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Sample records for random proportional growth

  1. Body proportions during long-term growth hormone treatment in girls with Turner syndrome participating in a randomized dose-response trial

    NARCIS (Netherlands)

    T.C.J. Sas (Theo); W.J. Gerver; R. de Bruin (Rob); Th. Stijnen (Theo); S.M.P.F. de Muinck Keizer-Schrama (Sabine); T.J. Cole (Trevor); A. van Teunenbroek (Arne); S.L.S. Drop (Stenvert)

    1999-01-01

    textabstractTo assess body proportions in girls with Turner syndrome (TS) during long term GH treatment, height, sitting height (SH), hand (Hand) and foot (Foot) lengths, and biacromial (Biac) and biiliacal (Biil) diameters were measured in 68 girls with TS

  2. EMERGENCE, GROWTH AND PRODUCTION OF SESAME UNDER SALT STRESS AND PROPORTIONS OF NITRATE AND AMMONIUM

    Directory of Open Access Journals (Sweden)

    ADAAN SUDARIO DIAS

    2017-01-01

    Full Text Available In arid and semi - arid regions, the quality of irrigation water varies in geographic terms and during the year, and the occurrence of water with high concentrations of salts is common. In this context, this study aimed to evaluate the emergence, growth and production of sesame, cultivar CNPA G3, irrigated with saline water and fertilized with N of different carrier proportions by the ratio of nitrate and ammonium ( NO 3 - - N and NH 4 + - N in an experiment conducted in lysimeters arranged in a greenhouse in the municipality of Campina Grande - PB, Brazil. The treatments were distributed into randomized blocks using a 5 × 5 factorial scheme relative to levels of irrigation water salinity (ECw; 0.6, 1.2, 1.8, 2.4 and 3.0 dS m - 1 and five proportions of NO 3 - - N/NH 4 + - N (200/0; 150/50; 100/100; 50/150 and 0/200 mg of N kg - 1 , with three replicates. The increase in ECw compromised the emergence, growth and production of sesame, cultivar CNPA G3, and the production components were the most sensitive variables. The highest growth in diameter was obtained with the proportion of 200/0 mg kg - 1 of NO 3 - - N /NH 4 + - N . An ECw level of 3.0 dS m - 1 and fertilization with 0/200 mg kg - 1 of NO 3 - - N /NH 4 + - N promoted deleterious effects on the total mass of sesame fruits and mass of seeds. The interaction between water salinity levels and NO 3 - /NH 4 + proportions significantly affected the number of leaves (at 50 and 70 days after sowing, the total mass of fruits and the mass of seeds.

  3. Estimation of Sensitive Proportion by Randomized Response Data in Successive Sampling

    Directory of Open Access Journals (Sweden)

    Bo Yu

    2015-01-01

    Full Text Available This paper considers the problem of estimation for binomial proportions of sensitive or stigmatizing attributes in the population of interest. Randomized response techniques are suggested for protecting the privacy of respondents and reducing the response bias while eliciting information on sensitive attributes. In many sensitive question surveys, the same population is often sampled repeatedly on each occasion. In this paper, we apply successive sampling scheme to improve the estimation of the sensitive proportion on current occasion.

  4. A Mixture Proportional Hazards Model with Random Effects for Response Times in Tests

    Science.gov (United States)

    Ranger, Jochen; Kuhn, Jörg-Tobias

    2016-01-01

    In this article, a new model for test response times is proposed that combines latent class analysis and the proportional hazards model with random effects in a similar vein as the mixture factor model. The model assumes the existence of different latent classes. In each latent class, the response times are distributed according to a…

  5. Novel head and neck cancer survival analysis approach: random survival forests versus Cox proportional hazards regression.

    Science.gov (United States)

    Datema, Frank R; Moya, Ana; Krause, Peter; Bäck, Thomas; Willmes, Lars; Langeveld, Ton; Baatenburg de Jong, Robert J; Blom, Henk M

    2012-01-01

    Electronic patient files generate an enormous amount of medical data. These data can be used for research, such as prognostic modeling. Automatization of statistical prognostication processes allows automatic updating of models when new data is gathered. The increase of power behind an automated prognostic model makes its predictive capability more reliable. Cox proportional hazard regression is most frequently used in prognostication. Automatization of a Cox model is possible, but we expect the updating process to be time-consuming. A possible solution lies in an alternative modeling technique called random survival forests (RSFs). RSF is easily automated and is known to handle the proportionality assumption coherently and automatically. Performance of RSF has not yet been tested on a large head and neck oncological dataset. This study investigates performance of head and neck overall survival of RSF models. Performances are compared to a Cox model as the "gold standard." RSF might be an interesting alternative modeling approach for automatization when performances are similar. RSF models were created in R (Cox also in SPSS). Four RSF splitting rules were used: log-rank, conservation of events, log-rank score, and log-rank approximation. Models were based on historical data of 1371 patients with primary head-and-neck cancer, diagnosed between 1981 and 1998. Models contain 8 covariates: tumor site, T classification, N classification, M classification, age, sex, prior malignancies, and comorbidity. Model performances were determined by Harrell's concordance error rate, in which 33% of the original data served as a validation sample. RSF and Cox models delivered similar error rates. The Cox model performed slightly better (error rate, 0.2826). The log-rank splitting approach gave the best RSF performance (error rate, 0.2873). In accord with Cox and RSF models, high T classification, high N classification, and severe comorbidity are very important covariates in the

  6. Growth pattern and body proportion in a female with short stature homeobox-containing gene overdosage and gonadal estrogen deficiency

    National Research Council Canada - National Science Library

    Ogata, T; Inokuchi, M; Ogawa, M

    2002-01-01

    Department of Pediatrics, Keio University School of Medicine, Tokyo, Japan. t-ogata@po.iijnet.or.jp OBJECTIVE: To report on growth pattern and body proportion in the combination of short stature homeobox-containing gene...

  7. Proportionality lost - proportionality regained?

    DEFF Research Database (Denmark)

    Werlauff, Erik

    2010-01-01

    In recent years, the European Court of Justice (the ECJ) seems to have accepted restrictions on the freedom of establishment and other basic freedoms, despite the fact that a more thorough proportionality test would have revealed that the restriction in question did not pass the 'rule of reason....... This often cannot be done without thorough knowledge of the particular legal field in which the case is anchored, and the ECJ is often left to flounder somewhat on this, with the result that we are suddenly faced with the Court’s acceptance of a restriction. The difficulty often lies - not in recognising...... the restriction, but in testing its proportionality. The article illustrates its point by referring to two categories of decision: (A) proportionality-strong decisions, which illustrate a thorough and firm proportionality assessment, and (B) proportionality-weak decisions, which could have led to a different...

  8. Evaluation and visualization of multiaxial fatigue behavior under random non-proportional loading condition

    Directory of Open Access Journals (Sweden)

    Takahiro Morishita

    2017-07-01

    Full Text Available In cyclic multiaxial stress/strain condition under nonproportional loading in which principal direction of stress/strain are changed in a cycle, it becomes difficult to analyze stress/strain ranges because of complexity of multiaxial stress/strain states depending on time in cycles. In order to evaluate stress/strain simply and suitably under non-proportional loading, Itoh and Sakane have proposed a method called as IS-method and a strain parameter for life evaluation under non-proportional loading NP. In the method, 6-components of stress/strain are converted to an equivalent stress/strain indicating the amplitude and the direction of principal stress/strain as a function of time as well as an intensity of loading nonproportionality fNP. Based on IS-method, the authors also have developed a tool which enables to analyze multiaxial stress/strain condition with the nonproportionality of loading history and evaluate failure life under nonproportional multiaxial loading. The tool indicates the analyzed results on monitor and users can understand visually not only variation of the stress/strain conditions but also non-proportionality during the cycle, which helps the design of material strength.

  9. Soil map disaggregation improved by soil-landscape relationships, area-proportional sampling and random forest implementation

    DEFF Research Database (Denmark)

    Møller, Anders Bjørn; Malone, Brendan P.; Odgers, Nathan

    algorithm were evaluated. The resulting maps were validated on 777 soil profiles situated in a grid covering Denmark. The experiments showed that the results obtained with Jacobsen’s map were more accurate than the results obtained with the CEC map, despite a nominally coarser scale of 1:2,000,000 vs. 1...... of European Communities (CEC, 1985) respectively, both using the FAO 1974 classification. Furthermore, the effects of implementing soil-landscape relationships, using area proportional sampling instead of per polygon sampling, and replacing the default C5.0 classification tree algorithm with a random forest......:1,000,000. This finding is probably related to the fact that Jacobsen’s map was more detailed with a larger number of polygons, soil map units and soil types, despite its coarser scale. The results showed that the implementation of soil-landscape relationships, area-proportional sampling and the random forest...

  10. The effect of oxandrolone on body proportions and body composition in growth hormone-treated girls with Turner syndrome.

    NARCIS (Netherlands)

    Menke, L.A.; Sas, T.C.J.; Zandwijken, G.R.; Ridder, M.A. de; Stijnen, T.; Muinck Keizer-Schrama, S.M.P.F. de; Otten, B.J.; Wit, J.M.

    2010-01-01

    OBJECTIVE: Untreated girls with Turner syndrome (TS) have short stature, relatively broad shoulders, a broad pelvis, short legs, a high fat mass and low muscle mass. Our objective was to assess the effect of the weak androgen oxandrolone (Ox) on body proportions and composition in growth hormone

  11. On the Use of Randomization Device for Estimating the Proportion and Truthful Reporting of a Qualitative Sensitive Attribute

    Directory of Open Access Journals (Sweden)

    Housila P. Singh

    2015-04-01

    Full Text Available In this paper, a simple and obvious procedure is presented that allows to estimate  the population proportion Pi possessing sensitive attribute using simple random sampling with replacement (SRSWR. In addition to T, the probability that a respondent truthfully states that he or she bears a sensitive character when experienced in a direct response survey. An efficiency comparison is carried out to investigate in the performance of the proposed method. It is found that the proposed strategy is more efficient than Warner’s (1965 as well as Huang’s (2004 randomized response techniques under some realistic conditions. Numerical illustrations and graphical representations are also given in support of the present study. 

  12. Comparison of manual mycobacteria growth indicator tube and epsilometer test with agar proportion method for susceptibility testing of Mycobacterium tuberculosis

    Directory of Open Access Journals (Sweden)

    N Karabulut

    2014-01-01

    Full Text Available Background and Objectives: Antimycobacterial susceptibility tests take weeks, and delayed therapy can lead to spread of Mycobacterium tuberculosis. Therefore, rapid, accurate and cost-effective methods are required for proper therapy selection. In this study, the Mycobacteria growth indicator tube (MGIT and epsilometer test (Etest methods were compared to the agar proportion method for susceptibility testing of Mycobacterium tuberculosis. Materials and Methods: The susceptibility tests against isoniazid (INH, rifampin (RIF, streptomycin (STM and ethambutol (ETM of 51 M. tuberculosis complex isolates were analyzed by the MGIT, Etest and agar proportion methods. Results: The concordance between MGIT/Etest and agar proportion methods was 98% for INH and 100% for RIF, STM, ETM. There were not statistically significant differences in results of the susceptibility tests between MGIT/Etest and the reference agar proportion method. Conclusion: The results have shown that MGIT and Etest methods can be used instead of the agar proportion method, because these two methods are more rapid and easier than the agar proportion method.

  13. Quantum Entanglement Growth under Random Unitary Dynamics

    Directory of Open Access Journals (Sweden)

    Adam Nahum

    2017-07-01

    Full Text Available Characterizing how entanglement grows with time in a many-body system, for example, after a quantum quench, is a key problem in nonequilibrium quantum physics. We study this problem for the case of random unitary dynamics, representing either Hamiltonian evolution with time-dependent noise or evolution by a random quantum circuit. Our results reveal a universal structure behind noisy entanglement growth, and also provide simple new heuristics for the “entanglement tsunami” in Hamiltonian systems without noise. In 1D, we show that noise causes the entanglement entropy across a cut to grow according to the celebrated Kardar-Parisi-Zhang (KPZ equation. The mean entanglement grows linearly in time, while fluctuations grow like (time^{1/3} and are spatially correlated over a distance ∝(time^{2/3}. We derive KPZ universal behavior in three complementary ways, by mapping random entanglement growth to (i a stochastic model of a growing surface, (ii a “minimal cut” picture, reminiscent of the Ryu-Takayanagi formula in holography, and (iii a hydrodynamic problem involving the dynamical spreading of operators. We demonstrate KPZ universality in 1D numerically using simulations of random unitary circuits. Importantly, the leading-order time dependence of the entropy is deterministic even in the presence of noise, allowing us to propose a simple coarse grained minimal cut picture for the entanglement growth of generic Hamiltonians, even without noise, in arbitrary dimensionality. We clarify the meaning of the “velocity” of entanglement growth in the 1D entanglement tsunami. We show that in higher dimensions, noisy entanglement evolution maps to the well-studied problem of pinning of a membrane or domain wall by disorder.

  14. Application of random survival forests in understanding the determinants of under-five child mortality in Uganda in the presence of covariates that satisfy the proportional and non-proportional hazards assumption.

    Science.gov (United States)

    Nasejje, Justine B; Mwambi, Henry

    2017-09-07

    Uganda just like any other Sub-Saharan African country, has a high under-five child mortality rate. To inform policy on intervention strategies, sound statistical methods are required to critically identify factors strongly associated with under-five child mortality rates. The Cox proportional hazards model has been a common choice in analysing data to understand factors strongly associated with high child mortality rates taking age as the time-to-event variable. However, due to its restrictive proportional hazards (PH) assumption, some covariates of interest which do not satisfy the assumption are often excluded in the analysis to avoid mis-specifying the model. Otherwise using covariates that clearly violate the assumption would mean invalid results. Survival trees and random survival forests are increasingly becoming popular in analysing survival data particularly in the case of large survey data and could be attractive alternatives to models with the restrictive PH assumption. In this article, we adopt random survival forests which have never been used in understanding factors affecting under-five child mortality rates in Uganda using Demographic and Health Survey data. Thus the first part of the analysis is based on the use of the classical Cox PH model and the second part of the analysis is based on the use of random survival forests in the presence of covariates that do not necessarily satisfy the PH assumption. Random survival forests and the Cox proportional hazards model agree that the sex of the household head, sex of the child, number of births in the past 1 year are strongly associated to under-five child mortality in Uganda given all the three covariates satisfy the PH assumption. Random survival forests further demonstrated that covariates that were originally excluded from the earlier analysis due to violation of the PH assumption were important in explaining under-five child mortality rates. These covariates include the number of children under the

  15. Proportional reasoning

    DEFF Research Database (Denmark)

    Dole, Shelley; Hilton, Annette; Hilton, Geoff

    2015-01-01

    Proportional reasoning is widely acknowledged as a key to success in school mathematics, yet students’ continual difficulties with proportion-related tasks are well documented. This paper draws on a large research study that aimed to support 4th to 9th grade teachers to design and implement tasks...

  16. A Randomized Trial of the Effects of Schema-Based Instruction on Proportional Problem-Solving for Students With Mathematics Problem-Solving Difficulties.

    Science.gov (United States)

    Jitendra, Asha K; Harwell, Michael R; Dupuis, Danielle N; Karl, Stacy R

    This article reports results from a study investigating the efficacy of a proportional problem-solving intervention, schema-based instruction (SBI), in seventh grade. Participants included 806 students with mathematical difficulties in problem solving (MD-PS) from an initial pool of 1,999 seventh grade students in a larger study. Teachers and their students in the larger study were randomly assigned to an SBI or control condition and teachers in both conditions then provided instruction on the topics of ratio, proportion, and percent. We found that students with MD-PS in SBI classrooms scored on average higher than their counterparts in control classrooms on a posttest and delayed posttest administered 9 weeks later. Given students' difficulties with proportional problem-solving and the consequences of these difficulties, an important contribution of this research is the finding that when provided with appropriate instruction, students with MD-PS are capable of enhanced proportional problem-solving performance.

  17. Growth of preferential attachment random graphs via continuous ...

    Indian Academy of Sciences (India)

    Abstract. Some growth asymptotics of a version of `preferential attachment' random graphs are studied through an embedding into a continuous-time branching scheme. These results complement and extend previous work in the literature.

  18. Fentanyl Buccal Tablet vs. Oral Morphine in Doses Proportional to the Basal Opioid Regimen for the Management of Breakthrough Cancer Pain: A Randomized, Crossover, Comparison Study.

    Science.gov (United States)

    Mercadante, Sebastiano; Adile, Claudio; Cuomo, Arturo; Aielli, Federica; Cortegiani, Andrea; Casuccio, Alessandra; Porzio, Giampiero

    2015-11-01

    Fentanyl products have shown superiority to oral opioids for the management of breakthrough cancer pain (BTcP). However, these studies did not use appropriate patient selection, and drugs have been compared by using different rationales. The aim of this randomized, crossover, controlled study was to compare efficacy and safety of fentanyl buccal tablets (FBTs) and oral morphine (OM), given in doses proportional to opioid daily doses. Cancer patients with pain receiving ≥60 mg or more of oral morphine equivalents per day and presenting with ≤3 episodes of BTcP per day were included. In a randomized, crossover manner, patients received FBT or OM at doses proportional to the daily opioid regimen in four consecutive episodes of BTcP. Pain intensity was measured before (T0) and 15 (T15) and 30 minutes (T30), after study drugs. In total, 263 episodes of BTcP were treated. A statistical difference in changes in pain intensity-decrease of ≥33% and ≥50%-between the two groups was observed at T15 and T30 (P medication. Copyright © 2015 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  19. Genetic evaluation of growth traits in beef cattle using random ...

    African Journals Online (AJOL)

    p2492989

    sajas.v42i5.6. Genetic evaluation of growth traits in beef cattle using random regression models. F.W.C. Neser1, J.B. van Wyk1, M.D. Fair1 & P. Lubout2. 1 Department of Animal Wildlife and Grassland Sciences, UFS, Bloemfontein 9300, South ...

  20. A random effect multiplicative heteroscedastic model for bacterial growth

    Directory of Open Access Journals (Sweden)

    Quinto Emiliano J

    2010-02-01

    Full Text Available Abstract Background Predictive microbiology develops mathematical models that can predict the growth rate of a microorganism population under a set of environmental conditions. Many primary growth models have been proposed. However, when primary models are applied to bacterial growth curves, the biological variability is reduced to a single curve defined by some kinetic parameters (lag time and growth rate, and sometimes the models give poor fits in some regions of the curve. The development of a prediction band (from a set of bacterial growth curves using non-parametric and bootstrap methods permits to overcome that problem and include the biological variability of the microorganism into the modelling process. Results Absorbance data from Listeria monocytogenes cultured at 22, 26, 38, and 42°C were selected under different environmental conditions of pH (4.5, 5.5, 6.5, and 7.4 and percentage of NaCl (2.5, 3.5, 4.5, and 5.5. Transformation of absorbance data to viable count data was carried out. A random effect multiplicative heteroscedastic model was considered to explain the dynamics of bacterial growth. The concept of a prediction band for microbial growth is proposed. The bootstrap method was used to obtain resamples from this model. An iterative procedure is proposed to overcome the computer intensive task of calculating simultaneous prediction intervals, along time, for bacterial growth. The bands were narrower below the inflection point (0-8 h at 22°C, and 0-5.5 h at 42°C, and wider to the right of it (from 9 h onwards at 22°C, and from 7 h onwards at 42°C. A wider band was observed at 42°C than at 22°C when the curves reach their upper asymptote. Similar bands have been obtained for 26 and 38°C. Conclusions The combination of nonparametric models and bootstrap techniques results in a good procedure to obtain reliable prediction bands in this context. Moreover, the new iterative algorithm proposed in this paper allows one to

  1. Scaling behaviour of randomly alternating surface growth processes

    CERN Document Server

    Raychaudhuri, S

    2002-01-01

    The scaling properties of the roughness of surfaces grown by two different processes randomly alternating in time are addressed. The duration of each application of the two primary processes is assumed to be independently drawn from given distribution functions. We analytically address processes in which the two primary processes are linear and extend the conclusions to nonlinear processes as well. The growth scaling exponent of the average roughness with the number of applications is found to be determined by the long time tail of the distribution functions. For processes in which both mean application times are finite, the scaling behaviour follows that of the corresponding cyclical process in which the uniform application time of each primary process is given by its mean. If the distribution functions decay with a small enough power law for the mean application times to diverge, the growth exponent is found to depend continuously on this power-law exponent. In contrast, the roughness exponent does not depe...

  2. Comparison of patient-ventilator asynchrony during pressure support ventilation and proportional assist ventilation modes in surgical Intensive Care Unit: A randomized crossover study.

    Science.gov (United States)

    Gautam, Parshotam Lal; Kaur, Gaganjot; Katyal, Sunil; Gupta, Ruchi; Sandhu, Preetveen; Gautam, Nikhil

    2016-12-01

    The patient-ventilator asynchrony is almost observed in all modes of ventilation, and this asynchrony affects lung mechanics adversely resulting in deleterious outcome. Innovations and advances in ventilator technology have been trying to overcome this problem by designing newer modes of ventilation. Pressure support ventilation (PSV) is a commonly used flow-cycled mode where a constant pressure is delivered by ventilator. Proportional assist ventilation (PAV) is a new dynamic inspiratory pressure assistance and is supposed to be better than PSV for synchrony and tolerance, but reports are still controversial. Moreover, most of these studies are conducted in chronic obstructive pulmonary disease patients with respiratory failure; the results of these studies may not be applicable to surgical patients. Thus, we proposed to do compare these two modes in surgical Intensive Care Unit (ICU) patients as a randomized crossover study. Comparison of patient-ventilator asynchrony between PSV and PAV plus (PAV+) in surgical patients while weaning. After approval by the Hospital Ethics Committee, we enrolled twenty patients from surgical ICU of tertiary care institute. The patients were ventilated with pressure support mode (PSV) and PAV+ for 12 h as a crossover from one mode to another after 6 h while weaning. Average age and weight of patients were 41.80 ± 15.20 years (mean ± standard deviation [SD]) and 66.50 ± 12.47 (mean ± SD) kg, respectively. Comparing the asynchronies between the two modes, the mean number of total asynchronous recorded breaths in PSV was 7.05 ± 0.83 and 4.35 ± 5.62, respectively, during sleep and awake state, while the same were 6.75 ± 112.24 and 10.85 ± 11.33 in PAV+. Both PSV and PAV+ modes of ventilation performed similarly for patient-ventilator synchrony in surgical patients. In surgical patients with acute respiratory failure, dynamic inspiratory pressure assistance modalities are not superior to PSV with respect to cardiorespiratory

  3. Timing of Etonogestrel-Releasing Implants and Growth of Breastfed Infants: A Randomized Controlled Trial.

    Science.gov (United States)

    Carmo, Lilian Sheila de Melo Pereira; Braga, Giordana Campos; Ferriani, Rui Alberto; Quintana, Silvana Maria; Vieira, Carolina Sales

    2017-07-01

    To evaluate the growth of breastfed infants whose mothers had inserted an etonogestrel-releasing implant in the immediate postpartum period. An open, randomized controlled, and parallel trial of postpartum women who were block-randomized to early (up to 48 hours postpartum before discharge) or conventional (at 6 weeks postpartum) insertion of an etonogestrel implant. The primary outcome was average infant weight at 12 months (360 days) and a difference of equal to or greater than 10% between groups was considered clinically significant. The secondary outcomes were infant's height and head and arm circumferences. These variables were measured at baseline and at 14, 40, 90, 180, 270, and 360 days postpartum. The mixed-effects linear regression model was used to evaluate the outcomes with a power of 80% and a significance level of 1% for the primary outcome and 0.3% for secondary outcomes as a result of correction for multiple hypothesis testing. From June to August 2015, a total of 100 women were randomized: 50 to early and 50 to conventional postpartum etonogestrel insertion. Sociodemographic characteristics were similar between the groups, except for educational attainment. The conventional insertion group included a higher proportion of women with 8 or more years of formal education than the early insertion group (88% [44/50] compared with 70% [35/50], P=.02). There was no difference in infant weight at 360 days between the groups (early [mean±standard deviation] 10.1±1.2 kg compared with conventional 9.8±1.3 kg, mean difference estimate 0.3 kg, 95% confidence interval 0-0.7 kg). Growth curves, height, and head and arm circumferences did not differ between the groups. There is no difference in growth at 12 months among breastfed infants whose mothers underwent early compared with conventional postpartum insertion of the etonogestrel implant. ClinicalTrials.gov, NCT02469454.

  4. A Randomized Trial of the Effects of Schema-Based Instruction on Proportional Problem-Solving for Students with Mathematics Problem-Solving Difficulties

    Science.gov (United States)

    Jitendra, Asha K.; Harwell, Michael R.; Dupuis, Danielle N.; Karl, Stacy R.

    2017-01-01

    This article reports results from a study investigating the efficacy of a proportional problem-solving intervention, schema-based instruction (SBI), in seventh grade. Participants included 806 students with mathematical difficulties in problem solving (MD-PS) from an initial pool of 1,999 seventh grade students in a larger study. Teachers and…

  5. Comparison of patient-ventilator asynchrony during pressure support ventilation and proportional assist ventilation modes in surgical Intensive Care Unit: A randomized crossover study

    OpenAIRE

    Parshotam Lal Gautam; Gaganjot Kaur; Sunil Katyal; Ruchi Gupta; Preetveen Sandhu; Nikhil Gautam

    2016-01-01

    Background: The patient-ventilator asynchrony is almost observed in all modes of ventilation, and this asynchrony affects lung mechanics adversely resulting in deleterious outcome. Innovations and advances in ventilator technology have been trying to overcome this problem by designing newer modes of ventilation. Pressure support ventilation (PSV) is a commonly used flow-cycled mode where a constant pressure is delivered by ventilator. Proportional assist ventilation (PAV) is a new dynamic ins...

  6. A review of regression procedures for randomized response data, including univariate and multivariate logistic regression, the proportional odds model and item response model, and self-protective responses

    NARCIS (Netherlands)

    Cruyff, M.; Böckenholt, U.; van der Heijden, P.G.M.; Frank, L.E.

    2016-01-01

    In survey research, it is often problematic to ask people sensitive questions because they may refuse to answer or they may provide a socially desirable answer that does not reveal their true status on the sensitive question. To solve this problem Warner (1965) proposed randomized response (RR).

  7. A stratified random survey of the proportion of poor quality oral artesunate sold at medicine outlets in the Lao PDR - implications for therapeutic failure and drug resistance.

