters, erythropoietin, and zBMI.

  12. Extent and prevalence of cognitive dysfunction in chronic obstructive pulmonary disease, chronic non-obstructive bronchitis, and in asymptomatic smokers, compared to normal reference values.

    Science.gov (United States)

    Dal Negro, Roberto W; Bonadiman, Luca; Tognella, Silvia; Bricolo, Fernanda P; Turco, Paola

    2014-01-01

    Chronic obstructive pulmonary disease (COPD) can affect cognition. The effects of other less severe chronic airway disorders on cognition remain to be clarified. This study aimed to measure and compare cognitive deterioration in subjects with COPD, subjects with chronic non-obstructive bronchitis (CNOB), and asymptomatic smokers (AS), and to relate the corresponding prevalence to several demographic and clinical variables and to normal reference values. Four hundred and two subjects (COPD n=229, CNOB n=127, and AS n=46) of comparable age were included in the study. Cognitive impairment was assessed using the Mini Mental Status test, the Clock Drawing test, and the Trail Making test A and B. The extent and prevalence of cognitive deterioration was greater in COPD subjects, followed by CNOB subjects and AS (P<0.001). The Medical Research Council and COPD Assessment test scores, forced expiratory volume in the first second predicted, and arterial partial pressure of O2 and of CO2 were related to the extent and the prevalence of cognitive deterioration. COPD subjects, CNOB subjects, and AS aged 40-69 years showed the greatest cognitive impairment (P<0.01 compared to normal values). This was particularly clear in COPD subjects. Cognitive impairment may start at the early stages of chronic airway damage and progress with a worsening of the respiratory condition. Indeed, the greatest cognitive deterioration was seen in COPD subjects. Cognition impairment may contribute to explaining the insufficient adherence to therapeutic plans and strategies, and the increasing social costs in respiratory subjects.

  13. 论美国的志愿服务及借鉴价值%The Analysis of America’s Volunteer Service and Reference Value

    Institute of Scientific and Technical Information of China (English)

    孟凡平; 赵佳宾

    2012-01-01

    美国人普遍把参加志愿服务活动作为实现自我理想与价值、发挥显示自己能力、实现社会交往、积累工作经验、获得社会认可的重要方式和途径。志愿服务运动在美国社会中发挥着重要的作用,它们的组织模式对我国的志愿服务活动的开展具有重要的借鉴价值。%In the United States,volunteer service has been regarded as a social responsibility when people have free time to help or aid others.Americans generally regard attending activities of volunteer service as the important ways and approaches of realizing their ideal,their value,their ability and the social intercourse,getting social acceptance.The movement of volunteer service in American society plays an important role,their organization mode has an important reference value to the volunteer service in our country.

  14. The eye of the Barbary sheep or aoudad (Ammotragus lervia: Reference values for selected ophthalmic diagnostic tests, morphologic and biometric observations

    Directory of Open Access Journals (Sweden)

    G.A. Fornazari

    2016-06-01

    Full Text Available The purpose of this study was to describe the normal ocular anatomy and establish reference values for ophthalmic tests in the Barbary sheep or aoudad (Ammotragus lervia. Aoudad eyes are large and laterally positioned in the head with several specialized anatomic features attributed to evolutionary adaptations for grazing. Normal values for commonly used ophthalmic tests were established, Schirmer tear test (STT - 27.22 ± 3.6 mm/min; Predominant ocular surface bacterial microbiota - Staphylococcus sp.; Corneal esthesiometry- 1.3 ± 0.4 cm; Intraocular pressure by rebound tonometry- 19.47 ± 3.9 mmHg; Corneal thickness- 630.07 ± 20.67 μm, B-mode ultrasonography of the globe- axial eye globe length 29.94 ± 0.96 mm, anterior chamber depth 5.03 ± 0.17 mm, lens thickness 9.4 ± 0.33 mm, vitreous chamber depth 14.1 ± 0.53 mm; Corneal diameter- horizontal corneal diameter 25.05 ± 2.18 mm, vertical corneal diameter 17.95 ± 1.68 mm; Horizontal palpebral fissure length- 34.8 ± 3.12 mm. Knowledge of these normal anatomic variations, biometric findings and normal parameters for ocular diagnostic tests may assist veterinary ophthalmologists in the diagnosis of ocular diseases in this and other similar species.

  15. The eye of the Barbary sheep or aoudad (Ammotragus lervia): reference values for selected ophthalmic diagnostic tests, morphologic and biometric observations.

    Science.gov (United States)

    Fornazari, G A; Montiani-Ferreira, F; Filho, I R de Barros; Somma, A T; Moore, B

    2016-01-01

    The purpose of this study was to describe the normal ocular anatomy and establish reference values for ophthalmic tests in the Barbary sheep or aoudad (Ammotragus lervia). Aoudad eyes are large and laterally positioned in the head with several specialized anatomic features attributed to evolutionary adaptations for grazing. Normal values for commonly used ophthalmic tests were established, Schirmer tear test (STT) - 27.22 ± 3.6 mm/min; Predominant ocular surface bacterial microbiota - Staphylococcus sp.; Corneal esthesiometry- 1.3 ± 0.4 cm; Intraocular pressure by rebound tonometry- 19.47 ± 3.9 mmHg; Corneal thickness- 630.07 ± 20.67 µm, B-mode ultrasonography of the globe-axial eye globe length 29.94 ± 0.96 mm, anterior chamber depth 5.03 ± 0.17 mm, lens thickness 9.4 ± 0.33 mm, vitreous chamber depth 14.1 ± 0.53 mm; Corneal diameter-horizontal corneal diameter 25.05 ± 2.18 mm, vertical corneal diameter 17.95 ± 1.68 mm; Horizontal palpebral fissure length- 34.8 ± 3.12 mm. Knowledge of these normal anatomic variations, biometric findings and normal parameters for ocular diagnostic tests may assist veterinary ophthalmologists in the diagnosis of ocular diseases in this and other similar species.

  16. A new 2D-based method for myocardial velocity strain and strain rate quantification in a normal adult and paediatric population: assessment of reference values

    Directory of Open Access Journals (Sweden)

    Arcidiacono C

    2009-02-01

    Full Text Available Abstract Background Recent advances in technology have provided the opportunity for off-line analysis of digital video-clips of two-dimensional (2-D echocardiographic images. Commercially available software that follows the motion of cardiac structures during cardiac cycle computes both regional and global velocity, strain, and strain rate (SR. The present study aims to evaluate the clinical applicability of the software based on the tracking algorithm feature (studied for cardiology purposes and to derive the reference values for longitudinal and circumferential strain and SR of the left ventricle in a normal population of children and young adults. Methods 45 healthy volunteers (30 adults: 19 male, 11 female, mean age 37 ± 6 years; 15 children: 8 male, 7 female, mean age 8 ± 2 years underwent transthoracic echocardiographic examination; 2D cine-loops recordings of apical 4-four 4-chamber (4C and 2-chamber (2C views and short axis views were stored for off-line analysis. Computer analyses were performed using specific software relying on the algorithm of optical flow analysis, specifically designed to track the endocardial border, installed on a Windows™ based computer workstation. Inter and intra-observer variability was assessed. Results The feasibility of measurements obtained with tissue tracking system was higher in apical view (100% for systolic events; 64% for diastolic events than in short axis view (70% for systolic events; 52% for diastolic events. Longitudinal systolic velocity decreased from base to apex in all subjects (5.22 ± 1.01 vs. 1.20 ± 0.88; p Values of global systolic SR, both longitudinal and circumferential, were significantly higher in children than in adults (-1.3 ± 0.2, vs. -1.11 ± 0.2, p = 0.006; -1.9 ± 0.6 vs. -1.6 ± 0.5, p = 0.0265, respectively. No significant differences in longitudinal and circumferential systolic velocities were identified for any segment when comparing adults with children. Conclusion

  17. Different percentages of false-positive results obtained using five methods for the calculation of reference change values based on simulated normal and ln-normal distributions of data.

    Science.gov (United States)

    Lund, Flemming; Petersen, Per Hyltoft; Fraser, Callum G; Sölétormos, György

    2016-11-01

    Background Reference change values provide objective tools to assess the significance of a change in two consecutive results for a biomarker from an individual. The reference change value calculation is based on the assumption that within-subject biological variation has random fluctuation around a homeostatic set point that follows a normal (Gaussian) distribution. This set point (or baseline in steady-state) should be estimated from a set of previous samples, but, in practice, decisions based on reference change value are often based on only two consecutive results. The original reference change value was based on standard deviations according to the assumption of normality, but was soon changed to coefficients of variation (CV) in the formula (reference change value = ± Z ċ 2(½) ċ CV). Z is being dependent on the desired probability of significance, which also defines the percentages of false-positive results. The aim of this study was to investigate false-positive results using five different published methods for calculation of reference change value. Methods The five reference change value methods were examined using normally and ln-normally distributed simulated data. Results One method performed best in approaching the theoretical false-positive percentages on normally distributed data and another method performed best on ln-normally distributed data. The commonly used reference change value method based on two results (without use of estimated set point) performed worst both on normally distributed and ln-normally distributed data. Conclusions The optimal choice of method to calculate reference change value limits requires knowledge of the distribution of data (normal or ln-normal) and, if possible, knowledge of the homeostatic set point.

  18. Ultrasound analysis of gray-scale median value of carotid plaques is a useful reference index for cerebro-cardiovascular events in patients with type 2 diabetes.

    Science.gov (United States)

    Ariyoshi, Kyoko; Okuya, Shigeru; Kunitsugu, Ichiro; Matsunaga, Kimie; Nagao, Yuko; Nomiyama, Ryuta; Takeda, Komei; Tanizawa, Yukio

    2015-01-01

    Measurements of plaque echogenicity, the gray-scale median (GSM), were shown to correlate inversely with risk factors for cerebro-cardiovascular disease (CVD). The eicosapentaenoic acid (EPA)/arachidonic acid (AA) ratio is a potential predictor of CVD risk. In the present study, we assessed the usefulness of carotid plaque GSM values and EPA/AA ratios in atherosclerotic diabetics. A total of 84 type 2 diabetics with carotid artery plaques were enrolled. On admission, platelet aggregation and lipid profiles, including EPA and AA, were examined. Using ultrasound, mean intima media thickness and plaque score were measured in carotid arteries. Plaque echogenicity was evaluated using computer-assisted quantification of GSM. The patients were then further observed for approximately 3 years. Gray-scale median was found to be a good marker of CVD events. On multivariate logistic regression analysis, GSM <32 and plaque score ≥5 were significantly associated with past history and onset of CVD during the follow-up period, the odds ratios being 7.730 (P = 0.014) and 4.601 (P = 0.046), respectively. EPA/AA showed a significant correlation with GSM (P = 0.012) and high-density lipoprotein cholesterol (P = 0.039), and an inverse correlation with platelet aggregation (P = 0.046) and triglyceride (P = 0.020). Although most patients with CVD had both low GSM and low EPA/AA values, an association of EPA/AA with CVD events could not be statistically confirmed. The present results suggest the GSM value to be useful as a reference index for CVD events in high-risk atherosclerotic diabetics. Associations of the EPA/AA ratio with known CVD risk factors warrant a larger and more extensive study to show the usefulness of this parameter.

  19. Patient radiation doses in interventional cardiology in the U.S.: Advisory data sets and possible initial values for U.S. reference levels

    Energy Technology Data Exchange (ETDEWEB)

    Miller, Donald L.; Hilohi, C. Michael; Spelic, David C. [Center for Devices and Radiological Health, Food and Drug Administration, 10903 New Hampshire Avenue, Silver Spring, Maryland 20993 (United States)

    2012-10-15

    Purpose: To determine patient radiation doses from interventional cardiology procedures in the U.S and to suggest possible initial values for U.S. benchmarks for patient radiation dose from selected interventional cardiology procedures [fluoroscopically guided diagnostic cardiac catheterization and percutaneous coronary intervention (PCI)]. Methods: Patient radiation dose metrics were derived from analysis of data from the 2008 to 2009 Nationwide Evaluation of X-ray Trends (NEXT) survey of cardiac catheterization. This analysis used deidentified data and did not require review by an IRB. Data from 171 facilities in 30 states were analyzed. The distributions (percentiles) of radiation dose metrics were determined for diagnostic cardiac catheterizations, PCI, and combined diagnostic and PCI procedures. Confidence intervals for these dose distributions were determined using bootstrap resampling. Results: Percentile distributions (advisory data sets) and possible preliminary U.S. reference levels (based on the 75th percentile of the dose distributions) are provided for cumulative air kerma at the reference point (K{sub a,r}), cumulative air kerma-area product (P{sub KA}), fluoroscopy time, and number of cine runs. Dose distributions are sufficiently detailed to permit dose audits as described in National Council on Radiation Protection and Measurements Report No. 168. Fluoroscopy times are consistent with those observed in European studies, but P{sub KA} is higher in the U.S. Conclusions: Sufficient data exist to suggest possible initial benchmarks for patient radiation dose for certain interventional cardiology procedures in the U.S. Our data suggest that patient radiation dose in these procedures is not optimized in U.S. practice.

  20. Reference values and age and sex differences in physical performance measures for community-dwelling older Japanese: a pooled analysis of six cohort studies.

    Directory of Open Access Journals (Sweden)

    Satoshi Seino

    Full Text Available OBJECTIVES: To determine age- and sex-specific reference values for six physical performance measures, i.e. hand-grip strength, one-legged stance, and gait speed and step length at both usual and maximum paces, and to investigate age and sex differences in these measures among community-dwelling older Japanese adults. METHODS: We conducted a pooled analysis of data from six cohort studies collected between 2002 and 2011 as part of the Tokyo Metropolitan Institute of Gerontology-Longitudinal Interdisciplinary Study on Aging. The pooled analysis included cross-sectional data from 4683 nondisabled, community-dwelling adults aged 65 years or older (2168 men, 2515 women; mean age: 74.0 years in men and 73.9 years in women. RESULTS: Unweighted simple mean (standard deviation hand-grip strength, one-legged stance, usual gait speed, usual gait step length, maximum gait speed, and maximum gait step length were 31.7 (6.7 kg, 39.3 (23.0 s, 1.29 (0.25 m/s, 67.7 (10.0 cm, 1.94 (0.38 m/s, and 82.3 (11.6 cm, respectively, in men and 20.4 (5.0 kg, 36.8 (23.4 s, 1.25 (0.27 m/s, 60.8 (10.0 cm, 1.73 (0.36 m/s, and 69.7 (10.8 cm, respectively, in women. All physical performance measures showed significant decreasing trends with advancing age in both sexes (all P<0.001 for trend. We also constructed age- and sex-specific appraisal standards according to quintiles. With increasing age, the sex difference in hand-grip strength decreased significantly (P<0.001 for age and sex interaction. In contrast, sex differences significantly increased in all other measures (all P<0.05 for interactions except step length at maximum pace. CONCLUSION: Our pooled analysis yielded inclusive age- and sex-specific reference values and appraisal standards for major physical performance measures in nondisabled, community-dwelling, older Japanese adults. The characteristics of age-related decline in physical performance measures differed between sexes.

  1. Associated factors for higher lead and cadmium blood levels, and reference values derived from general population of São Paulo, Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Kira, Carmen Silvia, E-mail: carmkira@ial.sp.gov.br [Instituto Adolfo Lutz, Centro de Materiais de Referência, Av. Dr. Arnaldo, 355, São Paulo, SP CEP 01246-000 (Brazil); Sakuma, Alice Momoyo [Instituto Adolfo Lutz, Centro de Materiais de Referência, Av. Dr. Arnaldo, 355, São Paulo, SP CEP 01246-000 (Brazil); De Capitani, Eduardo Mello [Universidade Estadual de Campinas — UNICAMP, Faculdade de Ciências Médicas, Departamento de Clínica Médica, Centro de Controle de Intoxicações (Brazil); Umbelino de Freitas, Clarice [Secretaria de Estado da Saúde/SP, Coordenadoria de Controle de Doenças (Brazil); Cardoso, Maria Regina Alves [Universidade de São Paulo, Faculdade de Saúde Pública, Departamento de Epidemiologia (Brazil); Gouveia, Nelson [Universidade de São Paulo — USP, Faculdade de Medicina, Departamento de Medicina Preventiva (Brazil)

    2016-02-01

    Human activities are associated with emissions of various metals into the environment, among which the heavy metals lead and cadmium stand out, as they pose a risk to human life even at low concentrations. Thus, accurate knowledge of the levels of these metals exhibited by the overall population, including children, is important. The aim of this study was to estimate the concentrations of lead and cadmium in the blood of adults, adolescents and children residing in the city of São Paulo, assess factors associated with higher lead and cadmium blood levels, and to establish reference values for this population. The study sample consisted of 669 adults over 20 years old, 264 adolescents aged 12 to 19 years old and 391 children under 11 years old from both genders. The samples were collected at the end of 2007 and during 2008 in different city zones. Higher blood lead concentration was significantly associated with gender, smoking, offal intake, area of residence and age. The blood cadmium concentration was significantly associated with gender, smoking, consumption of distilled beverages and age. The reference values of lead and cadmium established for adults above 20 years old were 33 μg/L and 0.6 μg/L, respectively, for adolescents (12 to 19 years old) were 31 μg/L and 0.6 μg/L, respectively and for children under 11 years old were 29 μg/L and 0.2 μg/L, respectively. The results of this study indicate that the exposure levels of the investigated population to lead and cadmium are low. - Highlights: • The exposure of population of São Paulo city to lead and cadmium is low. • Pb level was associated with gender, smoking, offal intake, area of residence, age. • Cd level was associated with gender, smoking, distilled beverages, age. • RV for Pb in blood for children and adolescents were 29 and 31 μg/L, respectively. • RV for Cd in blood for children and adolescents were 0.2 and 0.6 μg/L, respectively.