    Science.gov (United States)

    Sengaloundeth, Sivong; Green, Michael D; Fernández, Facundo M; Manolin, Ot; Phommavong, Khamlieng; Insixiengmay, Vongsavanh; Hampton, Christina Y; Nyadong, Leonard; Mildenhall, Dallas C; Hostetler, Dana; Khounsaknalath, Lamphet; Vongsack, Latsamy; Phompida, Samlane; Vanisaveth, Viengxay; Syhakhang, Lamphone; Newton, Paul N

    2009-07-28

    Counterfeit oral artesunate has been a major public health problem in mainland SE Asia, impeding malaria control. A countrywide stratified random survey was performed to determine the availability and quality of oral artesunate in pharmacies and outlets (shops selling medicines) in the Lao PDR (Laos). In 2003, 'mystery' shoppers were asked to buy artesunate tablets from 180 outlets in 12 of the 18 Lao provinces. Outlets were selected using stratified random sampling by investigators not involved in sampling. Samples were analysed for packaging characteristics, by the Fast Red Dye test, high-performance liquid chromatography (HPLC), mass spectrometry (MS), X-ray diffractometry and pollen analysis. Of 180 outlets sampled, 25 (13.9%) sold oral artesunate. Outlets selling artesunate were more commonly found in the more malarious southern Laos. Of the 25 outlets, 22 (88%; 95%CI 68-97%) sold counterfeit artesunate, as defined by packaging and chemistry. No artesunate was detected in the counterfeits by any of the chemical analysis techniques and analysis of the packaging demonstrated seven different counterfeit types. There was complete agreement between the Fast Red dye test, HPLC and MS analysis. A wide variety of wrong active ingredients were found by MS. Of great concern, 4/27 (14.8%) fakes contained detectable amounts of artemisinin (0.26-115.7 mg/tablet). This random survey confirms results from previous convenience surveys that counterfeit artesunate is a severe public health problem. The presence of artemisinin in counterfeits may encourage malaria resistance to artemisinin derivatives. With increasing accessibility of artemisinin-derivative combination therapy (ACT) in Laos, the removal of artesunate monotherapy from pharmacies may be an effective intervention.

  8. A stratified random survey of the proportion of poor quality oral artesunate sold at medicine outlets in the Lao PDR – implications for therapeutic failure and drug resistance

    Science.gov (United States)

    Sengaloundeth, Sivong; Green, Michael D; Fernández, Facundo M; Manolin, Ot; Phommavong, Khamlieng; Insixiengmay, Vongsavanh; Hampton, Christina Y; Nyadong, Leonard; Mildenhall, Dallas C; Hostetler, Dana; Khounsaknalath, Lamphet; Vongsack, Latsamy; Phompida, Samlane; Vanisaveth, Viengxay; Syhakhang, Lamphone; Newton, Paul N

    2009-01-01

    Background Counterfeit oral artesunate has been a major public health problem in mainland SE Asia, impeding malaria control. A countrywide stratified random survey was performed to determine the availability and quality of oral artesunate in pharmacies and outlets (shops selling medicines) in the Lao PDR (Laos). Methods In 2003, 'mystery' shoppers were asked to buy artesunate tablets from 180 outlets in 12 of the 18 Lao provinces. Outlets were selected using stratified random sampling by investigators not involved in sampling. Samples were analysed for packaging characteristics, by the Fast Red Dye test, high-performance liquid chromatography (HPLC), mass spectrometry (MS), X-ray diffractometry and pollen analysis. Results Of 180 outlets sampled, 25 (13.9%) sold oral artesunate. Outlets selling artesunate were more commonly found in the more malarious southern Laos. Of the 25 outlets, 22 (88%; 95%CI 68–97%) sold counterfeit artesunate, as defined by packaging and chemistry. No artesunate was detected in the counterfeits by any of the chemical analysis techniques and analysis of the packaging demonstrated seven different counterfeit types. There was complete agreement between the Fast Red dye test, HPLC and MS analysis. A wide variety of wrong active ingredients were found by MS. Of great concern, 4/27 (14.8%) fakes contained detectable amounts of artemisinin (0.26–115.7 mg/tablet). Conclusion This random survey confirms results from previous convenience surveys that counterfeit artesunate is a severe public health problem. The presence of artemisinin in counterfeits may encourage malaria resistance to artemisinin derivatives. With increasing accessibility of artemisinin-derivative combination therapy (ACT) in Laos, the removal of artesunate monotherapy from pharmacies may be an effective intervention. PMID:19638225

  9. Sample size determination for assessing equivalence based on proportion ratio under a randomized trial with non-compliance and missing outcomes.

    Science.gov (United States)

    Lui, Kung-Jong; Chang, Kuang-Chao

    2008-01-15

    When a generic drug is developed, it is important to assess the equivalence of therapeutic efficacy between the new and the standard drugs. Although the number of publications on testing equivalence and its relevant sample size determination is numerous, the discussion on sample size determination for a desired power of detecting equivalence under a randomized clinical trial (RCT) with non-compliance and missing outcomes is limited. In this paper, we derive under the compound exclusion restriction model the maximum likelihood estimator (MLE) for the ratio of probabilities of response among compliers between two treatments in a RCT with both non-compliance and missing outcomes. Using the MLE with the logarithmic transformation, we develop an asymptotic test procedure for assessing equivalence and find that this test procedure can perform well with respect to type I error based on Monte Carlo simulation. We further develop a sample size calculation formula for a desired power of detecting equivalence at a nominal alpha-level. To evaluate the accuracy of the sample size calculation formula, we apply Monte Carlo simulation again to calculate the simulated power of the proposed test procedure corresponding to the resulting sample size for a desired power of 80 per cent at 0.05 level in a variety of situations. We also include a discussion on determining the optimal ratio of sample size allocation subject to a desired power to minimize a linear cost function and provide a sensitivity analysis of the sample size formula developed here under an alterative model with missing at random. Copyright (c) 2007 John Wiley & Sons, Ltd.

  10. Growth of preferential attachment random graphs via continuous ...

    Indian Academy of Sciences (India)

    1Departments of Mathematics and Statistics, Iowa State University, Ames, IA 50011,. USA. 2Department of Statistics, Iowa State ... Introduction and results. Preferential attachment processes have ... rential attachment', that is by attaching new vertices to existing nodes with probabilities proportional to their 'weight'. When the ...

  11. Bone cement with reduced proportion of monomer in total hip arthroplasty: preclinical evaluation and randomized study of 47 cases with 5 years' follow-up.

    Science.gov (United States)

    Nivbrant, B; Kärrholm, J; Röhrl, S; Hassander, H; Wesslén, B

    2001-12-01

    Bone cement with reduced amount of monomer and low curing temperature may improve implant fixation due to reduced toxicity. We analyzed the mechanical, chemical and thermal properties of such a cement (Cemex Rx) using Palacos R as control. The in vivo performance of the 2 cements was also evaluated in a prospective randomized study of 47 hips, where either of the cement types was used to fixate Lubinus SP2 prostheses with the stem made of titanium alloy. Cemex Rx had a reduced tensile strength, probably because this cement was manually mixed, as recommended by the manufacturer. A standardized labor tory test showed lower curing temperature for Cemex, but measurements at 37 degrees and with prechilled Palacos R and Cemex Rx, as in clinical work, showed no difference. In the clinical study radiostereometric measurements of cup and stem migration showed similar values in the 2 groups up to 5 years after the operation. The cement mantle was stable in both groups, but the stems migrated similarly inside the cement mantle regardless of the type of cement used. Proximal wear was low (0.04-0.05 mm/year) and tended to be lower in the Cemex group (p = 0.02). Aluminum and vanadium levels in serum increased 5 years after the operation, but no difference was noted between the 2 groups. Collagen markers (PICP, ICTP) showed similar increases in bone turnover 6 weeks and 6 months after operation in both groups.

  12. The proportion of nitrate in leaf nitrogen, but not changes in root growth, are associated with decreased grain protein in wheat under elevated [CO2

    NARCIS (Netherlands)

    Bahrami, Helale; De Kok, Luit J.; Amstrong, Roger; Fitzgerald, Glenn J.; Bourgault, Maryse; Henty, Samuel; Tausz, Michael; Tausz-Posch, Sabine

    The atmospheric CO2 concentration ([CO2]) is increasing and predicted to reach similar to 550 ppm by 2050. Increasing [CO2] typically stimulates crop growth and yield, but decreases concentrations of nutrients, such as nitrogen ([N]), and therefore protein, in plant tissues and grains. Such changes

  13. Random regression models in the evaluation of the growth curve of Simbrasil beef cattle

    NARCIS (Netherlands)

    Mota, M.; Marques, F.A.; Lopes, P.S.; Hidalgo, A.M.

    2013-01-01

    Random regression models were used to estimate the types and orders of random effects of (co)variance functions in the description of the growth trajectory of the Simbrasil cattle breed. Records for 7049 animals totaling 18,677 individual weighings were submitted to 15 models from the third to the

  14. Adult height in children with growth hormone deficiency: a randomized, controlled, growth hormone dose-response trial.

    NARCIS (Netherlands)

    Sas, T.C.J.; Ridder, M.A. de; Wit, J.M.; Rotteveel, J.J.; Oostdijk, W.; Reeser, H.M.; Otten, B.J.; Muinck Keizer-Schrama, S.M.P.F. de

    2010-01-01

    AIM: To investigate the effect of 2 growth hormone (GH) doses on adult height (AH) in GH deficiency (GHD). METHODS: A multicenter, randomized, controlled dose-response trial compared attained AH minus target height (TH) between children receiving 0.7 mg/m(2)/day biosynthetic GH (approx. 0.025

  15. Adult Height in Children with Growth Hormone Deficiency: A Randomized, Controlled, Growth Hormone Dose-Response Trial

    NARCIS (Netherlands)

    Sas, T.C.J.; de Ridder, M.A.J.; Wit, J.M.; Rotteveel, J.; Oostdijk, W.; Reeser, H.M.; Otten, B.J.; Keizer-Schrama, S.M.P.F.

    2010-01-01

    Aim: To investigate the effect of 2 growth hormone (GH) doses on adult height (AH) in GH deficiency (GHD). Methods: A multicenter, randomized, controlled dose-response trial compared attained AH minus target height (TH) between children receiving 0.7 mg/m

  16. The proportion of nitrate in leaf nitrogen, but not changes in root growth, are associated with decreased grain protein in wheat under elevated [CO2].

    Science.gov (United States)

    Bahrami, Helale; De Kok, Luit J; Armstrong, Roger; Fitzgerald, Glenn J; Bourgault, Maryse; Henty, Samuel; Tausz, Michael; Tausz-Posch, Sabine

    2017-09-01

    The atmospheric CO2 concentration ([CO2]) is increasing and predicted to reach ∼550ppm by 2050. Increasing [CO2] typically stimulates crop growth and yield, but decreases concentrations of nutrients, such as nitrogen ([N]), and therefore protein, in plant tissues and grains. Such changes in grain composition are expected to have negative implications for the nutritional and economic value of grains. This study addresses two mechanisms potentially accountable for the phenomenon of elevated [CO2]-induced decreases in [N]: N uptake per unit length of roots as well as inhibition of the assimilation of nitrate (NO3-) into protein are investigated and related to grain protein. We analysed two wheat cultivars from a similar genetic background but contrasting in agronomic features (Triticum aestivum L. cv. Scout and Yitpi). Plants were field-grown within the Australian Grains Free Air CO2 Enrichment (AGFACE) facility under two atmospheric [CO2] (ambient, ∼400ppm, and elevated, ∼550ppm) and two water treatments (rain-fed and well-watered). Aboveground dry weight (ADW) and root length (RL, captured by a mini-rhizotron root growth monitoring system), as well as [N] and NO3- concentrations ([NO3-]) were monitored throughout the growing season and related to grain protein at harvest. RL generally increased under e[CO2] and varied between water supply and cultivars. The ratio of total aboveground N (TN) taken up per RL was affected by CO2 treatment only later in the season and there was no significant correlation between TN/RL and grain protein concentration across cultivars and [CO2] treatments. In contrast, a greater percentage of N remained as unassimilated [NO3-] in the tissue of e[CO2] grown crops (expressed as the ratio of NO3- to total N) and this was significantly correlated with decreased grain protein. These findings suggest that e[CO2] directly affects the nitrate assimilation capacity of wheat with direct negative implications for grain quality. Crown Copyright

  17. Multiwire proportional chamber development

    Science.gov (United States)

    Doolittle, R. F.; Pollvogt, U.; Eskovitz, A. J.

    1973-01-01

    The development of large area multiwire proportional chambers, to be used as high resolution spatial detectors in cosmic ray experiments is described. A readout system was developed which uses a directly coupled, lumped element delay-line whose characteristics are independent of the MWPC design. A complete analysis of the delay-line and the readout electronic system shows that a spatial resolution of about 0.1 mm can be reached with the MWPC operating in the strictly proportional region. This was confirmed by measurements with a small MWPC and Fe-55 X-rays. A simplified analysis was carried out to estimate the theoretical limit of spatial resolution due to delta-rays, spread of the discharge along the anode wire, and inclined trajectories. To calculate the gas gain of MWPC's of different geometrical configurations a method was developed which is based on the knowledge of the first Townsend coefficient of the chamber gas.

  18. The Principle of Proportionality

    DEFF Research Database (Denmark)

    Bennedsen, Morten; Meisner Nielsen, Kasper

    2005-01-01

    by analyzing the use of instruments to separate ownership from control across legal regimes in a sample of over 4,000 publicly traded firms from 14 Western European countries. First, we confirm the negative impact on firm value from disproportional ownership structures previously established in a sample......Recent policy initiatives within the harmonization of European company laws have promoted a so-called "principle of proportionality" through proposals that regulate mechanisms opposing a proportional distribution of ownership and control. We scrutinize the foundation for these initiatives...... of Asian firms by Claessens et al. (2002). Second, we show that dual class shares have a larger and more significant negative effect on firm value than pyramids and cross holdings. Third, we find that the impact of disproportionality and the underlying instruments is inversely related to the level...

  19. Multitarget search on complex networks: A logarithmic growth of global mean random cover time

    Science.gov (United States)

    Weng, Tongfeng; Zhang, Jie; Small, Michael; Yang, Ji; Bijarbooneh, Farshid Hassani; Hui, Pan

    2017-09-01

    We investigate multitarget search on complex networks and derive an exact expression for the mean random cover time that quantifies the expected time a walker needs to visit multiple targets. Based on this, we recover and extend some interesting results of multitarget search on networks. Specifically, we observe the logarithmic increase of the global mean random cover time with the target number for a broad range of random search processes, including generic random walks, biased random walks, and maximal entropy random walks. We show that the logarithmic growth pattern is a universal feature of multi-target search on networks by using the annealed network approach and the Sherman-Morrison formula. Moreover, we find that for biased random walks, the global mean random cover time can be minimized, and that the corresponding optimal parameter also minimizes the global mean first passage time, pointing towards its robustness. Our findings further confirm that the logarithmic growth pattern is a universal law governing multitarget search in confined media.

  20. [Effects of two controlled-release fertilizers with different proportions of N, P and K on the nutrient uptake and growth of Chrysanthemum morifolium Ramat].

    Science.gov (United States)

    Zhu, Li-Xiang; Wang, Jian-Hua; Sun, Yin-Shi; Li, Yu-Peng; Sun, Li-Wen; Zhang, Chun-Ling

    2009-07-01

    A pot experiment was conducted to study the effects of two controlled-release fertilizers CRFA (4% resin-coated, N: P2O5: K2O = 14: 14: 14) and CRFB (4% resin-coated, N: P2O5: K2O = 20: 8:10) on the nutrient uptake and growth of Chrysanthemum morifolium, with common compound fertilizer CCF (N: P2O5: K2O = 15: 15: 15) as the control. Six treatments were installed, i. e., CCF1 (CCF, 6 g N x pot(-1)), CCF2 (CCF, 3 g N x pot(-1)), CRFA1 (CRFA, 6 g x pot(-1)), CRFA2 (CRFA, 3 g x pot(-1)), CRFB1 (CRFB, 6 g x pot(-1)), and CRFB (CRFB, 3 g x pot(-1)). On the 30th day of applying common compound fertilizer CCF1 and CCF2, soil available N, P and K contents were 163.29 and 145.26 mg x kg(-1), 180.39 and 163.13 mg x kg(-1), and 300.08 and 213.15 mg x kg(-1), respectively, and decreased rapidly since then. In treatments CRFA1, CRFB1, CRFA2, and CRFB, soil available N content increased slowly, and reached the peak on the 60th day after fertilizing, being 129.51, 138.65, 118.36, and 126.31 mg x kg(-1), respectively. Soil available P content had the same variation trend. Its maximum concentration was 169.54 and 133.46 mg x kg(-1) in treatments CRFA1 and CRFA2 on the 30th day after fertilizing, and 137.13 and 84.68 mg x kg(-1) in treatments CRFB1 and CRFB2 on the 60th day after fertilizing, and decreased slowly then. The agronomic traits such as leaf area, leaf area index, branch number, flowering rate, flower number, and flower diameter, etc., in treatments CRFA and CRFB were obviously better than those of the control, and CRFB was better than CRFA, suggesting that CRFB more matched the nutrient demand of C. morifolium. Under the conditions of present experiment, applying CRFB2 obtained the highest yield.

  1. Restrictions and Proportionality

    DEFF Research Database (Denmark)

    Werlauff, Erik

    2009-01-01

    against host country restrictions, but which is often not recognised to the same extent by national law, and 3) the importance of also identifying and recognising an exit restriction, so that it is possible to achieve the required test of appropriateness and proportionality in relation to the rule......The article discusses three central aspects of the freedoms under European Community law, namely 1) the prohibition against restrictions as an important extension of the prohibition against discrimination, 2) a prohibition against exit restrictions which is just as important as the prohibition...

  2. The divine proportion

    CERN Document Server

    Huntley, H E

    1970-01-01

    Using simple mathematical formulas, most as basic as Pythagoras's theorem and requiring only a very limited knowledge of mathematics, Professor Huntley explores the fascinating relationship between geometry and aesthetics. Poetry, patterns like Pascal's triangle, philosophy, psychology, music, and dozens of simple mathematical figures are enlisted to show that the ""divine proportion"" or ""golden ratio"" is a feature of geometry and analysis which awakes answering echoes in the human psyche. When we judge a work of art aesthetically satisfying, according to his formulation, we are making it c

  3. Numerical Simulation of Entropy Growth for a Nonlinear Evolutionary Model of Random Markets

    Directory of Open Access Journals (Sweden)

    Mahdi Keshtkar

    2016-01-01

    Full Text Available In this communication, the generalized continuous economic model for random markets is revisited. In this model for random markets, agents trade by pairs and exchange their money in a random and conservative way. They display the exponential wealth distribution as asymptotic equilibrium, independently of the effectiveness of the transactions and of the limitation of the total wealth. In the current work, entropy of mentioned model is defined and then some theorems on entropy growth of this evolutionary problem are given. Furthermore, the entropy increasing by simulation on some numerical examples is verified.

  4. Does mass azithromycin distribution impact child growth and nutrition in Niger? A cluster-randomized trial.

    Directory of Open Access Journals (Sweden)

    Abdou Amza

    2014-09-01

    Full Text Available Antibiotic use on animals demonstrates improved growth regardless of whether or not there is clinical evidence of infectious disease. Antibiotics used for trachoma control may play an unintended benefit of improving child growth.In this sub-study of a larger randomized controlled trial, we assess anthropometry of pre-school children in a community-randomized trial of mass oral azithromycin distributions for trachoma in Niger. We measured height, weight, and mid-upper arm circumference (MUAC in 12 communities randomized to receive annual mass azithromycin treatment of everyone versus 12 communities randomized to receive biannual mass azithromycin treatments for children, 3 years after the initial mass treatment. We collected measurements in 1,034 children aged 6-60 months of age.We found no difference in the prevalence of wasting among children in the 12 annually treated communities that received three mass azithromycin distributions compared to the 12 biannually treated communities that received six mass azithromycin distributions (odds ratio = 0.88, 95% confidence interval = 0.53 to 1.49.We were unable to demonstrate a statistically significant difference in stunting, underweight, and low MUAC of pre-school children in communities randomized to annual mass azithromycin treatment or biannual mass azithromycin treatment. The role of antibiotics on child growth and nutrition remains unclear, but larger studies and longitudinal trials may help determine any association.

  5. A cross-sectional study of growth, nutritional status and body proportions in children and adolescents at a medical center specializing in the treatment of cystic fibrosis in Poland

    Science.gov (United States)

    Sands, Dorota; Zielińska, Anna

    2015-01-01

    Introduction Malnutrition, delayed growth and delayed puberty are commonly seen in children with cystic fibrosis. The aim of this study was to evaluate growth, nutritional status and body proportions in children and adolescents suffering from cystic fibrosis. Material and methods The evaluation was based on 19 somatic measurements and indices calculated from these measurements. Somatic development was evaluated in relation to several factors connected to the clinical picture or the course of the disease. Anthropometric data were extracted from the medical histories of 41 boys and 48 girls diagnosed and treated at the Institute of Mother and Child in Warsaw (Poland). Mean values for somatic parameters and body build indices for the children suffering from CF were compared to those for the reference group. Results The results revealed that growth in these children was significantly delayed in comparison to that seen in the healthy population (Z-score = –0.56, p < 0.001). Nutritional status was also adversely affected (Z-score = –0.85, p < 0.001). The children suffered more from a deficit in muscularity than in adiposity (Z-score = –0.75 and Z-score = –0.34, p < 0.01, respectively). This was especially true for boys. The children had infantile body proportions and defects in trunk and chest structure. Conclusions The factors that most affected somatic development were infection by Pseudomonas aeruginosa and the time at which the disease was diagnosed. Chronic infection by P. aeruginosa and type of CFTR mutation were the factors that most affected pulmonary function parameters. PMID:25861303

  6. A cross-sectional study of growth, nutritional status and body proportions in children and adolescents at a medical center specializing in the treatment of cystic fibrosis in Poland.

    Science.gov (United States)

    Sands, Dorota; Umławska, Wioleta; Zielińska, Anna

    2015-03-16

    Malnutrition, delayed growth and delayed puberty are commonly seen in children with cystic fibrosis. The aim of this study was to evaluate growth, nutritional status and body proportions in children and adolescents suffering from cystic fibrosis. The evaluation was based on 19 somatic measurements and indices calculated from these measurements. Somatic development was evaluated in relation to several factors connected to the clinical picture or the course of the disease. Anthropometric data were extracted from the medical histories of 41 boys and 48 girls diagnosed and treated at the Institute of Mother and Child in Warsaw (Poland). Mean values for somatic parameters and body build indices for the children suffering from CF were compared to those for the reference group. The results revealed that growth in these children was significantly delayed in comparison to that seen in the healthy population (Z-score = -0.56, p Nutritional status was also adversely affected (Z-score = -0.85, p Chronic infection by P. aeruginosa and type of CFTR mutation were the factors that most affected pulmonary function parameters.

  7. Growth hormone replacement delays the progression of chronic heart failure combined with growth hormone deficiency: an extension of a randomized controlled single-blind study.

    Science.gov (United States)

    Cittadini, Antonio; Marra, Alberto M; Arcopinto, Michele; Bobbio, Emanuele; Salzano, Andrea; Sirico, Domenico; Napoli, Raffaele; Colao, Annamaria; Longobardi, Salvatore; Baliga, Ragavendra R; Bossone, Eduardo; Saccà, Luigi

    2013-08-01

    This study sought to evaluate the efficacy and safety of long-term growth hormone (GH) replacement therapy in GH-deficient patients with chronic heart failure (CHF). Recent evidence indicates that growth hormone deficiency (GHD) affects as many as 40% of patients with CHF, and short-term GH replacement causes functional benefit. Whether long-term GH replacement also affects CHF progression is unknown. The study is an extension of a previous randomized, controlled single-blind trial that screened 158 consecutive CHF patients (New York Heart Association classes II to IV) and identified 63 who had GHD by the growth hormone releasing hormone plus arginine test. Fifty-six patients were randomized to receive either GH therapy or standard CHF therapy. Patients were evaluated at baseline and after a 4-year follow-up. The primary endpoint was peak oxygen consumption (VO2). Secondary endpoints included left ventricular (LV) ejection fraction and volumes, serum amino terminal fragment of the pro-hormone brain-type natriuretic peptide, quality of life, and safety. Seventeen patients in the GH group and 14 in the control group completed the study. In the GH group, peak VO2 improved over the 4-year follow-up. The treatment effect was 7.1 ± 0.7 ml/kg/min versus -1.8 ± 0.5 ml/kg/min in the GH and control groups, respectively. At 4 years, LV ejection fraction increased by 10 ± 3% in the GH group, whereas it decreased by 2 ± 5% in control patients. The treatment effect on LV end-systolic volume index was -22 ± 6 ml and 8 ± 3 ml/m(2) in the GH and control groups, respectively (all p < 0.001). No major adverse events were reported in the patients who received GH. Although this is a preliminary study, the finding suggests a new therapeutic approach to a large proportion of GHD patients with CHF. Copyright © 2013 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  8. A spatial error model with continuous random effects and an application to growth convergence

    Science.gov (United States)

    Laurini, Márcio Poletti

    2017-10-01

    We propose a spatial error model with continuous random effects based on Matérn covariance functions and apply this model for the analysis of income convergence processes (β -convergence). The use of a model with continuous random effects permits a clearer visualization and interpretation of the spatial dependency patterns, avoids the problems of defining neighborhoods in spatial econometrics models, and allows projecting the spatial effects for every possible location in the continuous space, circumventing the existing aggregations in discrete lattice representations. We apply this model approach to analyze the economic growth of Brazilian municipalities between 1991 and 2010 using unconditional and conditional formulations and a spatiotemporal model of convergence. The results indicate that the estimated spatial random effects are consistent with the existence of income convergence clubs for Brazilian municipalities in this period.

  9. Trade-offs between accuracy and interpretability in von Bertalanffy random-effects models of growth.

    Science.gov (United States)

    Vincenzi, Simone; Crivelli, Alain J; Munch, Stephan; Skaug, Hans J; Mangel, Marc

    2016-07-01

    Better understanding of variation in growth will always be an important problem in ecology. Individual variation in growth can arise from a variety of processes; for example, individuals within a population vary in their intrinsic metabolic rates and behavioral traits, which may influence their foraging dynamics and access to resources. However, when adopting a growth model, we face trade-offs between model complexity, biological interpretability of parameters, and goodness of fit. We explore how different formulations of the von Bertalanffy growth function (vBGF) with individual random effects and environmental predictors affect these trade-offs. In the vBGF, the growth of an organism results from a dynamic balance between anabolic and catabolic processes. We start from a formulation of the vBGF that models the anabolic coefficient (q) as a function of the catabolic coefficient (k), a coefficient related to the properties of the environment (γ) and a parameter that determines the relative importance of behavior and environment in determining growth (ψ). We treat the vBGF parameters as a function of individual random effects and environmental variables. We use simulations to show how different functional forms and individual or group variability in the growth function's parameters provide a very flexible description of growth trajectories. We then consider a case study of two fish populations of Salmo marmoratus and Salmo trutta to test the goodness of fit and predictive power of the models, along with the biological interpretability of vBGF's parameters when using different model formulations. The best models, according to AIC, included individual variability in both k and γ and cohort as predictor of growth trajectories, and are consistent with the hypothesis that habitat selection is more important than behavioral and metabolic traits in determining lifetime growth trajectories of the two fish species. Model predictions of individual growth trajectories were

  10. Visual Manipulatives for Proportional Reasoning.

    Science.gov (United States)

    Moore, Joyce L.; Schwartz, Daniel L.