  2. Comparação de valores de PFE em uma amostra da população da cidade de São Carlos, São Paulo, com valores de referência Comparison between PEF values obtained from a population sample in the city of São Carlos, Brazil, and reference values

    Directory of Open Access Journals (Sweden)

    Cilso Dias Paes

    2009-02-01

    Full Text Available OBJETIVO: Comparar os valores de referência para PFE sugeridos por outros autores em 1963, 1989 e 2001 (para populações nos EUA, na Inglaterra e em Cuba, respectivamente com os valores de PFE coletados de uma amostra da população da cidade de São Carlos (SP, verificando se há concordância entre estes. MÉTODOS: Participaram do estudo 243 indivíduos (123 mulheres; 120 homens na faixa etária entre 20 e 70 anos. A coleta de PFE foi realizada com o indivíduo em pé, utilizando um clipe nasal, através de medidor de PFE portátil. Os valores obtidos foram comparados com os previstos, utilizando-se o teste de Friedman e post hoc de Dunn (p OBJECTIVE: To compare the reference values for PEF suggested by other authors in 1963, 1989 and 2001 (for populations in the USA, England and Cuba, respectively with those obtained from a population sample in the city of São Carlos, Brazil, and to determine whether there is concordance among them. METHODS: A total of 243 volunteers (123 females and 120 males; 20-70 years of age participated in the study. The PEF measurements were performed with the volunteer standing, using a nose clip, by means of a portable peak flow meter. These measurements were compared with the reference values using the Friedman test and Dunn's post-hoc test (p < 0.05. RESULTS: Significant differences were found in all age groups from both genders regarding the values predicted in 1989; the same occurred in the 20-30 and 31-40 age groups (both genders, as well as in the 61-70 age group (females only, regarding those predicted in 2001, as well as in the 20-30 age group (males only regarding those predicted in 1963. CONCLUSIONS: The values predicted in 1963 are appropriate for a population of individuals with the same characteristics as the study sample, except for males in the 20-30 age group. Our study is relevant due to the fact that our sample was larger than that evaluated in the 1963 study. The majority of the values predicted

  3. Reference values of one-point carotid stiffness parameters determined by carotid echo-tracking and brachial pulse pressure in a large population of healthy subjects.

    Science.gov (United States)

    Vriz, Olga; Aboyans, Victor; Minisini, Rosalba; Magne, Julien; Bertin, Nicole; Pirisi, Mario; Bossone, Eduardo

    2017-03-02

    Arterial stiffness can predict cardiovascular events, and the aim of this study was to produce age- and sex-specific reference values for echo-tracking carotid stiffness in healthy subjects. A total of 900 subjects (500 males, mean age 45.8±19 years) were enrolled. Common carotid artery stiffness and compliance, using a high-definition echo-tracking ultrasound system, were evaluated. To compare stiffness parameters across the different age groups, individual scores were transformed into T-scores, indicating how many standard deviation (s.d.) units an individual's score was above or below the mean that was observed in the group including same-sex individuals aged 36 to 44 years. Carotid stiffness was similar among genders, except compliance, which was lower in women (Pgroups. Stiffness parameters increased significantly with age, but the opposite occurred for compliance. The T-score was found to increase significantly across all age groups, with a steeper increase in stiffness around the age of 60 years in women. For each T-score s.d., the corresponding carotid absolute values for arterial stiffness and compliance were obtained. In a multivariate model, carotid stiffness parameters were constantly and independently associated with age, mean arterial pressure, pulse pressure, heart rate and body mass index. Our study provides a normogram of carotid arterial stiffness and compliance indices obtained with the echo-tracking method in a large population of healthy subjects stratified by gender and age that can be used in clinical practice.Hypertension Research advance online publication, 2 March 2017; doi:10.1038/hr.2017.24.

  4. Cross-sectional reference values for mid-upper arm circumference, triceps skinfold thickness and arm fat area of Turkish children and adolescents.

    Science.gov (United States)

    Ozturk, Ahmet; Budak, Nurten; Cicek, Betul; Mazicioglu, M Mumtaz; Bayram, Fahri; Kurtoglu, Selim

    2009-06-01

    The aim of the study was to establish cross-sectional reference values for the mid-upper arm circumference (MUAC), triceps skinfold thickness (TSF) and arm fat area (AFA) of Turkish children and adolescents. In total 5,553 students aged between 6 and 17 years were selected by a multistage sampling method from schools representing city centre, rural and urban areas of Kayseri, Central Anatolia. The MUAC and TSF were measured, and the arm muscle area, arm area, AFA and fat percentage (%) were calculated. The LMS method was employed to calculate the MUAC, TSF and AFA curve parameters. The MUAC, TSF, AFA and fat percentage in each age group were significantly higher in girls than in boys. In boys, the TSF 50th percentile ranged from 7.6 mm at 17 years to 9.0 mm at 11 years; whereas in girls this ranged from 9.4 mm at 6 years to 14.6 mm at 17 years. The MUAC 50th percentile ranged from 17.0 to 23.6 cm in boys, and from 15.6 cm to 20.9 cm in girls. The AFA 50th percentile measurements ranged from 4.5 cm at 6 years to 5.8 cm at 12-14 years in boys; and ranged from 7.2 cm at 6 years to 14.8 cm at 17 years in girls. The percentile distribution was more disperse towards higher TSF and AFA values in boys than in girls.

  5. Interpreting Mobile and Handheld Air Sensor Readings in Relation to Air Quality Standards and Health Effect Reference Values: Tackling the Challenges

    Directory of Open Access Journals (Sweden)

    George M. Woodall

    2017-09-01

    Full Text Available The US Environmental Protection Agency (EPA and other federal agencies face a number of challenges in interpreting and reconciling short-duration (seconds to minutes readings from mobile and handheld air sensors with the longer duration averages (hours to days associated with the National Ambient Air Quality Standards (NAAQS for the criteria pollutants-particulate matter (PM, ozone, carbon monoxide, lead, nitrogen oxides, and sulfur oxides. Similar issues are equally relevant to the hazardous air pollutants (HAPs where chemical-specific health effect reference values are the best indicators of exposure limits; values which are often based on a lifetime of continuous exposure. A multi-agency, staff-level Air Sensors Health Group (ASHG was convened in 2013. ASHG represents a multi-institutional collaboration of Federal agencies devoted to discovery and discussion of sensor technologies, interpretation of sensor data, defining the state of sensor-related science across each institution, and provides consultation on how sensors might effectively be used to meet a wide range of research and decision support needs. ASHG focuses on several fronts: improving the understanding of what hand-held sensor technologies may be able to deliver; communicating what hand-held sensor readings can provide to a number of audiences; the challenges of how to integrate data generated by multiple entities using new and unproven technologies; and defining best practices in communicating health-related messages to various audiences. This review summarizes the challenges, successes, and promising tools of those initial ASHG efforts and Federal agency progress on crafting similar products for use with other NAAQS pollutants and the HAPs. NOTE: The opinions expressed are those of the authors and do not necessary represent the opinions of their Federal Agencies or the US Government. Mention of product names does not constitute endorsement.

  6. 中国青年妇女血红蛋白正常参考值及其地理因素%Normal reference value of hemoglobin of young women and geographical factors in China

    Institute of Scientific and Technical Information of China (English)

    葛淼

    2003-01-01

    A research is conducted on the relationship between the normal reference value of 20,475examples of hemoglobin of young women and five geographical factors in 208 areas in China, thenormal reference value is determined by the hemoglobincyanide method. It is found that thecorrelation of geographical factors and the normal reference value of hemoglobin of young womenare quite significant (F=142.81). By using the method of multiple linear regression analysis, oneregression equation is inferred. If geographical values are obtained in some areas, the normalreference value of hemoglobin of young women of this area can be reckoned by using the regressionequation. Furthermore, depending on the geographical factors, China can be divided into six regions:Qinghai-Tibet (Qingzang) Plateau, Southwest, Northwest, Southeast, North and Northeast China.

  7. Conduction time for a 6-cm segment of the ulnar nerve across the elbow: reference values for the 6-cm conduction time test.

    Science.gov (United States)

    Landau, Mark E; Campbell, William W

    2009-06-01

    Current electrodiagnostic studies for Ulnar nerve mononeuropathy at the elbow have substandard sensitivity and specificity. Reference values for a novel, screening electrodiagnostic test for ulnar nerve mononeuropathy at the elbow were obtained bilaterally from 72 subjects without any upper extremity signs or symptoms. The test used two, 3-cm straight line distances, one proximal, and one distal to the medial epicondyle to avoid a curvilinear measurement. The mean conduction times (CTE) were 1.16 +/- 0.16 milliseconds, 1.23 +/- 0.18 milliseconds, 1.33 +/- 0.24 milliseconds, for subjects 20 to 40, 40 to 60, and >60 years old, respectively. A CTE >1.50 milliseconds, >1.60 milliseconds, and >1.80 milliseconds for each age group would be considered abnormal conferring 98% specificity. The median side-to-side difference of CTE (CTE-diff) was 0.10 milliseconds with a range of 0.00 to 0.55 milliseconds. A CTE-diff >0.45 milliseconds has a specificity of 97%. Potential advantages to this method include straight-line measurement distances to reduce experimental error, and a distance less than 10 cm to improve lesion detection.

  8. Clinical Correlates and Prognostic Value of Plasma Galectin-3 Levels in Degenerative Aortic Stenosis: A Single-Center Prospective Study of Patients Referred for Invasive Treatment

    Directory of Open Access Journals (Sweden)

    Beata Bobrowska

    2017-04-01

    Full Text Available Galectin-3 (Gal-3, a β-galactoside-binding lectin, has been implicated in myocardial fibrosis, development of left ventricular (LV dysfunction and transition from compensated LV hypertrophy to overt heart failure (HF, being a novel prognostic marker in HF. Risk stratification is crucial for the choice of the optimal therapy in degenerative aortic stenosis (AS, affecting elderly subjects with coexistent diseases. Our aim was to assess correlates and prognostic value of circulating Gal-3 in real-world patients with degenerative AS referred for invasive treatment. Gal-3 levels were measured at admission in 80 consecutive patients with symptomatic degenerative AS (mean age: 79 ± 8 years; aortic valve area (AVA index: 0.4 ± 0.1 cm2/m2. The therapeutic strategy was chosen following a dedicated multidisciplinary team-oriented approach, including surgical valve replacement (n = 11, transcatheter valve implantation (n = 19, balloon aortic valvuloplasty (BAV (n = 25 and optimal medical therapy (n = 25. Besides routine echocardiographic indices, valvulo-arterial impedance (Zva, an index of global LV afterload, was computed. There were 22 deaths over a median follow-up of 523 days. Baseline Gal-3 correlated negatively with estimated glomerular filtration rate (eGFR (r = −0.61, p < 0.001 and was unrelated to age, symptomatic status, AVA index, LV ejection fraction, LV mass index or Zva. For the study group as a whole, Gal-3 tended to predict mortality (Gal-3 >17.8 vs. Gal-3 <17.8 ng/mL; hazard ratio (HR: 2.03 (95% confidence interval, 0.88–4.69, p = 0.09, which was abolished upon adjustment for eGFR (HR: 1.70 (0.61–4.73, p = 0.3. However, in post-BAV patients multivariate-adjusted pre-procedural Gal-3 was associated with worse survival (HR: 7.41 (1.52–36.1, p = 0.01 regardless of eGFR. In conclusion, the inverse eGFR–Gal-3 relationship underlies a weak association between Gal-3 and adverse outcome in patients with degenerative AS referred for

  9. Reference Values and Age Differences in Body Composition of Community-Dwelling Older Japanese Men and Women: A Pooled Analysis of Four Cohort Studies.

    Directory of Open Access Journals (Sweden)

    Satoshi Seino

    Full Text Available To determine age- and sex-specific body composition reference values and investigate age differences in these parameters for community-dwelling older Japanese men and women, using direct segmental multi-frequency bioelectrical impedance analysis.We conducted a pooled analysis of data collected in four cohort studies between 2008 and 2012: Kusatsu Longitudinal Study, Hatoyama Cohort Study, Itabashi Cohort Study, and Kashiwa Cohort Study. The pooled analysis included cross-sectional data from 4478 nondisabled, community-dwelling adults aged 65-94 years (2145 men, 2333 women; mean age: 72.9 years in men and 72.6 years in women. Body weight, fat mass (FM, percentage FM, fat-free mass (FFM, and appendicular lean soft tissue mass were measured using the InBody 720 and 430 (Biospace Co. Ltd, Seoul, Korea. The values were then normalized by height in meters squared to determine body mass index (BMI, FM index (FMI, FFM index (FFMI, and skeletal muscle mass index (SMI.Simple means (standard deviation of BMI, percentage FM, FMI, FFMI, and SMI were 23.4 (2.9 kg/m(2, 24.9 (6.3%, 5.96 (2.09 kg/m(2, 17.4 (1.5 kg/m(2, and 7.29 (0.76 kg/m(2, respectively, in men and 22.7 (3.3 kg/m(2, 31.7 (7.1%, 7.40 (2.61 kg/m(2, 15.3 (1.2 kg/m(2, and 5.86 (0.67 kg/m(2, respectively, in women. We then calculated quartiles and quintiles for these indices after stratifying for sex and 5-year age group. FFMI and SMI decreased significantly with age in both sexes (P < 0.001 for trends, but FFMI remained constant among the women with only a 1% decrease up to age 84 years. Percentage FM increased significantly, with age (P < 0.001 in men and P = 0.045 in women for trends, but FMI was unchanged in both sexes (P = 0.147 in men and P = 0.176 in women for trends.The present data should be useful in the clinical evaluation of body composition of older Japanese and for international comparisons. The small age-related decrease in FFMI may be a noteworthy characteristic of body composition

  10. Use of In Vivo and In Vitro Data to Derive a Chronic Reference Value for Crotonaldehyde Based on Relative Potency to Acrolein.

    Science.gov (United States)

    Grant, Roberta L; Jenkins, Allison F

    2015-01-01

    The Texas Commission on Environmental Quality (TCEQ) conducted a chronic inhalation noncancer toxicity assessment for crotonaldehyde (CRO). Since there were limited toxicity data for CRO, a reference value (ReV) was derived using a relative potency factor (RPF) approach with acrolein as the index chemical. Both CRO and acrolein are α,β-unsaturated carbonyls and share common steps in their mode of action (MOA). Only studies that investigated the effects of CRO and acrolein in the same study were used to calculate a CRO:acrolein RPF. In vivo findings measuring both 50% respiratory depression in rats and two species of mice and subcutaneous 50% lethality in rats and mice were used to calculate an RPF of 3 (rounded to one significant figure). In vitro data were useful to compare the MOA of CRO and acrolein and to support the RPF determined using in vivo data. In vitro cell culture studies investigating cytotoxicity in normal human lung fibroblast cultures using the propidium iodide cytotoxicity assay and in mouse lymphocyte cultures using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) cytotoxicity assay were used to calculate an in vitro RPF of 3, which supports the in vivo RPF. The chronic ReV for acrolein of 1.2 ppb derived by TCEQ was multiplied by the RPF of 3 to calculate the ReV for CRO of 3.6 ppb (10 μg/m(3)). The ReV for CRO was developed to protect the general public from adverse health effects from chronic exposure to CRO in ambient air.

  11. Timed Up and Go (TUG) Test: Normative Reference Values for Ages 20 to 59 Years and Relationships With Physical and Mental Health Risk Factors.

    Science.gov (United States)

    Kear, Breelan M; Guck, Thomas P; McGaha, Amy L

    2016-07-22

    The Timed Up and Go (TUG) test is a reliable, cost-effective, safe, and time-efficient way to evaluate overall functional mobility. However, the TUG does not have normative reference values (NRV) for individuals younger than 60 years. The purpose of this study was to establish NRV for the TUG for individuals aged between 20 and 59 years and to examine the relationship between the TUG and demographic, physical, and mental health risk factors. Two hundred participants, 50 per decade (ages 20-29, 30-39, 40-49, 50-59 years) were selected at their primary care visit, and timed as they performed the TUG by standing up out of a chair, walking 3 m, turning around, walking back to the chair, and sitting down. Information regarding the risk factors socioeconomic status, body mass index, an index of multimorbidities, perceptions of overall physical and mental health was obtained and used as predictors of TUG time independent of age. TUG times were significantly different among the decades (F = 6.579, P = .001) with slower times occurring with the 50-year-old decade compared with the 20s (P = .001), 30s (P = .001), and 40s (P = .020). Slower TUG times were associated with lower SES, higher body mass index, more medical comorbidities, and worse perceived physical and mental health. Regression results indicated that perceived physical and mental health accounted for unique variance in the prediction of TUG time beyond age, gender, and socioeconomic status. This study provided TUG NRV for adults in their 20s, 30s, 40s, and 50s. The TUG may have utility for primary care providers as they assess and monitor physical activity in younger adults, especially those with physical and mental health risk factors. © The Author(s) 2016.