    The use of a visual representation in learning about proportional relations was studied, examining students' understandings of the invariance of a multiplicative relation on both sides of a proportion equation and the invariance of the structural relations that exist in different semantic types of proportion problems. Subjects were 49 high-ability…

  11. Effect of Increased Enteral Protein Intake on Growth in Human Milk-Fed Preterm Infants: A Randomized Clinical Trial.

    Science.gov (United States)

    Maas, Christoph; Mathes, Michaela; Bleeker, Christine; Vek, Julia; Bernhard, Wolfgang; Wiechers, Cornelia; Peter, Andreas; Poets, Christian F; Franz, Axel R

    2017-01-01

    Protein, supplied in currently available commercial fortifiers, may be inadequate to meet the requirements of very preterm infants; in addition, intraindividual and interindividual variability of human milk protein and energy content potentially contribute to unsatisfactory early postnatal growth. To determine effects on growth of different levels of enteral protein supplementation in predominantly human milk-fed preterm infants. This randomized clinical and partially blinded single-center trial was conducted in a neonatal tertiary referral center in Germany. Sixty preterm infants (gestation protein (adding 1 g of bovine protein/100 mL of breast milk through a commercial human milk fortifier; n = 30) or a higher-protein group at a median (IQR) postnatal age of 7 (6-8) days. The higher-protein group (n = 30) received either standardized higher-protein supplementation (study fortifier adding 1.8 g of bovine protein/100 mL of breast milk [n = 15]) or individualized high-protein supplementation based on protein and fat content of administered breast milk (n = 15). Study interventions were continued for a median (IQR) of 41 (30-57) days and until definite discharge planning. Primary outcome was weight gain (g/kg/d) from birth to the end of intervention. Sixty preterm infants (gestation protein group and 490 to 1470 g in the higher-protein group. Weight gain was similar in the lower- and higher-protein groups: mean (95% CI), 16.3 g/kg/d (15.4-17.1 g/kg/d) in the lower-protein group vs 16.0 g/kg/d (15.1-16.9 g/kg/d) in the higher-protein group) (P = .70), despite an increase in actual protein intake by 0.6 g/kg/d (0.4-0.7 g/kg/d) (P total enteral feeding volume provided as breast milk: median (IQR) proportion of breast milk, 92% (79%-98%) in the lower-protein group vs 94% (62%-99%) in the higher-protein group (P = .89). An increase in protein intake by 0.6 g/kg/d to a mean intake of 4.3 g/kg/d did not further enhance growth of very preterm

  12. Conditional random slope: A new approach for estimating individual child growth velocity in epidemiological research.

    Science.gov (United States)

    Leung, Michael; Bassani, Diego G; Racine-Poon, Amy; Goldenberg, Anna; Ali, Syed Asad; Kang, Gagandeep; Premkumar, Prasanna S; Roth, Daniel E

    2017-09-10

    Conditioning child growth measures on baseline accounts for regression to the mean (RTM). Here, we present the "conditional random slope" (CRS) model, based on a linear-mixed effects model that incorporates a baseline-time interaction term that can accommodate multiple data points for a child while also directly accounting for RTM. In two birth cohorts, we applied five approaches to estimate child growth velocities from 0 to 12 months to assess the effect of increasing data density (number of measures per child) on the magnitude of RTM of unconditional estimates, and the correlation and concordance between the CRS and four alternative metrics. Further, we demonstrated the differential effect of the choice of velocity metric on the magnitude of the association between infant growth and stunting at 2 years. RTM was minimally attenuated by increasing data density for unconditional growth modeling approaches. CRS and classical conditional models gave nearly identical estimates with two measures per child. Compared to the CRS estimates, unconditional metrics had moderate correlation (r = 0.65-0.91), but poor agreement in the classification of infants with relatively slow growth (kappa = 0.38-0.78). Estimates of the velocity-stunting association were the same for CRS and classical conditional models but differed substantially between conditional versus unconditional metrics. The CRS can leverage the flexibility of linear mixed models while addressing RTM in longitudinal analyses. © 2017 The Authors American Journal of Human Biology Published by Wiley Periodicals, Inc.

  13. Introduction: Two Kinds of Proportion

    Directory of Open Access Journals (Sweden)

    Matthew A Cohen

    2014-06-01

    Full Text Available The subject of architectural proportional systems in the history of architecture, the topic of this special collection of essays in 'Architectural Histories', has long been characterized by a fundamental ambiguity: the word and concept of proportion simultaneously signify two unrelated and in some ways opposite meanings. Proportion can refer to ratios, or it can refer to architectural beauty. In this introduction to the papers that follow, Matthew A. Cohen proposes a simple clarification of this ambiguity as a framework for continued discussion of this subject: that whenever scholars use the word proportion, they specify whether they intend ‘proportion-as-ratio’ or ‘proportion-as-beauty’. The frequent blending of these meanings today, Cohen argues, is a survival of attitudes toward proportional systems in architecture that were prevalent as long ago as the early Renaissance. Cohen proposes an alternative to Rudolf Wittkower's paradigmatic ‘break-away’ theory of the history of proportional systems, according to which virtually everyone accepted proportional systems as sources of universal beauty in architecture until the mid-eighteenth century, and after that time virtually everyone believed that beauty and proportional systems were matters of individual preference. Rather than a long period respectful of tradition followed by a long period skeptical of it, Cohen argues, based in part on a new interpretation of Claude Perrault’s 1683 codification of the notion of positive beauty, that architects and others have always had access to two parallel strands of thought pertaining to proportional systems: a skeptical-pragmatic strand and a respectful-metaphysical strand. This new historical and historiographical interpretation of the problem of architectural proportional systems, and the new vocabulary with which to discuss it critically presented herein, helps to separate aesthetic from historical considerations.

  14. Geometrical versus Random β-TCP Scaffolds: Exploring the Effects on Schwann Cell Growth and Behavior.

    Directory of Open Access Journals (Sweden)

    Lauren Sweet

    Full Text Available Numerous studies have demonstrated that Schwann cells (SCs play a role in nerve regeneration; however, their role in innervating a bioceramic scaffold for potential application in bone regeneration is still unknown. Here we report the cell growth and functional behavior of SCs on β-tricalcium phosphate (β-TCP scaffolds arranged in 3D printed-lattice (P-β-TCP and randomly-porous, template-casted (N-β-TCP structures. Our results indicate that SCs proliferated well and expressed the phenotypic markers p75LNGFR and the S100-β subunit of SCs as well as displayed growth morphology on both scaffolds, but SCs showed spindle-shaped morphology with a significant degree of SCs alignment on the P-β-TCP scaffolds, seen to a lesser degree in the N-β-TCP scaffold. The gene expressions of nerve growth factor (β-ngf, neutrophin-3 (nt-3, platelet-derived growth factor (pdgf-bb, and vascular endothelial growth factor (vegf-a were higher at day 7 than at day 14. While no significant differences in protein secretion were measured between these last two time points, the scaffolds promoted the protein secretion at day 3 compared to that on the cell culture plates. These results together imply that the β-TCP scaffolds can support SC cell growth and that the 3D-printed scaffold appeared to significantly promote the alignment of SCs along the struts. Further studies are needed to investigate the early and late stage relationship between gene expression and protein secretion of SCs on the scaffolds with refined characteristics, thus better exploring the potential of SCs to support vascularization and innervation in synthetic bone grafts.

  15. Methionyl human growth hormone and oxandrolone in Turner syndrome: preliminary results of a prospective randomized trial.

    Science.gov (United States)

    Rosenfeld, R G; Hintz, R L; Johanson, A J; Brasel, J A; Burstein, S; Chernausek, S D; Clabots, T; Frane, J; Gotlin, R W; Kuntze, J

    1986-12-01

    Seventy girls with Turner syndrome, 4 to 12 years of age, were randomly assigned to receive either no treatment (control) or methionyl human growth hormone (0.125 mg/kg three times per week), oxandrolone (0.125 mg/kg/day), or combination hGH plus oxandrolone therapy. Baseline growth rates averaged 4.3 cm/yr, and all were within 2 SD of mean growth velocity for age in girls with Turner syndrome. Sixty-seven girls remained in the study for a minimum of 1 year. Growth rates and growth velocity (in standard deviations for age in girls with Turner syndrome) were control 3.8 cm/yr (-0.1 SD), hGH 6.6 cm/yr (+2.3 SD), oxandrolone 7.9 cm/yr (+3.7 SD), and combination therapy 9.8 cm/yr (+5.4 SD). Mean bone ages advanced 1.0 years (hGH), 1.3 years (oxandrolone), and 1.6 years (combination). However, median increments in height age/bone age (delta HA/delta BA) ratios ranged from 1.0 to 1.1 for treatment groups, compared with 0.8 for the controls. Predicted adult height by the method of Bayley-Pinneau increased 2.5 cm for hGH or oxandrolone alone, and 3.2 cm for combination treatment. These data indicate that both hGH and oxandrolone can significantly stimulate short-term skeletal growth in patients with Turner syndrome, and potentially increase final adult height.

  16. Geometrical versus Random β-TCP Scaffolds: Exploring the Effects on Schwann Cell Growth and Behavior.

    Science.gov (United States)

    Sweet, Lauren; Kang, Yunqing; Czisch, Christopher; Witek, Lukasz; Shi, Yang; Smay, Jim; Plant, Giles W; Yang, Yunzhi

    2015-01-01

    Numerous studies have demonstrated that Schwann cells (SCs) play a role in nerve regeneration; however, their role in innervating a bioceramic scaffold for potential application in bone regeneration is still unknown. Here we report the cell growth and functional behavior of SCs on β-tricalcium phosphate (β-TCP) scaffolds arranged in 3D printed-lattice (P-β-TCP) and randomly-porous, template-casted (N-β-TCP) structures. Our results indicate that SCs proliferated well and expressed the phenotypic markers p75LNGFR and the S100-β subunit of SCs as well as displayed growth morphology on both scaffolds, but SCs showed spindle-shaped morphology with a significant degree of SCs alignment on the P-β-TCP scaffolds, seen to a lesser degree in the N-β-TCP scaffold. The gene expressions of nerve growth factor (β-ngf), neutrophin-3 (nt-3), platelet-derived growth factor (pdgf-bb), and vascular endothelial growth factor (vegf-a) were higher at day 7 than at day 14. While no significant differences in protein secretion were measured between these last two time points, the scaffolds promoted the protein secretion at day 3 compared to that on the cell culture plates. These results together imply that the β-TCP scaffolds can support SC cell growth and that the 3D-printed scaffold appeared to significantly promote the alignment of SCs along the struts. Further studies are needed to investigate the early and late stage relationship between gene expression and protein secretion of SCs on the scaffolds with refined characteristics, thus better exploring the potential of SCs to support vascularization and innervation in synthetic bone grafts.

  17. Using random walk in models specified by stochastic differential equations to determine the best expression for the bacterial growth rate

    DEFF Research Database (Denmark)

    In this presentation we consider a new method first introduced by Kristensen et al. [1] to improve the model for bacterial growth. Traditionally the substrate dependent growth rate μ(S) is modeled using the Monod expression, however it fails to describe the growth of bacteria in rich media. For P...... contains two state variables, the bacterial and substrate densities. To improve the growth model we initially allow the growth rate μ(S) to vary as a random walk, i.e. we reformulate the SDE model to include μ(S) as an extra state variable which change is described by the Wiener process. We use data from....... aeruginosa we observe a growth pattern far from Monod growth. Therefore a reformulation of the growth expression is necessary. Without any pre-knowledge about the functional dependence between the growth rate and the substrate content and with only limited experimental resources necessary, the proposed...

  18. Proportioning of light weight concrete

    DEFF Research Database (Denmark)

    Palmus, Lars

    1996-01-01

    Development of a method to determine the proportions of the raw materials in light weight concrete made with leight expanded clay aggregate. The method is based on composite theory......Development of a method to determine the proportions of the raw materials in light weight concrete made with leight expanded clay aggregate. The method is based on composite theory...

  19. Identification of Novel Growth Regulators in Plant Populations Expressing Random Peptides.

    Science.gov (United States)

    Bao, Zhilong; Clancy, Maureen A; Carvalho, Raquel F; Elliott, Kiona; Folta, Kevin M

    2017-10-01

    The use of chemical genomics approaches allows the identification of small molecules that integrate into biological systems, thereby changing discrete processes that influence growth, development, or metabolism. Libraries of chemicals are applied to living systems, and changes in phenotype are observed, potentially leading to the identification of new growth regulators. This work describes an approach that is the nexus of chemical genomics and synthetic biology. Here, each plant in an extensive population synthesizes a unique small peptide arising from a transgene composed of a randomized nucleic acid sequence core flanked by translational start, stop, and cysteine-encoding (for disulfide cyclization) sequences. Ten and 16 amino acid sequences, bearing a core of six and 12 random amino acids, have been synthesized in Arabidopsis (Arabidopsis thaliana) plants. Populations were screened for phenotypes from the seedling stage through senescence. Dozens of phenotypes were observed in over 2,000 plants analyzed. Ten conspicuous phenotypes were verified through separate transformation and analysis of multiple independent lines. The results indicate that these populations contain sequences that often influence discrete aspects of plant biology. Novel peptides that affect photosynthesis, flowering, and red light response are described. The challenge now is to identify the mechanistic integrations of these peptides into biochemical processes. These populations serve as a new tool to identify small molecules that modulate discrete plant functions that could be produced later in transgenic plants or potentially applied exogenously to impart their effects. These findings could usher in a new generation of agricultural growth regulators, herbicides, or defense compounds. © 2017 American Society of Plant Biologists. All Rights Reserved.

  20. Effects of prenatal food and micronutrient supplementation on child growth from birth to 54 months of age: a randomized trial in Bangladesh

    Directory of Open Access Journals (Sweden)

    Khan Ashraful

    2011-12-01

    Full Text Available Abstract Background There is a lack of information on the optimal timing of food supplementation to malnourished pregnant women and possible combined effects of food and multiple micronutrient supplementations (MMS on their offspring's growth. We evaluated the effects of prenatal food and micronutrient interventions on postnatal child growth. The hypothesis was that prenatal MMS and early invitation to food supplementation would increase physical growth in the offspring during 0-54 months and a combination of these interventions would further improve these outcomes. Methods In the large, randomized MINIMat trial (Maternal and Infant Nutrition Interventions in Matlab, Bangladesh, 4436 pregnant women were enrolled between November 2001 and October 2003 and their children were followed until March 2009. Participants were randomized into six groups comprising 30 mg Fe and 400 μg folic acid (Fe30F, 60 mg Fe and 400 μg folic acid (Fe60F or MMS combined with either an early (immediately after identification of pregnancy or a later usual (at the time of their choosing, i.e., usual care in this community program invitation to food supplementation. The anthropometry of 3267 children was followed from birth to 54 months, and 2735 children were available for analysis at 54 months. Results There were no differences in characteristics of mothers and households among the different intervention groups. The average birth weight was 2694 g and birth length was 47.7 cm, with no difference among intervention groups. Early invitation to food supplementation (in comparison with usual invitation reduced the proportion of stunting from early infancy up to 54 months for boys (p = 0.01, but not for girls (p = 0.31. MMS resulted in more stunting than standard Fe60F (p = 0.02. There was no interaction between the food and micronutrient supplementation on the growth outcome. Conclusions Early food supplementation in pregnancy reduced the occurrence of stunting during 0

  1. A randomized controlled trial of three years growth hormone and gonadotropin-releasing hormone agonist treatment in children with idiopathic short stature and intrauterine growth retardation

    NARCIS (Netherlands)

    G.A. Kamp; D. Mul (Dick); J.J.J. Waelkens (Johan); M. Jansen (Maarten); H.A. Delemarre-van de Waal (Henriette); L. Verhoeven-Wind; M. Frölich (Marijke); W. Oostdijk (Wilma); J.M. Wit (Jan)

    2001-01-01

    textabstractWe assessed the effectiveness and safety of 3 yr combined GH and GnRH agonist (GnRHa) treatment in a randomized controlled study in children with idiopathic short stature (ISS) or intrauterine growth retardation (IUGR). Gonadal suppression, GH reserve, and

  2. Development of multiwire proportional chambers

    CERN Multimedia

    Charpak, G

    1969-01-01

    It has happened quite often in the history of science that theoreticians, confronted with some major difficulty, have successfully gone back thirty years to look at ideas that had then been thrown overboard. But it is rare that experimentalists go back thirty years to look again at equipment which had become out-dated. This is what Charpak and his colleagues did to emerge with the 'multiwire proportional chamber' which has several new features making it a very useful addition to the armoury of particle detectors. In the 1930s, ion-chambers, Geiger- Muller counters and proportional counters, were vital pieces of equipment in nuclear physics research. Other types of detectors have since largely replaced them but now the proportional counter, in new array, is making a comeback.

  3. Mitigating aflatoxin exposure to improve child growth in Eastern Kenya: study protocol for a randomized controlled trial

    OpenAIRE

    Hoffmann, Vivian; Jones, Kelly; Leroy, Jef

    2015-01-01

    Background While the few studies that have looked at the association between stunting and aflatoxin exposure have found surprisingly large effects, the results remain inconclusive due to a lack of randomized controlled studies. This protocol describes a non-blinded, cluster-randomized controlled trial with the specific objective of testing the impact of reduced aflatoxin exposure on (individual) child linear growth. Methods/Design Participants were recruited from among households containing w...

  4. Constant Proportion Debt Obligations (CPDOs)

    DEFF Research Database (Denmark)

    Cont, Rama; Jessen, Cathrine

    2012-01-01

    Constant Proportion Debt Obligations (CPDOs) are structured credit derivatives that generate high coupon payments by dynamically leveraging a position in an underlying portfolio of investment-grade index default swaps. CPDO coupons and principal notes received high initial credit ratings from...

  5. Vitamin D supplementation and growth in urban Mongol school children: Results from two randomized clinical trials.

    Directory of Open Access Journals (Sweden)

    Davaasambuu Ganmaa

    Full Text Available Symptomatic vitamin D deficiency is associated with slowed growth in children. It is unknown whether vitamin D repletion in children with asymptomatic serum vitamin D deficiency can restore normal growth.We tested the impact of vitamin D-supplementation on serum concentrations of 25-hydroxyvitamin D [25(OHD] and short-term growth in Mongol children, with very low serum vitamin D levels in winter.We conducted two randomized, double-blind, placebo-controlled trials in urban school age children without clinical signs of rickets. The Supplementation Study was a 6-month intervention with an 800 IU vitamin D3 supplement daily, compared with placebo, in 113 children aged 12-15 years. A second study, the Fortification Study, was a 7-week intervention with 710 ml of whole milk fortified with 300 IU vitamin D3 daily, compared with unfortified milk, in 235 children aged 9-11 years.At winter baseline, children had low vitamin D levels, with a mean (±SD serum 25-hydroxyvitamin D [25(OHD] concentration of 7.3 (±3.9 ng/ml in the Supplementation Study and 7.5 (±3.8 ng/ml in the Fortification Study. The serum levels increased in both vitamin D groups-by 19.8 (±5.1 ng/ml in the Supplementation Study, and 19.7 (±6.1 ng/ml in the Fortification Study. Multivariable analysis showed a 0.9 (±0.3 SE cm greater increase in height in the vitamin-D treated children, compared to placebo treated children, in the 6-month Supplementation Study (p = 0.003. Although the children in the 7-week Fortification Study intervention arm grew 0.2 (±0.1 cm more, on average, than placebo children this difference was not statistically significant (p = 0.2. There were no significant effects of vitamin D supplements on differences in changes in weight or body mass index in either trial. For the Fortification Study, girls gained more weight than boys while taking vitamin D 3 (p-value for interaction = 0.03, but sex was not an effect modifier of the relationship between vitamin D3 and

  6. Vitamin D supplementation and growth in urban Mongol school children: Results from two randomized clinical trials.

    Science.gov (United States)

    Ganmaa, Davaasambuu; Stuart, Jennifer J; Sumberzul, Nyamjav; Ninjin, Boldbaatar; Giovannucci, Edward; Kleinman, Ken; Holick, Michael F; Willett, Walter C; Frazier, Lindsay A; Rich-Edwards, Janet W

    2017-01-01

    Symptomatic vitamin D deficiency is associated with slowed growth in children. It is unknown whether vitamin D repletion in children with asymptomatic serum vitamin D deficiency can restore normal growth. We tested the impact of vitamin D-supplementation on serum concentrations of 25-hydroxyvitamin D [25(OH)D] and short-term growth in Mongol children, with very low serum vitamin D levels in winter. We conducted two randomized, double-blind, placebo-controlled trials in urban school age children without clinical signs of rickets. The Supplementation Study was a 6-month intervention with an 800 IU vitamin D3 supplement daily, compared with placebo, in 113 children aged 12-15 years. A second study, the Fortification Study, was a 7-week intervention with 710 ml of whole milk fortified with 300 IU vitamin D3 daily, compared with unfortified milk, in 235 children aged 9-11 years. At winter baseline, children had low vitamin D levels, with a mean (±SD) serum 25-hydroxyvitamin D [25(OH)D] concentration of 7.3 (±3.9) ng/ml in the Supplementation Study and 7.5 (±3.8) ng/ml in the Fortification Study. The serum levels increased in both vitamin D groups-by 19.8 (±5.1) ng/ml in the Supplementation Study, and 19.7 (±6.1) ng/ml in the Fortification Study. Multivariable analysis showed a 0.9 (±0.3 SE) cm greater increase in height in the vitamin-D treated children, compared to placebo treated children, in the 6-month Supplementation Study (p = 0.003). Although the children in the 7-week Fortification Study intervention arm grew 0.2 (±0.1) cm more, on average, than placebo children this difference was not statistically significant (p = 0.2). There were no significant effects of vitamin D supplements on differences in changes in weight or body mass index in either trial. For the Fortification Study, girls gained more weight than boys while taking vitamin D 3 (p-value for interaction = 0.03), but sex was not an effect modifier of the relationship between vitamin D3 and change

  7. Disease proportions attributable to environment

    Directory of Open Access Journals (Sweden)

    Vineis Paolo

    2007-11-01

    Full Text Available Abstract Population disease proportions attributable to various causal agents are popular as they present a simplified view of the contribution of each agent to the disease load. However they are only summary figures that may be easily misinterpreted or over-interpreted even when the causal link between an exposure and an effect is well established. This commentary discusses several issues surrounding the estimation of attributable proportions, particularly with reference to environmental causes of cancers, and critically examines two recently published papers. These issues encompass potential biases as well as the very definition of environment and of environmental agent. The latter aspect is not just a semantic question but carries implications for the focus of preventive actions, whether centred on the material and social environment or on single individuals.

  8. Disease proportions attributable to environment.

    Science.gov (United States)

    Saracci, Rodolfo; Vineis, Paolo

    2007-11-28

    Population disease proportions attributable to various causal agents are popular as they present a simplified view of the contribution of each agent to the disease load. However they are only summary figures that may be easily misinterpreted or over-interpreted even when the causal link between an exposure and an effect is well established. This commentary discusses several issues surrounding the estimation of attributable proportions, particularly with reference to environmental causes of cancers, and critically examines two recently published papers. These issues encompass potential biases as well as the very definition of environment and of environmental agent. The latter aspect is not just a semantic question but carries implications for the focus of preventive actions, whether centred on the material and social environment or on single individuals.

  9. Metacarpal proportions in Australopithecus africanus.

    Science.gov (United States)

    Green, David J; Gordon, Adam D

    2008-05-01

    Recent work has shown that, despite being craniodentally more derived, Australopithecus africanus had more apelike limb-size proportions than A. afarensis. Here, we test whether the A. africanus hand, as judged by metacarpal shaft and articular proportions, was similarly apelike. More specifically, did A. africanus have a short and narrow first metacarpal (MC1) relative to the other metacarpals? Proportions of both MC breadth and length were considered: the geometric mean (GM) of articular and midshaft measurements of MC1 breadth was compared to those of MC2-4, and MC1 length was compared to MC3 length individually and also to the GM of MC2 and 3 lengths. To compare the extant hominoid sample with an incomplete A. africanus fossil record (11 attributed metacarpals), a resampling procedure imposed sampling constraints on the comparative groups that produced composite intrahand ratios. Resampled ratios in the extant sample are not significantly different from actual ratios based on associated elements, demonstrating the methodological appropriateness of this technique. Australopithecus africanus metacarpals do not differ significantly from the great apes in the comparison of breadth ratios but are significantly greater than chimpanzees and orangutans in both measures of relative length. Conversely, A. africanus has a significantly smaller breadth ratio than modern humans, but does not significantly differ from this group in either measure of relative length. We conclude that the first metacarpals of A. africanus are more apelike in relative breadth while also being more humanlike in relative length, a finding consistent with previous work on A. afarensis hand proportions. This configuration would have likely promoted a high degree of manipulative dexterity, but the relatively slender, apelike first metacarpal suggests that A. africanus did not place the same mechanical demands on the thumb as more recent, stone-tool-producing hominins.

  10. Liquid vs Solid Culture Medium to Evaluate Proportion and Time to Change in Management of Suspects of Tuberculosis-A Pragmatic Randomized Trial in Secondary and Tertiary Health Care Units in Brazil.

    Science.gov (United States)

    Moreira, Adriana da Silva Rezende; Huf, Gisele; Vieira, Maria Armanda Monteiro da Silva; Costa, Paulo Albuquerque da; Aguiar, Fábio; Marsico, Anna Grazia; Fonseca, Leila de Souza; Ricks, Mônica; Oliveira, Martha Maria; Detjen, Anne; Fujiwara, Paula Isono; Squire, Stephen Bertel; Kritski, Afranio Lineu

    2015-01-01

    The use of liquid medium (MGIT960) for tuberculosis (TB) diagnosis was recommended by WHO in 2007. However, there has been no evaluation of its effectiveness on clinically important outcomes. A pragmatic trial was carried out in a tertiary hospital and a secondary health care unit in Rio de Janeiro City, Brazil. Participants were 16 years or older, suspected of having TB. They were excluded if only cerebral spinal fluid or blood specimens were available for analysis. MGIT960 technique was compared with the Lowenstein-Jensen (LJ) method for laboratory diagnosis of active TB. Primary outcome was the proportion of patients who had their initial medical management changed within 2 months after randomisation. Secondary outcomes were: mean time for changing the procedure, patient satisfaction with the overall treatment and adverse events. Data were analysed by intention-to-treat. Between April 2008 and September 2011, 693 patients were enrolled (348 to MGIT, 345 to LJ). Smear and culture results were positive for 10% and 15.7% of participants, respectively. Patients in the MGIT arm had their initial medical management changed more frequently than those in the LJ group (10.1% MGIT vs 3.8% LJ, RR 2.67 95% CI 1.44-.96, p = 0.002, NNT 16, 95% CI 10-39). Mean time for changing the initial procedure was greater in LJ group at both sites: 20.0 and 29.6 days in MGIT group and 52.2 and 64.3 in LJ group (MD 33.5, 95% CI 30.6-36.4, p = 0.0001). No other important differences were observed. This study suggests that opting for the MGIT960 system for TB diagnosis provides a promising case management model for improving the quality of care and control of TB. Controlled-Trials.com ISRCTN79888843.