  12. Analysis of reference X radiations energies adjusted for the same half-value layer; Analise do espectro de energias de radiacoes X de referencia ajustadas para a mesma camada semirredutora

    Energy Technology Data Exchange (ETDEWEB)

    Figueiredo, Marcus Tadeu Tanuri de; Baptista Neto, Annibal Theotonio; Silva, Teogenes Augusto da, E-mail: silvata@cdtn.b [Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG (Brazil); Oliveira, Paulo Marcio Campos de [Universidade Federal de Minas Gerais (DEN/UFMG), Belo Horizonte, MG (Brazil). Dept. de Engenharia Nuclear

    2011-07-01

    The International Standardization Organization (ISO) defined the reference radiation for calibration and testing in x and gamma fields. The ISO 4037-1 establishes that if the first and the second half value - layers (HVL) agree within 5%, for two x- ray beams, then these two beams shall be considered the same. In this study, reference radiations with the same HVLs that were obtained trough the total filtration or the tube voltage adjustments were compared in terms of spectra and beam parameters. (author)

  13. Lower Leg Injury Reference Values and Risk Curves from Survival Analysis for Male and Female Dummies: Meta-analysis of Postmortem Human Subject Tests.

    Science.gov (United States)

    Yoganandan, Narayan; Arun, Mike W J; Pintar, Frank A; Banerjee, Anjishnu

    2015-01-01

    Derive lower leg injury risk functions using survival analysis and determine injury reference values (IRV) applicable to human mid-size male and small-size female anthropometries by conducting a meta-analysis of experimental data from different studies under axial impact loading to the foot-ankle-leg complex. Specimen-specific dynamic peak force, age, total body mass, and injury data were obtained from tests conducted by applying the external load to the dorsal surface of the foot of postmortem human subject (PMHS) foot-ankle-leg preparations. Calcaneus and/or tibia injuries, alone or in combination and with/without involvement of adjacent articular complexes, were included in the injury group. Injury and noninjury tests were included. Maximum axial loads recorded by a load cell attached to the proximal end of the preparation were used. Data were analyzed by treating force as the primary variable. Age was considered as the covariate. Data were censored based on the number of tests conducted on each specimen and whether it remained intact or sustained injury; that is, right, left, and interval censoring. The best fits from different distributions were based on the Akaike information criterion; mean and plus and minus 95% confidence intervals were obtained; and normalized confidence interval sizes (quality indices) were determined at 5, 10, 25, and 50% risk levels. The normalization was based on the mean curve. Using human-equivalent age as 45 years, data were normalized and risk curves were developed for the 50th and 5th percentile human size of the dummies. Out of the available 114 tests (76 fracture and 38 no injury) from 5 groups of experiments, survival analysis was carried out using 3 groups consisting of 62 tests (35 fracture and 27 no injury). Peak forces associated with 4 specific risk levels at 25, 45, and 65 years of age are given along with probability curves (mean and plus and minus 95% confidence intervals) for PMHS and normalized data applicable to

  14. Reproducibilidad de espirometrías en trabajadores mexicanos y valores de referencia internacionales Spirometric reproducibility and reference values in Mexican workers claiming disability

    Directory of Open Access Journals (Sweden)

    José Rogelio Pérez-Padilla

    2001-04-01

    regresión del grupo estudiado producen menos errores en la determinación de incapacidad en México. El texto completo en inglés de este artículo está disponible en: http://www.insp.mx/salud/index.htmlOBJECTIVE: To decribe spirometric function and adjustment to foreign prediction equations in Mexican workers claiming work related disability. MATERIAL AND METHODS: We reviewed 5771 spirometries done at the Mexican National Institute of Respiratory Diseases performed with equipment and methods proposed by the American Thoracic Society. With the spirometries we generated multiple regression equations separated for men and women based on age and height, compared to other in common use reported by Knudson and Hankinson in North America and by Quanjer in europeans. RESULTS: 80% of the tests were reproducible for FVC and FEV1 according to ATS, wheras 10% were reproducible for neither. Mean FVC in men was 12% above values reported by Quanjer, 22% above Knudson, 3% above Hankinson and 6% above Rodriguez-Reynaga, whereas similar values for women were 18%, 10%, 0% and 1%. Excluding obese and those who had less than 2 acceptable maneuvers, the numbers increase by 1-2%. FEV1 was also above predicted. CONCLUSIONS: Most workers requesting disability are able to generate a reproducible spirometry. However for the same gender, age and height, workers had a FEV1 and a FVC above normal values reported by Knudson and Quanjer and are more similar to those reported by Hankinson in Mexican-Americans. While a set of appropiate reference values are obtained, regression equations obtained from the studied group will generate less error in the evaluation of disability in mexican workers.The English version of this paper is available at: http://www.insp.mx/salud/index.html

  15. Dynamic HTML: the definitive reference

    National Research Council Canada - National Science Library

    Goodman, Danny

    2007-01-01

    ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Part I. Dynamic HTML Reference 1. HTML and XHTML Reference Attribute Value Types Shared HTML Element Attributes Shared Event Handler Attributes Alphabetical...

  16. Using physiologically based pharmacokinetic modeling to address nonlinear kinetics and changes in rodent physiology and metabolism due to aging and adaptation in deriving reference values for propylene glycol methyl ether and propylene glycol methyl ether acetate.

    Energy Technology Data Exchange (ETDEWEB)

    Kirman, C R.; Sweeney, Lisa M.; Corley, Rick A.; Gargas, M L.

    2005-04-01

    Reference values, including an oral reference dose (RfD) and an inhalation reference concentration (RfC), were derived for propylene glycol methyl ether (PGME), and an oral RfD was derived for its acetate (PGMEA). These values were based upon transient sedation observed in F344 rats and B6C3F1 mice during a two-year inhalation study. The dose-response relationship for sedation was characterized using internal dose measures as predicted by a physiologically based pharmacokinetic (PBPK) model for PGME and its acetate. PBPK modeling was used to account for changes in rodent physiology and metabolism due to aging and adaptation, based on data collected during weeks 1, 2, 26, 52, and 78 of a chronic inhalation study. The peak concentration of PGME in richly perfused tissues was selected as the most appropriate internal dose measure based upon a consideration of the mode of action for sedation and similarities in tissue partitioning between brain and other richly perfused tissues. Internal doses (peak tissue concentrations of PGME) were designated as either no-observed-adverse-effect levels (NOAELs) or lowest-observed-adverse-effect levels (LOAELs) based upon the presence or absence of sedation at each time-point, species, and sex in the two year study. Distributions of the NOAEL and LOAEL values expressed in terms of internal dose were characterized using an arithmetic mean and standard deviation, with the mean internal NOAEL serving as the basis for the reference values, which was then divided by appropriate uncertainty factors. Where data were permitting, chemical-specific adjustment factors were derived to replace default uncertainty factor values of ten. Nonlinear kinetics are were predicted by the model in all species at PGME concentrations exceeding 100 ppm, which complicates interspecies and low-dose extrapolations. To address this complication, reference values were derived using two approaches which differ with respect to the order in which these extrapolations

  17. Reference values for atrial size and function in children and young adults by cardiac MR: a study of the German competence network congenital heart defects.

    NARCIS (Netherlands)

    Sarikouch, S.; Koerperich, H.; Boethig, D.; Peters, B.; Lotz, J.; Gutberlet, M.; Beerbaum, P.B.J.; Kuehne, T.

    2011-01-01

    PURPOSE: To provide reference data for atrial size and function during childhood and adolescence by cardiac MR (CMR). MATERIALS AND METHODS: We prospectively examined 115 healthy children and adolescents (mean age, 12.4 +/- 4.1 years; range, 4.4-20.3 years) by CMR using a stack of standard

  18. Composite reference interval for thyroid-stimulating hormone and free thyroxine, comparison with common cutoff values, and reconsideration of subclinical thyroid disease.

    NARCIS (Netherlands)

    Ross, H.A.; Heijer, M. den; Hermus, A.R.M.M.; Sweep, C.G.J.

    2009-01-01

    BACKGROUND: Examination of the 2-dimensional probability distribution of thyroid-stimulating hormone (TSH) and free thyroxine (FT(4)) shows that the widths of the TSH and FT(4) reference intervals derived from this bivariate distribution are mutually interdependent, an aspect commonly ignored when i

  19. Erythrocyte indices in the second trimester of pregnancy: are reference values well established? Índices eritrocitários no segundo trimestre da gravidez: os valores de referência estão bem estabelecidos?

    Directory of Open Access Journals (Sweden)

    Cristiane C. Bresani

    2009-02-01

    Full Text Available The erythrocyte index values in the pregnancy-puerperal cycle behave in a particular manner, however, the physiological or nosological meaning of such alterations are not well established. This study was aimed at analyzing the distribution of erythrocyte indices in the second trimester of pregnancy. The study was carried out with secondary data from 347 pregnant women in the 2nd trimester of low-risk prenatal care at the Instituto Materno Infantil Professor Fernando Figueira (Recife, Brazil between May 2000 and June 2001. Measurements were performed using an automatic counter. Frequency distribution curves of erythrocyte indices (means and standard deviations and correlation curves of hematocrit (HTC and hemoglobin (Hb concentrations were constructed. The mean red blood cell number (RBC was 3.7 x 10(12cells/L; mean HTC was 32.9% and mean Hb was 10.8 g/dL; the values exhibited Gaussian distributions. The mean morphological values were 88.4 fL for the mean corpuscular volume; 29.0 pg for the mean corpuscular hemoglobin and 32.8 g/dL for the mean corpuscular hemoglobin concentration; these values were not adjusted to Normal distributions. HTC values were three times higher than Hb values. Mean RBC, HTC and Hb values (used in the diagnosis of anemia were lower than thresholds considered normal and exhibited Gaussian distributions. Morphological indices remained within normal ranges, but without delineating a Normal curve. As expected HTC and Hb values behaved following a linear correlation.Os valores dos índices eritrocitários comportam-se de maneira particular no ciclo grávido-puerperal, entretanto, o significado fisiológico ou nosológico de tais alterações não está bem estabelecido. Este estudo objetivou analisar as distribuições dos índices eritrocitários no segundo trimestre da gestação. O estudo foi realizado baseando-se em dados secundários de 347 gestantes de 2º trimestre do pré-natal de baixo risco do Instituto Materno

  20. Analysis of the criteria used by the international commission on radiological protection (ICRP) to justify the setting of numerical reference values. Report No. 277

    Energy Technology Data Exchange (ETDEWEB)

    Schieber, C.; Schneider, T.; Lochard, J.; Crouail, P.

    2005-05-15

    Following its Publication 60, ICRP has proposed nine reports specifying quantified values for dose constraints, action levels, etc. Some 25 values have been identified in all these publications. Since a few years, ICRP is preparing new recommendations in order to provide 'a more coherent and comprehensible system'. The objective of ICRP is to propose to select among the existing quantified values, a few values that could encompass all the other ones. These values are not intended to replace the currently recommended values which remain valid. In this perspective, IRSN has asked CEPN to make a review of all the values introduced in the ICRP publications in order to obtain a broad view of the rationalities proposed by ICRP in the determination of these values. The following Publications of ICRP have been reviewed: - ICRP 60 - 1990 - 1990 Recommendations of ICRP, - ICRP 62 - 1992 - Radiological protection in biomedical research, - ICRP 63 - 1992 - Principles for intervention for protection of the public in a radiological emergency, - ICRP 64 - 1993 - Protection from potential exposure: a conceptual framework, - ICRP 65 - 1993 - Protection against radon-222 at home and at work, - ICRP 68 - 1994 - Dose coefficients for intakes of radionuclides by workers, - ICRP 75 - 1997 - General principles for the radiation protection of workers, - ICRP 77 - 1997 - Radiological protection policy for the disposal of radioactive waste, - ICRP 81 - 2000 - Radiation protection recommendations as applied to the disposal of long-lived solid radioactive waste, - ICRP 82 - 2000 - Protection of the public in situations of prolonged radiation exposure. The different quantitative values found in these publications are presented in this report, grouped by type of value: individual dose limits, 'maximum' individual dose, dose constraints, exemption, action and intervention levels. The rationalities proposed by ICRP for setting these values are presented, mainly based on the

  1. HEMOGLOBIN-S AND HEMOGLOBIN-C - REFERENCE VALUES FOR GLYCOHEMOGLOBIN IN HETEROZYGOUS, DOUBLE-HETEROZYGOUS AND HOMOZYGOUS SUBJECTS, AS ESTABLISHED BY 13 METHODS

    NARCIS (Netherlands)

    WEYKAMP, CW; MARTINA, WV; VANDERDIJS, FPL; PENDERS, TJ; VANDERSLIK, W; MUSKIET, FAJ

    1994-01-01

    Glycohemoglobin (gly-Hb) reference ranges of non-diabetic adults with HbAA (n = 17), HbAS (n = 37), HbAC (n = 22), HbSC (n = 8), HbSS (n = 6) and HbCC (n = 3) were determined by 13 methods, based on affinity chromatography, HPLC, electrophoresis and immunoassay, Gly-Hb of subjects with HbAS and HbAC

  2. [CERAD-NP battery: Age-, gender- and education-specific reference values for selected subtests. Results of the German Study on Ageing, Cognition and Dementia in Primary Care Patients (AgeCoDe)].

    Science.gov (United States)

    Luck, T; Riedel-Heller, S G; Wiese, B; Stein, J; Weyerer, S; Werle, J; Kaduszkiewicz, H; Wagner, M; Mösch, E; Zimmermann, T; Maier, W; Bickel, H; van den Bussche, H; Jessen, F; Fuchs, A; Pentzek, M

    2009-10-01

    The CERAD-NP battery represents well-established tests for the neuropsychological diagnosis of characteristic cognitive deficits in Alzheimer's dementia. However, the use of neuropsychological tests requires reliable standard values for the population under consideration, taking sociodemographic characteristics like age, education and gender into account. This report presents age-, education- and gender-specific reference values for the subtests verbal fluency, word list memory, word list recall and word list recognition as well as the word list savings score of the CERAD-NP battery. The study sample consists of 2891 general practitioners' patients from Germany aged 75 years and older. The study participants had a mean age of 80.2 years (SD=3.6); thus, this report provides reliable reference values for the neuropsychological diagnosis of dementia in older age groups.

  3. Comparison of the nutritional and toxicological reference values of trace elements in edible marine fish species consumed by the population in Rio De Janeiro State, Brazil

    Directory of Open Access Journals (Sweden)

    Renata Jurema Medeiros

    2014-01-01

    Full Text Available The present study estimated the human daily and weekly intake of inorganic elements due to consumption of fish in Rio de Janeiro state and the associated potential health risks posed by some toxic elements. All samples analyzed had values of Cd and Pb below the Maximum Tolerable Limits of 3.0 mg kg−1 for Pb and 1.0 mg kg−1 for Cd; only Mugil cephalus, Cynoscion leiarchus and Caranx crysos had As concentrations below 1 mg kg−1, maximum limit established by Brazilian legislation. The higher values of Cd and Pb correspond to 0.22% of PTWI and the higher value of As corresponds to 8.6% of PTWI. None of the studied species showed values higher than PTWI. The higher values of Cu EDI found in Pomatomus numida correspond to 33.3% of RDA; Fe in Salmo salar and Genypterus brasiliensis corresponds to 4.3% of EDI; Mn in Sardinella brasiliensis corresponds to 7.4% of EDI; Zn in S. salar corresponds to 13.2% of EDI and Se in S. salar corresponds to 20.6% of EDI. Some species can be a good source of inorganic elements. For risk assessment, it is important to assess specific eating habits of each region to avoid underestimating the data.

  4. Serum PTH reference values established by an automated third-generation assay in vitamin D-replete subjects with normal renal function: consequences of diagnosing primary hyperparathyroidism and the classification of dialysis patients.

    Science.gov (United States)

    Souberbielle, Jean-Claude; Massart, Catherine; Brailly-Tabard, Sylvie; Cormier, Catherine; Cavalier, Etienne; Delanaye, Pierre; Chanson, Philippe

    2016-03-01

    To determine parathyroid hormone (PTH) reference values in French healthy adults, taking into account serum 25-hydroxyvitamin D (25OHD), renal function, age, gender, and BMI. We studied 898 healthy subjects (432 women) aged 18-89 years with a normal BMI and estimated glomerular filtration rate (eGFR), 81 patients with surgically proven primary hyperparathyroidism (PHPT), and 264 dialysis patients. 25OHD and third-generation PTH assays were implemented on the LIAISON XL platform. Median PTH and 25OHD values in the 898 healthy subjects were 18.8  ng/l and 23.6  ng/ml respectively. PTH was lower in subjects with 25OHD ≥30  ng/ml than in those with lower values. Among the 183 subjects with 25OHD ≥30  ng/ml, those aged ≥60 years (n=31) had higher PTH values than younger subjects, independent of 25OHD, BMI, and eGFR (P<0.001). Given the small number of subjects aged ≥60 years, we adopted the 95% CI of PTH values for the entire group of 183 vitamin D-replete subjects (9.4-28.9  ng/l) as our reference values. With 28.9  ng/l as the upper limit of normal (ULN) rather than the manufacturer's ULN of 38.4  ng/l, the percentage of PHPT patients with 'high' PTH values rose to 90.1% from 66.6% (P<0.001), and 18.6% of the dialysis patients were classified differently in view of the KDIGO target range (two to nine times the ULN). When only subjects with 25OHD ≥30  ng/ml were included in the reference population, the PTH ULN fell by 22.4%, diagnostic sensitivity for PHPT improved, and the classification of dialysis patients was modified. © 2016 European Society of Endocrinology.

  5. 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.

  6. Age- and sex-related reference values for serum insulin concentration and its biological determinants in a French healthy population. The STANISLAS cohort.

    Science.gov (United States)

    François, Aurélie; Maumus, Sandy; Vincent-Viry, Monique; Guéguen, René; Siest, Gérard; Visvikis, Sophie

    2004-01-01

    Insulin is involved in coronary heart disease through diabetes and metabolic syndrome. A great deal is known about insulin and its correlates, as well as factors related to changes in insulin. However, few studies consider the broad variety of correlates simultaneously. Therefore, the aims of the present study were to characterize the main factors of biological variation affecting serum insulin concentration and to establish reference limits of insulinemia in a presumably healthy French population. Insulin was measured using a microparticular enzymatic immunoassay. A total of 646 subjects aged 11-58 years from the STANISLAS cohort and divided into four groups of 162 males, 157 females, 163 boys and 164 girls, were included in the statistical analyses. In the whole population, serum insulin concentration varied from 0.80 to 54.60 microU/ml. Significant factors affecting insulin were age, gender, body mass index and glucose, in addition to alanine aminotransferase and high-density lipoprotein cholesterol in men, triglycerides and oral contraceptive use in women, and alkaline phosphatase in girls. In summary, we presented biological correlates of insulin in both healthy French male and female adults and children/adolescents and determined reference limits for insulin for each group. These results will contribute to a better interpretation of insulin data in further studies and laboratory investigations.

  7. Terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) assay using bench top flow cytometer for evaluation of sperm DNA fragmentation in fertility laboratories: protocol, reference values, and quality control.

    Science.gov (United States)

    Sharma, Rakesh; Ahmad, Gulfam; Esteves, Sandro C; Agarwal, Ashok

    2016-02-01

    The purpose of this study is to provide a detailed protocol and quality control steps for measuring sperm DNA fragmentation (SDF) by terminal deoxynucleotidyl transferase deoxyuridine triphosphate (dUTP) nick end labeling (TUNEL) assay using a new bench top flow cytometer, determine the reference value of SDF, and assess sensitivity, specificity, and distribution of SDF in infertile men and controls with proven and unproven fertility. Semen specimens from 95 controls and 261 infertile men referred to a male infertility testing laboratory were tested for SDF by TUNEL assay using Apo-Direct kit and a bench top flow cytometer. Percentage of cells positive for TUNEL was calculated. Inter- and intraobserver variability was examined. TUNEL cutoff value, sensitivity, specificity, and distribution of different cutoff values in controls and infertile patients were calculated. The reference value of SDF by TUNEL assay was 16.8 % with a specificity of 91.6 % and sensitivity of 32.6 %. The positive and negative predictive values were 91.4 and 33.1 %, respectively. The upper limit of DNA damage in infertile men was significantly higher (68.9 %) than that in the controls (19.6 %). TUNEL assay using flow cytometry is a reproducible and easy method to determine SDF. At a cutoff point of 16.8 %, the test showed high specificity and positive predictive value. The results of this test could identify infertile men whose sperm DNA fragmentation does not contribute to their infertility and confirm that a man who tests positive is likely to be infertile due to elevated sperm DNA fragmentation.

  8. [Guide values for heart rate and blood pressure with reference to 20, 40, 60 und 80% of maximum exertion considering age, sex and body mass in non-trained individuals].

    Science.gov (United States)

    Strasser, Barbara; Schwarz, Joachim; Haber, Paul; Schobersberger, Wolfgang

    2011-12-01

    Aim of this study was to evaluate reliable guide values for heart rate (HF) and blood pressure (RR) with reference to defined sub maximum exertion considering age, gender and body mass. One hundred and eighteen healthy but non-trained subjects (38 women, 80 men) were included in the study. For interpretation, finally facts of 28 women and 59 men were used. We found gender differences for HF and RR. Further, we noted significant correlations between HF and age as well as between RR and body mass at all exercise levels. We established formulas for gender-specific calculation of reliable guide values for HF and RR on sub maximum exercise levels.

  9. Geographical Distribution of the Reference Values of Women's Peak Filling Rate%成年女性高峰充盈率参考值的地理环境分布

    Institute of Scientific and Technical Information of China (English)

    杨绍芳; 葛淼; 何进伟; 张旭颖; 薛然尹; 谷琳琳

    2012-01-01

    In order to provide scientific basis for the reference value standards of peak filling rate of healthy women in China, the PFR reference values of 604 healthy women from 23 units of China were collected. Applying the method of related analysis and regression analysis by SPSS 19.0, the correlations between the reference value of PFR and nine geographical factors were studied. And according to the correlation, China can be divided into eight regions.%为给制定中国健康成年女性高峰充盈率(peak filling rate,PFR)参考值提供科学的依据,收集了全国23个单位604例健康成年女性PFR参考值,应用SPSS 19.0统计软件,运用相关分析和回归分析的方法,研究了其与9项地理因素之间的关系.结果表明健康成年女性PFR参考值与地理因素之间有显著的相关性.依据PFR参考值与地理因素之间的依赖关系,将全国划分为八个区。

  10. Growth references

    NARCIS (Netherlands)

    Buuren, S. van

    2007-01-01

    A growth reference describes the variation of an anthropometric measurement within a group of individuals. A reference is a tool for grouping and analyzing data and provides a common basis for comparing populations.1 A well known type of reference is the age-conditional growth diagram. The

  11. [Reference values of iron, iodine, zinc, selenium, copper, molybdenum, vitamin C, vitamin E, vitamin K, carotenoids and polyphenols for the Venezuelan population].

    Science.gov (United States)

    García-Casal, Maria Nieves; Landaeta, Maritza; Adrianza de Baptista, Gertrudis; Murillo, Carolain; Rincón, Mariela; Bou Rached, Lizet; Bilbao, Arantza; Anderson, Hazel; García, Doris; Franquiz, Julia; Puche, Rafael; Garcia, Omar; Quintero, Yurimay; Peña-Rosas, Juan Pablo

    2013-12-01

    The review on iron, iodine, zinc, selenium, copper, molybdenum, vitamin C, vitamin E, vitamin K, carotenoids and polyphenols recommendations for Venezuela comprise the definitions adopted worldwide known as Dietary Reference Intakes (DRIs) that include Recommended Dietary Allowance (RDA), Estimated Average Requirement (EAR), Adequate Intake (AI) and Tolerable Upper Intake Levels (UL). The RDA for iron: 11 mg/day for infants Vitamin C: 40-50 mg/day for infants, 15-45 mg/ day for children, 75 mg/day for male adolescents, 65 mg/day for female adolescents, 90 mg/day for adult males, 75 mg/day for adult females, 80-85 mg/day during pregnancy and 115-120 mg/day during lactation. Recommendations for copper, selenium, molybdenum, vitamins E, K, carotenoids and polyphenols are also presented. These recommendations will help to design adequate and efficient policies that could help to avoid or to treat the consequences derived from the deficiency or the excess of these nutrients.

  12. Optimization algorithm that generates the lowest ΔEab values to a reference standard based on spectral measurements of solid inks in offset lithography

    DEFF Research Database (Denmark)

    Jensen, Søren Tapdrup

    to help him or her make decisions on how to reach the primary and secondary aim points for an OK sheet in as few steps as possible. The algorithm was tested against 197 different measurements for all six colors (C, M, Y, R, G, B), simulating 197 different printing conditions. The results show......ISO 12647-2 specifies CIELAB values for primary and secondary colors, but only tolerances for the primary solid colors. Press operators in lithography still favor density measurements for process control to assure quality and reproducibility during a production run. Since there is no direct...... relationship between density and CIELAB measurements, there is a gap between what the standard specifies and what the industry is actually doing. This research investigates the possibility of using the tolerances specified for the primary colors to achieve a better conformance of the secondary colors...

  13. Identification of animal fats via compound specific δ13C values of individual fatty acids: assessments of results for reference fats and lipid extracts of archaeological pottery vessels

    Directory of Open Access Journals (Sweden)

    Richard P. Evershed

    2002-12-01

    Full Text Available The possibility of obtaining molecular information from lipid residues associated with archaeological pottery has dramatically increased the potential for deriving new information on the use of ancient vessels and the commodities processed therein. Motivated by the high proportion of the archaeological potsherds that have been shown to contain animal fats, a new approach invol- ving compound specific stable isotope analysis of remnant fats has been developed to retrieve infor- mation which will allow new insights into animal exploitation, dietary preferences and vessel use amongst prehistoric peoples. The new approach uses the δ13C values of the major saturated fatty acid (C16:0 and C18:0 determined by gas chromatography-combustion-isotope ratio mass spectrometry (GC–C–IRMS to characterise the origins of animal fat recovered from archaeological pottery.

  14. Comparison of EUCAST and CLSI Reference Microdilution MICs of Eight Antifungal Compounds for Candida auris and Associated Tentative Epidemiological Cutoff Values.

    Science.gov (United States)

    Arendrup, M C; Prakash, Anupam; Meletiadis, Joseph; Sharma, Cheshta; Chowdhary, Anuradha

    2017-06-01

    Candida auris is an emerging multidrug-resistant yeast. So far, all but two susceptibility testing studies have examined ≤50 isolates, mostly with the CLSI method. We investigated CLSI and EUCAST MICs for 123 C. auris isolates and eight antifungals and evaluated various methods for epidemiological cutoff (ECOFF) determinations. MICs (in milligrams per liter) were determined using CLSI method M27-A3, and the EUCAST E.Def 7.3. ANOVA analysis of variance with Bonferroni's multiple-comparison test and Pearson analysis were used on log2 MICs (significance at P values of CLSI and EUCAST MIC distributions were wide, with several peaks for all compounds except amphotericin B, suggesting possible acquired resistance. Modal MIC, geometric MIC, MIC50, and MIC90 values were ≤1 2-fold dilutions apart, and no significant differences were found. The quantitative agreement was best for amphotericin B (80%/97% within ±1/±2 dilutions) and lowest for isavuconazole and anidulafungin (58%/76% to 75% within ±1/±2 dilutions). We found that 90.2%/100% of the isolates were amphotericin B susceptible based on CLSI/EUCAST methods, respectively (i.e., with MICs of ≤1 mg/liter), and 100%/97.6% were fluconazole nonsusceptible by CLSI/EUCAST (MICs > 2). The ECOFFs (in milligrams per liter) were similar across the three different methods for itraconazole (ranges for CLSI/EUCAST, 0.25 to 0.5/0.5 to 1), posaconazole (0.125/0.125 to 0.25), amphotericin B (0.25 to 0.5/1 to 2), micafungin (0.25 to 0.5), and anidulafungin (0.25 to 0.5/0.25 to 1). In contrast, the estimated ECOFFs were dependent on the method applied for voriconazole (1 to 32) and isavuconazole (0.125 to 4). CLSI and EUCAST MICs were remarkably similar and confirmed uniform fluconazole resistance and variable acquired resistance to the other agents. Copyright © 2017 American Society for Microbiology.

  15. The KörperkoordinationsTest für Kinder: reference values and suitability for 6-12-year-old children in Flanders.

    Science.gov (United States)

    Vandorpe, B; Vandendriessche, J; Lefevre, J; Pion, J; Vaeyens, R; Matthys, S; Philippaerts, R; Lenoir, M

    2011-06-01

    An adequate coordination level in children is important for their general development, but also for health, psychosocial, academic and well-being-related reasons. In this study, the suitability of the KörperkoordinationsTest für Kinder (KTK) as an assessment instrument for the gross motor coordination was evaluated in 2470 children from 26 elementary schools for general education spread over the Flemish and Brussels-capital region. All children performed four subtests: walking backwards (WB), moving sideways (MS), hopping for height (HH) and jumping sideways (JS). Age and gender-specific values were established for the Flemish children anno 2008. Overall, the current sample scored significantly worse than their 1974 German counterparts (P<0.001). Score distribution showed 21% of the children being placed in the problematic range of gross motor coordination level. A decline in coordination was observed especially in those tasks relying primarily on coordinative capacities (WB and MS), while improvements or status quo in those tasks relying on strength and speed (JS and HH) were explained by secular trends. We suggest that the KTK is a valuable instrument for the assessment of the gross motor coordination of Flemish children and efforts should be made in order to face the decline in coordination.

  16. Ideological Orientation and Reference Value of the Art of War%论《孙子兵法》的思想取向与借鉴价值

    Institute of Scientific and Technical Information of China (English)

    姚振文

    2014-01-01

    《孙子兵法》作为世界上杰出的军事理论著作,既提出了丰富的战略战术思想,也蕴含着深刻的哲理与思想方法。研究《孙子兵法》思想的取向问题,本质上是探讨孙子思考战争问题的方式和方法,这既有利于推动战争理论研究的深入发展,也可以更好地揭示《孙子兵法》的普适性价值,推进孙子思想的普及应用。《孙子兵法》的思想取向包括政治取向、前瞻取向、总体取向、功利取向、主动取向、变正取向、完美取向等7个方面。%As the world's outstanding military theory, The Art of War not only puts forward the rich thought of strategies and tactics, but also contains the philosophy and thought. The tropism of The Art of War thought discusses the ways and methods of thinking about the war of Sun Tzu in essence, it will promote the deep development of war theory research, and will better reveal the universal value of The Art of War, then promoting the popularization and application of Sun Tzu's thought. Sun Tzu's Ideological orientation includes seven aspects: political, forward-looking, overall, utilitarian, active, positive and perfect orientation, etc.

  17. Economic Radar of the Sustainable Energy Sector in the Netherlands. Employment, production, investments, innovation, value added, trade. Trends and references 2009/2010

    Energy Technology Data Exchange (ETDEWEB)

    Vuik, J.; Zult, D.; Van Rossum, M.

    2012-06-15

    This monitor of the sustainable energy sector published by Statistics Netherlands (CBS) in 2012 is a follow-up to the study conducted in 2011. This 2012 study was commissioned by the Ministry of Economic Affairs, Agriculture and Innovation (ELI). Detailed economic indicators for the sustainable energy sector are presented for 2008 and 2009. Efforts for the compilation of more recent economic indicators are discussed, and the results for these more up-to-date figures are presented. The relevance of monitoring the sustainable energy sector lies in evaluating economic opportunities of the Netherlands in the global transformation towards a renewable energy supply and demand system and more attention for energy conservation. Several geopolitical, economic and environmental developments motivate policies focused on promoting the energy transformation in the Netherlands. Renewable energy contributes to securing supplies, diversification of energy supply, reduction of greenhouse gas emissions and creation of green jobs. The sustainable energy sector - which cuts across all industries of the Standard Industrial Classification (NACE) - consists of companies and institutions that physically produce renewable energy, as well as those active in the value chains that precede this physical production. Apart from renewable energy, the sustainable energy sector also includes companies and institutions that focus on energy conservation activities. As this monitor contains only figures on the recent past, it is not a tool for identifying future opportunities. It is more a tool for evaluating policies aimed at promoting economic opportunities in the sustainable energy sector. The physical data on the production of renewable energy (Protocol monitoring renewable energy) and the data derived from the 'Economic radar for the sustainable energy sector' can be very valuable in supplementing each other. Between 1990 and 2011, the share of renewable energy in total energy

  18. EFSA Panel on Dietetic Products, Nutrition, and Allergies (NDA); Scientific Opinion on Dietary Reference Values for fats, including saturated fatty acids, polyunsaturated fatty acids, monounsaturated fatty acids, trans fatty acids, and cholesterol

    DEFF Research Database (Denmark)

    Tetens, Inge

    This Opinion of the EFSA Panel on Dietetic Products, Nutrition, and Allergies (NDA) deals with the setting of Dietary Reference Values (DRVs) for fats. A lower bound of the reference intake range for total fat of 20 energy % (E%) and an upper bound of 35 E% are proposed. Fat intake in infants can...... gradually be reduced from 40 E% in the 6-12 month period to 35-40 E% in the 2nd and 3rd year of life. For specific fatty acids the following is proposed: saturated fatty acid (SFA) and trans fatty acid intake should be as low as possible; not to set any DRV for cis-monounsaturated fatty acids...