  11. Liquid vs Solid Culture Medium to Evaluate Proportion and Time to Change in Management of Suspects of Tuberculosis-A Pragmatic Randomized Trial in Secondary and Tertiary Health Care Units in Brazil.

    Directory of Open Access Journals (Sweden)

    Adriana da Silva Rezende Moreira

    Full Text Available The use of liquid medium (MGIT960 for tuberculosis (TB diagnosis was recommended by WHO in 2007. However, there has been no evaluation of its effectiveness on clinically important outcomes.A pragmatic trial was carried out in a tertiary hospital and a secondary health care unit in Rio de Janeiro City, Brazil. Participants were 16 years or older, suspected of having TB. They were excluded if only cerebral spinal fluid or blood specimens were available for analysis. MGIT960 technique was compared with the Lowenstein-Jensen (LJ method for laboratory diagnosis of active TB. Primary outcome was the proportion of patients who had their initial medical management changed within 2 months after randomisation. Secondary outcomes were: mean time for changing the procedure, patient satisfaction with the overall treatment and adverse events. Data were analysed by intention-to-treat. Between April 2008 and September 2011, 693 patients were enrolled (348 to MGIT, 345 to LJ. Smear and culture results were positive for 10% and 15.7% of participants, respectively. Patients in the MGIT arm had their initial medical management changed more frequently than those in the LJ group (10.1% MGIT vs 3.8% LJ, RR 2.67 95% CI 1.44-.96, p = 0.002, NNT 16, 95% CI 10-39. Mean time for changing the initial procedure was greater in LJ group at both sites: 20.0 and 29.6 days in MGIT group and 52.2 and 64.3 in LJ group (MD 33.5, 95% CI 30.6-36.4, p = 0.0001. No other important differences were observed.This study suggests that opting for the MGIT960 system for TB diagnosis provides a promising case management model for improving the quality of care and control of TB.Controlled-Trials.com ISRCTN79888843.

  12. Photodetectors for scintillator proportionality measurement

    Energy Technology Data Exchange (ETDEWEB)

    Moses, William W. [Lawrence Berkeley National Laboratory (United States)], E-mail: wwmoses@lbl.gov; Choong, Woon-Seng [Lawrence Berkeley National Laboratory (United States); Hull, Giulia; Payne, Steve; Cherepy, Nerine; Valentine, John D. [Lawrence Livermore National Laboratory (United States)

    2009-10-21

    We evaluate photodetectors for use in a Compton Coincidence apparatus designed for measuring scintillator proportionality. There are many requirements placed on the photodetector in these systems, including active area, linearity, and the ability to accurately measure low light levels (which implies high quantum efficiency and high signal-to-noise ratio). Through a combination of measurement and Monte Carlo simulation, we evaluate a number of potential photodetectors, especially photomultiplier tubes and hybrid photodetectors. Of these, we find that the most promising devices available are photomultiplier tubes with high ({approx}50%) quantum efficiency, although hybrid photodetectors with high quantum efficiency would be preferable.

  13. Effects of Infant Formula With Human Milk Oligosaccharides on Growth and Morbidity: A Randomized Multicenter Trial.

    Science.gov (United States)

    Puccio, Giuseppe; Alliet, Philippe; Cajozzo, Cinzia; Janssens, Elke; Corsello, Giovanni; Sprenger, Norbert; Wernimont, Susan; Egli, Delphine; Gosoniu, Laura; Steenhout, Philippe

    2017-04-01

    The aim of the study was to evaluate the effects of infant formula supplemented with 2 human milk oligosaccharides (HMOs) on infant growth, tolerance, and morbidity. Healthy infants, 0 to 14 days old, were randomized to an intact-protein, cow's milk-based infant formula (control, n = 87) or the same formula with 1.0 g/L 2'fucosyllactose (2'FL) and 0.5 g/L lacto-N-neotetraose (LNnT) (test, n = 88) from enrollment to 6 months; all infants received standard follow-up formula without HMOs from 6 to 12 months. Primary endpoint was weight gain through 4 months. Secondary endpoints included additional anthropometric measures, gastrointestinal tolerance, behavioral patterns, and morbidity through age 12 months. Weight gain was similar in both groups (mean difference [95% confidence interval] test vs control: -0.30 [-1.94, 1.34] g/day; lower bound of 95% confidence interval was above noninferiority margin [-3 g/day]). Digestive symptoms and behavioral patterns were similar between groups; exceptions included softer stool (P = 0.021) and fewer nighttime wake-ups (P = 0.036) in the test group at 2 months. Infants receiving test (vs control) had significantly fewer parental reports (P = 0.004-0.047) of bronchitis through 4 (2.3% vs 12.6%), 6 (6.8% vs 21.8%), and 12 months (10.2% vs 27.6%); lower respiratory tract infection (adverse event cluster) through 12 months (19.3% vs 34.5%); antipyretics use through 4 months (15.9% vs 29.9%); and antibiotics use through 6 (34.1% vs 49.4%) and 12 months (42.0% vs 60.9%). Infant formula with 2'FL and LNnT is safe, well-tolerated, and supports age-appropriate growth. Secondary outcome findings showing associations between consuming HMO-supplemented formula and lower parent-reported morbidity (particularly bronchitis) and medication use (antipyretics and antibiotics) warrant confirmation in future studies.

  14. Challenging the principle of proportionality.

    Science.gov (United States)

    Andersson, Anna-Karin Margareta

    2016-04-01

    The first objective of this article is to examine one aspect of the principle of proportionality (PP) as advanced by Alan Gewirth in his 1978 bookReason and Morality Gewirth claims that being capable of exercising agency to some minimal degree is a property that justifies having at least prima facie rights not to get killed. However, according to the PP, before the being possesses the capacity for exercising agency to that minimal degree, the extent of her rights depends on to what extent she approaches possession of agential capacities. One interpretation of PP holds that variations in degree of possession of the physical constitution necessary to exercise agency are morally relevant. The other interpretation holds that only variations in degree of actual mental capacity are morally relevant. The first of these interpretations is vastly more problematic than the other. The second objective is to argue that according to the most plausible interpretation of the PP, the fetus' level of development before at least the 20th week of pregnancy does not affect the fetus' moral rights status. I then suggest that my argument is not restricted to such fetuses, although extending my argument to more developed fetuses requires caution. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  15. 1/f Noise and multifractality from bristlecone pine growth explained by the statistical convergence of random data

    Science.gov (United States)

    Kendal, Wayne S.

    2017-02-01

    Tree-ring growth records from bristlecone pines reveal an irregular pattern of fluctuations that have been linked to climatic change but otherwise have remained poorly understood. We find within these records evidence for a temporally related variance to mean power law, 1/f noise and multifractality that empirically resembles a fractal stochastic process and could be attributed to self-organized criticality. These growth records, however, also conformed to a non-Gaussian statistical distribution (the Tweedie compound Poisson distribution) characterized by an inherent variance to mean power law, that by itself implies 1/f noise. This distribution has a fundamental role in statistical theory as a focus of convergence for many types of random data, much like the Gaussian distribution has with the central limit theorem. The growth records were also multifractal, with the dimensional exponent of the Tweedie distribution critically balanced near the transition point between fractal stochastic processes and gamma distributed data, possibly consequent to a related convergence effect. Non-Gaussian random systems, like those related to bristlecone pine tree growth, may express 1/f noise and multifractality through mathematical convergence effects alone, without the dynamical assumptions of self-organized criticality.

  16. Evaluating the impact of feedback on elementary aged students' fluency growth in written expression: a randomized controlled trial.

    Science.gov (United States)

    Truckenmiller, Adrea J; Eckert, Tanya L; Codding, Robin S; Petscher, Yaacov

    2014-12-01

    The purpose of this randomized controlled trial was to evaluate elementary-aged students' writing fluency growth in response to (a) instructional practices, (b) sex differences, and (c) student's initial level of writing fluency. Third-grade students (n=133) in three urban elementary schools were randomly assigned to either an individualized performance feedback condition (n=46), a practice-only condition (i.e., weekly writing practice; n=39), or an instructional control condition (n=48) for 8weeks. Findings included support for use of performance feedback as an instructional component in general education classrooms (Hedges' g=0.66), whereas simple practice with curriculum-based measurement in written expression did not produce growth significantly greater than standard instructional practices. The hypothesis that girls write significantly more than boys was supported. However, girls and boys did not differ in their rate of growth. Finally, students' initial risk status in writing fluency did not differentially predict growth in writing fluency over the course of the study. Implications for incorporating feedback as a basic component of intervention in writing are discussed. Copyright © 2014 Society for the Study of School Psychology. Published by Elsevier Ltd. All rights reserved.

  17. Evaluating the Impact of Feedback on Elementary Aged Students’ Fluency Growth in Written Expression: A Randomized Controlled Trial

    Science.gov (United States)

    Truckenmiller, Adrea J.; Eckert, Tanya L.; Codding, Robin S.; Petscher, Yaacov

    2016-01-01

    The purpose of this randomized controlled trial was to evaluate elementary-aged students’ writing fluency growth in response to (a) instructional practices, (b) sex differences, and (c) student’s initial level of writing fluency. Third-grade students (n=133) in three urban elementary schools were randomly assigned to either an individualized performance feedback condition (n=46), a practice-only condition (i.e., weekly writing practice; n = 39), or an instructional control condition (n = 48) for 8 weeks. Findings included support for use of performance feedback as an instructional component in general education classrooms (Hedges’ g = 0.66), whereas simple practice with curriculum-based measurement in written expression did not produce growth significantly greater than standard instructional practices. The hypothesis that girls write significantly more than boys was supported. However, girls and boys did not differ in their rate of growth. Finally, students’ initial risk status in writing fluency did not differentially predict growth in writing fluency over the course of the study. Implications for incorporating feedback as a basic component of intervention in writing are discussed. PMID:25432270

  18. Effects of Prenatal Multiple Micronutrient Supplementation on Fetal Growth Factors: A Cluster-Randomized, Controlled Trial in Rural Bangladesh

    Science.gov (United States)

    Gernand, Alison D.; Schulze, Kerry J.; Nanayakkara-Bind, Ashika; Arguello, Margia; Shamim, Abu Ahmed; Ali, Hasmot; Wu, Lee; West, Keith P.; Christian, Parul

    2015-01-01

    Prenatal multiple micronutrient (MM) supplementation improves birth weight through increased fetal growth and gestational age, but whether maternal or fetal growth factors are involved is unclear. Our objective was to examine the effect of prenatal MM supplementation on intrauterine growth factors and the associations between growth factors and birth outcomes in a rural setting in Bangladesh. In a double-blind, cluster-randomized, controlled trial of MM vs. iron and folic acid (IFA) supplementation, we measured placental growth hormone (PGH) at 10 weeks and PGH and human placental lactogen (hPL) at 32 weeks gestation in maternal plasma (n = 396) and insulin, insulin-like growth factor-1 (IGF-1), and IGF binding protein-1 (IGFBP-1) in cord plasma (n = 325). Birth size and gestational age were also assessed. Early pregnancy mean (SD) BMI was 19.5 (2.4) kg/m2 and birth weight was 2.68 (0.41) kg. There was no effect of MM on concentrations of maternal hPL or PGH, or cord insulin, IGF-1, or IGFBP-1. However, among pregnancies of female offspring, hPL concentration was higher by 1.1 mg/L in the third trimester (95% CI: 0.2, 2.0 mg/L; p = 0.09 for interaction); and among women with height supplementation had no overall impact on intrauterine growth factors. MM supplementation altered some growth factors differentially by maternal early pregnancy nutritional status and sex of the offspring, but this should be examined in other studies. Trial Registration ClinicalTrials.gov NCT00860470 PMID:26431336

  19. Study comparing "Kangaroo Ward Care" with "Intermediate Intensive Care" for improving the growth outcome and cost effectiveness: randomized control trial.

    Science.gov (United States)

    Sharma, Deepak; Murki, Srinivas; Oleti, Tejo Pratap

    2017-08-02

    The aim of this study was to compare growth outcome and cost effectiveness of "Kangaroo ward care" (KWC) with "Intermediate intensive care" (IIC) in stable infants with birth weight 1000 g to Kangaroo ward immediately after randomization and in the IIC group received IIC care till they attained a weight of 1250 g before shifting to Kangaroo Ward. After shifting to Kangaroo ward, infants in the IIC group received equivalent care to KWC group infants. There was significant better weight gain post-randomization during hospital stay and better length gain till 40 weeks of gestational age in intervention arm. There was reduction of post-randomization hospital stay by 2 d in the KWC group. The infants in the KWC group were shifted 6 d earlier to Kangaroo ward from IIC when compared with the IIC group. The cost-effective analysis that used "top-down" and "bottom-up" accounting method showed significant reduction of hospital and parents expenditure in the KWC group (p Kangaroo ward with birth weight 1000 g to <1100 g leads to better growth and is cost effective (CTRI/2014/05/004625). Clinical trial registry of India CTRI/2014/05/004625.

  20. Six-year results of a randomized, prospective trial of human growth hormone and oxandrolone in Turner syndrome.

    Science.gov (United States)

    Rosenfeld, R G; Frane, J; Attie, K M; Brasel, J A; Burstein, S; Cara, J F; Chernausek, S; Gotlin, R W; Kuntze, J; Lippe, B M

    1992-07-01

    Seventy girls with Turner syndrome, verified by karyotype, were randomly assigned to observation or treatment with human growth hormone (hGH), oxandrolone, or a combination of hGH plus oxandrolone for a period of 12 to 24 months, to assess the effect of treatment on growth velocity and adult height. Subsequently, all subjects received either hGH alone or hGH plus oxandrolone. Data are presented for 62 subjects treated for a period of 3 to 6 years. When compared with the anticipated growth rate in untreated patients, the growth rate after treatment with hGH, both alone and in combination with oxandrolone, showed a sustained increase for at least 6 years. Treatment is continuing in over half of the subjects; at present, 14 (82%) of 17 girls receiving hGH alone and 41 (91%) of 45 girls receiving combination therapy exceeded their expected adult heights. Thirty girls have completed treatment; mean height for these 30 patients is 151.9 cm, compared with their mean original projected adult height of 143.8 cm. We conclude that therapy with hGH, alone and in combination with oxandrolone, can result in a sustained increase in growth rate and a significant increase in adult height for most prepubertal girls with Turner syndrome.

  1. Effect on longitudinal growth and anemia of zinc or multiple micronutrients added to vitamin A: a randomized controlled trial in children aged 6-24 months

    Science.gov (United States)

    2010-01-01

    Background The benefits of zinc or multiple micronutrient supplementations in African children are uncertain. African children may differ from other populations of children in developing countries because of differences in the prevalence of zinc deficiency, low birth weight and preterm delivery, recurrent or chronic infections such as HIV, or the quality of complementary diets and genetic polymorphisms affecting iron metabolism. The aim of this study was to ascertain whether adding zinc or multiple micronutrients to vitamin A supplementation improves longitudinal growth or reduces prevalence of anemia in children aged 6-24 months. Methods Randomized, controlled double-blinded trial of prophylactic micronutrient supplementation to children aged 6-24 months. Children in three cohorts - 32 HIV-infected children, 154 HIV-uninfected children born to HIV-infected mothers, and 187 uninfected children born to HIV-uninfected mothers - were separately randomly assigned to receive daily vitamin A (VA) [n = 124], vitamin A plus zinc (VAZ) [n = 123], or multiple micronutrients that included vitamin A and zinc (MM) [n = 126]. Results Among all children there were no significant differences between intervention arms in length-for-age Z scores (LAZ) changes over 18 months. Among stunted children (LAZ below -2) [n = 62], those receiving MM had a 0.7 Z-score improvement in LAZ versus declines of 0.3 in VAZ and 0.2 in VA (P = 0.029 when comparing effects of treatment over time). In the 154 HIV-uninfected children, MM ameliorated the effect of repeated diarrhea on growth. Among those experiencing more than six episodes, those receiving MM had no decline in LAZ compared to 0.5 and 0.6 Z-score declines in children receiving VAZ and VA respectively (P = 0.06 for treatment by time interaction). After 12 months, there was 24% reduction in proportion of children with anemia (hemoglobin below 11 g/dL) in MM arm (P = 0.001), 11% in VAZ (P = 0.131) and 18% in VA (P = 0.019). Although the

  2. Effect on longitudinal growth and anemia of zinc or multiple micronutrients added to vitamin A: a randomized controlled trial in children aged 6-24 months

    Directory of Open Access Journals (Sweden)

    Luabeya Kany-Kany A

    2010-03-01

    Full Text Available Abstract Background The benefits of zinc or multiple micronutrient supplementations in African children are uncertain. African children may differ from other populations of children in developing countries because of differences in the prevalence of zinc deficiency, low birth weight and preterm delivery, recurrent or chronic infections such as HIV, or the quality of complementary diets and genetic polymorphisms affecting iron metabolism. The aim of this study was to ascertain whether adding zinc or multiple micronutrients to vitamin A supplementation improves longitudinal growth or reduces prevalence of anemia in children aged 6-24 months. Methods Randomized, controlled double-blinded trial of prophylactic micronutrient supplementation to children aged 6-24 months. Children in three cohorts - 32 HIV-infected children, 154 HIV-uninfected children born to HIV-infected mothers, and 187 uninfected children born to HIV-uninfected mothers - were separately randomly assigned to receive daily vitamin A (VA [n = 124], vitamin A plus zinc (VAZ [n = 123], or multiple micronutrients that included vitamin A and zinc (MM [n = 126]. Results Among all children there were no significant differences between intervention arms in length-for-age Z scores (LAZ changes over 18 months. Among stunted children (LAZ below -2 [n = 62], those receiving MM had a 0.7 Z-score improvement in LAZ versus declines of 0.3 in VAZ and 0.2 in VA (P = 0.029 when comparing effects of treatment over time. In the 154 HIV-uninfected children, MM ameliorated the effect of repeated diarrhea on growth. Among those experiencing more than six episodes, those receiving MM had no decline in LAZ compared to 0.5 and 0.6 Z-score declines in children receiving VAZ and VA respectively (P = 0.06 for treatment by time interaction. After 12 months, there was 24% reduction in proportion of children with anemia (hemoglobin below 11 g/dL in MM arm (P = 0.001, 11% in VAZ (P = 0.131 and 18% in VA (P = 0

  3. Three-year results of a randomized prospective trial of methionyl human growth hormone and oxandrolone in Turner syndrome.

    Science.gov (United States)

    Rosenfeld, R G; Hintz, R L; Johanson, A J; Sherman, B; Brasel, J A; Burstein, S; Chernausek, S; Compton, P; Frane, J; Gotlin, R W

    1988-08-01

    Seventy girls with Turner syndrome, 4 to 12 years of age, participated in a prospective, randomized study to determine the effects on growth of methionyl human growth hormone (met-hGH) or oxandrolone. Subjects were randomly assigned to receive either no treatment (control) or met-hGH (0.125 mg/kg three times per week), oxandrolone (0.125 mg/kg/day), or combination met-hGH plus oxandrolone. At the end of an initial period of 12 to 20 months, patients in the original control and oxandrolone groups were given combination met-hGH plus oxandrolone. At that time the dosage of oxandrolone was lowered to 0.0625 mg/kg/day. Sixty-five subjects have now completed the first 3 years of the study. Compared with the control growth rate for year 1 (3.8 cm/yr), significant increases in growth rate were seen in all 3 years of combination therapy (9.8, 7.4, and 6.1 cm/yr, respectively) and in the first 2 years of treatment with met-hGH alone (6.6, 5.4, and 4.6 cm/yr). When growth velocity was expressed as standard deviation for age in girls with Turner syndrome, significant increases relative to the control group for year 1 (-0.1 SD) were seen in all three years of both combination therapy and met-hGH alone (combination, +6.6, +4.3, +3.0 SD; met-hGH, +3.1, +2.0, +1.4 SD). After 3 years of treatment, predicted adult height by the method of Bayley-Pinneau increased 4.5 cm in the met-hGH group and 8.2 cm in the combination group.

  4. Impacts of regular and random noise on the behaviour, growth and development of larval Atlantic cod (Gadus morhua).

    Science.gov (United States)

    Nedelec, Sophie L; Simpson, Stephen D; Morley, Erica L; Nedelec, Brendan; Radford, Andrew N

    2015-10-22

    Anthropogenic noise impacts behaviour and physiology in many species, but responses could change with repeat exposures. As repeat exposures can vary in regularity, identifying regimes with less impact is important for regulation. We use a 16-day split-brood experiment to compare effects of regular and random acoustic noise (playbacks of recordings of ships), relative to ambient-noise controls, on behaviour, growth and development of larval Atlantic cod (Gadus morhua). Short-term noise caused startle responses in newly hatched fish, irrespective of rearing noise. Two days of both regular and random noise regimes reduced growth, while regular noise led to faster yolk sac use. After 16 days, growth in all three sound treatments converged, although fish exposed to regular noise had lower body width-length ratios. Larvae with lower body width-length ratios were easier to catch in a predator-avoidance experiment. Our results demonstrate that the timing of acoustic disturbances can impact survival-related measures during development. Much current work focuses on sound levels, but future studies should consider the role of noise regularity and its importance for noise management and mitigation measures. © 2015 The Authors.

  5. Vitamin B-12, folic acid, and growth in 6- to 30-month-old children: a randomized controlled trial.

    Science.gov (United States)

    Strand, Tor A; Taneja, Sunita; Kumar, Tivendra; Manger, Mari S; Refsum, Helga; Yajnik, Chittaranjan S; Bhandari, Nita

    2015-04-01

    Folate and vitamin B-12 are important for growth. Many children in low- and middle-income countries have inadequate intakes of these nutrients. We undertook a randomized, placebo controlled double-blind trial in 1000 North Indian children, 6 to 35 months of age, providing twice the recommended daily allowance of folic acid and/or vitamin B-12, or placebo, daily for 6 months. By using a factorial design, we allocated children in a 1:1:1:1 ratio in blocks of 16. We measured the effect of giving vitamin B-12, folic acid, or the combination of both on linear and ponderal growth. We also identified predictors for growth in multiple linear regression models and effect modifiers for the effect of folic acid or vitamin B-12 supplementation on growth. The overall effect of either of the vitamins was significant only for weight; children who received vitamin B-12 increased their mean weight-for-age z scores by 0.07 (95% confidence interval: 0.01 to 0.13). Weight-for-age z scores and height-for-age z scores increased significantly after vitamin B-12 supplementation in wasted, underweight, and stunted children. These subgrouping variables significantly modified the effect of vitamin B-12 on growth. Vitamin B-12 status at baseline predicted linear and ponderal growth in children not receiving vitamin B-12 supplements but not in those who did (P-interaction < .001). We provide evidence that poor vitamin B-12 status contributes to poor growth. We recommend studies with larger doses and longer follow-up to confirm our findings. Copyright © 2015 by the American Academy of Pediatrics.

  6. Feed efficiency and body weight growth throughout growing-furring period in mink using random regression method

    DEFF Research Database (Denmark)

    Shirali, Mahmoud; Nielsen, Vivi Hunnicke; Møller, Steen Henrik

    2014-01-01

    be obtained by only considering RFI estimate and BW at pelting, however, lower genetic correlations than unity indicate that extra genetic gain can be obtained by including estimates of these traits at the growing period. This study suggests random regression methods are suitable for analysing feed efficiency......The aim of this study was to determine genetic background of longitudinal residual feed intake (RFI) and body weight (BW) growth in farmed mink using random regression methods considering heterogeneous residual variances. Eight BW measures for each mink was recorded every three weeks from 63 to 210...... days of age for 2139 male mink and the same number of females. Cumulative feed intake was calculated six times with three weeks interval based on daily feed consumption between weighing’s from 105 to 210 days of age. Heritability estimates for RFI increased by age from 0.18 (0.03, standard deviation...

  7. Population-Sample Regression in the Estimation of Population Proportions

    Science.gov (United States)

    Weitzman, R. A.

    2006-01-01

    Focusing on a single sample obtained randomly with replacement from a single population, this article examines the regression of population on sample proportions and develops an unbiased estimator of the square of the correlation between them. This estimator turns out to be the regression coefficient. Use of the squared-correlation estimator as a…

  8. Mitigating aflatoxin exposure to improve child growth in Eastern Kenya: study protocol for a randomized controlled trial.

    Science.gov (United States)

    Hoffmann, Vivian; Jones, Kelly; Leroy, Jef

    2015-12-03

    While the few studies that have looked at the association between stunting and aflatoxin exposure have found surprisingly large effects, the results remain inconclusive due to a lack of randomized controlled studies. This protocol describes a non-blinded, cluster-randomized controlled trial with the specific objective of testing the impact of reduced aflatoxin exposure on (individual) child linear growth. Participants were recruited from among households containing women in the last 5 months of pregnancy in 28 maize-growing villages within Meru and Tharaka-Nithi Counties in Kenya. Households in villages assigned to the intervention group are offered rapid testing of their stored maize for the presence of aflatoxin each month; any maize found to contain more than 10 ppb aflatoxin is replaced with an equal amount of maize that contains less than this concentration of the toxin. They are also offered the opportunity to buy maize that has been tested and found to contain less than 10 ppb aflatoxin at local shops. Clusters (villages) were allocated to the intervention group (28 villages containing 687 participating households) or control group (28 villages containing 536 participating households) using a random number generator. The trial, which is funded by United Kingdom (UK) aid from the UK government, the Global Food Security Portal, and the Ministry for Foreign Affairs of Finland, is currently ongoing. This study is the first randomized controlled trial (RCT) to test for a causal impact of aflatoxin exposure on child growth. Whether or not this relationship is found, its results will have implications for the prioritization of aflatoxin control efforts by governments in affected regions, as well as international donors. American Economic Association RCT Registry # 0000105 . Initial registration date: 6 November 2013, last updated 30 December 2014.