  19. Reference Revolutions.

    Science.gov (United States)

    Mason, Marilyn Gell

    1998-01-01

    Describes developments in Online Computer Library Center (OCLC) electronic reference services. Presents a background on networked cataloging and the initial implementation of reference services by OCLC. Discusses the introduction of OCLC FirstSearch service, which today offers access to over 65 databases, future developments in integrated…

  20. Validação de novos valores previstos brasileiros para a espirometria forçada na raça branca e comparação com os valores previstos obtidos por outras equações de referência Validation of new brazilian predicted values for forced spirometry in caucasians and comparison with predicted values obtained using other reference equations

    Directory of Open Access Journals (Sweden)

    Andrezza Araújo de Oliveira Duarte

    2007-10-01

    Full Text Available OBJETIVO: Comparar os novos valores previstos brasileiros de capacidade vital forçada e volume expiratório forçado no primeiro segundo para a espirometria obtidos em 2006 com os obtidos por outras equações de referência e validar os achados por meio da comparação com uma nova amostra de brasileiros normais. MÉTODOS: Realizou-se espirometria forçada, de acordo com as normas da Sociedade Brasileira de Pneumologia e Tisiologia, em 643 adultos brancos não-fumantes. Os valores previstos obtidos por pesquisadores brasileiros em 1992 e os obtidos por quatro grupos de pesquisadores estrangeiros foram comparados com os novos valores previstos brasileiros obtidos em 2006. Em uma segunda fase, os valores médios obtidos em 65 mulheres e 79 homens adultos foram comparados aos valores previstos obtidos pelas diversas equações de referência. RESULTADOS: O teste t para amostras pareadas revelou diferenças significativas entre os valores previstos obtidos pelas seis equações e os obtidos pela equação brasileira de 2006. Na segunda fase, observou-se que os valores previstos obtidos por Crapo et al. e os obtidos por Hankinson et al. para os méxico-americanos mostraram valores médios semelhantes aos observados na nova amostra. Porém, quando os valores previstos obtidos na nova amostra foram comparados com os obtidos por esses autores, discrepâncias foram observadas, com valores previstos altos e baixos. Os valores obtidos pela equação brasileira de 2006 mostraram as menores diferenças em comparação com os valores médios obtidos na nova amostra. CONCLUSÕES: Estes resultados sublinham a importância de se usar equações de predição para espirometria que sejam apropriadas para nossa população.OBJECTIVE: To compare the most recent (2006 predicted values of forced vital capacity and forced expiratory volume in one second for spirometry in Brazilians with those obtained using other reference equations and to validate the findings

  1. Survey on the reference values of HbA2 and HbA for healthy adults in Nanning%南宁地区健康成人HbA2和HbA参考范围调查

    Institute of Scientific and Technical Information of China (English)

    李友琼; 劳忠婵; 覃桂芳; 黄慧嫔; 阳文辉

    2012-01-01

    目的 建立广西南宁地区健康成人血红蛋白(Hb)A2和HbA参考范围.方法 采用Capillarys2毛细管电泳仪检测810例健康成人Hb,以95%参考区间(x±1.96s)建立参考范围.随机选择112例受试对象进行验证试验.结果 男、女HbA2检测结果分别为(2.79±0.24)%和(2.70±0.23)%,组间比较差异有统计学意义(P<0.01);HbA检测结果分别为(97.14±0.28)%和(97.17±0.39)%,组间比较差异无统计学意义(P>0.05).不同年龄组HbA2和HbA检测结果差异无统计学意义(P>0.05).HbA2和HbA参考范围分别为2.3%~3.3%、96.4%~97.9%.112例验证标本中,仅1例结果不适于该参考范围.结论 本研究建立的参考范围适用于该地区绝大部分健康成人.%Objective To establish the reference values of hemoglobin(Hb) A2(HbA2) and HbA for healthy adults in Nanning. Methods 810 cases of healthy adults were detected for hemoglobin by Capillarys2 Electrophoresis. Reference values were con, structed according to 95% reference range. 112 randomly selected subjects were enrolled for verification experiment. Results HbA2 levels in males and females were (2. 79 ± 0. 24)% and (2. 70 ± 0. 23)% respectively with statistical difference(P< 0. 01). HbA lev, els were (97. 14 ± 0. 28)% and (97. 17 ± 0. 39)% in males and females respectively without significant difference(P>0. 05). There was no statistical difference of HbA2 and HbA levels between different age groups(P>0. 05). Reference values of HbA2 and HbA ranged from 2. 3% to 3. 3% and from 96. 4% to 97. 9% respectively. Among all the cases of verification samples,only 1 case was unfit for the reference values. Conclusion Reference values of HbA2 and HbA constructed in the research might be fit for most healthy adults in nanning.

  2. Valores de referência de parâmetros bioquímicos no sangue de duas linhagens de camundongos Reference values for blood-based biochemical parameters in BALB/C and C57BL/6 wild-type mice

    Directory of Open Access Journals (Sweden)

    Aline Silva Almeida

    2008-12-01

    Full Text Available INTRODUÇÃO: Conhecer os parâmetros bioquímicos individuais de animais de laboratório utilizados na experimentação é importante, pois eles servirão como parâmetros para avaliar alterações funcionais em órgãos e como base para estabelecer valores de referência. OBJETIVO:Estabelecer valores de referência bioquímicos do sangue em camundongos das linhagens BALB/c e C57BL/6 selvagens do Biotério da Disciplina de Biologia Celular da Universidade Federal do Triângulo Mineiro (UFTM. Materiais e métodos: Foram utilizados 30 camundongos (BALB/c e C57BL/6 selvagem. Os exames realizados foram glicose, triglicérides, colesterol, proteínas totais, albumina, amilase, ácido úrico, uréia, fosfatase alcalina (kits Wiener, e as determinações foram realizadas no equipamento BIOPLUS-2000. RESULTADOS:Entre os nove analitos observou-se que quatro (albumina, glicose, proteínas totais e colesterol apresentaram diferenças estatisticamente significativas entre as linhagens. Padronizamos como valores de referência para os camundongos os valores do intervalo de confiança (IC. Nos analitos em que houve diferença significativa entre as linhagens (p INTRODUCTION: Identifying individual biochemical parameters of laboratory animal species is important inasmuch as they may be used in the evaluation of functional changes in organs and in the establishment of reference values. OBJECTIVE: To establish biochemical reference values for blood tests in BALB/c and C57BL/6 wild-type mice from the Vivarium of the Department of Cellular Biology at the Federal University of "Triângulo Mineiro". MATERIALS AND METHODS: Thirty wild-type mice of the lineages BALB/c and C57BL/6 were used to evaluate the serum levels of glucose, triglycerides, cholesterol, total protein, albumin, amylase, uric acid, urea and alkaline phosphatase. The determinations were performed in a BIOPLUS-2000 analyzer. Results: Four out of the nine analytes (albumin, glucose, total proteins and

  3. Comparisons among Different Reference Values of Nerve Conduction Velocity in Forensic Appraisal%法医学鉴定中神经传导检测不同参考值的比较

    Institute of Scientific and Technical Information of China (English)

    高东; 田东; 夏晴; 朱广友; 范利华

    2012-01-01

    Objective To provide the evidences for the choice of normal reference value of nerve conduction velocity (NCV) in clinical forensic appraisal. Methods One hundred and fourteen cases with normal peripheral nerve and 155 cases with injured peripheral nerve were collected. The NCV of homonymous nerves in two limbs were detected. In the normal cases, the NCV of the left limbs were used as the normal reference values. The NCV of the right limbs were compared with that of left limbs, the commendatory normal reference values from Beijing Xiehe Hospital and Shanghai Huashan Hospital. In the injured cases, the results of NCV in injuried limbs were compared with the results of healthy limbs and the reference values from Beijing Xiehe Hospital and Shanghai Huashan Hospital. Results In the normal group, there was no statistical difference between the left and right limbs in NCV results of homonymous nerve (P>0.05). The false positive rates (FPR) were 0, 11.4% and 5.2% for three choices normal reference respectively. The false negative rates (FNR) were 0, 9.7% and 12.3% for three choices normal reference in injuried group. The false negative cases were all slight nerve injury. Conclusion The reference value of self-control method could decrease the FPR of normal cases and FNR of injured cases. In clinical forensic appraisal of peripheral nerve, the nerve condition study results from healthy homonymous nerve should be regarded as the reference value at first, supplemented by reference values from clinical labs.%目的 为法医临床学鉴定实践中周围神经传导检测正常参考值的选择提供依据.方法 选取周围神经正常者114例和周围神经损伤者155例,对双侧肢体的同名神经进行神经传导检测.在正常组中,以左侧肢体的检测结果作为正常参考值,将右侧肢体的检测结果分别与左侧、北京协和医院和上海华山医院推荐的正常参考值进行比较并进行统计.在损伤组中,将伤侧肢体的检测

  4. 利用 LMS 法建立全年龄段 FEV1正常参考值%Establishment spirometric reference values across all ages based on LMS method

    Institute of Scientific and Technical Information of China (English)

    江梅; 高怡; 陈维清; 郑劲平

    2014-01-01

    目的:探讨一种建立肺功能全年龄段的正常参考值的方法。方法利用 LMS 法对4个中心共12829名正常健康人 FEV1建立全年龄段正常参考值曲线和正常值下限,并对该模型进行评价。结果 FEV1与身高、年龄之间存在密切关联,在校正身高影响之后,FEV1在全年龄段与年龄呈非线性关系,而且变异随着年龄变化而变化。LMS 方法考虑个体间变异,适用于不服从正态分布的偏峰数据,而且还可以校正身高等其他因素的影响,计算得到的不同年龄的正常参考值最低下限更符合实际。结论 LMS 法是一种建立全年龄肺功能正常参考值的有效统计方法。%Objective The aim of the study was to show how Lambda-Mu-Sigma (LMS)method can be used to model age-related reference ranges,which is a new approach for establishing spirometric reference values across all age.Methods The prediction equations and the lower limit of normal (LLN)of FEV1 were established based on LMS method by analysis of 12 829 healthy,never-smoking adults aged 6 to 94 years.The good fittness of final model were inspected by SBC,Q-Q plots,worm plots and the density plots of residuals.Results The results show a strong multiplicative association between spirometry,height and age,with a large and nonlinear age effect across the age range.Variability also depends nonlinearly on age.By taking into account the age-dependency of variability,LMS method is more suitable for constracting reference values when the data departures from linearity,homoscedasticity and normality,and an appropriate LLN for age could be defined.Conclusions LMS method is a powerful technique for the establishment of spirometric reference values across all ages.

  5. [New dietary reference values vitamin D

    NARCIS (Netherlands)

    Weggemans, R.M.; Kromhout, D.; Weel, C. van

    2012-01-01

    The benefit of vitamin D has been heavily debated over the past few years. There are claims that vitamin D not only fulfils a protective function for bone health, but for diseases such as cancer, diabetes mellitus and cardiovascular disease as well. The question is: to what extent have such claims b

  6. Valores de referência de alguns parâmetros fisiológicos de ratos do Biotério Central da Universidade Estadual de Maringá, Estado do Paraná = Reference values of some physiological parameters in the rats of the Central Biotery at the State University of Maringá, State of Paraná

    Directory of Open Access Journals (Sweden)

    Jailson Araújo Dantas

    2006-07-01

    Full Text Available O objetivo deste trabalho foi estabelecer valores de referência de alguns parâmetros fisiológicos (bioquímicos, hematológicos e urinários de ratos provenientes do Biotério Central da Universidade Estadual de Maringá, Estado do Paraná. Foram utilizados ratos machos, normais e saudáveis da linhagem Wistar, com peso de 200 a 220 g. Foiavaliado o perfil hematológico (leucócitos: totais, mononucleares e polimorfonucleares e a determinação bioquímica de vários constituintes plasmáticos (aspartato aminotransferase, alanina aminotransferase, glicose, creatinina, fosfatase alcalina, fosfatase ácida, uréia, colesterol total, colesterol HDL, triglicerídeos, teste de tolerância à glicose GTT e urinários (glicose, creatinina. É imprescindível que cada laboratório estabeleça seu conjunto devalores de referência dos animais normais, de acordo com a dieta, a linhagem, o sexo e a idade de cada espécie utilizada. Assim, através deste trabalho, o pesquisador pode identificar desvios dos parâmetros, facilitando a escolha dos animais para o estudo.The present work was carried out to establish reference values for some physiological parameters (biochemical, hematological and urinary in rats proceeding from the Central Biotery at the State University of Maringá, State of Paraná. Normal male Wistar rats weighing 200-220 g were used. The hematological profile (total leukocytes, mononuclear and polymorphonuclear cells count, theclinic chemistry (aspartate aminotransferase, alanine aminotransferase, glucose, creatinine, alkaline phosphatase, acid phosphatase, urea, cholesterol, HDL-c, triglycerides, glucose tolerance and urinary parameters (glucose and creatinine were determined. Each laboratory should establish a database of reference values for their animals, according to diet, strain, sex and age foreach species used. Thus, in this work, a database is provided regarding reference values of some physiological parameters in rats for use

  7. [Substance monograph on bisphenol A (BPA) - reference and human biomonitoring (HBM) values for BPA in urine. Opinion of the Human Biomonitoring Commission of the German Federal Environment Agency (UBA)].

    Science.gov (United States)

    2012-09-01

    Bisphenol A (BPA) is used for the production of polycarbonates and synthetic resins. Many of the items that contain BPA, for example polycarbonate bottles and coated cans, are commodities from which BPA can migrate into food and drinks, resulting in ubiquitous exposure of the population. Numerous animal studies and in vitro tests have shown that BPA acts as an "endocrine disruptor". Because of the still incomplete understanding of the complex and contradictory effects of BPA at doses below the NOAEL, the toxicological significance of recent findings is uncertain. The German HBM Commission takes notice that the risk assessment is currently in flux and that in the EU and other countries precautionary bans on BPA have been introduced. In the light of the extensive and growing body of literature, the Commission does not see itself in a position to resolve this controversy, nor to answer the question of the relevance of observed effects of low BPA doses on human health. The Commission has derived reference values (RV95) and TDI-based HBM I values for total BPA in urine. The RV95 values are 30 μg/l for 3-5 year olds, 15 μg/l for 6-14 year olds, and 7 μg/l for 20-29 year olds. The HBM I value for children is 1.5 mg/l and 2.5 mg/l for adults, respectively. The Commission emphasizes that the HBM values will require immediate adjustment should the current TDI of 0.05 mg/kg bw/day be changed. For the practical application of HBM, the Commission recommends an assessment based on the RV95. Confirmed exceedance of the RV95 by repeat measurements should prompt a search for the possible source(s), following the ALARA principle.

  8. The Reasonable Reference of Values Clarification Method in Universilies'Ideological and Political Theory Course%价值澄清方法在高校思想政治理论课教学中的合理借鉴

    Institute of Scientific and Technical Information of China (English)

    李蕊

    2011-01-01

    The theory of values clarification produced in United States in 1960s and it is a system of moral education proposed by values clarification school. This doctrine makes deep re - thinking of values education and puts forward with four elements, three phases, seven steps and strategies of Value clarification and so on. China' s current ideological and political theory teaching course should draw lessons from values clarification methods reasonably. In order to achieve a reasonable reference, we need to establish life - centered, students- subjected and action -oriented teaching philosophies. We also need to use various teaching strategies flexibly and handle the relationships between indoctrination and selection, receipts and release.%价值澄清方法产生于20世纪60年代的美国,是价值澄清学派提出的一种道德教育方法体系。该学说对价值观教育重新进行了深入思考,提出了价值澄清的4个要素、3个阶段、7个步骤和多种策略等内容。我国当前的高校思想政治理论课教学应该合理借鉴价值澄清方法,而要做到合理借鉴,需要树立以生活为中心、以学生为主体、以行动为导向的教学理念,需要灵活运用多种教学策略,需要处理好灌输与选择、“收”与“放”的关系。

  9. Valores referenciais da eletromiografia de músculos envolvidos na deglutição: uma revisão sistemática Reference values for the electromyography of muscles involved in swallowing: a systematic review

    Directory of Open Access Journals (Sweden)

    Luciana Rodrigues Belo

    2012-02-01

    Full Text Available TEMA: normalidade da eletromiografia de superfície de músculos envolvidos na deglutição. OBJETIVO: investigar se a literatura aponta valores referenciais de normalidade para a duração, amplitude e características dos eletromiogramas dos músculos envolvidos na deglutição (orbicular da boca, masseter, músculos da região supra-hióidea e músculos da região infra-hióidea cobertos pelo músculo platisma. CONCLUSÃO: a busca resultou em 33 referências, das quais somente cinco enquadraram-se nos critérios de inclusão. Apenas uma referência foi classificada com um bom nível de qualidade pela escala de Jadad com modificações. Os artigos selecionados podem não apontar valores referenciais confiáveis principalmente para a amplitude e morfologia da eletromiografia de superfície, pois utilizaram uma freqüência de amostragem inadequada para os registros eletromiográficos o que potencializa a obtenção de dados distorcidos da atividade muscular. Tendo em vista a variabilidade inter e entre os sujeitos, a literatura sugere a realização de técnicas de normalização do sinal eletromiográfico.BACKGROUND: normal surface electromyography (sEMG of muscles involved in swallowing. PURPOSE: to investigate if the literature indicates normal parameters for duration, amplitude and characteristics of the electromyograms of the muscles involved in swallowing (orbicularis oris, masseter, muscles of the suprahyoid muscles and the infra-hyoid region covered by the platysma muscle. CONCLUSION: the search resulted in 33 references, of which only five were within the inclusion criteria. Only one reference was classified with good level of quality by the Jadad scale with modifications. The selected articles cannot point reliable reference values mainly for EMG amplitude and morphology, because they used a inappropriate sampling rate for the EMG recordings that maximizes the achievement of distorted data for the muscle activity. Literature suggests

  10. Reference Man anatomical model

    Energy Technology Data Exchange (ETDEWEB)

    Cristy, M.

    1994-10-01

    The 70-kg Standard Man or Reference Man has been used in physiological models since at least the 1920s to represent adult males. It came into use in radiation protection in the late 1940s and was developed extensively during the 1950s and used by the International Commission on Radiological Protection (ICRP) in its Publication 2 in 1959. The current Reference Man for Purposes of Radiation Protection is a monumental book published in 1975 by the ICRP as ICRP Publication 23. It has a wealth of information useful for radiation dosimetry, including anatomical and physiological data, gross and elemental composition of the body and organs and tissues of the body. The anatomical data includes specified reference values for an adult male and an adult female. Other reference values are primarily for the adult male. The anatomical data include much data on fetuses and children, although reference values are not established. There is an ICRP task group currently working on revising selected parts of the Reference Man document.

  11. Doppler transcraniano convencional em voluntários assintomáticos: variabilidade e valores de referência para parâmetros de fluxo sanguíneo Reference values for measures of blood flow velocities and impedance indexes in healthy individuals through conventional transcranial Doppler

    Directory of Open Access Journals (Sweden)

    Maurício Fregonesi Barbosa

    2006-09-01

    Full Text Available OBJETIVO: Estabelecer valores de referência para medidas de velocidade sanguínea e índices de impedância em indivíduos saudáveis por meio do Doppler transcraniano convencional (DTC e observar suas variações em relação à idade e sexo. MÉTODO: Foram examinados 88 voluntários assintomáticos, sem antecedentes de doença cerebrovascular, cardíaca ou vascular periférica. Os exames de DTC foram realizados pelo mesmo examinador, sendo as artérias cerebrais médias, anteriores e posteriores estudadas por meio da janela temporal e as artérias vertebrais e basilar por meio da janela suboccipital. Foram arquivados os valores de velocidade média (VM, velocidade de pico sistólico (VPS, velocidade diastólica final (VDF e índices de resistência (IR e pulsatilidade (IP de cada segmento arterial examinado. RESULTADOS: Os limites de referência encontrados por nós foram semelhantes aos descritos por outros autores para todos os parâmetros estudados. Houve tendência das velocidades de fluxo diminuírem e dos índices de impedância aumentarem com o avançar da idade. Os valores de velocidade nas mulheres foram superiores aos encontrados em homens. CONCLUSÃO: O DTC se mostrou útil na avaliação hemodinâmica cerebral de nossa população. Os nossos resultados são semelhantes aos de outros estudos, tanto nos valores de referência quanto na sua relação com a idade e o sexo.OBJECTIVE: To establish reference values for measures of blood flow velocities and impedance indexes in healthy individuals through conventional transcranial Doppler (TCD and to observe their variations in relation to the age and sex. METHOD: 88 asymptomatic volunteers were examined without antecedents of cardiac, peripheral or cerebrovascular diseases. The TCD were accomplished by the same examiner. The middle, anterior and posterior cerebral arteries were studied through the temporal acoustic window and the vertebral and basilar arteries through the suboccipital

  12. Relationship between sinus heart rate turbulence reference value and geographical environment%窦性心率震荡参考值与地理环境的关系

    Institute of Scientific and Technical Information of China (English)

    姜吉琳; 葛淼; 何进伟; 周文华; 努尔阿米娜・艾海提; 许金辉

    2014-01-01

    目的:探索地理因素对中国健康人窦性心率震荡参考值的影响,并建立预测方程,为统一该参考值提供科学依据。方法应用SPSS16.0软件对收集整理的47个市(县)级医院和有关科研单位的4152例健康人窦性心率震荡参考值与海拔,年平均气温,年平均风速等7项地理因素指标进行相关分析,然后用回归分析方法分析健康人窦性心率震荡参考值与地理因素指标的关系。应用 GIS软件拟合出中国健康人震荡斜率参考值的空间趋势分布图。结果窦性心率震荡定量化指标震荡斜率与海拔和年平均风速等地理因素指标均有显著相关性,并得出了相应的多元线性回归方程,拟合出中国健康人震荡斜率参考值的空间趋势分布图。结论窦性心率震荡参考值的建立应考虑地理因素的影响,空间趋势分布图的制作将更方便临床医生的诊断。%Objective To explore the relationship between the sinus heart rate turbulence in healthy people and geographic factors , to have a better understanding on the geographical distribution of the reference value of healthy adults ′sinus heart rate turbulence .Methods Correlation analysis and regression analysis with SPSS 16.0 software were used to analyze the relation between 7 geographical factor ( alti-tude,annual average temperature ,annual average wind speed and so on ) and the reference value of sinus heart rate turbulence of 3 467 healthy people whose data were collected from 47 city ( county) level hospitals and relevant scientific research units ,and made out the spacial interpolation of the turbulence slope reference value of healthy Chinese .Results There was a significant correlation between sinus heart rate turbulence quantitative indicators of turbulence slope and altitude ,annual average temperature ,annual average wind speed ,and reached the multiple linear regression equation .Conclusions According to the equation

  13. 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

  14. Reference values for areal bone mineral density among a healthy Mexican population Valores de referencia para la densidad mineral ósea expresada en área para una población mexicana sana

    Directory of Open Access Journals (Sweden)

    Juan Tamayo

    2009-01-01

    Full Text Available OBJECTIVE: Compare the influence of ethnicity in the prevalence of osteopenia and osteoporosis in various Mexican populations using two normal dual X-ray absorptiometry (DXA reference databases: manufacturer's incorporating US Hispanic population and a normal mestizo Mexican population. MATERIAL AND METHODS: MMP included 9 946 subjects participating in an ongoing long-term cohort study focusing on lifestyle and chronic diseases, of which 6 487 MMP males and females aged 7 to 80 years were the normal subjects used to determine bone density T- and Z-scores, following WHO criteria, and peak bone mass values. Abnormal bone mass density values estimated by the manufacturer's and peak bone mass reference values were compared. RESULTS AND CONCLUSIONS: Our results show that by using the manufacturer's T-score values in the mestizo Mexican population we are underestimating the number of abnormal bone mass BMD populations.OBJETIVO: Comparar la influencia de la etnicidad en la prevalencia de osteopenia y osteoporosis en varias poblaciones mexicanas utilizando dos bases de referencia normal de densitometría de rayos X (DXA: referencia del fabricante que incorpora hispanos en Estados Unidos y datos de una población mestiza mexicana. MATERIAL Y MÉTODOS: Un total de 9 946 sujetos de población mestiza mexicana participantes en una cohorte de largo plazo dirigida al estudio de estilos de vida y ocurrencia de enfermedades crónicas; de los cuales 6 487 sujetos sanos de ambos sexos, con edad entre los 7 y los 80 años, fueron utilizados para determinar los valores T, Z, de acuerdo a los criterios de la OMS, así como a los valores de masa ósea pico. Se compararon los casos de densidad mineral ósea anormal de acuerdo a los valores de referencia del fabricante y los valores de masa ósea pico de la población mestiza. RESULTADOS Y CONCLUSIÓN: Las bases de referencia del fabricante subestima significativamente el número de casos con densidad mineral

  15. THE METHOD OF DETERMINATION OF ERROR IN THE REFERENCE VALUE OF THE DOSE DURING THE LINEAR ACCELERATOR RADIATION OUTPUT CALIBRATION PROCEDURE. Part 3. The dependence of the radiation beam characteristics

    Directory of Open Access Journals (Sweden)

    E. V. Titovich

    2016-01-01

    Full Text Available To ensure the radiation protection of oncology patients is needed to provide the constancy of functional characteristics of the medical linear accelerators, which affect the accuracy of dose delivery. For this purpose, their quality control procedures are realized including calibration of radiation output of the linac, so the error in determining the dose reference value during this procedure must not exceed 2 %. The aim is to develop a methodology for determining the error in determining this value, depending on the characteristics of the radiation beam. Dosimetric measurements of Trilogy S/N 3567 linac dose distributions have been carried out for achievement of the objectives, on the basis of which dose errors depending on the dose rate value, the accuracy of the beam quality and output factors determination, the symmetry and uniformity of the radiation field, the angular dependence of the linac radiation output were obtained. It was found that the greatest impact on the value of the error has the error in the output factors determination (up to 5.26 % for both photon energy. Dose errors caused by changing dose rate during treatment were different for two photon energies, and reached 1.6 % for 6 MeV and 1.4 % for 18 MeV. Dose errors caused by inaccuracies of the beam quality determination were different for two photon energies, and reached 1.1 % for 18 MeV and –0.3 % for 6 MeV. Errors caused by the remaining of the characteristic do not exceed 1 %. Thus, there is a possibility to express the results of periodic quality control of the linear accelerator in terms of dose and use them to conduct a comprehensive assessment of the possibility of clinical use of a linear accelerator for oncology patients irradiation on the basis of the calibration of radiation output.

  16. Reference values for chinchilla (Chinchilla laniger blood cells and serum biochemical parameters Valores de referência para os parâmetros das células e bioquímica sangüínea da chinchila (Chinchilla laniger

    Directory of Open Access Journals (Sweden)

    Tális de Oliveira Silva

    2005-06-01

    Full Text Available Raising chinchilla (Chinchilla laniger for commercial purpose has increased significantly; however, hematological and serum biochemical reference values have not yet been determined for chinchillas raised in south Brazil. Establishing blood cells and serum biochemistry reference values might be helpful to evaluate health status of chinchillas and might be used as a tool by clinicians. The purpose of this study was to determine the reference values for blood cells and serum biochemistry of Chinchilla laniger. Blood samples were collected by cardiac puncture from 16 adult males, at the time they were killed to remove the fur coat, and from 8 adult males anesthetized with ketamine and xylazine. Blood cell counts and serum biochemistry analysis were performed using standard techniques and the results were expressed as mean ± SEM. Analysis of blood parameters from post-mortem cardiac punctured and from anesthetized chinchillas indicated that blood samples from anesthetized chinchillas had higher PCV, Hemoglobin, MCHC and WBC (P A criação de chinchila (Chinchilla laniger com objetivos comerciais tem crescido muito nos últimos anos. No entanto, os valores de referência para os parâmetros hematológicos e bioquímicos não foram ainda determinados para chinchilas criados no sul do Brasil. O estabelecimento dos valores de referência para esses parâmetros pode servir de auxílio para a avaliação da saúde das chinchilas e servir de auxílio diagnóstico para o clínico. Esse estudo teve como objetivo determinar os valores de referência das células e da bioquímica sangüínea da Chinchilla laniger. As amostras de sangue foram coletadas por meio de punção cardíaca de 16 machos adultos no momento em que os animais foram mortos para remoção da pele, e de 8 machos adultos após anestesia com xylazina e ketamina. A contagem das células sangüíneas e a análise dos parâmetros bioquímicos foram feitas utilizando-se métodos padronizados em

  17. Valores de referencia del electrorretinograma en el laboratorio de electrofisiología visual del Centro Internacional de Retinosis Pigmentaria "Camilo Cienfuegos Reference values of the electroretinogram in the visual electrophysiology laboratory from the "Camilo Cienfuegos" Pigmentary Retinosis International Center

    Directory of Open Access Journals (Sweden)

    Alberto Barrientos Castaño

    2011-06-01

    Full Text Available OBJETIVO: Obtener los valores de referencia del electrorretinograma diferenciado de conos y bastones para el laboratorio de electrofisiología visual de la clínica "Camilo Cienfuegos". MÉTODOS: Se seleccionaron 50 individuos sanos al azar en la clínica "Camilo Cienfuegos", a quienes se les realizó el electrorretinograma según los parámetros planteados por el comité internacional para la estandarización, de la Sociedad Internacional para la Electrofisiología Clínica de la Visión. Se midieron las amplitudes y tiempos implícitos de las principales ondas en las cinco respuestas básicas y una opcional. RESULTADOS: Se obtuvieron las cinco respuestas básicas con morfología similar a la planteada por otros autores. En la respuesta de bastones la onda "b" estuvo entre 72 y 89 ms con una amplitud entre 128 y 380 µv. Se obtuvo una respuesta combinada con ondas "a" y "b" desdobladas. Se registraron potenciales oscilatorios con 4 y 5 componentes. Los valores y morfología de las ondas en la respuesta de conos y el flicker se corresponden con la reportada por otros autores. CONCLUSIONES: Se obtuvieron los valores de referencia del electrorretinograma para este laboratorio según estandarización internacional, con morfología, amplitud y tiempos implícitos similar a los obtenidos por otros autores.OBJECTIVE: To obtain the normal reference values of cone-rod standard electroretinogram in electrophysiology visual department of Camilo Cienfuegos Hospital. METHODS: 50 healthy individuals were studied and submitted to standard electroretinogram in electrophysiology visual department of "Camilo Cienfuegos" Hospital in Havana. We performed the electroretinogram according to the parameters of the standard committee of the International Society for Clinical Electrophysiology of Vision. The amplitud and implicit times of the main waves were measured in the five basic and an additional optional scotopic reponses. RESULTS: The five basic responses were

  18. Reference problems

    Digital Repository Service at National Institute of Oceanography (India)

    Varkey, M.J.

    in science or for that ma t ter, in any other subject. Indeed, the sorry state of science education is only a small part of the much deeper sy s temic rot. A colleague in IIT - Kanpur cynically remarked to me that IIT did not even need to teach... annual budget. (This takes into consideration only 50,000 seriously working scientists out of a total r e search and teaching staff of over 0.4 million in CSIR, ICAR, ICMR, un i ver sities, etc.). Following are some good examples for referring...

  19. TECHNIQUE OF ESTIMATION OF ERROR IN THE REFERENCE VALUE OF THE DOSE DURING THE LINEAR ACCELERATOR RADIATION OUTPUT CALIBRATION PROCEDURE. PART 1. DEPENDANCE OF THE MECHANICAL PARAMETERS OF LINAC’S GANTRY

    Directory of Open Access Journals (Sweden)

    Y. V. Tsitovich

    2015-01-01

    Full Text Available To ensure the safety of radiation oncology patients needed to provide a consistent functional characteristics of the medical linear electron accelerators, which affect the accuracy of dose delivery. To this end, their quality control procedures, which include the calibration of radiation output of the linear accelerator, the error in determining the dose reference value during which must not exceed 2 %, is provided. The aim is to develop a methodology for determining the error in determining this value, depending on the mechanical charachteristics of the linac’s gantry. To achieve the objectives have been carried out dosimetric measurements of Trilogy S/N 3567 linac dose distributions, on the basis of which dose errors depending on the accuracy setting the zero position of the gantry and the deviation of the gantry rotation isocenter were obtained. It was found that the greatest impact on the value of the error has gantry rotation isocenter deviation in a plane perpendicular to the plane of incidence of the radiation beam (up to 3,64% for the energy of 6 MeV. Dose errors caused by tilting the gantry and its isocenter deviation in the plane of incidence of the beam were highest for 18 MeV energy and reached –0,7 % and –0,9 % respectively. Thus, it is possible to express the results of periodic quality control of the linear accelerator ganty in terms of dose and use them to conduct a comprehensive assessment of the possibility of clinical use of a linear accelerator for oncology patients irradiation in case of development of techniques that allow to analyze the influence of the rest of its technical and dosimetric parameters for error in dose.

  20. Radioactive isotopes in soils of Rio de Janeiro state: reference values, spatial distribution and correlation with environmental factors; Isotopos radioativos em solos do Estado do Rio de Janeiro: valores de referencia, distribuicao espacial e correlacao com fatores ambientais

    Energy Technology Data Exchange (ETDEWEB)

    Ribeiro, Fernando Carlos Araujo

    2016-07-01

    In the Rio de Janeiro State is located most of the Brazilian facilities for nuclear power generation and in the north region of the State is located a facility for concentration of heavy metals containing in monazite sand, which contain thorium and uranium associated. In addition, phosphate fertilizers, which contain natural radionuclides, are intensively used for agricultural purposes. A regional scale study was carried out in the state of Rio de Janeiro aimed to determine the levels of {sup 40}K, {sup 226}Ra, {sup 228}Ra and {sup 137}Cs in surface soils, their geographic distribution, quality reference values (QRV) and the external dose which the population is potentially exposed. With this aim, 263 samples of surface soil were collected in the overall State, representing all soil and geology types, and analyzed by gamma spectrometry. The {sup 40}K, {sup 226}Ra and {sup 228}Ra concentrations were within the world average values for soils. The activity concentration varied from 12 to 1029 Bq kg{sup -1} to {sup 40}K (geometric mean 111 Bq kg{sup -1}), from 3.5 to 100 Bq kg{sup -1} for {sup 226}Ra (geometric mean 30 Bq kg{sup -1}) and from 5.4 to 314 Bq kg{sup -1} for {sup 228}Ra (geometric mean 67 Bq kg{sup -1}). Higher concentrations were found in soils with igneous and metamorphic origin (Leptosol and Cambisol), while the lowest concentration were observed to the Podzol, of sedimentary origin. The lowest concentrations of {sup 226}Ra were observed in soils occurring on a rock with a high grade of metamorphism (granulite). The QRV values were calculated, according to Brazilian law in the 75{sup th} and 90{sup th} percentiles. However, due to the large dispersion of concentration data, when values of VRQs for each soil class are compared, significant differences among them are found. The results put in the view the restriction of using the 75{sup th} percentile and a unique QRV by radionuclide to all soil classes. Therefore, values of QRVs are suggested based on

  1. TECHNIQUE OF ESTIMATION OF ERROR IN THE REFERENCE VALUE OF THE DOSE DURING THE LINEAR ACCELERATOR RADIATION OUTPUT CALIBRATION PROCEDURE. Part 2. Dependence on the characteristics of collimator, optical sourse-distance indicator, treatment field, lasers and treatment couch

    Directory of Open Access Journals (Sweden)

    Y. V. Tsitovich

    2016-01-01

    Full Text Available To ensure the safety of radiation oncology patients needed to provide consistent functional characteristics of the medical linear accelerators, which affect the accuracy of dose delivery. To this end, their quality control procedures, which include the calibration of radiation output of the linac, the error in determining the dose reference value during which must not exceed 2 %, is provided. The aim is to develop a methodology for determining the error (difference between a measured value of quantity and its true value in determining this value, depending on the characteristics of the collimator, the source to surface distance pointer, lasers, radiation field and treatment table. To achieve the objectives have been carried out dosimetric measurements of Trilogy S/N 3567 linac dose distributions, on the basis of which dose errors depending on the accuracy setting the zero position of the collimator, the deviation of the collimator rotation isocenter, the sourcesurface distance pointer accuracy, field size accuracy, the accuracy of lasers and treatment table positioning were obtained. It was found that the greatest impact on the value of the error has the error in the optical SSD indication and the error in the lasers position in the plane perpendicular to the plane of incidence of the radiation beam (up to 3.64 % for the energy of 6 MV. Dose errors caused by error in the field size were different for two photon energies, and reached 2.54 % for 6 MeV and 1.33% for 18 MeV. Errors caused by the rest of the characteristic do not exceed 1 %. Thus, it is possible to express the results of periodic quality control of these devices integrated in linac in terms of dose and use them to conduct a comprehensive assessment of the possibility of clinical use of a linear accelerator for oncology patients irradiation on the basis of the calibration of radiation output in case of development of techniques that allow to analyze the influence dosimetric