  9. Regional specificity of exercise and calcium during skeletal growth in girls : A randomized controlled trial

    NARCIS (Netherlands)

    Iuliano-Burns, S; Saxon, L; Naughton, G; Gibbons, K; Bass, SL

    Combining exercise with calcium supplementation may produce additive or multiplicative effects at loaded sites; thus, we conducted a single blind, prospective, randomized controlled study in pre- and early-pubertal girls to test the following hypotheses. (1) At the loaded sites, exercise and calcium

  10. A COMMUNITY BASED RANDOMIZED CONTROLLED TRIAL OF IRON AND ZINC SUPPLEMENTATION IN INFANTS: EFFECTS ON GROWTH AND DEVELOPMENT

    Directory of Open Access Journals (Sweden)

    T. Lind

    2006-01-01

    Full Text Available Deficiencies of iron and zinc are associated with delayed development, growth faltering, and increased infectious disease morbidity during infancy and childhood. Combined iron and zinc supplementation may therefore be a logical preventive strategy. Objective: the objective of the study was to compare the effects of combined iron and zinc supplementation in infancy with the effects of iron and zinc as single micronutrients on growth, psychomotor development, and incidence of infectious disease. Design: Indonesian infants (n = 680 were randomly assigned to daily supplementation with 10 mg Fe (Fe group, 10 mg Zn (Zn group, 10 mg Fe and 10 mg Zn (Fe + Zn group, or placebo from 6 to 12 mo of age. Anthropometric indexes, developmental indexes (bay ley scales of infant development; sid, and morbidity were recorded. Results: at 12 mo, two factor analysis of variance showed a significant interaction between Iron and Zinc for weight for age z score, knee heel length, and sid psychomotor development. Weight forage z score was higher in the Zn group than in the placebo and Fe + Zn groups, knee heel length was higher in the Zn and Fe groups than in the placebo group, and the sid psychomotor development index was higher in the Fe group than in the placebo group. No significant effect on morbidity was found. Conclusions: single supplementation with zinc significantly improved growth, and single supplementation with iron significantly improved growth and psychomotor development, but combined supplementation with iron and zinc had no significant effect on growth or development. Combined, simultaneous supplementation with iron and zinc to infants cannot be routinely recommended at the iron to zinc ratio used in this study.Key words: infants, growth, knee heel length, development, iron, zinc.

  11. Cardiovascular effects of growth hormone in adult hemodialysis patients: results from a randomized controlled trial

    DEFF Research Database (Denmark)

    Køber, Lars; Rustom, Rana; Wiedmann, Jonas

    2010-01-01

    The high morbidity and mortality rates in hemodialysis (HD) patients are due, at least in part, to their increased risk for cardiovascular diseases (CVD). This prospective study evaluated the effect of growth hormone (GH) on a number of CVD risk markers in adult patients on HD.......The high morbidity and mortality rates in hemodialysis (HD) patients are due, at least in part, to their increased risk for cardiovascular diseases (CVD). This prospective study evaluated the effect of growth hormone (GH) on a number of CVD risk markers in adult patients on HD....

  12. Global Volcano Proportional Economic Loss Risk Deciles

    Data.gov (United States)

    National Aeronautics and Space Administration — Global Volcano Proportional Economic Loss Risk Deciles is a 2.5 minute grid of volcano hazard economic loss as proportions of Gross Domestic Product (GDP) per...

  13. Global Drought Proportional Economic Loss Risk Deciles

    Data.gov (United States)

    National Aeronautics and Space Administration — Global Drought Proportional Economic Loss Risk Deciles is a 2.5 minute grid of drought hazard economic loss as proportions of Gross Domestic Product (GDP) per...

  14. Global Multihazard Proportional Economic Loss Risk Deciles

    Data.gov (United States)

    National Aeronautics and Space Administration — Global Multihazard Proportional Economic Loss Risks is a 2.5 minute grid of a multihazard-based economic loss risk as a proportion of the economic productivity of...

  15. Global Landslide Proportional Economic Loss Risk Deciles

    Data.gov (United States)

    National Aeronautics and Space Administration — Global Landslide Proportional Economic Loss Risk Deciles is a 2.5 minute grid of landslide hazard economic loss as proportions of Gross Domestic Product (GDP) per...

  16. Global Flood Proportional Economic Loss Risk Deciles

    Data.gov (United States)

    National Aeronautics and Space Administration — Global Flood Proportional Economic Loss Risk Deciles is a 2.5 minute grid of flood hazard economic loss as proportions of Gross Domestic Product (GDP) per analytical...

  17. Global Earthquake Proportional Economic Loss Risk Deciles

    Data.gov (United States)

    National Aeronautics and Space Administration — Global Earthquake Proportional Economic Loss Risk Deciles is a 2.5 minute grid of earthquake hazard economic loss as proportions of Gross Domestic Product (GDP) per...

  18. Global Cyclone Proportional Economic Loss Risk Deciles

    Data.gov (United States)

    National Aeronautics and Space Administration — Global Cyclone Proportional Economic Loss Risk Deciles is a 2.5 minute grid of cyclone hazard economic loss as proportions of Gross Domestic Product (GDP) per...

  19. Global Cyclone Proportional Economic Loss Risk Deciles

    Data.gov (United States)

    National Aeronautics and Space Administration — Global Cyclone Proportional Economic Loss Risk Deciles is a 2.5 by 2.5 minute grid of cyclone hazard economic loss as proportions of gross domestic product (GDP) per...

  20. Cardiovascular effects of growth hormone in adult hemodialysis patients: results from a randomized controlled trial

    DEFF Research Database (Denmark)

    Køber, Lars; Rustom, Rana; Wiedmann, Jonas

    2010-01-01

    The high morbidity and mortality rates in hemodialysis (HD) patients are due, at least in part, to their increased risk for cardiovascular diseases (CVD). This prospective study evaluated the effect of growth hormone (GH) on a number of CVD risk markers in adult patients on HD....

  1. Growth Estimators and Confidence Intervals for the Mean of Negative Binomial Random Variables with Unknown Dispersion

    Directory of Open Access Journals (Sweden)

    David Shilane

    2013-01-01

    Full Text Available The negative binomial distribution becomes highly skewed under extreme dispersion. Even at moderately large sample sizes, the sample mean exhibits a heavy right tail. The standard normal approximation often does not provide adequate inferences about the data's expected value in this setting. In previous work, we have examined alternative methods of generating confidence intervals for the expected value. These methods were based upon Gamma and Chi Square approximations or tail probability bounds such as Bernstein's inequality. We now propose growth estimators of the negative binomial mean. Under high dispersion, zero values are likely to be overrepresented in the data. A growth estimator constructs a normal-style confidence interval by effectively removing a small, predetermined number of zeros from the data. We propose growth estimators based upon multiplicative adjustments of the sample mean and direct removal of zeros from the sample. These methods do not require estimating the nuisance dispersion parameter. We will demonstrate that the growth estimators' confidence intervals provide improved coverage over a wide range of parameter values and asymptotically converge to the sample mean. Interestingly, the proposed methods succeed despite adding both bias and variance to the normal approximation.

  2. OPPORTUNITY™: a large-scale randomized clinical trial of growth hormone in hemodialysis patients

    DEFF Research Database (Denmark)

    Kopple, Joel D; Cheung, Alfred K; Christiansen, Jens Sandahl

    2011-01-01

    Adult maintenance hemodialysis (MHD) patients experience high mortality and morbidity and poor quality of life (QoL). Markers of protein-energy wasting are associated with these poor outcomes. The OPPORTUNITY™ Trial examined whether recombinant human growth hormone (hGH) reduces mortality...

  3. OPPORTUNITYTM: a large-scale randomized clinical trial of growth hormone in hemodialysis patients

    DEFF Research Database (Denmark)

    Kopple, Joel D; Cheung, Alfred K; Christiansen, Jens Sandahl

    2011-01-01

    Adult maintenance hemodialysis (MHD) patients experience high mortality and morbidity and poor quality of life (QoL). Markers of protein-energy wasting are associated with these poor outcomes. The OPPORTUNITY™ Trial examined whether recombinant human growth hormone (hGH) reduces mortality...

  4. A Prospective, Randomized, Double-blind, Split-face Clinical Trial Comparing the Efficacy of Two Topical Human Growth Factors for the Rejuvenation of the Aging Face.

    Science.gov (United States)

    Wu, Douglas C; Goldman, Mitchel P

    2017-05-01

    Background: Cosmeceutical products represent an increasingly important therapeutic option for anti-aging and rejuvenation, either used alone or in combination with dermatologic surgical procedures. Among this group of products, topical growth factors have demonstrated efficacy in randomized, controlled clinical trials. However, comparisons between different products remain uncommon. Objective: The objective of this randomized, double-blind, split-face clinical trial was to compare two different topical growth factor formulations derived from either human fibroblasts or human adipose tissue derived mesenchymal stem cells. Methods: This was an institutional review board-approved, randomized, double-blind, split-face clinical trial involving 20 healthy subjects with moderate-to-severe facial wrinkling secondary to photodamage. One half of the face was randomized to receive topical human fibroblast growth factors and the other topical human mesenchymal stem cell growth factors. Treatment was continued for three months, and evaluations were performed in a double-blind fashion. Results: Both growth factor formulations achieved significant improvement in facial wrinkling. Blinded investigator and subject evaluations did not detect any significant differences between the two formulations in terms of efficacy, safety, or tolerability. Conclusion: Both human fibroblast growth factors and human mesenchymal stem cell growth factors are effective at facial rejuvenation. Topical growth factors represent a useful therapeutic modality.

  5. Maternal Smoking During Pregnancy and Childhood Growth Trajectory: A Random Effects Regression Analysis

    OpenAIRE

    Suzuki, Kohta; Kondo, Naoki; Sato, Miri; Tanaka, Taichiro; Ando, Daisuke; Yamagata, Zentaro

    2012-01-01

    Background Although maternal smoking during pregnancy has been reported to have an effect on childhood overweight/obesity, the impact of maternal smoking on the trajectory of the body mass of their offspring is not very clear. Previously, we investigated this effect by using a fixed-effect model. However, this analysis was limited because it rounded and categorized the age of the children. Therefore, we used a random-effects hierarchical linear regression model in the present study. Methods T...

  6. OPPORTUNITY: a randomized clinical trial of growth hormone on outcome in hemodialysis patients

    DEFF Research Database (Denmark)

    Kopple, J.D.; Cheung, A.K.; Christiansen, J.S.

    2008-01-01

    , uncontrolled hypertension, chronic use of high-dose glucocorticoids, or immunosuppressive agents and pregnancy. CONCLUSIONS: The OPPORTUNITY Trial is the first large-scale randomized clinical trial in adult MHD patients evaluating the response to GH of such clinical endpoints as mortality, morbidity, markers...... human GH injections, compared with placebo, improve survival in hypoalbuminemic MHD patients. Secondary hypotheses are that GH improves morbidity and health, including number of hospitalized days, time to cardiovascular events, LBM, serum protein and inflammatory marker levels, exercise capacity...

  7. A randomized double blind study of the effect of finasteride on hair growth in male patients of androgenetic alopecia

    Directory of Open Access Journals (Sweden)

    Prasad H

    2005-01-01

    Full Text Available Eighty male patients with AGA, not treated in the previous 6 months were enrolled in this randomized, double blind, placebo controlled trial to assess the safety and efficacy of finasteride, 1mg daily, on hair growth. Patients were randomized into 2 groups: Group 1 received 1 mg of finasteride daily and Group 2 received a placebo for a period of 12 months. Efficacy was assessed by hair counts, photographic records, patient′s self-assessment questionnaire and clinical assessment. Safety was assessed by history taking and laboratory parameters. A total of 39 patients completed the study. Finasteride was rated superior to placebo with respect to all efficacy measures. At the end of study, finasteride treated patients had a mean increase of 20.56±4.73 hairs compared to a decrease of 9.56±5.53 hairs in placebo treated patients. Photographically, 69.56% of finasteride treated patients were rated as improved at 12 months compared to only 6.25% of placebo treated patients. Ten (25% of finasteride treated patients developed adverse effects (5-decreased libido as well as erectile dysfunction, 4-erectile dysfunction, 1-decreased libido. Finasteride in comparison to placebo was effective in promoting hair growth in male patients of AGA. However, the side effects to the drug were high in this study.

  8. Relative bioavailability of the fentanyl effervescent buccal tablet (FEBT) 1,080 pg versus oral transmucosal fentanyl citrate 1,600 pg and dose proportionality of FEBT 270 to 1,300 microg: a single-dose, randomized, open-label, three-period study in healthy adult volunteers.

    Science.gov (United States)

    Darwish, Mona; Tempero, Kenneth; Kirby, Mary; Thompson, Jeffrey

    2006-05-01

    The fentanyl effervescent buccal tablet (FEBT) was designed to enhance the rate and extent of absorption of fentanyl through the buccal mucosa. FEBT is being investigated for the management of breakthrough pain. The primary objective of this study was to compare the relative bioavailability of FEBT 1,080 microg with that of oral transmucosal fentanyl citrate (OTFC) 1,600 microg, and the secondary objective was to assess the dose proportionality of FEBT 270 to 1,300 microg in healthy adult volunteers. This single-dose, randomized, open-label, 3-period study was conducted by MDS Pharma Services, Lincoln, Nebraska. Non-opioid-tolerant healthy adult volunteers were included. In periods 1 and 2 (relative-bioavailability analysis), subjects were randomly assigned to 1 of 2 administration sequences: single-dose FEBT 1,080 microg followed by single-dose OTFC 1,600 microg, or vice versa; in period 3 (dose-proportionality analysis), they were randomly assigned to receive a single dose of FEBT 270, 810, or 1,300 microg. Subjects were instructed to place FEBT between the gum and cheek above an upper molar tooth and allow it to disintegrate for 10 minutes. Subjects were instructed to place the OTFC lozenge between the cheek and lower gum and move the unit from side to side using the handle and allow the unit to dissolve for 15 minutes. All subjects received naltrexone 50 mg PO at 15 and 3 hours before and 12 hours after fentanyl administration, except those receiving FEBT 270 microg, who were not given naltrexone at 12 hours. For the measurement of serum concentrations of fentanyl, venous blood samples were collected before and up to 36 hours after study drug administration. For tolerability analysis, continuous pulse oximetry, 12-lead electrocardiography, clinical laboratory analysis, and physical examination, including vital-sign measurements, were performed; the oral mucosa was inspected; and spontaneous reporting was employed. A total of 42 subjects were enrolled (25 women

  9. L-Arginine treatment for severe vascular fetal intrauterine growth restriction: a randomized double-bind controlled trial.

    Science.gov (United States)

    Winer, Norbert; Branger, Bernard; Azria, Elie; Tsatsaris, Vassilis; Philippe, Henri-Jean; Rozé, Jean Christophe; Descamps, Philippe; Boog, Georges; Cynober, Luc; Darmaun, Dominique

    2009-06-01

    Infants born with severe IUGR are exposed to higher neonatal mortality and morbidity rates, as compared with appropriate-for-gestational-age. They are exposed to a higher risk of developing chronic disease such as hypertension, coronary artery disease, obesity, and type 2 diabetes in adulthood. L-Arginine is a precursor of nitric oxide (NO) and may play a role in placental vascular mediation or local vasodilatation. The current study was designed to determine whether oral supplementation of gravid patients suffering from severe intrauterine growth restriction (IUGR) with L-arginine, would enhance birth weight and/or decrease neonatal morbidity. Forty-four patients with a singleton pregnancy who had been referred for IUGR detected by ultrasonic examination were included. Vascular IUGR was defined by fetal abdominal circumference less than or equal to the 3rd percentile, associated with abnormal uterine Doppler. After double-blind randomization, patients received either 14 g/day of L-arginine, or a placebo. The characteristics of the two groups of patients (IUGR with L-arginine vs IUGR with placebo) were similar upon randomization. There was no significant difference between the two groups concerning birth weight (1042+/-476 vs. 1068+/-452 g). At delivery, maternal and neonatal characteristics were similar in the two groups. There was no difference in the Clinical Risk Index for Babies (CRIB) score, the duration of ventilatory assistance, nor the delay between birth and full enteral feeding between the two groups. In this study which is, at the best of our knowledge, the first double-bind, multicenter, randomized trial in this condition, L-arginine is not an effective treatment for severe vascular growth restriction.

  10. TERRAIN: FETAL GROWTH TELEHEALTH SYSTEM BASED ON 2D FETAL HEAD IMAGE USING RANDOMIZED HOUGH TRANSFORM

    Directory of Open Access Journals (Sweden)

    Robeth Rahmatullah

    2014-08-01

    Full Text Available Abstract Intrauterine growth restriction (IUGR is one of many fetal abnormalities, which has high contribution on maternal mortality rate and perinatal mortality rate in Indonesia. Apparently, IUGR impact can be reduced if only the symptoms are detected earlier and the correct treatment is applied. However, fetal growth detection and monitoring process in Indonesia is obstructed because the number of physicians is very limited and ultrasonography (USG devices are expensive. Moreover, both the physicians and USG devices are only available in big cities. To answer those problems, this research proposed an intelligent system that can provide fetal growth telemonitoring in rural areas. This system consists of three components: portable USG device, mobile application which is developed using Android operating system, and server application which is developed using Django. The main feature of this system is automatic fetal head parameter detection and its ability to operate in the limited internet access environment. In this system, automatic fetal head parameter detection uses RHT method to approximate fetal head’s ellipse shape. Experiment result shows that RHT detection ability with ∆ellipse average of 79.564 and running time average of 0.373 second.

  11. Community health workers can improve child growth of antenatally-depressed, South African mothers: a cluster randomized controlled trial.

    Science.gov (United States)

    Tomlinson, Mark; Rotheram-Borus, Mary Jane; Harwood, Jessica; le Roux, Ingrid M; O'Connor, Mary; Worthman, Carol

    2015-09-23

    Maternal antenatal depression has long-term consequences for children's health. We examined if home visits by community health workers (CHW) can improve growth outcomes for children of mothers who are antenatally depressed. A cluster randomized controlled trial of all pregnant, neighbourhood women in Cape Town, South Africa. Almost all pregnant women (98 %, N = 1238) were recruited and assessed during pregnancy, two weeks post-birth (92 %) and 6 months post-birth (88 %). Pregnant women were randomized to either: 1) Standard Care (SC), which provided routine antenatal care; or 2) an intervention, The Philani Intervention Program (PIP), which included SC and home visits by CHW trained as generalists (M = 11 visits). Child standardized weight, length, and weight by length over 6 months based on maternal antenatal depression and intervention condition. Depressed mood was similar across the PIP and SC conditions both antenatally (16.5 % rate) and at 6 months (16.7 %). The infants of depressed pregnant women in the PIP group were similar in height (height-for-age Z scores) to the children of non-depressed mothers in both the PIP and the SC conditions, but significantly taller at 6 months of age than the infants of pregnant depressed mothers in the SC condition. The intervention did not moderate children's growth. Depressed SC mothers tended to have infants less than two standard deviations in height on the World Health Organization's norms at two weeks post-birth compared to infants of depressed PIP mothers and non-depressed mothers in both conditions. A generalist, CHW-delivered home visiting program improved infant growth, even when mothers' depression was not reduced. Focusing on maternal caretaking of infants, even when mothers are depressed, is critical in future interventions. ClinicalTrials.gov registration # NCT00996528 . October 15, 2009.

  12. Modelling and Simulation of Photosynthetic Microorganism Growth: Random Walk vs. Finite Difference Method

    Czech Academy of Sciences Publication Activity Database

    Papáček, Š.; Matonoha, Ctirad; Štumbauer, V.; Štys, D.

    2012-01-01

    Roč. 82, č. 10 (2012), s. 2022-2032 ISSN 0378-4754. [Modelling 2009. IMACS Conference on Mathematical Modelling and Computational Methods in Applied Sciences and Engineering /4./. Rožnov pod Radhoštěm, 22.06.2009-26.06.2009] Grant - others:CENAKVA(CZ) CZ.1.05/2.1.00/01.0024; GA JU(CZ) 152//2010/Z Institutional research plan: CEZ:AV0Z10300504 Keywords : multiscale modelling * distributed parameter system * boundary value problem * random walk * photosynthetic factory Subject RIV: EI - Biotechnology ; Bionics Impact factor: 0.836, year: 2012

  13. Evaluación de la severidad, proporcionalidad y riesgo de muerte de recién nacidos de muy bajo peso con restricción del crecimiento fetal: análisis multicéntrico sudamericano An assessment of the severity, proportionality and risk of mortality of very low birth weight infants with fetal growth restriction: a multicenter South American analysis

    Directory of Open Access Journals (Sweden)

    Carlos Grandi

    2005-06-01

    Full Text Available OBJETIVOS: 1 evaluar la severidad y la proporcionalidad de los PEG para diferentes grados de prematurez; 2 estimar el riesgo de mortalidad de los PEG según la severidad y proporcionalidad. MATERIAL Y MÉTODOS: Diseño observacional y analítico. Población: todos los recién nacidos de muy bajo peso (RNMPB entre 25 y 36 semanas que mantiene el grupo NEOCOSUR (n = 1.518. Índices antropométricos: a peso de nacimiento (PN 0,55 y la transformación z del índice ponderal (Ponderal Index, PI = g/cm³ x 100. Restricción del crecimiento intrauterino (RCIU asimétrico: score z OBJECTIVES: To evaluate the clinical severity and proportionality of small for gestational age, very low birth weight neonates (< 1,500 g and to estimate the neonatal mortality risk associated with the condition of being small for gestational age according to the degree of severity and proportionality. METHODS: Observational design. All of the NEOCOSUR Collaborative Group's very low birth weight infants (25-36 weeks' gestation were included (n = 1,518. Anthropometric indices: birth weight < 3rd and 10th percentile. Severity (fetal growth ratio = observed weight/mean birth weight for gestational age; no growth restriction: fetal growth ratio 0.90-1.10, mild: fetal growth ratio 0.80-0.89, moderate: fetal growth ratio 0.75-0.79 and severe: fetal growth ratio < 0.75. Proportionality: coefficient of bimodality and z score for ponderal index (PI = g/cm³ *100. Neonatal mortality until discharge. RESULTS: < 3rd percentile: 13.5% (p < 0.001; < 10th percentile: 31% (p < 0.001; fetal growth ratio: 0.90±0.21 (p < 0.001, mild restriction: 20.8%, moderate restriction: 8.7% and severe restriction: 32.6%. Coefficient of bimodality: 0.53; PI z score < -1: 8%. Maternal hypertensive disease was systematically associated with being small for gestational age (aOR 1.20, 95% CI 0.86-1.67, fetal growth ratio < 0.89 (aOR 1.71, 1.24-2.36 and PI z score < -1 (aOR 1.60, 1.03-2.41. Adjusted odds ratios

  14. Maternal smoking during pregnancy and childhood growth trajectory: a random effects regression analysis.

    Science.gov (United States)

    Suzuki, Kohta; Kondo, Naoki; Sato, Miri; Tanaka, Taichiro; Ando, Daisuke; Yamagata, Zentaro

    2012-01-01

    Although maternal smoking during pregnancy has been reported to have an effect on childhood overweight/obesity, the impact of maternal smoking on the trajectory of the body mass of their offspring is not very clear. Previously, we investigated this effect by using a fixed-effect model. However, this analysis was limited because it rounded and categorized the age of the children. Therefore, we used a random-effects hierarchical linear regression model in the present study. The study population comprised children born between 1 April 1991 and 31 March 1999 in Koshu City, Japan and their mothers. Maternal smoking during early pregnancy was the exposure studied. The body mass index (BMI) z-score trajectory of children born to smoking and non-smoking mothers, by gender, was used as the outcome. We modeled BMI trajectory using a 2-level random intercept and slope regression. The participating mothers delivered 1619 babies during the study period. For male children, there was very strong evidence that the effect of age in months on the increase in BMI z-score was enhanced by maternal smoking during pregnancy (P smoking during pregnancy (P = 0.054), which suggests that the effect of maternal smoking during pregnancy on the early-life BMI trajectory of offspring differed by gender. These results may be valuable for exploring the mechanism of fetal programming and might therefore be clinically important.

  15. Effect of arrangement of stick figures on estimates of proportion in risk graphics.

    Science.gov (United States)

    Ancker, Jessica S; Weber, Elke U; Kukafka, Rita

    2011-01-01

    Health risks are sometimes illustrated with stick figures, with a certain proportion colored to indicate they are affected by the disease. Perception of these graphics may be affected by whether the affected stick figures are scattered randomly throughout the group or arranged in a block. . To assess the effects of stick-figure arrangement on first impressions of estimates of proportion, under a 10-s deadline. . Questionnaire. Participants and Setting. Respondents recruited online (n = 100) or in waiting rooms at an urban hospital (n = 65). Intervention. Participants were asked to estimate the proportion represented in 6 unlabeled graphics, half randomly arranged and half sequentially arranged. Measurements. Estimated proportions. . Although average estimates were fairly good, the variability of estimates was high. Overestimates of random graphics were larger than overestimates of sequential ones, except when the proportion was near 50%; variability was also higher with random graphics. Although the average inaccuracy was modest, it was large enough that more than one quarter of respondents confused 2 graphics depicting proportions that differed by 11 percentage points. Low numeracy and educational level were associated with inaccuracy. Limitations. Participants estimated proportions but did not report perceived risk. . Randomly arranged arrays of stick figures should be used with care because viewers' ability to estimate the proportion in these graphics is so poor that moderate differences between risks may not be visible. In addition, random arrangements may create an initial impression that proportions, especially large ones, are larger than they are.

  16. Effect of home visit training program on growth and development of preterm infants: a double blind randomized controlled trial.

    Science.gov (United States)

    Edraki, Mitra; Moravej, Hossian; Rambod, Masoume

    2015-01-01

    Home visit program can be effective in infants' growth and development. The present study aimed to investigate the effect of home visit program on preterm infants' growth and development within 6 months. It was a double-blind clinical trial study. The study was conducted in Hafez, Hazrat-e-Zeinab, and Namazee Hospitals affiliated to Shiraz University of Medical Sciences, Shiraz, Iran from 2010 to 2011. Preterm infants were divided into intervention (n=30) and control groups (n=30) through blocked randomization. The intervention group received home visit training program for 6 months, while the control group only received the hospital's routine care. Then, the infants' growth indexes, including weight, height, and head circumference, and development criteria were compared on the first day of admission in Neonatal Intensive Care Unit, and then first, second, third, and sixth months. The data were analyzed using Chi-square, independent t-test, and repeated measures ANCOVA. The mean weight of the intervention and control group infants was 7207.3±1129.74 and 6366.7±922.26 gr in the sixth month. Besides, the intervention group infants' mean weight was higher compared to the control group after six months (t=-3.05, P=0.03). Also, a significant difference was found between the two groups regarding development indexes, such as following moving objects with the head, keeping the head stable when changing the position from lying to sitting,  producing "Agha" sound, and taking objects by hand (Ppreterm infants' weight gain and some development indexes at the sixth month. Considering the importance of infants' growth and development, healthcare staff is recommended to incorporate home visit training into their programs, so that steps can be taken towards improvement of preterm infants' health. IRCT2014082013690N3 

  17. Relating arithmetical techniques of proportion to geometry

    DEFF Research Database (Denmark)

    Wijayanti, Dyana

    2015-01-01

    The purpose of this study is to investigate how textbooks introduce and treat the theme of proportion in geometry (similarity) and arithmetic (ratio and proportion), and how these themes are linked to each other in the books. To pursue this aim, we use the anthropological theory of the didactic...

  18. Effects of plant density and proportion on the interaction between wheat with alexandergrass plants

    Directory of Open Access Journals (Sweden)

    Leonardo Bianco de Carvalho

    2011-01-01

    Full Text Available Determination of competitive relationships among plant species requires appropriate experimental designs and method of analysis. The hypothesis of this research was that two species growing in coexistence show different growth and development due to their relative competitiveness. This research aims to measure the relative competitiveness of wheat crop compared to Alexandergrass by the interpretation of plant density and proportional effects using replacement series experiments. Monocultures were cultivated in densities of 1, 3, 5, 10 and 15 plants per pot and analyzed by regression of dry mass data. Mixture experiment was cultivated in wheat:Alexandergrass proportions of 0:6, 1:5, 2:4, 3:3, 4:2, 5:1 and 6:0 plants per pot and analyzed by graphical interpretation of growth and production characteristics. Both experiments were carried out in randomized complete block design with four replicates. Alexandergrass was more sensitive to intraspecific competition than wheat. Alexandergrass was lightly more competitive than wheat. Number and weight of spikes and number of tillers were the wheat characteristics more affected by Alexandergrass interference.

  19. Enhanced effect of zinc and calcium supplementation on bone status in growth hormone-deficient children treated with growth hormone: a pilot randomized controlled trial.

    Science.gov (United States)

    Ekbote, Veena; Khadilkar, Anuradha; Chiplonkar, Shashi; Mughal, Zulf; Khadilkar, Vaman

    2013-06-01

    Reduced bone mineral content in growth hormone-deficient children (GHD) has been reported. Calcium, zinc, and vitamin D play an important role in bone formation. Hence, the aim of this pilot randomized controlled study was to evaluate the effect of calcium, vitamin D, and zinc supplementation in prepubertal GHD children treated with GH on bone health parameters. After 1 year of treatment with GH (20 mg/m(2)/week), 31 GHD (mean age 8.7 ± 2.8 years, 18 boys) prepubertal children were randomised to receive calcium (500 mg/day) and vitamin D (60,000 IU/3 months) [Group A] or a similar supplement of calcium, vitamin D, and zinc (as per Indian Recommended Allowance) [Group B] along with GH therapy for the next 12 months. The two groups were similar in anthropometric and body composition parameters at baseline (p > 0.1). After 1 year of GH therapy, height-adjusted % gain was similar in both groups, 48 % in bone mineral content (BMC) and 45 % in bone area (BA). Height-adjusted % increase in BMC was significantly (p children has the potential for enhancing bone mass accrual; this effect was further enhanced through the addition of zinc supplement.

  20. Exact Tests for Hardy-Weinberg Proportions

    National Research Council Canada - National Science Library

    Engels, William R

    2009-01-01

    Exact conditional tests are often required to evaluate statistically whether a sample of diploids comes from a population with Hardy-Weinberg proportions or to confirm the accuracy of genotype assignments...

  1. Adaptive bayesian analysis for binomial proportions

    CSIR Research Space (South Africa)

    Das, Sonali

    2008-10-01

    Full Text Available decision procedure to conduct statistical inference. The authors use the -divergence measure to quantify the perturbation of the posterior distribution of the proportion in different time points. They present a simulation study to compare the statistical...

  2. Randomized controlled trial of mindfulness-based stress reduction (MBSR) on posttraumatic growth of Chinese breast cancer survivors.

    Science.gov (United States)

    Zhang, Jia-Yuan; Zhou, Yu-Qiu; Feng, Zi-Wei; Fan, Yi-Nan; Zeng, Guang-Chun; Wei, Li-

    2017-01-01

    Breast cancer (BC) patients in China suffered from a variety of psychology stress such as perceived stress and anxiety, posttraumatic growth (PTG) as a positive factor could promote their psychology health and quality of life. This study aimed to investigate the efficacy of mindfulness-based stress reduction (MBSR) on promoting PTG, decreasing perceived stress and anxiety of Chinese BC patients. A randomized controlled trial of 60 BC patients (Stages I-III) was conducted. They were randomly divided to the 8-week MBSR group or usual care (UC) group. PTG inventory, Perceived Stress Scale of Chinese version (CPSS) and State Trait Anxiety Inventory (STAI) evaluated the PTG level, perceived stress and anxiety at three times(before intervention-T1, after intervention-T2 and follow up at 3 months-T3). A repeated-measures analysis of variance model was used to compare each outcome measure of two groups at the three times. There was one patient discontinued the intervention and one lose to follow up in MBSR group, finally 58 BC patients completed the research. There was no difference between two groups before the intervention. The results showed significant improvements in MBSR group comparing with the UC group that PTG level was much higher after the 8-week intervention and the follow up (F = 34.73, p MBSR promoted the level of PTG and decreased perceived stress and anxiety state of Chinese BC patients, and the results persisted at three months after intervention. The research preliminary proved that MBSR was suitable to Chinese BC patients. MBSR should be recommending to BC survivors in China.

  3. A single-session growth mindset intervention for adolescent anxiety and depression: 9-month outcomes of a randomized trial.

    Science.gov (United States)

    Schleider, Jessica; Weisz, John

    2017-09-18

    Single-session interventions (SSIs) show promise in the prevention and treatment of youth psychopathology, carrying potential to improve the scalability and accessibility of youth psychological services. However, existing SSIs have conferred greater benefits for youths with anxiety, compared to depression or comorbid problems, and their effects have generally waned over time - particularly for follow-ups exceeding 3 months. To help address these discrepancies, we tested whether a novel SSI teaching growth mindset of personality (the belief that personality is malleable) could reduce depression and anxiety and strengthen perceived control in high-risk adolescents (N = 96, ages 12-15). At baseline, youths were randomized to receive a 30-min, computer-guided growth mindset intervention or a supportive-therapy control. Youths and parents reported youth anxiety and depressive symptoms, and youths reported their levels of perceived control, at baseline and across a 9-month follow-up period. Compared to the control program, the mindset intervention led to significantly greater improvements in parent-reported youth depression (d = .60) and anxiety (d = .28), youth-reported youth depression (d = .32), and youth-reported perceived behavioral control (d = .29) by 9-month follow-up. Intervention effects were nonsignificant for youth-reported anxiety, although 9-month effect sizes reached the small-to-medium range (d = .33). Intervention group youths also experienced more rapid improvements in parent-reported depression, youth-reported depression, and perceived behavioral control across the follow-up period, compared to control group youths. Findings suggest a promising, scalable SSI for reducing internalizing distress in high-risk adolescents. NCT03132298. © 2017 Association for Child and Adolescent Mental Health.

  4. High protein intake from meat as complementary food increases growth but not adiposity in breastfed infants: a randomized trial.

    Science.gov (United States)

    Tang, Minghua; Krebs, Nancy F

    2014-11-01

    High intake of cow-milk protein in formula-fed infants is associated with higher weight gain and increased adiposity, which have led to recommendations to limit protein intake in later infancy. The impact of protein from meats for breastfed infants during complementary feeding may be different. We examined the effect of protein from meat as complementary foods on growth and metabolic profiles of breastfed infants. This was a secondary analysis from a trial in which exclusively breastfed infants (5-6 mo old from the Denver, CO, metro area) were randomly assigned to receive commercially available pureed meats (Meat group; n = 14) or infant cereal (Cereal group; n = 28) as their primary complementary feedings for ∼ 5 mo. Anthropometric measures and diet records were collected monthly from 5 to 9 mo of age; intakes from complementary feeding and breast milk were assessed at 9 mo of age. The Meat group had significantly higher protein intake, whereas energy, carbohydrate, and fat intakes from complementary feeding did not differ by group over time. At 9 mo of age, mean (± SEM) intakes of total (complementary feeding plus breast milk) protein were 2.9 ± 0.6 and 1.4 ± 0.4 g · kg(-1) · d(-1), ∼ 17% and ∼ 9% of daily energy intake, for Meat and Cereal groups, respectively (P Meat group (ΔWAZ: 0.24 ± 0.19; ΔLAZ: 0.14 ± 0.12) and decreased in the Cereal group (ΔWAZ: -0.07 ± 0.17; ΔLAZ: -0.27 ± 0.24) (P-group by time meats was associated with greater linear growth and weight gain but without excessive gain in adiposity, suggesting that potential risks of high protein intake may differ between breastfed and formula-fed infants and by the source of protein. © 2014 American Society for Nutrition.

  5. Testing Departure from Hardy-Weinberg Proportions.

    Science.gov (United States)

    Wang, Jian; Shete, Sanjay

    2017-01-01

    The Hardy-Weinberg principle, one of the most important principles in population genetics, was originally developed for the study of allele frequency changes in a population over generations. It is now, however, widely used in studies of human diseases to detect inbreeding, population stratification, and genotyping errors. For assessment of deviation from Hardy-Weinberg proportions in data, the most popular approaches include the asymptotic Pearson's chi-squared goodness-of-fit test and the exact test. Pearson's chi-squared goodness-of-fit test is simple and straightforward, but is very sensitive to a small sample size or rare allele frequency. The exact test of Hardy-Weinberg proportions is preferable in these situations. The exact test can be performed through complete enumeration of heterozygote genotypes or on the basis of the Markov chain Monte Carlo procedure. In this chapter, we describe the Hardy-Weinberg principle and the commonly used Hardy-Weinberg proportion tests and their applications, and we demonstrate how the chi-squared test and exact test of Hardy-Weinberg proportions can be performed step-by-step using the popular software programs SAS, R, and PLINK, which have been widely used in genetic association studies, along with numerical examples. We also discuss approaches for testing Hardy-Weinberg proportions in case-control study designs that are better than traditional approaches for testing Hardy-Weinberg proportions in controls only. Finally, we note that deviation from the Hardy-Weinberg proportions in affected individuals can provide evidence for an association between genetic variants and diseases.

  6. Proportion congruency effects: Instructions may be enough

    Directory of Open Access Journals (Sweden)

    Olga eEntel

    2014-10-01

    Full Text Available Learning takes time, namely, one needs to be exposed to contingency relations between stimulus dimensions in order to learn, whereas intentional control can be recruited through task demands. Therefore showing that control can be recruited as a function of experimental instructions alone, that is, adapting the processing according to the instructions before the exposure to the task, can be taken as evidence for existence of control recruitment in the absence of learning. This was done by manipulating the information given at the outset of the experiment. In the first experiment, we manipulated list-level congruency proportion. Half of the participants were informed that most of the stimuli would be congruent, whereas the other half were informed that most of the stimuli would be incongruent. This held true for the stimuli in the second part of each experiment. In the first part, however, the proportion of the two stimulus types was equal. A proportion congruent effect was found in both parts of the experiment, but it was larger in the second part. In our second experiment, we manipulated the proportion of the stimuli within participants by applying an item-specific design. This was done by presenting some color words most often in their congruent color, and other color words in incongruent colors. Participants were informed about the exact word-color pairings in advance. Similar to Experiment 1, this held true only for the second experimental part. In contrast to our first experiment, informing participants in advance did not result in an item-specific proportion effect, which was observed only in the second part. Thus our results support the hypothesis that instructions may be enough to trigger list-level control, yet learning does contribute to the proportion congruent effect under such conditions. The item-level proportion effect is apparently caused by learning or at least it is moderated by it.

  7. Progress in studying scintillator proportionality: Phenomenological model

    Energy Technology Data Exchange (ETDEWEB)

    Bizarri, Gregory; Cherepy, Nerine; Choong, Woon-Seng; Hull, Giulia; Moses, William; Payne, Sephen; Singh, Jai; Valentine, John; Vasilev, Andrey; Williams, Richard

    2009-04-30

    We present a model to describe the origin of non-proportional dependence of scintillator light yield on the energy of an ionizing particle. The non-proportionality is discussed in terms of energy relaxation channels and their linear and non-linear dependences on the deposited energy. In this approach, the scintillation response is described as a function of the deposited energy deposition and the kinetic rates of each relaxation channel. This mathematical framework allows both a qualitative interpretation and a quantitative fitting representation of scintillation non-proportionality response as function of kinetic rates. This method was successfully applied to thallium doped sodium iodide measured with SLYNCI, a new facility using the Compton coincidence technique. Finally, attention is given to the physical meaning of the dominant relaxation channels, and to the potential causes responsible for the scintillation non-proportionality. We find that thallium doped sodium iodide behaves as if non-proportionality is due to competition between radiative recombinations and non-radiative Auger processes.

  8. Hip Osteoarthritis in Dogs: A Randomized Study Using Mesenchymal Stem Cells from Adipose Tissue and Plasma Rich in Growth Factors

    Directory of Open Access Journals (Sweden)

    Belen Cuervo

    2014-07-01

    Full Text Available Purpose: The aim of this study was to compare the efficacy and safety of a single intra-articular injection of adipose mesenchymal stem cells (aMSCs versus plasma rich in growth factors (PRGF as a treatment for reducing symptoms in dogs with hip osteoarthritis (OA. Methods: This was a randomized, multicenter, blinded, parallel group. Thirty-nine dogs with symptomatic hip OA were assigned to one of the two groups, to receive aMSCs or PRGF. The primary outcome measures were pain and function subscales, including radiologic assessment, functional limitation and joint mobility. The secondary outcome measures were owners’ satisfaction questionnaire, rescue analgesic requirement and overall safety. Data was collected at baseline, then, 1, 3 and 6 months post-treatment. Results: OA degree did not vary within groups. Functional limitation, range of motion (ROM, owner’s and veterinary investigator visual analogue scale (VAS, and patient’s quality of life improved from the first month up to six months. The aMSCs group obtained better results at 6 months. There were no adverse effects during the study. Our findings show that aMSCs and PRGF are safe and effective in the functional analysis at 1, 3 and 6 months; provide a significant improvement, reducing dog’s pain, and improving physical function. With respect to basal levels for every parameter in patients with hip OA, aMSCs showed better results at 6 months.

  9. Proportional loss functions for debris flow events

    Directory of Open Access Journals (Sweden)

    C. M. Rheinberger

    2013-08-01

    Full Text Available Quantitative risk assessments of debris flows and other hydrogeological hazards require the analyst to predict damage potentials. A common way to do so is by use of proportional loss functions. In this paper, we analyze a uniquely rich dataset of 132 buildings that were damaged in one of five large debris flow events in Switzerland. Using the double generalized linear model, we estimate proportional loss functions that may be used for various prediction purposes including hazard mapping, landscape planning, and insurance pricing. Unlike earlier analyses, we control for confounding effects of building characteristics, site specifics, and process intensities as well as for overdispersion in the data. Our results suggest that process intensity parameters are the most meaningful predictors of proportional loss sizes. Cross-validation tests suggest that the mean absolute prediction errors of our models are in the range of 11%, underpinning the accurateness of the approach.

  10. Lily Pad Doubling: Proportional Reasoning Development

    Science.gov (United States)

    Robichaux-Davis, Rebecca R.

    2017-01-01

    Progressing from additive to multiplicative thinking is critical for the development of middle school students' proportional reasoning abilities. Yet, many middle school mathematics teachers lack a thorough understanding of additive versus multiplicative situations. This article describes a sequence of instructional activities used to develop the…

  11. Using Artwork to Explore Proportional Reasoning

    Science.gov (United States)

    Bush, Sarah B.; Karp, Karen S.; Nadler, Jennifer; Gibbons, Katie

    2016-01-01

    Having an answer to "When are we ever going to use this in real life?" is important to middle school mathematics teachers. The activity described in this article awakened sixth graders' understanding of how artists use mathematics. By exploring ratio and proportionality in different paintings, students realized the use of proportional…

  12. Author: IM Rautenbach PROPORTIONALITY AND THE LIMITATION ...

    African Journals Online (AJOL)

    10332324

    , and they refer to other ... basis of all different constitutional languages and cultures".3 Cohen-Eliya and Porat describe proportionality as ... with reference to its German origin6 and its application in Western Europe, on the one hand, and the ...

  13. Large-Scale Analysis of Art Proportions

    DEFF Research Database (Denmark)

    Jensen, Karl Kristoffer

    2014-01-01

    While literature often tries to impute mathematical constants into art, this large-scale study (11 databases of paintings and photos, around 200.000 items) shows a different truth. The analysis, consisting of the width/height proportions, shows a value of rarely if ever one (square...

  14. Fetal movement counting improved identification of fetal growth restriction and perinatal outcomes--a multi-centre, randomized, controlled trial.

    Directory of Open Access Journals (Sweden)

    Eli Saastad

    Full Text Available Fetal movement counting is a method used by the mother to quantify her baby's movements, and may prevent adverse pregnancy outcome by a timely evaluation of fetal health when the woman reports decreased fetal movements. We aimed to assess effects of fetal movement counting on identification of fetal pathology and pregnancy outcome.In a multicentre, randomized, controlled trial, 1076 pregnant women with singleton pregnancies from an unselected population were assigned to either perform fetal movement counting from gestational week 28, or to receive standard antenatal care not including fetal movement counting (controls. Women were recruited from nine Norwegian hospitals during September 2007 through November 2009. Main outcome was a compound measure of fetal pathology and adverse pregnancy outcomes. Analysis was performed by intention-to-treat.The frequency of the main outcome was equal in the groups; 63 of 433 (11.6% in the intervention group, versus 53 of 532 (10.7% in the control group [RR: 1.1 95% CI 0.7-1.5]. The growth-restricted fetuses were more often identified prior to birth in the intervention group than in the control group; 20 of 23 fetuses (87.0% versus 12 of 20 fetuses (60.0%, respectively, [RR: 1.5 (95% CI 1.0-2.1]. In the intervention group two babies (0.4% had Apgar scores <4 at 1 minute, versus 12 (2.3% in the control group [RR: 0.2 (95% CI 0.04-0.7]. The frequency of consultations for decreased fetal movement was 71 (13.1% and 57 (10.7% in the intervention and control groups, respectively [RR: 1.2 (95% CI 0.9-1.7]. The frequency of interventions was similar in the groups.Maternal ability to detect clinically important changes in fetal activity seemed to be improved by fetal movement counting; there was an increased identification of fetal growth restriction and improved perinatal outcome, without inducing more consultations or obstetric interventions.ClinicalTrials.govNCT00513942.

  15. Effect of chlorhexidine varnish on gingival growth in orthodontic patients: a randomized prospective split-mouth study

    Directory of Open Access Journals (Sweden)

    Henrique Pretti

    2015-10-01

    Full Text Available Introduction: Fixed orthodontic appliances patients suffer limitations on the effective control of biofilm by mechanical methods, bringing the need of a coadjutant in the control of inflammation and oral health improvement.Objective: The aim of this prospective split-mouth blind study was to analyze the effect of a 40% chlorhexidine (CHX varnish on gingival growth of patients with orthodontic fixed appliances. Methods: Healthy teenage patients with fixed orthodontic appliances and increased gingival volume were recruited (n = 30. Each individual was his own control, having in the maxilla one control side and one treatment side. An application of varnishes occurred on the vestibular area of the upper premolars and first molar crowns, on the control side (placebo varnish and on the experimental side (EC40(r Biodentic CHX varnish. The varnishes and sides were randomly chosen and its identification and group was kept by a third party observer and it was not revealed to the researchers and participants until the end of study. In order to establish a baseline registration, digital photographs were taken by a trained photographer before varnish application at baseline (T0, as well as 14 days (T14 and 56 days (T56 after the application. The gingival volume was calculated indirectly using the vestibular areas (mm2 of the upper second premolars' clinical crowns by RapidSketch(r software, at all study times. The data were analyzed using ANOVA and the Turkey-Krammer test.Results:It was observed, in the final sample of 30 individuals, that at T0, the control and treatment groups were similar. At T14 and T56, a progressive reduction of the clinical crown area was seen in the control group, and an increase in the average area was detected in the experimental group (p < 0,05.Conclusions: The use of 40% CHX varnish decreases the gingival overgrowth in patients undergoing orthodontic treatment. Further studies are necessary to set the action time and frequency of

  16. Enhanced Cluster Computing Performance Through Proportional Fairness

    OpenAIRE

    Bonald, Thomas; Roberts, James

    2014-01-01

    International audience; The performance of cluster computing depends on how concurrent jobs share multiple data center resource types like CPU, RAM and disk storage. Recent research has discussed efficiency and fairness requirements and identified a number of desirable scheduling objectives including so-called dominant resource fairness (DRF). We argue here that proportional fairness (PF), long recognized as a desirable objective in sharing network bandwidth between ongoing flows, is preferab...

  17. Modeling individual differences in randomized experiments using growth models: Recommendations for design, statistical analysis and reporting of results of internet interventions

    Directory of Open Access Journals (Sweden)

    Hugo Hesser

    2015-05-01

    Full Text Available Growth models (also known as linear mixed effects models, multilevel models, and random coefficients models have the capability of studying change at the group as well as the individual level. In addition, these methods have documented advantages over traditional data analytic approaches in the analysis of repeated-measures data. These advantages include, but are not limited to, the ability to incorporate time-varying predictors, handle dependence among repeated observations in a very flexible manner, and to provide accurate estimates with missing data under fairly unrestrictive missing data assumptions. The flexibility of the growth curve modeling approach to the analysis of change makes it the preferred choice in the evaluation of direct, indirect and moderated intervention effects. Although offering many benefits, growth models present challenges in terms of design, analysis and reporting of results. This paper provides a nontechnical overview of growth models in the analysis of change in randomized experiments and advocates for their use in the field of internet interventions. Practical recommendations for design, analysis and reporting of results from growth models are provided.

  18. Student Obstacles in Ratio and Proportion Learning

    Science.gov (United States)

    Andini, W.; Jupri, Al

    2017-02-01

    Ratio and proportion are mathematics topics that are learned in elementary school. In the learning process, teachers often found students who have difficulties in learning these topics. Analysing the difficulties on the topics is important for teachers, as an attempt to doa reflection of the learning process and as a reference in devising a learning plan, including for anticipation of the possibility of these barriers that might appear in the next learning process. This research used as the qualitative method, and involved 49 students of grade 5 and one teacher. From the analysis of the data, i.e., student test results and observation of the learning, we found some obstacles that faced by students, such as students confused in understanding about ratio and proportion topic, students found it difficult in completing the problem which have different contexts, the learning material of ratio and proportion topic that presented in textbooks are still partial (not depth), and the lack of ability of the teacher in creating problems.

  19. The Dynamics of Naval Power System with Integrator Proportional and Derivative Integrator Proportional Regulators

    Directory of Open Access Journals (Sweden)

    Florentiu Deliu

    2011-09-01

    Full Text Available The essay analyses the dynamics activity of the naval power system regulators using the integrator proportional and derivative integrator proportional regulators, system that provides the necessary energy for ship consumers so that the voltage and the frequency is always within nominal values.

  20. The arcsine is asinine: the analysis of proportions in ecology.

    Science.gov (United States)

    Warton, David I; Hui, Francis K C

    2011-01-01

    The arcsine square root transformation has long been standard procedure when analyzing proportional data in ecology, with applications in data sets containing binomial and non-binomial response variables. Here, we argue that the arcsine transform should not be used in either circumstance. For binomial data, logistic regression has greater interpretability and higher power than analyses of transformed data. However, it is important to check the data for additional unexplained variation, i.e., overdispersion, and to account for it via the inclusion of random effects in the model if found. For non-binomial data, the arcsine transform is undesirable on the grounds of interpretability, and because it can produce nonsensical predictions. The logit transformation is proposed as an alternative approach to address these issues. Examples are presented in both cases to illustrate these advantages, comparing various methods of analyzing proportions including untransformed, arcsine- and logit-transformed linear models and logistic regression (with or without random effects). Simulations demonstrate that logistic regression usually provides a gain in power over other methods.

  1. Growth, metabolic markers, and cognition in 8-year old children born prematurely, follow-up of a randomized controlled trial with essential fatty acids.

    Science.gov (United States)

    Henriksen, Christine; Almaas, Astrid N; Westerberg, Ane C; Drevon, Christian A; Iversen, Per O; Nakstad, Britt

    2016-09-01

    The study is a follow-up of a randomized, double-blinded, placebo-controlled trial of supplementation with docosahexaenoic acid (DHA) and arachidonic acid (AA) to 129 very low birth weight (VLBW; birth weight children met for 8-year follow-up with anthropometric measures, blood biomarkers, and cognitive testing. The intervention group had significantly lower insulin-like growth factor-1 (IGF-1) at 8 years, whereas no differences in growth or intelligence quotient (IQ) were found. For the total cohort, weight gain during first year of life was neither associated with BMI, metabolic markers, nor IQ at follow-up. Blood DHA at 8 years was positively associated with IQ. The study is the first long-term follow-up of a randomized controlled trial with essential fatty acids investigating growth, metabolic factors, and IQ. IGF-1 levels were significantly lower in the intervention group at 8 years. First-year growth was not associated with BMI, metabolic markers, or IQ at follow-up. Current DHA status was a significant predictor of higher IQ at follow-up. • Preterm children have increased risk of lower intelligence quotient (IQ), reduced growth, and abnormal metabolic status. • Early intake of docosahexaenoic acid (DHA) and arachidonic acid (AA), as well as early growth pattern, may influence both IQ and metabolic status. What is New: • Early intervention with DHA and AA led to reduced insulin-like growth factor-1 in blood at 8 years of age. • Weight gain during first year of life was neither associated with impaired metabolic markers nor improved IQ at follow-up. • Current DHA status was a significant predictor of higher IQ at 8 years, also when maternal education and birth weight were included in the model.