  2. 两种参考值用于诊断妊娠期妇女甲状腺功能的差异%Difference of two references value in the diagnosis of thyroid function of pregnant woman

    Institute of Scientific and Technical Information of China (English)

    魏慧生

    2015-01-01

    Objective:To explore and analyze the difference of two references value in the diagnosis of thyroid function of pregnant woman.Methods:180 pregnant woman with thyroid dysfunction were selected.Two references of hypothyroidism and subclinical hypothyroidism were compared.Results:In the diagnosis of hypothyroidism and subclinical hypothyroidism,the 3 stage diagnose accordance rates were compared(P<0.05).The diagnose accordance rate of adult standard was significantly lower than the diagnose accordance rate of ATA standard(P<0.05).Conclusion:ATA standard diagnosis can help to enhance and improve the diagnosis level of pregnant women with hypothyroidism,subclinical hypothyroidism disease.It has a good clinical significance.%目的:探讨与分析两种参考值用于诊断妊娠期妇女甲状腺功能的差异。方法:收治伴有甲状腺功能异常妊娠妇女180例,以甲状腺功能减退与亚临床甲状腺功能减退两种参考值进行对比。结果:甲减及亚甲减诊断中,3期诊断符合率比较(P<0.05);成人标准诊断符合率明显低于ATA标准诊断符合率(P<0.05)。结论:ATA标准诊断能有助于提高和改善孕妇合并甲减、亚甲减疾病诊断水平,具有良好的临床指导意义。

  3. Reference values of MRI flow measurements of the pulmonary outflow tract in healthy children; Erstellung von Referenzwerten fuer die MRT-basierte Flussmessung im Truncus pulmonalis bei gesunden Kindern und Jugendlichen

    Energy Technology Data Exchange (ETDEWEB)

    Abolmaali, N.D.; Feist, P.; Vogl, T.J. [Frankfurt Univ. (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie; Esmaeili, A. [Frankfurt Univ. (Germany). Klinik fuer Paediatrische Kardiologie; Ackermann, H. [Frankfurt Univ. (Germany). Zentrum fuer Informatik; Requardt, M. [Siemens Medical Solutions, Erlangen (Germany); Schmidt, H. [Frankfurt Univ. (Germany). Funktionsbereich Paediatrische Radiologie

    2004-06-01

    Purpose: To provide reference values for MRI-based flow measurements in the main pulmonary artery in healthy children. Materials and Methods: In 98 healthy children (age: 3-17 years, median: 11 years), the main pulmonary artery was examined using MRI-based flow measurements with high temporal resolution (9.6 ms per cardiac phase). Results: The acceleration time revealed a distinct age dependency and varied between 90 and 155 ms (mean: 124 ms{+-}14). The relative acceleration time (related to the RR-interval) varied between 12.7 and 27% (mean: 18%{+-}2.6). The mean values and the standard deviations for the determined values were as follows: cardiac output (5.4 l/min{+-}1.4), cardiac output normalized to the body surface area (4.2 [l/min]/m{sup 2}{+-}0.8), average systolic flow velocity (66 cm/s{+-}12), maximum systolic flow (309 ml/s{+-}79), mean flow (110 ml/s{+-}30), distensibility of the wall of the main pulmonary artery (79%{+-}26), peak velocity (96 cm/s{+-}15), pressure gradient along the pulmonary valve (3.8 mm Hg{+-}1.2), stroke volume (63.2 ml{+-}17.9), acceleration volume (23.7 ml{+-}8.7), maximum acceleration of flow (4924 ml/s{sup 2}{+-}1431), and reverse volume (0.2 ml{+-}0.3). Conclusions: The acquired values of reference are applicable to all pediatric patients and serve as a framework for the communication between the radiologist and the pediatric cardiologists. High temporal resolution of the measurement sequence is mandatory. Noticeable deviations of these values should induce additional (probably invasive) evaluation. (orig.) [German] Ziel: Erstellung von Referenzwerten fuer die MRT-basierte Flussmessung im Truncus pulmonalis bei gesunden Kindern und Jugendlichen. Methode: 98 anamnestisch herzgesunde Kinder (Alter: 3-17 Jahre, Median: 11 Jahre) wurden mit einer zeitlich hoch aufloesenden MRT-Flussmessung (9,6 ms pro Herzphase) im Truncus pulmonalis untersucht. Ergebnisse: Die Akzelerationszeit wies eine starke Altersabhaengigkeit auf und

  4. Investigation of the saliva lysozyme reference value in 934 primary students%934名小学生唾液溶菌酶正常参考值调查

    Institute of Scientific and Technical Information of China (English)

    张瑞; 梅勇; 代浩; 顾缨缨; 王桠男; 刘婕

    2013-01-01

    目的:探讨小学生唾液溶菌酶正常参考值范围.方法:采用先进的唾液采集管收集唾液,采用比浊法测定唾液中溶菌酶含量,按性别、年龄进行分组统计.结果:小学生唾液溶菌酶存在年龄差异(P<0.05),但无性别差异(P>0.05).8岁~ 10岁年龄组小学生唾液溶菌酶参考值范围为0.51 μg/ml~7.80μg/ml,11岁~14岁年龄组为0.44 μg/ml~6.49 μg/ml.结论:通过大量样本的调查,提出了小学生唾液溶菌酶正常参考值范围建议值.%Objective:To discuss the normal reference value range of saliva lysozyme in primary students.Methods:The advanced salivette was used to collect saliva and the turbidimetry method was used to determine the concentration of lysozyme.The samples were divided into two groups for statistical analysis by gender and age.Results:Age significance existed in saliva lysozyme (P < 0.05) but no gender difference (P > 0.05).The reference range of primary students is 0.51 μg/ml ~ 7.80 μg/ml for 8 ~ 10 years old group,and 0.44 μg/ml ~ 6.49 μg/ml for 11 ~14 years old group.Conclusion:The saliva lysozyme reference range was suggested through the investigation of a large number of samples.

  5. 军事航空医学科技报告的检索和参考价值%Retrieval of scientific and technological reports on military aviation medicine and its reference value

    Institute of Scientific and Technical Information of China (English)

    张凌; 刘延; 张向阳; 郑军

    2012-01-01

    Objective To study the reference value of retrieved scientific and technical reports on military aviation medicine. Methods Public US AD/NASA reports in recent years were retrieved from NTIS database using the subject headings and key words of aviation medicine. Their applicability was assessed. Results Of the 231 reports retrieved, 66 were technical reports, 25 were professional books, 72 were journal papers, 31 were academic conference papers, 17 were dissertations, 11 were handbooks, 9 were indexes and bulletins. The contents of reports included pilot selection, pilot performance testing, physiology experiments, epidemiological investigations, aviation disease studies, case reports, indexes and bibliographies. Conclusion Scientific and technical reports are of great reference value for the access to information resources of military aviation medicine and keeping abreast of scientific research approaches, methods, and application of new technologies.%目的 针对军事航空医学科技报告的检索结果进行分析,探讨科技报告的参考价值.方法 利用美国科技报告数据库(NTIS),使用航空医学专业主题词与关键词进行检索,检出近年来公开发行的行业专题报告( 美国AD\\NASA报告),并对其进行应用性评估.结果 检出军事航空医学科技报告231篇,其中技术报告66篇,图书出版物25部,期刊论文72篇,会议论文31篇,学位论文17篇,手册11部,索引与通报9篇;报告内容有飞行人员选拔、飞行人员能力测试、生理学实验、流行病学调查、航空病研究、病例报告及索引通报类等.结论 科技报告对于获取军事航空医学科研信息源、掌握科研的技术路线、方法以及新技术的应用等参考价值大.

  6. Human health screening level risk assessments of tertiary-butyl acetate (TBAC): calculated acute and chronic reference concentration (RfC) and Hazard Quotient (HQ) values based on toxicity and exposure scenario evaluations.

    Science.gov (United States)

    Bus, James S; Banton, Marcy I; Faber, Willem D; Kirman, Christopher R; McGregor, Douglas B; Pourreau, Daniel B

    2015-02-01

    A screening level risk assessment has been performed for tertiary-butyl acetate (TBAC) examining its primary uses as a solvent in industrial and consumer products. Hazard quotients (HQ) were developed by merging TBAC animal toxicity and dose-response data with population-level, occupational and consumer exposure scenarios. TBAC has a low order of toxicity following subchronic inhalation exposure, and neurobehavioral changes (hyperactivity) in mice observed immediately after termination of exposure were used as conservative endpoints for derivation of acute and chronic reference concentration (RfC) values. TBAC is not genotoxic but has not been tested for carcinogenicity. However, TBAC is unlikely to be a human carcinogen in that its non-genotoxic metabolic surrogates tertiary-butanol (TBA) and methyl tertiary butyl ether (MTBE) produce only male rat α-2u-globulin-mediated kidney cancer and high-dose specific mouse thyroid tumors, both of which have little qualitative or quantitative relevance to humans. Benchmark dose (BMD)-modeling of the neurobehavioral responses yielded acute and chronic RfC values of 1.5 ppm and 0.3 ppm, respectively. After conservative modeling of general population and near-source occupational and consumer product exposure scenarios, almost all HQs were substantially less than 1. HQs exceeding 1 were limited to consumer use of automotive products and paints in a poorly ventilated garage-sized room (HQ = 313) and occupational exposures in small and large brake shops using no personal protective equipment or ventilation controls (HQs = 3.4-126.6). The screening level risk assessments confirm low human health concerns with most uses of TBAC and indicate that further data-informed refinements can address problematic health/exposure scenarios. The assessments also illustrate how tier-based risk assessments using read-across toxicity information to metabolic surrogates reduce the need for comprehensive animal testing.

  7. 以225名健康儿童建立呼出气一氧化氮正常值%Reference values and determinants of fractional exhaled nitric oxide in 225 healthy children in Suzhou

    Institute of Scientific and Technical Information of China (English)

    刘媛媛; 陆燕红; 郝创利

    2012-01-01

    目的 探讨6~14岁儿童呼出气一氧化氮(FeNO)正常值范围及其影响因素.方法 选取苏州市6~14岁在校儿童进行问卷调查及FeNO、肺功能、外周血嗜酸粒细胞(EOS)计数的检测,筛选出健康儿童建立FeNO正常值.FeNO的测定采用电化学法,根据美国胸科学会/欧洲呼吸学会指南进行操作.分析性别、年龄、身高、体重、外周血EOS计数、肺功能和FeNO的相关性.结果 参与调查的450名儿童中符合纳入标准者225名(男生107名,女生118名)进入分析.FeNO值呈偏态分布,经自然对数转换后呈正态分布.FeNO平均值为11 ppb(95%CI:5~28 ppb),最小值9岁儿童FeNO显著高于≤9岁儿童(P=0.002);FeNO与性别、体重、BMI、FEV1/FVC无显著相关性.结论 苏州地区6~14岁儿童FeNO正常参考值为5~28 ppb;FeNO水平与外周血EOS计数、身高、FEV1显著相关.%Objectives The aim of this study was to establish FeNO reference values for healthy school-aged children in Suzhou according to the international guidelines, and to assess the determinants of FeNO. Methods Children aged 6-14 years were recruited from two public schools in Suzhou. The subjects completed a respiratory questionnaire, and were examined with measurements of FeNO, spirometry and blood eosinophil. Healthy children were screened to establish reference values of FeNO. FeNO was measured with a chemiluminescence analyzer according to American Thoracic Society guidelines ( single breath online, exhalation flow 50 mL · s-1 ). The associations between different determinants ( sex, age, height, weight, BMI, peripheral blood EOS count, FEV1/FVC, lung function) and FeNO were analyzed. Results Finally, a total of 450 children participated in the study, and 225 children fulfilled the inclusion criteria of healthy subjects ( 107 boys and 118 girls ). FeNO data were skewed, and met normal distribution after natural logarithm transformation. The geometric mean of FeNO in 225 children was 11 parts per

  8. Study on Reference Values of Energy Expenditure of Physical Activity for Shanghai Adolescents%上海市11~16岁青少年体力活动能量消耗参考值研究

    Institute of Scientific and Technical Information of China (English)

    李海燕; 庄洁; 陈佩杰

    2013-01-01

    目的:建立上海市青少年体力活动能量消耗的参考值.方法:以上海市11~16岁青少年为调查对象,进行体质健康项目测试,并进行体力活动问卷调查.在BMI正常、肺活量和耐力、柔韧力量、速度灵巧项目在及格以上的青少年中,按每2岁一个年龄段分组,每组随机选取男女各200人,用统计学方法分别建立中等强度和大强度体力活动能量消耗的95%置信区间;每年龄组再随机选取男女各20人进行回代检验.结果:11~12岁、13~14岁、15~16岁中等强度体力活动能量消耗(kcal/w)95%置信区间分别为:男生971.19~1271.58、1081.16~1492.94、1324.56~1712.37,女生1139.82~1437.37、1046.69~1398.77、1113.15~1427.22;大强度体力活动能量消耗(kcal/w)95%置信区间分别为:男生1167.75 ~1486.57、1226.24~1715.26、1117.23 ~1453.33,女生843.53 ~1141.61、676.01 ~1006.54、1142.53~1392.51.回代检验时,各年龄组有75%~87%的对象在所建立的95%置信区间内.结论:初步建立了上海市11~16岁青少年中等强度和大强度体力活动能量消耗的参考值.%Objective To establish reference values of energy expenditure of physical activity for adolescents in Shanghai. Methods Adolescents,aged 11-16,in Shanghai were recruited in this study. BMI,vital capacity and endurance capacity of the subjects were measured,and physical activity were investigated by questionnaire. Subjects who met the inclusion criteria of normal BMI,vital capacity, endurance capacity,strength,speed,and agility were grouped by every two years of age(n = 400 for each group,including 200 males and 200 females). 95% confidence interval of moderate and vigorous intensity physical activity were established by statistical methods. Back substitution test was performed in each age group (males = 20,females =20) selected randomly from the subjects. Results Reference values of energy expenditure (kcal/w) in moderate

  9. 轨道交通列车主控手柄或 ATC 参考值处理研究%Study of vehicle master controller handle or ATC reference value processing

    Institute of Scientific and Technical Information of China (English)

    何小兵

    2015-01-01

    The principle of driving and brake force setpoint production is made in this article.VCU transfer the master controller/ATC reference value into acceleration setpoint,the selection of acceleration setpoint,acceleration closed loop control,limitation of driving and brake characteristic curves,jerk limitation and load compensation are made,and therefore driving and brake force setpoint is produced.The study indicates the safety,accuracy and passengers’comfort of the vehicle can be guaranteed during driving or braking .%研究了轨道交通列车运行所需牵引/制动力设定值的产生原理,研究表明,列车控制单元 VCU 对司控器或者 ATC系统输出的模拟参考值进行了加速度设定值转换和选择、加速度闭环控制、牵引/制动特性曲线约束、冲击极限约束和车重补偿等处理,进而产生出列车牵引/制动力设定值,由此保证了列车牵引和制动时的安全、精确和舒适。

  10. 电子商务的发展及对电子政务的借鉴价值%The Development of Electronic Commerce and the Reference Value of Electronic Government Affairs

    Institute of Scientific and Technical Information of China (English)

    李肖云

    2016-01-01

    With e-commerce popular and practical as well as the embodiment of the surface and convenient in every aspect of human life, let we deeply aware information technology development no matter in which field are will play to irreplaceable role. In this paper, for example the industrial revolution of the railway development to analogy now and characteristics of elec-tronic commerce development, outstanding electronic commerce important practical value, is now in government management and service to achieve information network technology provide reference significance.%随着电子商务的流行化和实用化以及体现在人类生活方方面面的服务便利性,让我们深切感知信息技术发展不管在哪个领域都将会起到不可替代的作用。本文通过举例工业革命时期的铁路发展来类比现如今电子商务的发展及其特性,突出电子商务的重要实用性价值,也为现如今政府政务管理和服务实现信息网络技术提供可参考的意义。

  11. 威海地区1300名健康成人血清胱抑素c参考值调查%Serum cystatin C reference value survey of 1300 healthy adults in Weihai area

    Institute of Scientific and Technical Information of China (English)

    许广伟

    2014-01-01

    examination and serum Cystatin C level, eliminating outlier individual data after a total of 1295 subjects were selected, including 648 males, 647 females. Analysis of the difference between different gender and age groups Cystatin C levels using t test and variance, the LSD method was compared between groups two two. Adopting percentile (P2.5 ~ P97.5) to establish the reference range of healthy adult serum Cystatin C of different gender, different age groups.Results:there are significant differences in the level of Cystatin C in different gender, different age groups. According to the results of analysis of variance, establishment of the reference range respectively according to gender, age 18-50 years old, male, 51-60 years old, 61-90 year old the reference range were 0.64 ~1.18, 0.66 ~1.39, 0.67 ~1.51mg/L; 18-40, 41-50, 51-60, female, 61-90 year old the reference range were 0.51~1.03, 0.56~1.05, 0.57~1.14, 0.69~1.55mg\\L.Conclusions:the initial establishment of reference range of serum Cystatin C of healthy adult in Weihai area, have a good reference value on renal function in patients with clinical judgement and evaluation.