  2. Efficacy and safety of nerve growth factor for the treatment of neurological diseases: a meta-analysis of 64 randomized controlled trials involving 6,297 patients

    Science.gov (United States)

    Zhao, Meng; Li, Xiao-yan; Xu, Chun-ying; Zou, Li-ping

    2015-01-01

    OBJECTIVE: China is the only country where nerve growth factor is approved for large-scale use as a clinical medicine. More than 10 years ago, in 2003, nerve growth factor injection was listed as a national drug. The goal of this article is to evaluate comprehensively the efficacy and safety of nerve growth factor for the treatment of neurological diseases. DATA RETRIEVAL: A computer-based retrieval was performed from six databases, including the Cochrane Library, PubMed, EMBASE, Sino Med, CNKI, and the VIP database, searching from the clinical establishment of nerve growth factor for treatment until December 31, 2013. The key words for the searches were “nerve growth factor, randomized controlled trials” in Chinese and in English. DATA SELECTION: Inclusion criteria: any study published in English or Chinese referring to randomized controlled trials of nerve growth factor; patients with neurological diseases such as peripheral nerve injury, central nerve injury, cranial neuropathy, and nervous system infections; patients older than 7 years; similar research methods and outcomes assessing symptoms; and measurement of nerve conduction velocities. The meta-analysis was conducted using Review Manager 5.2.3 software. MAIN OUTCOME MEASURES: The total effective rate, the incidence of adverse effects, and the nerve conduction velocity were recorded for each study. RESULTS: Sixty-four studies involving 6,297 patients with neurological diseases were included. The total effective rate in the group treated with nerve growth factor was significantly higher than that in the control group (P factor group was significantly higher than that in the control group (P factor group was also higher than that in the control group (P factor can significantly improve nerve function in patients with nervous system disease and is safe and effective. PMID:26109961

  3. Designing an optimally proportional inorganic scintillator

    Energy Technology Data Exchange (ETDEWEB)

    Singh, Jai, E-mail: jai.singh@cdu.edu.au [School of Engineering and IT, B-Purple-12, Faculty of EHSE, Charles Darwin University, NT 0909 (Australia); Koblov, Alexander [School of Engineering and IT, B-Purple-12, Faculty of EHSE, Charles Darwin University, NT 0909 (Australia)

    2012-09-01

    The nonproportionality observed in the light yield of inorganic scintillators is studied theoretically as a function of the rates of bimolecular and Auger quenching processes occurring within the electron track initiated by a gamma- or X-ray photon incident on a scintillator. Assuming a cylindrical track, the influence of the track radius and concentration of excitations created within the track on the scintillator light yield is also studied. Analysing the calculated light yield a guideline for inventing an optimally proportional scintillator with optimal energy resolution is presented.

  4. Measurement of proportional counter gas gain

    CERN Document Server

    Borisov, A; Goryachev, V N; Kojine, A

    2000-01-01

    A method of evaluation of proportional counter gas gain from arbitrary current measurements has been developed. It provides absolute value of the gain in range from 1 to 10**8 with moderate current sensitivity and without knowledge of used radioactive source properties. As an example we present dependence of the gain versus voltage for drift lubes of ATLAS Muon Spectrometer filled with mixtures Ar-CO//2(93-7) and Ar-N//2-CH//4(91-4-5) at 3 bar absolute pressure. Results are compared with the gain obtained from ADC measurements. 7 Refs.

  5. The effect of vitamin B12 supplementation in Nepalese infants on growth and development: study protocol for a randomized controlled trial.

    Science.gov (United States)

    Strand, Tor A; Ulak, Manjeswori; Chandyo, Ram K; Kvestad, Ingrid; Hysing, Mari; Shrestha, Merina; Basnet, Sudha; Ranjitkar, Suman; Shrestha, Laxman; Shrestha, Prakash S

    2017-04-21

    Vitamin B12 deficiency is one of the most common micronutrient deficiencies and is associated with poor cognitive development and growth. Vitamin B12 is crucial for normal cell division and differentiation, and it is necessary for the development and myelination of the central nervous system. The aim of the present study is to measure the effect of daily supplementation of vitamin B12 on the neurodevelopment and growth of young children in Nepal. We are conducting an individually randomized, double-blind, placebo-controlled trial with 600 marginally stunted children 6-11 months old (length for age less than -1 z-score). Children are randomized to receive a lipid-based paste containing vitamin B12 or placebo daily for 12 months. The main outcomes are changes in growth (z-scores) and in neurodevelopment measured by the Bayley Scales of Infant and Toddler Development, Third Edition, from baseline until the end of the study. If vitamin B12 supplementation benefits early child development and growth, this will have consequences for dietary recommendations for malnourished children worldwide. ClinicalTrials.gov Identifier: NCT02272842 . Registered on 21 October 2014. Universal Trial Number: U1111-1161-5187. Registered on 8 September 2014.

  6. Energy Proportionality for Disk Storage Using Replication

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jinoh; Rotem, Doron

    2010-09-09

    Energy saving has become a crucial concern in datacenters as several reports predict that the anticipated energy costs over a three year period will exceed hardware acquisition. In particular, saving energy for storage is of major importance as storage devices (and cooling them off) may contribute over 25 percent of the total energy consumed in a datacenter. Recent work introduced the concept of energy proportionality and argued that it is a more relevant metric than just energy saving as it takes into account the tradeoff between energy consumption and performance. In this paper, we present a novel approach, called FREP (Fractional Replication for Energy Proportionality), for energy management in large datacenters. FREP includes areplication strategy and basic functions to enable flexible energy management. Specifically, our method provides performance guarantees by adaptively controlling the power states of a group of disks based on observed and predicted workloads. Our experiments, using a set of real and synthetic traces, show that FREP dramatically reduces energy requirements with a minimal response time penalty.

  7. Gradient lasso for Cox proportional hazards model.

    Science.gov (United States)

    Sohn, Insuk; Kim, Jinseog; Jung, Sin-Ho; Park, Changyi

    2009-07-15

    There has been an increasing interest in expressing a survival phenotype (e.g. time to cancer recurrence or death) or its distribution in terms of a subset of the expression data of a subset of genes. Due to high dimensionality of gene expression data, however, there is a serious problem of collinearity in fitting a prediction model, e.g. Cox's proportional hazards model. To avoid the collinearity problem, several methods based on penalized Cox proportional hazards models have been proposed. However, those methods suffer from severe computational problems, such as slow or even failed convergence, because of high-dimensional matrix inversions required for model fitting. We propose to implement the penalized Cox regression with a lasso penalty via the gradient lasso algorithm that yields faster convergence to the global optimum than do other algorithms. Moreover the gradient lasso algorithm is guaranteed to converge to the optimum under mild regularity conditions. Hence, our gradient lasso algorithm can be a useful tool in developing a prediction model based on high-dimensional covariates including gene expression data. Results from simulation studies showed that the prediction model by gradient lasso recovers the prognostic genes. Also results from diffuse large B-cell lymphoma datasets and Norway/Stanford breast cancer dataset indicate that our method is very competitive compared with popular existing methods by Park and Hastie and Goeman in its computational time, prediction and selectivity. R package glcoxph is available at http://datamining.dongguk.ac.kr/R/glcoxph.

  8. Viking-Age Sails: Form and Proportion

    Science.gov (United States)

    Bischoff, Vibeke

    2017-04-01

    Archaeological ship-finds have shed much light on the design and construction of vessels from the Viking Age. However, the exact proportions of their sails remain unknown due to the lack of fully preserved sails, or other definite indicators of their proportions. Key Viking-Age ship-finds from Scandinavia—the Oseberg Ship, the Gokstad Ship and Skuldelev 3—have all revealed traces of rigging. In all three finds, the keelson—with the mast position—is preserved, together with fastenings for the sheets and the tack, indicating the breadth of the sail. The sail area can then be estimated based on practical experience of how large a sail the specific ship can carry, in conjunction with hull form and displacement. This article presents reconstructions of the form and dimensions of rigging and sail based on the archaeological finds, evidence from iconographic and written sources, and ethnographic parallels with traditional Nordic boats. When these sources are analysed, not only do the similarities become apparent, but so too does the relative disparity between the archaeological record and the other sources. Preferential selection in terms of which source is given the greatest merit is therefore required, as it is not possible to afford them all equal value.

  9. Estimation and Inference for the Mediation Proportion.

    Science.gov (United States)

    Nevo, Daniel; Liao, Xiaomei; Spiegelman, Donna

    2017-09-20

    In epidemiology, public health and social science, mediation analysis is often undertaken to investigate the extent to which the effect of a risk factor on an outcome of interest is mediated by other covariates. A pivotal quantity of interest in such an analysis is the mediation proportion. A common method for estimating it, termed the "difference method", compares estimates from models with and without the hypothesized mediator. However, rigorous methodology for estimation and statistical inference for this quantity has not previously been available. We formulated the problem for the Cox model and generalized linear models, and utilize a data duplication algorithm together with a generalized estimation equations approach for estimating the mediation proportion and its variance. We further considered the assumption that the same link function hold for the marginal and conditional models, a property which we term "g-linkability". We show that our approach is valid whenever g-linkability holds, exactly or approximately, and present results from an extensive simulation study to explore finite sample properties. The methodology is illustrated by an analysis of pre-menopausal breast cancer incidence in the Nurses' Health Study. User-friendly publicly available software implementing those methods can be downloaded from the last author's website (SAS) or from CRAN (R).

  10. Proportional-Integral-Resonant AC Current Controller

    Directory of Open Access Journals (Sweden)

    STOJIC, D.

    2017-02-01

    Full Text Available In this paper an improved stationary-frame AC current controller based on the proportional-integral-resonant control action (PIR is proposed. Namely, the novel two-parameter PIR controller is applied in the stationary-frame AC current control, accompanied by the corresponding parameter-tuning procedure. In this way, the proportional-resonant (PR controller, common in the stationary-frame AC current control, is extended by the integral (I action in order to enable the AC current DC component tracking, and, also, to enable the DC disturbance compensation, caused by the voltage source inverter (VSI nonidealities and by nonlinear loads. The proposed controller parameter-tuning procedure is based on the three-phase back-EMF-type load, which corresponds to a wide range of AC power converter applications, such as AC motor drives, uninterruptible power supplies, and active filters. While the PIR controllers commonly have three parameters, the novel controller has two. Also, the provided parameter-tuning procedure needs only one parameter to be tuned in relation to the load and power converter model parameters, since the second controller parameter is directly derived from the required controller bandwidth value. The dynamic performance of the proposed controller is verified by means of simulation and experimental runs.

  11. Craniofacial proportions and anthropometric measurements among ...

    African Journals Online (AJOL)

    Introduction: Untreated children with growth hormone deficiency (GHD) have typical somatic features, including short stature, acromicria and distinctive craniofacial features including small head circumference. Patients and Methods: By using a cross sectional study design, we investigated the effect of GHD on craniofacial ...

  12. Evaluation and visualization of multiaxial stress and strain states under non-proportional loading

    Directory of Open Access Journals (Sweden)

    M. Sakane

    2015-07-01

    Full Text Available This paper presents a simple method of determining stresses and strains and a severity of loading history under non-proportional loadings with defining the rotation angles of the maximum principal stress and strain in a three dimensional stress and strain space. Based on the method, non-proportional stress and strain ranges are derived and applicability of the range to the life evaluation for low carbon steel under non-proportional random strain paths are discussed. The strain range taking account of intensity of loading path reducing life can be suitable parameter for multiaxial fatigue life evaluation under multiaxial non-proportional loading. This paper also shows a method of visually presenting the principal stress and strain that assists designers to understand the loading mode whether proportional or non-proportional under 3 dimensional (6 stress/strain components multiaxial loading.

  13. Bariatric Surgery Significantly Improves Body Proportion

    Science.gov (United States)

    Kang, Thomas; Wooldridge, James; Periou, Laura; Richardson, William S.

    2012-01-01

    Background It is well known that bariatric surgery provides excellent weight loss and resolution of comorbid conditions. We propose an additional benefit: Because body proportion is an independent predictor of diabetes and cardiovascular risk, we hypothesize that bariatric surgery results in improved body proportion and may thus improve health risk independent of overall weight loss and resolution of comorbid conditions. Methods A total of 168 patients underwent laparoscopic bariatric surgery at our institution from December 2006 to September 2009. Prospective data gathered preoperatively and at 3, 6, and 12 months postoperatively included body mass index (BMI); excess weight loss (EWL); waist-hip ratio (WHR); and discontinuation of hypertensive, hyperlipidemic, and diabetic medications. Results Of the 168 patients, 122 underwent Roux-en-Y gastric bypass, 40 gastric band, and 6 gastric sleeve procedures. Mean preoperative BMI was 48.6 kg/m2 (SD  =  7.8 kg/m2). Mean EWL was 33.7 lbs (SD  =  11.9 lbs) at 3 months, 46.35 lbs (SD  =  15.58 lbs) at 6 months, and 52.48 lbs (SD  =  24.19 lbs) at 1 year. Mean WHR was 0.91 (SD  =  0.1) preoperatively, 0.87 (SD  =  0.1) at 3 months (P < .0001), 0.87 (SD  =  0.09) at 6 months (P < .0001), and 0.86 (SD  =  0.1) at 1 year (P  =  .0006). At 1-year follow-up, 52% of patients had discontinued hypertensive medications, 64% had discontinued diabetic medications, and 56% had discontinued hyperlipidemic medications. Conclusions Along with well-known improvements in overall weight and comorbid conditions, bariatric surgery significantly improves body proportion, which may decrease health risk. Continued follow-up will determine if this change is long term or if patients will revert to preoperative WHRs. Future studies with sufficient power to study individual bariatric procedures will determine which procedures, if any, provide patients with the greatest

  14. Problem based learning to improve proportional reasoning of students in mathematics learning

    Science.gov (United States)

    Misnasanti, Utami, Ratna Widianti; Suwanto, Fevi Rahmawati

    2017-08-01

    This paper reviews about the using of Problem Based Learning (PBL) to improve proportional reasoning of students in mathematics learning. Mathematics is one of the subjects at school which generally has a goal to help students preparing themselves in this growth century. To achieve the goal of mathematics learning, student's good reasoning is needed as the base of mathematics itself. This reasoning is an ability to think through logic ideas about mathematics concept. One of reasoning mathematics ability is the proportional reasoning. Proportional reasoning is knowing the multiplicative relationship between the base ratio and the proportional situation to which it's applied. Proportional reasoning is important to have by students in learning mathematics. Many topics within the school mathematics require knowledge and understanding of ratio and proportion, for examples problem solving and calculation activities in domains involving scale, probability, percent, rate, trigonometry, equivalence, measurement, the geometry of plane shapes, algebra are assisted through ratio and proportion knowledge. But, the mastership of proportional reasoning ability, of course, can't be apart from teacher's role. In learning, a teacher has to choose and apply the right model so that it can improve the proportional reasoning ability of students. One of the alternative ways which could be applied to improve proportional reasoning ability of students is by applying PBL Model. Applying PBL which based on problem indirectly has trained students to solve every problem in front of them. Thus, applying PBL can improve mathematics proportional reasoning of students in mathematics learning.

  15. Proportional representation apportionment methods and their applications

    CERN Document Server

    Pukelsheim, Friedrich

    2017-01-01

    The book offers an in-depth study of the translation of vote counts into seat numbers in proportional representation systems  – an approach guided by practical needs. It also provides plenty of empirical instances illustrating the results. It analyzes in detail the 2014 elections to the European Parliament in the 28 member states, as well as the 2009 and 2013 elections to the German Bundestag. This second edition is a complete revision and expanded version of the first edition published in 2014, and many empirical election results that serve as examples have been updated. Further, a final chapter has been added assembling biographical sketches and authoritative quotes from individuals who pioneered the development of apportionment methodology. The mathematical exposition and the interrelations with political science and constitutional jurisprudence make this an apt resource for interdisciplinary courses and seminars on electoral systems and apportionment methods.

  16. The mediation proportion: a structural equation approach for estimating the proportion of exposure effect on outcome explained by an intermediate variable

    DEFF Research Database (Denmark)

    Ditlevsen, Susanne; Christensen, Ulla; Lynch, John

    2005-01-01

    example is a randomized clinical trial of the effects of interferon-alpha on visual acuity in patients with age-related macular degeneration. In this example, the exposure, mediator and response are all binary. The second example is a common problem in social epidemiology-to find the proportion...

  17. Reasearch on Regional Differences Between China's Economic Growth and Export Trade Based on the Analysis of a Random Effects Model

    Directory of Open Access Journals (Sweden)

    Rui Chen

    2007-06-01

    Full Text Available This paper analyzes the factors that influence the economic growth of the provinces of China by means of a Panel Data Model. Traditional analytical methods of economic growth are compared with a Panel Data Model. The results of empirical research indicate that the changes of fixed assets investment, gross domestic export, and macroeconomic policies will affect China's GDP. It is finally concluded that export is the driving force behind economic growth in China. This conclusion is quite different from traditional analysis.

  18. Growth and productivity of ( Pleurotus floridanus ) on sawdust ...

    African Journals Online (AJOL)

    Study was conducted to investigate growth and biological efficiency of oyster mushroom (Pleurotus floridanus) cultivated on different proportions of sawdust substrate supplemented with wheat bran. The experiment was a complete randomized design with three treatments (A- 500g , B-1000g and C-1500g) 10 replicates ...

  19. Effect of a Growing-up Milk Containing Synbiotics on Immune Function and Growth in Children: A Cluster Randomized, Multicenter, Double-blind, Placebo Controlled Study

    Directory of Open Access Journals (Sweden)

    Ninh Nguyen Xuan

    2013-01-01

    Full Text Available Common infectious diseases, such as diarrhea, are still the major cause of death in children under 5-years-old, particularly in developing countries. It is known that there is a close relationship between nutrition and immune function. To evaluate the effect of a growing-up milk containing synbiotics on immune function and child growth, we conducted a cluster randomized, multicenter, double-blind, placebo controlled clinical trial in children between 18 and 36 months of age in Vietnam. Eligible children from eight and seven kindergartens were randomly assigned to receive test and isocaloric/isoproteic control milk, respectively, for 5 months. We found that the blood immunoglobulin A (IgA level and growth parameters were increased in the test group. Compared to the control group, there was also a trend of decreased vitamin A deficiency and fewer adverse events in the test group. These data suggest that a growing-up milk containing synbiotics may be useful in supporting immune function and promoting growth in children.

  20. Fitting stratified proportional odds models by amalgamating conditional likelihoods.

    Science.gov (United States)

    Mukherjee, Bhramar; Ahn, Jaeil; Liu, Ivy; Rathouz, Paul J; Sánchez, Brisa N

    2008-10-30

    Classical methods for fitting a varying intercept logistic regression model to stratified data are based on the conditional likelihood principle to eliminate the stratum-specific nuisance parameters. When the outcome variable has multiple ordered categories, a natural choice for the outcome model is a stratified proportional odds or cumulative logit model. However, classical conditioning techniques do not apply to the general K-category cumulative logit model (K>2) with varying stratum-specific intercepts as there is no reduction due to sufficiency; the nuisance parameters remain in the conditional likelihood. We propose a methodology to fit stratified proportional odds model by amalgamating conditional likelihoods obtained from all possible binary collapsings of the ordinal scale. The method allows for categorical and continuous covariates in a general regression framework. We provide a robust sandwich estimate of the variance of the proposed estimator. For binary exposures, we show equivalence of our approach to the estimators already proposed in the literature. The proposed recipe can be implemented very easily in standard software. We illustrate the methods via three real data examples related to biomedical research. Simulation results comparing the proposed method with a random effects model on the stratification parameters are also furnished. Copyright 2008 John Wiley & Sons, Ltd.

  1. Release of growth factors after mechanical and chemical pleurodesis for treatment of malignant pleural effusion: a randomized control study

    Directory of Open Access Journals (Sweden)

    Hojski Aljaz

    2015-12-01

    Full Text Available Background. Growth factors are key inducers of fibrosis but can also mediate inflammatory responses resulting in increasing pleural effusion and acute respiratory distress syndrome. The primary aim of the study was to analyse growth factors release after performing chemical and mechanical pleurodesis in the first 48 hours at the patients with malignant pleural effusion. The secondary endpoints were to evaluate the effectiveness of the both pleurodeses, symptoms release and the quality of life of patients after the treatment.

  2. Exact tests for Hardy-Weinberg proportions.

    Science.gov (United States)

    Engels, William R

    2009-12-01

    Exact conditional tests are often required to evaluate statistically whether a sample of diploids comes from a population with Hardy-Weinberg proportions or to confirm the accuracy of genotype assignments. This requirement is especially common when the sample includes multiple alleles and sparse data, thus rendering asymptotic methods, such as the common chi(2)-test, unreliable. Such an exact test can be performed using the likelihood ratio as its test statistic rather than the more commonly used probability test. Conceptual advantages in using the likelihood ratio are discussed. A substantially improved algorithm is described to permit the performance of a full-enumeration exact test on sample sizes that are too large for previous methods. An improved Monte Carlo algorithm is also proposed for samples that preclude full enumeration. These algorithms are about two orders of magnitude faster than those currently in use. Finally, methods are derived to compute the number of possible samples with a given set of allele counts, a useful quantity for evaluating the feasibility of the full enumeration procedure. Software implementing these methods, ExactoHW, is provided.

  3. Environmental drivers of sapwood and heartwood proportions

    Science.gov (United States)

    Thurner, Martin; Beer, Christian

    2017-04-01

    Recent advances combining information on stem volume from remote sensing with allometric relationships derived from forest inventory databases have led to spatially continuous estimates of stem, branch, root and foliage biomass in northern boreal and temperate forests. However, a separation of stem biomass into sapwood and heartwood mass has remained unsolved, despite their important differences in biogeochemical function, for instance concerning their contribution to tree respiratory costs. Although relationships between sapwood cross-sectional area and supported leaf area are well established, less is known about relations between sapwood or heartwood mass and other traits (e.g. stem mass), since these biomass compartments are more difficult to measure in practice. Here we investigate the variability in sapwood and heartwood proportions and determining environmental factors. For this task we explore an available biomass and allometry database (BAAD) and study relative sapwood and heartwood area, volume, mass and density in dependence of tree species, age and climate. First, a theoretical framework on how to estimate sap- and heartwood mass from stem mass is developed. Subsequently, the underlying assumptions and relationships are explored with the help of the BAAD. The established relationships can be used to derive spatially continuous sapwood and heartwood mass estimates by applying them to remote sensing based stem volume products. This would be a fundamental step forward to a data-driven estimate of autotrophic respiration.

  4. The effect of low-dose aspirin on fetal weight of idiopathic asymmetrically intrauterine growth restricted fetuses with abnormal umbilical artery Doppler indices: a randomized clinical trial.

    Science.gov (United States)

    Ali, Mohammed K; Abbas, Ahmed M; Yosef, Ali H; Bahloul, Mustafa

    2017-07-11

    To investigate the effect of aspirin on fetal weight in fetuses with idiopathic asymmetrical intrauterine growth restriction (IUGR) complicated by abnormal umbilical artery Doppler indices. The study was a randomized controlled trial conducted at Woman's Health Hospital, Assiut, Egypt, between June 2016 and the January 2017 included 60 pregnant women (28-30 weeks) with idiopathic asymmetrical IUGR associated with abnormal umbilical artery Doppler indices. Women were randomly assigned to group I (aspirin 75 mg) daily for four weeks or group II (no intervention). The primary outcome was the fetal weight after four weeks. Secondary outcomes included Doppler blood flow changes in the umbilical artery plus delivery and neonatal outcomes. The estimated fetal weight and umbilical artery blood flow increased significantly in aspirin group (p = .00) when compared with no intervention group. As regard neonatal outcomes; aspirin group showed better results and encouraging outcomes (p Doppler blood flow.

  5. An open-label randomized-controlled trial of low dose aspirin with an early screening test for pre-eclampsia and growth restriction (TEST): Trial protocol.

    Science.gov (United States)

    Mone, Fionnuala; Mulcahy, Cecilia; McParland, Peter; Stanton, Alice; Culliton, Marie; Downey, Paul; McCormack, Dorothy; Tully, Elizabeth; Dicker, Patrick; Breathnach, Fionnuala; Malone, Fergal D; McAuliffe, Fionnuala M

    2016-07-01

    Pre-eclampsia remains a worldwide cause of maternal and perinatal morbidity and mortality. Low dose aspirin (LDA) can reduce the occurrence of pre-eclampsia in women with identifiable risk factors. Emerging screening tests can determine the maternal risk of developing placental disease, such as pre-eclampsia from the first trimester of pregnancy. The aim of this study is to determine if it is more beneficial in terms of efficacy and acceptability to routinely prescribe LDA to nulliparous low-risk women compared to test indicated LDA on the basis of a positive screening test for placental disease. We propose a three armed multi-center open-labeled randomized control trial of; (i) routine LDA, (ii) no aspirin, and (iii) LDA on the basis of a positive first trimester pre-eclampsia screening test. LDA (75mg once daily) shall be given from the first trimester until 36-week gestation. The primary outcome measures include; (i) the proportion of eligible women that agree to participate (acceptability), (ii) compliance with study protocol (acceptability and feasibility), (iii) the proportion of women in whom it is possible to obtain first trimester trans-abdominal uterine artery Doppler examination (feasibility) and (iv) the proportion of women with a completed screening test that are issued the screening result within one week of having the test performed (feasibility). This will be the first clinical trial to determine the efficacy and acceptability in low-risk women of taking routine LDA versus no aspirin versus LDA based on a positive first trimester screening test for the prevention of placental disease. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. Knemometry Assessment of Short-term Growth in Children With Asthma Receiving Fluticasone Furoate for 2 Weeks: A Randomized, Placebo-controlled, Crossover Trial.

    Science.gov (United States)

    Wolthers, Ole D; Stone, Sally; Bareille, Philippe; Tomkins, Susan; Khindri, Sanjeev

    2017-06-01

    A dry powder inhaler formulation of the inhaled corticosteroid fluticasone furoate (FF) is being evaluated for use in children. An important potential risk associated with the use of inhaled corticosteroids in children is growth suppression. Therefore, the aim of this study was to assess the short-term lower leg growth in children with asthma treated for 2 weeks with inhaled FF versus placebo from the ELLIPTA inhaler. Prepubertal children with persistent asthma (n = 60; aged 5 to <12 years) were recruited into a randomized, double-blind, placebo-controlled, 2-way crossover, noninferiority study. The study consisted of four 2-week periods: run-in, 2 treatment periods, 1 washout period, and a 1-week follow-up period. Interventions were FF 50 µg and placebo once daily in the evening. Lower leg length was measured by using knemometry. The randomized ITT population comprised 36 boys and 24 girls with a mean age of 8.7 (standard deviation, 1.5; range, 5-11) years; 58% had a duration of asthma ≥5 years. Fifty-eight subjects completed both treatment periods. The least squares mean growth rate was 0.31 mm/week during treatment with FF and 0.36 mm/week during the placebo period. The difference in adjusted least squares mean growth rates between FF and placebo was -0.052 mm/week with a 95% CI of -0.122 to 0.018. This finding was greater than the prespecified noninferiority margin of -0.20 mm/week. The overall incidence of adverse events was 35% with placebo and 22% with FF. Inhaled FF 50 µg provided once daily for 2 weeks was noninferior to placebo in terms of effects on short-term lower leg growth in children with asthma. To further quantify the risk of growth suppression in children, intermediate-term growth studies should be conducted. Inhaled FF 50 µg was well tolerated in this study population. ClinicalTrials.gov identifier: NCT02502734. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

  7. Dietary intake, growth and development of children with ADHD in a randomized clinical trial of Ritalin and Melatonin co-administration: Through circadian cycle modification or appetite enhancement?