  12. Valores referenciais da análise do líquido peritoneal de eqüinos sadios Reference values for analysis of peritoneal fluid of healthy equines

    Directory of Open Access Journals (Sweden)

    Mariana Machado Neves

    2000-10-01

    Full Text Available Considerando a casuística de distúrbios abdominais em eqüinos, e o fato da paracentese ser uma técnica fácil e segura para o animal, a análise do líquido peritoneal torna-se um importante exame auxiliar no diagnóstico e direcionamento da conduta clínica. Como no Brasil não existem valores de referência desse exame em eqüinos sem raça definida, este trabalho objetivou o estabelecimento desses valores para esses animais. Foram usados sessenta eqüinos sem raça definida, procedentes da Região Metropolitana de Belo Horizonte-MG, os quais foram vermifugados e mantidos na Escola de Veterinária da UFMG, recebendo a mesma alimentação. Foi realizada paracentese abdominal, para obtenção de amostra fracionada em três alíquotas: uma contendo EDTA, outra citrato de sódio e outra sem anticoagulante. A alíquota sem anticoagulante foi subdividida para se fazer esfregaços em lâminas para contagem diferencial de leucócitos e para dosagem da proteína total. Na alíquota com citrato, foi dosado fibrinogênio e na com EDTA foi feita contagem total de leucócitos. Os resultados obtidos foram: Leucócitos total/mil 3567 ± 3280; Neutrófilos 51,6± 23,3%; Eosinófilos 3,0± 8,5%; Basófilos 0,1± 0,35%; Linfócitos 10,5± 10,6%; Células Mononucleares 33,8± 25,3%; Proteína g/dl 1,2± 0,6 e Fibrinogênio g/dl 0,05 ± 0,015.The high casuistic of abdominal disturbs in equine, and the knowledge that paracentesis is an efficient technique, simple and safe for the animal, result that the analysis of the peritoneal fluid becomes an important aid for diagnosis and clinical orientation in individual cases. As in Brazil there are no reference values for peritoneal fluid evaluation for working horses, this work intends to provide some values for that category of animals. Sixty healthy working horses, from the Metropolitan area of Belo Horizonte City, Minas Gerais State, Brazil were used. The animals were maintained in the Veterinary Hospital of the

  13. Summary of Collaboration Fixed Value Experiment for CODMn Determination of National Environmental Reference Materials%CODMn国家环境标准样品协作定值实验总结

    Institute of Scientific and Technical Information of China (English)

    陈丽琼; 茹婉红; 胡勇; 余东波; 茹菁宇

    2012-01-01

    In this article, the permanganate index of two environmental standard samples (the determination numbers are 2031--12C and 2031--12D) are determined by acid potassium permanganate oxidation method (GB 11892--89), according to the requirement of national environmental standard collaboration fixed value. The results are 2.84mg/L and 3.43mg/L respectively, which are both within the range of assessment requirements and close to the standard value 2.82mg/L and 3.39mg/L. The relative standard deviation of the two groups of results are 2.36% and 5.66% respectively and the relative error are 0.71% and 1.18%, which all meet the requests of quality control. After the assessement and validation by the national institute for environmental reference materials, the results of the two environmental standard samples are qualified and adopted.%根据国家环境标准样品协作定值的任务要求,采用酸性高锰酸钾氧化法(GB11892—89)测定了编号为2031—12C和2031—12D两个环境标准样品的高锰酸盐指数,结果分别为2.84mg/L和3.43mg/L,均在考核要求范围内,且与标准值2.82mg/L和3.39mg/L较为接近。两组测定结果的相对标准偏差分别为2.36%和5.66%,相对误差分剐为0.71%和1.18%,均符合质量控制要求。提出了经国家环境保护部标准样品研究所考核验证,两个标准样品的测定结果均合格并被采用。

  14. 升官图游戏对当代游戏设计的参考价值%THE REFERENCE VALUE OF SHENG GUANTU GAME TO CONTEMPORARY GAME DESIGN

    Institute of Scientific and Technical Information of China (English)

    姚程珠; 秦菊英; 周尧

    2016-01-01

    In recent years, the traditional cultural education of children gets more and more attention. Fine traditional culture wil help the children set a good, correct values and world view. Aiming at the absence of traditional culture in toys currently on the market, taking the game of Shen Guantu as the starting point, the article explores penetration of traditional culture in the traditional games and education. Through the research, the article found that the game of Shen Guantu has strong features of "entertaining", "rich in truth" "strong character" in the moral education of children. It can provide a reference and guide for the game design.%近些年来,社会对于儿童传统文化教育方面的重视度越来越高,优良的传统文化有助于儿童树立良好的、正确的人生观、价值观和世界观,对儿童行为具有一定的指导意义。针对目前市场上玩具中传统文化内涵的缺失,以《升官图》游戏为出发点,探究传统游戏中传统文化的渗透方式和教育意义,通过研究发现传统游戏《升官图》在儿童育德放面有着较强的“寓教于乐”、“富含真实”、“浓厚特色”等特点,能够为现代育德游戏的设计提供一定的借鉴和指导意义。

  15. 经济手段在南部非洲发展共同体环境管理中的运用及启示%The Use and Reference Value of Economic Instrument in SADC Environmental Management

    Institute of Scientific and Technical Information of China (English)

    吴勇

    2011-01-01

    To eradicate poverty and solve problems of ecological deterioration, Southern African Development Community (SADC) needs to seek an environmental management, which regards sustainable development as the guidance and the com- mon realization of economic benefits and environmental benefits as the goal. As a means of market incentive, economic instrument comes into the view of the environ- mental management in SADC, and is widely used in management and use of land re- sources, use, allocation and management of water and industrial sector in SADC. Practice of economic instrument used in environmental management in SADC has significant reference value to the innovative environmental management in China.%南部非洲发展共同体为根除贫穷和解决生态恶化问题需要寻求以可持续发展为导向、以促进共同实现经济效益和环境效益为目标的环境管理手段。作为一种市场激励手段,经济手段进入南共体环境管理的视野,并被广泛地运用于这一区域土地资源的管理和使用,水资源的使用、分配和管理以及工业部门中。南共体有关环境管理中经济手段运用的实践对于我国环境管理的革新同样具有一定的借鉴意义。

  16. RCSED—A Value-added Reference Catalog of Spectral Energy Distributions of 800,299 Galaxies in 11 Ultraviolet, Optical, and Near-infrared Bands: Morphologies, Colors, Ionized Gas, and Stellar Population Properties

    Science.gov (United States)

    Chilingarian, Igor V.; Zolotukhin, Ivan Yu.; Katkov, Ivan Yu.; Melchior, Anne-Laure; Rubtsov, Evgeniy V.; Grishin, Kirill A.

    2017-02-01

    We present RCSED, the value-added Reference Catalog of Spectral Energy Distributions of galaxies, which contains homogenized spectrophotometric data for 800,299 low- and intermediate-redshift galaxies (0.007information on galaxy properties obtained with state-of-the-art data analysis, RCSED enables direct studies of galaxy formation and evolution over the last 5 Gyr. We provide tabulated color transformations for galaxies of different morphologies and luminosities, and analytic expressions for the red sequence shape in different colors. RCSED comprises integrated k-corrected photometry in up to 11 ultraviolet, optical, and near-infrared bands published by the GALEX, SDSS, and UKIDSS wide-field imaging surveys; results of the stellar population fitting of SDSS spectra including best-fitting templates, velocity dispersions, parameterized star formation histories, and stellar metallicities computed for instantaneous starburst and exponentially declining star formation models; parametric and non-parametric emission line fluxes and profiles; and gas phase metallicities. We link RCSED to the Galaxy Zoo morphological classification and galaxy bulge+disk decomposition results of Simard et al. We construct the color–magnitude, Faber–Jackson, and mass–metallicity relations; compare them with the literature; and discuss systematic errors of the galaxy properties presented in our catalog. RCSED is accessible from the project web site and via VO simple spectrum access and table access services using VO-compliant applications. We describe several examples of SQL queries to the database. Finally, we briefly discuss existing and future scientific applications of RCSED and prospective catalog extensions to higher redshifts and different wavelengths. .

  17. Valores de referência local e avaliação da contaminação por zinco em solos adjacentes a áreas mineradas no município de Vazante-MG Establishing local reference values and determining contamination of zinc in soils of Vazante-MG

    Directory of Open Access Journals (Sweden)

    Meubles Borges Júnior

    2008-12-01

    establish local reference values (LRV for Zn in soils surrounding mining areas in the county of Vazante-MG (Brazil, with a view to evaluate the environmental contamination. Soil profiles were collected in the mining areas, and both upslope and downslope and sampled at depths of 0-2, 2-5, 5-10, 10-20, 20-50, 50-100 and 100-150 cm. Total concentrations and available forms (Melich-3 and DTPA of Zn were determined. LRV was obtained by the mean of total Zn contents in the 0-20 cm layer of the profiles in upslope position. Based on the LRV, the contamination factor (CF and the geoaccumulation index (GI were calculated for each profile. The LRV determined for Zn was 1262 mg kg-1, which is a very high content when compared to quality standard values and suggests monitoring and restrictions in the agricultural and residential soil use. Nevertheless, the LRV is lower than the intervention values for industrial areas established in the State of São Paulo, USA and Canada. The CF was higher in soils of the mined area, mainly in profile 5 of the mining area. Based on the GI, the profiles located downslope were classified as moderately contaminated to not contaminated.

  18. The reference values and Z scores regression equations of normal newborns undergoing echocardiography%新生儿超声心动图正常参考值及Z值回归方程式的研究

    Institute of Scientific and Technical Information of China (English)

    林洲; 谢燕华; 夏焙; 许娜; 李姝娜; 何学智; 王娟; 刘磊; 欧福祥; 陈伟玲

    2014-01-01

    Objective To investigate the reference values and Z scores regression equations of newborn undergoing echocardiography. Methods Two hundred and eighty-eight newborns (aged 0-28 days) of Shenzhen Children′s Hospital underwent echocardiography examination, including M-mode, two-dimensional (2D) and real-time three-dimensional (3D) echocardiography, color Doppler lfow imaging (CDFI) and tissue Doppler imaging. The correlation between echocardiography results and weight were analyzed and Z scores were calculated. Results The normal values of right ventricular diameter (RV) and left ventricular end-diastolic diameter (LVEDD) measured by M-mode, the mitral annulus diameter in four chamber view (MV-D1), mitral annulus diameter in two chamber view (MV-D2), mitral annulus diameter in longitudinal view (MV-D3), aortic ring diameter (ARD), aortic sinus diameter (ASD), ascending aorta diameter (AAO), transverse aorta diameter (TA), aortic isthmus diameter (AI), aorta diaphragm diameter (AO-Dia), tricuspid annulus diameter in four chamber view (TV-D1), tricuspid annulus diameter in right ventricular inlfow tract view (TV-D2), right ventricular outlfow tract diameter (RVOT), pulmonary valve diameter (PVD) and main pulmonary artery diameter (PA) measured by 2D echocardiography and the normal values of mitral valve inflow Doppler component during early diastole (MV-E), mitral valve inlfow Doppler component during atrial contraction (MV-A), tricuspid valve inlfow Doppler component during early diastole (TV-E), tricuspid valve inflow Doppler component during atrial contraction (TV-A), aortic valve peak velocity (AV-max), aortic valve velocity-time integral (AV-VTI), pulmonary valve peak velocity (PV-max), pulmonary valve velocity-time integral (PV-VTI) measured by pulse Doppler, the mitral annular tissue Doppler component during systole (MV-s′), mitral annular tissue Doppler component during early diastole (MV-e′), mitral annular tissue Doppler component during atrial

  19. Reference Intervals in Neonatal Hematology.

    Science.gov (United States)

    Henry, Erick; Christensen, Robert D

    2015-09-01

    The various blood cell counts of neonates must be interpreted in accordance with high-quality reference intervals based on gestational and postnatal age. Using very large sample sizes, we generated neonatal reference intervals for each element of the complete blood count (CBC). Knowledge of whether a patient has CBC values that are too high (above the upper reference interval) or too low (below the lower reference interval) provides important insights into the specific disorder involved and in many instances suggests a treatment plan. Copyright © 2015 Elsevier Inc. All rights reserved.

  20. Valores de referência para o teste cardiopulmonar para homens e mulheres sedentários e ativos Valores de referencia para el test cardiopulmonar para hombres y mujeres sedentarios y activos Reference values for cardiopulmonary exercise testing for sedentary and active men and women

    Directory of Open Access Journals (Sweden)

    Artur Haddad Herdy

    2011-01-01

    laboratorio. Atletas, fumantes, portadores de cualquier patología conocida, usuarios de medicación continua y obesos fueron excluidos. VO2 pico fue considerado VO2 máx. Analizamos también VO2 de umbral anaeróbico, ventilación máxima y pulso de oxígeno de acuerdo con sexo, franja etárea, sedentarios y activos. Las franjas etáreas fueron así divididas: G1 (15-24 años, G2 (25-34, G3 (35-44, G4 (45-54, G5 (55-64 y G6 (65-74. RESULTADOS: De acuerdo con las franjas etáreas, los valores medios de VO2 en ml/kg/min con los respectivos desviación-estándar fueron: Hombre activo: G1-50,6 ± 7,3; G2-47,4 ± 7,4; G3-45,4 ± 6,8; G4-40,5 ± 6,5; G5-35,3 ± 6,2; G6-30,0 ± 6,1. Mujer activa: G1-38,9 ± 5,7; G2-38,1 ± 6,6; G3-34,9 ± 5,9; G4-31,1 ± 5,4; G5-28,6 ± 6,1; G6-25,1 ± 4,4. Hombre sedentario: G1-47,4 ± 7,9; G2-41,9 ± 7,2; G3-39,0 ± 6,8; G4-35,6 ± 7,7; G5-30,0 ± 6,3; G6-23,1 ± 6,3. Mujer sedentaria: G1-35,6 ± 5,7; G2-34,0 ± 4,8; G3-30,0 ± 5,4; G4-27,2 ± 5,0; G5-23,9 ± 4,2; G6-21,2 ± 3,4. CONCLUSIÓN: Este artículo provee valores de referencia de VO2 máx, entre otros parámetros, en el Test Cardiopulmonar realizados en la cinta ergométrica en individuos de ambos sexos, activos y sedentarios.BACKGROUND: The reference values for cardiopulmonary exercise testing (CPET available in Brazil were derived from a cycle ergometer in a sedentary and relatively small population. OBJECTIVE: Provide reference values for CPET in Brazilians of both sexes, either sedentary or active. METHODS: From 2006 to 2008, 3,992 CEPT of healthy individuals were selected from our laboratory. Athletes, smokers, patients with any known pathology, users of continuous medication and obese patients were excluded. Peak VO2 was considered max VO2. We also analyzed the anaerobic threshold VO2, maximum ventilation and oxygen pulse according to sex, age, sedentary and active patients. Age groups were divided as follows: G1 (15-24, G2 (25-34, G3 (35-44, G4 (45-54, G5 (55-64 and G6 (65

  1. Valores de referência e fatores relacionados à mobilidade torácica em crianças brasileiras Valores de referencia y factores relacionados con la movilidad torácica en niños brasileños Reference values and factors related to thoracic mobility in Brazilian children

    Directory of Open Access Journals (Sweden)

    Raphaella Oliveira E. da Silva

    2012-12-01

    76 muchachos de la ciudad de Natal (Rio Grande do Norte. Se recogieron datos personales, antropométricos y los perímetros torácicos por cirtometría. Las pruebas t de Student no pareada y ANOVA compararon el coeficiente respiratorio xifoideo entre los sexos y edades, respectivamente. Diferencias en el Coeficiente respiratorio axilar entre los sexos y edades fueron probadas con Mann-Shitney y Kruskal-Wallis, respectivamente, con diferencias localizadas por la prueba post-hoc de Ducan. Coeficientes de Correlación de Spearman y Pearson correlacionaron variables independientes con los coeficientes evaluados. RESULTADOS: Los promedios de la perimetría axilar y xifoidea fueron 5,00±1,59 y 4,75±1,56cm, respectivamente. Se observó baja correlación, sin significancia estadística, entre el coeficiente respiratorio xifoideo y las variables edad, sexo, peso, altura e índice de masa corporal. El Coeficiente Respiratorio Axilar se correlacionó con el peso y la altura. Se encontraron diferencias en el coeficiente respiratorio axilar en las franjas de edad entre 8 y 10 años (p=0,03 y 10 y 11 años (p=0,02. CONCLUSIONES: Se pusieron a disposición varios factores de referencia de cirtometría torácica para niños entre 7 y 11 años. El sexo, la edad, el peso, la altura y el índice de masa corporal no influenciaron el Coeficiente Respiratorio Xifoideo. El Coeficiente Respiratorio Axilar difirió entre edades, a partir de los ocho años, siendo influenciado por el peso y la altura, independientemente del sexo.OBJECTIVE: To provide reference values and to evaluate the factors influencing thoracic mobility in children aged 7 to 11 years old. METHODS: A total of 166 children were assessed from public and private schools (90 girls and 76 boys in the city of Natal (Northeast Brazil. Demographic and anthropometric data were collected, and the thoracic perimeter was assessed by cirtometry. Non-paired Student's t-test and variance analysis compared xiphoid respiratory

  2. The Value of Value

    DEFF Research Database (Denmark)

    Søre