    Science.gov (United States)

    Mostafavi, Seyed-Ali; Mohammadi, Mohammad Reza; Hosseinzadeh, Payam; Eshraghian, Mohammad Reza; Akhondzadeh, Shahin; Hosseinzadeh-Attar, Mohammad Javad; Ranjbar, Elham; Kooshesh, Seyed Mohammad-Ali; Keshavarz, Seyed-Ali

    2012-01-01

    It is postulated that ritalin may adversely affect sleep, appetite, weight and growth of some children with ADHD. Therefore, we aimed to evaluate melatonin supplementation effects on dietary intake, growth and development of children with ADHD treated with ritalin through circadian cycle modification and appetite mechanisms. After obtaining consent from parents, 50 children aged 7-12 with combined form of AD/HD were randomly divided into two groups based on gender blocks: one received melatonin (3 or 6 mg based on weight) combined with ritalin (1mg/kg) and the other took placebo combined with ritalin (1mg/kg) in a double blind randomized clinical trial. Three-day food record, and standard weight and height of children were evaluated prior to the treatment and 8 weeks after the treatment. Children's appetite and sleep were evaluated in weeks 0, 2, 4 and 8. Hypotheses were then analyzed using SPSS17. Paired sample t-test showed significant changes in sleep latency (23.15±15.25 vs. 17.96±11.66; p=0.047) and total sleep disturbance score (48.84±13.42 vs. 41.30±9.67; p=0.000) before and after melatonin administration, respectively. However, appetite and food intake did not change significantly during the study. Sleep duration and appetite were significantly correlated in melatonin group (Pearson r=0.971, p=0.029). Mean height (138.28±16.24 vs. 141.35±16.78; P=0.000) and weight (36.73±17.82 vs. 38.97±17.93; P=0.005) were significantly increased in melatonin treated children before and after the trial. Administration of melatonin along with ritalin improves height and weight growth of children. These effects may be attributed to circadian cycle modification, increasing sleep duration and the consequent more growth hormone release during sleep.

  8. A 2-year multicentre, open-label, randomized, controlled study of growth hormone (Genotropin®) treatment in very young children born small for gestational age: Early Growth and Neurodevelopment (EGN) Study.

    Science.gov (United States)

    De Schepper, Jean; Vanderfaeillie, Johan; Mullis, Primus-E; Rooman, Raoul; Robertson, Anna; Dilleen, Maria; Gomez, Roy; Wollmann, Hartmut A

    2016-03-01

    In Europe, growth hormone (GH) treatment for children born small for gestational age (SGA) can only be initiated after 4 years of age. However, younger age at treatment initiation is a predictor of favourable response. To assess the effect of GH treatment on early growth and cognitive functioning in very young (aged 19-29 months diagnosed as SGA at birth, and for whom sufficient early growth data were available, were eligible. Patients were randomized (1:1) to GH treatment (Genotropin®, Pfizer Inc.) at a dose of 0·035 mg/kg/day by subcutaneous injection, or no treatment. The primary objective was to assess the change from baseline in height standard deviation score (SDS) after 24 months of GH treatment. Change from baseline in height SDS was significantly greater in the GH treatment vs control group at both month 12 (1·03 vs 0·14) and month 24 (1·63 vs 0·43; both P < 0·001). Growth velocity SDS was significantly higher in the GH treatment vs control group at 12 months (P < 0·001), but not at 24 months. There was no significant difference in mental or psychomotor development indices between the two groups. GH treatment for 24 months in very young short-stature children born SGA resulted in a significant increase in height SDS compared with no treatment. © 2015 John Wiley & Sons Ltd.

  9. Assessing the role of insulin-like growth factors and binding proteins in prostate cancer using Mendelian randomization

    DEFF Research Database (Denmark)

    Bonilla, Carolina; Lewis, Sarah J; Rowlands, Mari-Anne

    2016-01-01

    Circulating insulin-like growth factors (IGFs) and their binding proteins (IGFBPs) are associated with prostate cancer. Using genetic variants as instruments for IGF peptides, we investigated whether these associations are likely to be causal. We identified from the literature 56 single nucleotid...

  10. Assessing the role of insulin-like growth factors and binding proteins in prostate cancer using Mendelian randomization

    DEFF Research Database (Denmark)

    Bonilla, Carolina; Lewis, Sarah J; Rowlands, Mari-Anne

    2016-01-01

    Circulating insulin-like growth factors (IGFs) and their binding proteins (IGFBPs) are associated with prostate cancer. Using genetic variants as instruments for IGF peptides, we investigated whether these associations are likely to be causal. We identified from the literature 56 single nucleotide...

  11. Effect of General Anesthesia and Conscious Sedation During Endovascular Therapy on Infarct Growth and Clinical Outcomes in Acute Ischemic Stroke: A Randomized Clinical Trial

    DEFF Research Database (Denmark)

    Simonsen, Claus Ziegler; Yoo, Albert J; Sørensen, Leif Hougaard

    2018-01-01

    (GA) is associated with worse outcomes compared with conscious sedation (CS). Objective: To examine the effect of type of anesthesia during EVT on infarct growth and clinical outcome. Design, Setting, and Participants: The General or Local Anesthesia in Intra Arterial Therapy (GOLIATH) trial......: Of 128 patients included in the trial, 65 were randomized to GA, and 63 were randomized to CS. For the entire cohort, the mean (SD) age was 71.4 (11.4) years, and 62 (48.4%) were women. Baseline demographic and clinical variables were balanced between the GA and CS treatment arms. The median National...... among patients treated under GA or CS did not reach statistical significance (median [IQR] growth, 8.2 [2.2-38.6] mL vs 19.4 [2.4-79.0] mL; P = .10). There were better clinical outcomes in the GA group, with an odds ratio for a shift to a lower modified Rankin Scale score of 1.91 (95% CI, 1...

  12. Degradation of land reaching critical global proportions.

    Science.gov (United States)

    Smith, A

    1992-01-01

    The Population Institute recently published a report, titled, Our Diminishing World: The Land/Population Crisis, that explains the relationship between rapid population growth and land degradation in the developing world. As populations in the poorest parts of the world increase, the percentage of land/person continues to decrease. There are approximately 32 billion acres of land, excluding Antarctica, on the planet. That equals only 5.98 acres/person; however, not all this land is suitable for habitation or food production. 1.2 acres is too steep, 1.3 acres is to arid, and 1 acre is too cold. Also, the population of the world is not spread out evenly across the land; thus, in many areas the population density is so high that the demands placed upon the land are greater than its capacity to produce. The Green Revolution that lasted from 1950 through the mid 80s did increase the total amount of yield/acre. Unfortunately the price for such productivity was a degradation of the land. Chemical inputs have contaminated ground water and sterilized the soil, irrigation has caused salinization and water logging (which is a form of decertification), and new tillage practices have eroded the top soil. Grazing cattle have caused enormous amounts of soil erosion and deforestation has removed 911 million acres of tropical forest alone to make room for a growing population. Wood is the single most important fuel source for the people of the developing world; yet, as it becomes scarce from deforestation, animal manures and crop residues have been substituted which further the diminishes the availability of fertile land. It must be understood that family planning save lives, reduces suffering, and slows the damage to the environment. Family planning is the single best way to make an impact in the attempt to end poverty and hunger.

  13. Longitudinal functional additive model with continuous proportional outcomes for physical activity data

    OpenAIRE

    Li, Haocheng; Kozey-Keadle, Sarah; Kipnis, Victor; Carroll, Raymond J.

    2016-01-01

    Motivated by physical activity data obtained from the BodyMedia FIT device (www.bodymedia.com), we take a functional data approach for longitudinal studies with continuous proportional outcomes. The functional structure depends on three factors. In our three-factor model, the regression structures are specified as curves measured at various factor-points with random effects that have a correlation structure. The random curve for the continuous factor is summarized using a few important princi...

  14. Optimization of growth hormone dosing in children born small for gestational age: an open-label, randomized study of children during the fourth year of therapy.

    Science.gov (United States)

    Chatelain, P; Colle, M; Nako, J-P; Le Luyer, B; Wagner, K; Berlier, P; Tauber, M

    2012-01-01

    Optimal dosage for growth hormone (GH) therapy in short, prepubertal children born small for gestational age (SGA) is controversial. SGA OPTIMIS (NCT00249821) is a multicenter, open-label, parallel-group, pilot study of short children born SGA who had received recombinant human GH (r-hGH) (57 μg/kg/day) for 3 years. Children were randomized 1:1 to receive either 57 or 35 μg/kg/day r-hGH during year 4. The primary endpoint was height gain during year 4. 22 children were randomized (57 μg/kg/day, n = 10; 35 μg/kg/day, n = 12) and 21 completed the fourth year of therapy; 22 were included in efficacy analyses. During year 4, mean [standard deviation (SD)] height velocity was 6.4 (1.4) and 4.4 (1.2) cm/year (p = 0.001) and height velocity SD score (SDS) was 0.3 (0.3) and -0.1 (0.2) (p = 0.002) in the 57 and 35 μg/kg/day groups, respectively. The 57 μg/kg/day group continued with catch-up growth, had a significantly higher mean weight gain (p = 0.015) and significantly higher insulin-like growth factor-I levels at 12 months (p = 0.038). Five treatment-emergent adverse events were reported; none was serious or caused study withdrawal. Children who continued receiving 57 μg/kg/day r-hGH in year 4 had significantly greater height gain than those receiving 35 μg/kg/day r-hGH. Copyright © 2012 S. Karger AG, Basel.

  15. A study of dentists' preferred maxillary anterior tooth width proportions: comparing the recurring esthetic dental proportion to other mathematical and naturally occurring proportions.

    Science.gov (United States)

    Ward, Daniel H

    2007-01-01

    Presently, there are no generally accepted standards for designing smiles using tooth proportion relationships. The purpose of this study was to determine whether North American dentists prefer smile designs created using the recurring esthetic dental (RED) proportion, other mathematically defined tooth proportion relationships, or naturally occurring tooth-to-tooth width proportions previously reported to occur in the North American population. Three hundred and one North American dentists were surveyed to determine their preferences of imaged smiles exhibiting different anterior tooth width proportions and the primary proportion influencing their decision. One-sample t-tests were used to compare preferences of constructed smiles. Pearson's Chi-square test was used to assess the independence of the relationship between the subjects' demographic attributes and the factors reported as being instrumental in their decision processes. Fifty-seven percent of dentists surveyed preferred the smiles with the 70% RED proportion over the smiles with the naturally occurring maxillary anterior tooth width proportions in normal-length teeth. Dentists preferred the smiles of the naturally occurring maxillary tooth proportions (70%) and the 70% RED proportion (75%) over the golden proportion. In smiles with tall teeth, the golden proportion was preferred by 58% of the surveyed dentists over the naturally occurring tooth-to-tooth width proportions as previously defined by Preston. Sixty-two percent of dentists cited the overall balance as the primary factor affecting their selection. Twenty-three percent made their selection based on the size of the maxillary central incisors, whereas 15% used other teeth or factors. Smiles created using the principles of the RED proportion were preferred by a majority of dentists surveyed. The majority of dentists reported that overall balance was the primary factor affecting their selection. The RED proportion may be useful in creating smiles

  16. [Respiratory work and pattern with different proportional assist ventilation levels].

    Science.gov (United States)

    Ruiz-Ferrón, Francisco; Machado, Juan; Morante, Antonia; Galindo, Silvia; Castillo, Ana; Rucabado, Luis

    2009-01-01

    To study the minimum assistance level during proportional assist ventilation (PAV) to decrease the work of breathing to physiological limits (0.6 j/l) and the relationship between breathing pattern changes and respiratory effort at different PAV levels. Prospective cohort study. Polyvalent intensive care unit of a teaching hospital of Jaen, Spain. Twelve long-term mechanical ventilated patients who met criteria to initiate weaning from the ventilator. We used the Puritan-Bennett 840 ventilator in proportional assist ventilation. The percentage of support was randomly modified between 5% and 80%, in intervals of 10%. Prior to the change in the PAV level, the patients were ventilated in assist-volume control followed by pressure support ventilation. Before PAV, we measured the respiratory mechanics and the breathing pattern and work of breathing during this mode. The decrease in respiratory assist in PAV was related to significantly higher work of breathing, this going from 0.2+/-0,07 (0.1-0.3) j/l with PAV80 to 0.9+/-0.2 (0.4-1.5) j/l with PAV5 (p=0.002). The coefficient correlation between PAV level and work of breathing (measured as j/l and j/min) was r=-0.8 and -0.6, respectively. Minimum PAV level related with physiological work of breathing was 30% (0.63+/-0.13 j/l). Except for the tidal volume that increased significantly (PAV80 vs PAV5=0.4+/-0.1 vs 0.3+/-0.1; p=0.02), the remaining variables defining the breathing pattern did not changed with the increase in PAV. In the group of patients studied, the increase in the PAV levels decreases work of breathing, without significantly changing the breathing pattern. Levels lower than 30% of PAV are associated to excessive work of breathing.

  17. Synergistic action of protease-modulating matrix and autologous growth factors in healing of diabetic foot ulcers. A prospective randomized trial.

    Science.gov (United States)

    Kakagia, Despoina D; Kazakos, Konstantinos J; Xarchas, Konstantinos C; Karanikas, Michael; Georgiadis, George S; Tripsiannis, Gregory; Manolas, Constantinos

    2007-01-01

    This study tests the hypothesis that addition of a protease-modulating matrix enhances the efficacy of autologous growth factors in diabetic ulcers. Fifty-one patients with chronic diabetic foot ulcers were managed as outpatients at the Democritus University Hospital of Alexandroupolis and followed up for 8 weeks. All target ulcers were > or = 2.5 cm in any one dimension and had been previously treated only with moist gauze. Patients were randomly allocated in three groups of 17 patients each: Group A was treated only with the oxidized regenerated cellulose/collagen biomaterial (Promogran, Johnson & Johnson, New Brunswick, NJ), Group B was treated only with autologous growth factors delivered by Gravitational Platelet Separation System (GPS, Biomet), and Group C was managed by a combination of both. All ulcers were digitally photographed at initiation of the study and then at change of dressings once weekly. Computerized planimetry (Texas Health Science Center ImageTool, Version 3.0) was used to assess ulcer dimensions that were analyzed for homogeneity and significance using the Statistical Package for Social Sciences, Version 13.0. Post hoc analysis revealed that there was significantly greater reduction of all three dimensions of the ulcers in Group C compared to Groups A and B (all P<.001). Although reduction of ulcer dimensions was greater in Group A than in Group B, these differences did not reach statistical significance. It is concluded that protease-modulating dressings act synergistically with autologous growth factors and enhance their efficacy in diabetic foot ulcers.

  18. Linear growth increased in young children in an urban slum of Haiti: a randomized controlled trial of a lipid-based nutrient supplement.

    Science.gov (United States)

    Iannotti, Lora L; Dulience, Sherlie Jean Louis; Green, Jamie; Joseph, Saminetha; François, Judith; Anténor, Marie-Lucie; Lesorogol, Carolyn; Mounce, Jacqueline; Nickerson, Nathan M

    2014-01-01

    Haiti has experienced rapid urbanization that has exacerbated poverty and undernutrition in large slum areas. Stunting affects 1 in 5 young children. We aimed to test the efficacy of a daily lipid-based nutrient supplement (LNS) for increased linear growth in young children. Healthy, singleton infants aged 6-11 mo (n = 589) were recruited from an urban slum of Cap Haitien and randomly assigned to receive: 1) a control; 2) a 3-mo LNS; or 3) a 6-mo LNS. The LNS provided 108 kcal and other nutrients including vitamin A, vitamin B-12, iron, and zinc at ≥80% of the recommended amounts. Infants were followed monthly on growth, morbidity, and developmental outcomes over a 6-mo intervention period and at one additional time point 6 mo postintervention to assess sustained effects. The Bonferroni multiple comparisons test was applied, and generalized least-squares (GLS) regressions with mixed effects was used to examine impacts longitudinally. Baseline characteristics did not differ by trial arm except for a higher mean age in the 6-mo LNS group. GLS modeling showed LNS supplementation for 6 mo significantly increased the length-for-age z score (±SE) by 0.13 ± 0.05 and the weight-for-age z score by 0.12 ± 0.02 compared with in the control group after adjustment for child age (P growth of young children in this urban setting. The trial was registered at clinicaltrials.gov as NCT01552512.

  19. Preliminary antiplaque efficacy of aloe vera mouthwash on 4 day plaque re-growth model: randomized control trial.

    Science.gov (United States)

    Gupta, Rajendra Kumar; Gupta, Devanand; Bhaskar, Dara John; Yadav, Ankit; Obaid, Khursheed; Mishra, Sumit

    2014-04-01

    Due to increasing resistance to antibiotics and rising incidence of oral diseases, there is a need for alternative treatment modalities to combat oral diseases. The aim of the present study was to access the effect of Aloe vera mouthwash on the dental plaque in the experimental period of 4 days and to compare it with the bench mark control chlorhexidine and placebo (saline water). A total of 300 systemically healthy subjects were randomly allocated into 3 groups: Aloe vera mouthwash group (n=100), control group (=100)-chlorhexidene group and saline water-Placebo (n=100). To begin with, Gingival index (GI) and plaque index (PI) were recorded. Then, baseline plaque scores were brought to zero by professionally cleaning the teeth with scaling and polishing. After randomization of the participants into three groups they were refrained from regular mechanical oral hygiene measures. Subjects were asked to swish with respective mouthwash (Aloe vera mouthwash, 0.2%chlorhexidine gluconate mouthwash, or normal saline) as per therapeutic dose for 4 days. The results showed that Aloe vera mouthrinse is equally effective in reducing plaque as Chlorhexidine compared to placebo over a period of 4 days. There was a significant reduction on plaque in Aloe vera and chlorhexidine groups and no statistically significant difference was observed among them (p>0.05). Aloe vera mouthwash showed no side effects. The results of the present study indicated that Aloe vera may prove an effective mouthwash due to its ability in reducing dental plaque.

  20. Seventh Grade Students' Problem Solving Success Rates on Proportional Reasoning Problems

    Science.gov (United States)

    Pelen, Mustafa Serkan; Artut, Perihan Dinç

    2016-01-01

    This research was conducted to investigate 7th grade students' problem solving success rates on proportional reasoning problems and whether these success rates change with different problem types. 331 randomly selected students of grade seven participated in this study. A problem test which contains three different types of missing value (direct…

  1. Growth hormone treatment during hemodialysis in a randomized trial improves nutrition, quality of life, and cardiovascular risk

    DEFF Research Database (Denmark)

    Feldt-Rasmussen, Bo; Lange, Martin; Sulowicz, Wladyslaw

    2007-01-01

    Nutritional markers, such as lean body mass (LBM) and serum albumin, predict outcome in dialysis patients, in whom protein-energy malnutrition is associated with increased morbidity and mortality. The metabolic effects of human growth hormone (hGH) may improve the nutritional and cardiovascular...... health of these patients and consequently reduce morbidity and mortality. The aim of this study was to establish clinical proof of concept of hGH treatment for the improvement of the nutritional status in adult patients who are on maintenance hemodialysis. A total of 139 adult patients who were.......001) and serum HDL (P clinically relevant adverse events...

  2. The Effects of Taekwondo Training on Peripheral Neuroplasticity-Related Growth Factors, Cerebral Blood Flow Velocity, and Cognitive Functions in Healthy Children: A Randomized Controlled Trial

    Directory of Open Access Journals (Sweden)

    Su-Youn Cho

    2017-04-01

    Full Text Available Although regular Taekwondo (TKD training has been reported to be effective for improving cognitive function in children, the mechanism underlying this improvement remains unclear. The purpose of the present study was to observe changes in neuroplasticity-related growth factors in the blood, assess cerebral blood flow velocity, and verify the resulting changes in children’s cognitive function after TKD training. Thirty healthy elementary school students were randomly assigned to control (n = 15 and TKD (n = 15 groups. The TKD training was conducted for 60 min at a rating of perceived exertion (RPE of 11–15, 5 times per week, for 16 weeks. Brain-derived neurotrophic factor (BDNF, vascular endothelial growth factor (VEGF, and insulin-like growth factor-1 (IGF-1 levels were measured by blood sampling before and after the training, and the cerebral blood flow velocities (peak systolic [MCAs], end diastolic [MCAd], mean cerebral blood flow velocities [MCAm], and pulsatility index [PI] of the middle cerebral artery (MCA were measured using Doppler ultrasonography. For cognitive function assessment, Stroop Color and Word Tests (Word, Color, and Color-Word were administered along with other measurements. The serum BDNF, VEGF, and IGF-1 levels and the Color-Word test scores among the sub-factors of the Stroop Color and Word Test scores were significantly higher in the TKD group after the intervention (p < 0.05. On the other hand, no statistically significant differences were found in any factors related to cerebral blood flow velocities, or in the Word test and Color test scores (p > 0.05. Thus, 16-week TKD training did not significantly affect cerebral blood flow velocities, but the training may have been effective in increasing children’s cognitive function by inducing an increase in the levels of neuroplasticity-related growth factors.

  3. Equality of Shapley value and fair proportion index in phylogenetic trees.

    Science.gov (United States)

    Fuchs, Michael; Jin, Emma Yu

    2015-11-01

    The Shapley value and the fair proportion index of phylogenetic trees have been introduced recently for the purpose of making conservation decisions in genetics. Moreover, also very recently, Hartmann (J Math Biol 67:1163-1170, 2013) has presented data which shows that there is a strong correlation between a slightly modified version of the Shapley value (which we call the modified Shapley value) and the fair proportion index. He gave an explanation of this correlation by showing that the contribution of both indices to an edge of the tree becomes identical as the number of taxa tends to infinity. In this note, we show that the Shapley value and the fair proportion index are in fact the same. Moreover, we also consider the modified Shapley value and show that its covariance with the fair proportion index in random phylogenetic trees under the Yule-Harding model and uniform model is indeed close to one.

  4. Dietary intake, growth and development of children with ADHD in a randomized clinical trial of Ritalin and Melatonin co-administration: Through circadian cycle modification or appetite enhancement?

    Directory of Open Access Journals (Sweden)

    Seyed-Ali Mostafavi

    2012-09-01

    Full Text Available Objective: It is postulated that ritalin may adversely affect sleep, appetite, weight and growth of some children with ADHD. Therefore, we aimed to evaluate melatonin supplementation effects on dietary intake, growth and development of children with ADHD treated with ritalin through circadian cycle modification and appetite mechanisms.Method: After obtaining consent from parents, 50 children aged 7-12 with combined form of AD/HD were randomly divided into two groups based on gender blocks: one received melatonin (3 or 6 mg based on weight combined with ritalin (1mg/kg and the other took placebo combined with ritalin (1mg/kg in a double blind randomized clinical trial. Three-day food record, and standard weight and height of children were evaluated prior to the treatment and 8 weeks after the treatment. Children’s appetite and sleep were evaluated in weeks 0, 2, 4 and 8. Hypotheses were then analyzed using SPSS17.Results: Paired sample t-test showed significant changes in sleep latency (23.15±15.25 vs. 17.96±11.66; p=0.047 and total sleep disturbance score (48.84±13.42 vs. 41.30±9.67; p=0.000 before and after melatonin administration, respectively. However, appetite and food intake did not change significantly during the study. Sleep duration and appetite were significantly correlated in melatonin group (Pearson r=0.971, p=0.029. Mean height (138.28±16.24 vs. 141.35±16.78; P=0.000 and weight (36.73±17.82 vs. 38.97±17.93; P=0.005 were significantly increased in melatonin treated children before and after the trial.Conclusion: Administration of melatonin along with ritalin improves height and weight growth of children. These effects may be attributed to circadian cycle modification, increasing sleep duration and the consequent more growth hormone release during sleep.

  5. A double-blinded randomized trial on growth and feeding tolerance with Saccharomyces boulardii CNCM I-745 in formula-fed preterm infants

    Directory of Open Access Journals (Sweden)

    Lingfen Xu

    2016-06-01

    Full Text Available Abstract Objective: The use of probiotics is increasingly popular in preterm neonates, as they may prevent necrotizing enterocolitis sepsis and improve growth and feeding tolerance. There is only limited literature on Saccharomyces boulardii CNCM I-745 (S. boulardii in preterm infants. Method: A prospective, randomized, case-controlled trial with the probiotic S. boulardii (50 mg/kg twice daily was conducted in newborns with a gestational age of 30-37 weeks and a birth weight between 1500 and 2500 g. Results: 125 neonates were enrolled; 63 in the treatment and 62 in the control group. Weight gain (16.14 ± 1.96 vs. 10.73 ± 1.77 g/kg/day, p 30 weeks old.

  6. The effect of recombinant human growth hormone with or without rosiglitazone on hepatic fat content in HIV-1-infected individuals: a randomized clinical trial.

    Science.gov (United States)

    Kotler, Donald P; He, Qing; Engelson, Ellen S; Albu, Jeanine B; Glesby, Marshall J

    2016-01-01

    Hepatic fat is related to insulin resistance (IR) and visceral adipose tissue (VAT) in HIV+ and uninfected individuals. Growth hormone (GH) reduces VAT but increases IR. We evaluated the effects of recombinant human GH (rhGH) and rosiglitazone (Rosi) on hepatic fat in a substudy of a randomized controlled trial. HIV+ subjects with abdominal obesity and IR (QUICKI≤0.33) were randomized to rhGH 3 mg daily, Rosi 4 mg twice daily, the combination or double placebo. Hepatic fat was measured by magnetic resonance spectroscopy, visceral fat by MRI and IR by frequently sampled intravenous glucose tolerance tests at baseline and week 12. 31 subjects were studied at both time points. Significant correlations between hepatic fat and VAT (r=0.41; P=0.02) and QUICKI (r=0.39; P<0.05) were seen at baseline. IR rose with rhGH but not Rosi. When rhGH treatment groups were combined, hepatic fat expressed as percentage change decreased significantly (P<0.05) but did not change in Rosi (P=0.71). There were no correlations between changes in hepatic fat and VAT (P=0.4) or QUICKI (P=0.6). In a substudy of 21 subjects, a trend was noticed between changes in hepatic fat and serum insulin-like growth factor-1 (IGF-1; P=0.09). Hepatic fat correlates significantly with both VAT and IR, but changes in hepatic fat do not correlate with changes in VAT and glucose metabolism. Hepatic fat content is reduced by rhGH but Rosi has no effect. These results suggest an independent effect of GH or IGF-1 on hepatic fat. The study was registered at Clinicaltrials.gov (NCT00130286).

  7. A Randomized Controlled Trial Assessing Growth of Infants Fed a 100% Whey Extensively Hydrolyzed Formula Compared With a Casein-Based Extensively Hydrolyzed Formula

    Directory of Open Access Journals (Sweden)

    David Fields PhD

    2016-04-01

    Full Text Available This study compared the growth of healthy infants fed a hypoallergenic 100% whey-based extensively hydrolyzed formula (EHF with Bifidobacterium lactis (test with that of infants fed an extensively hydrolyzed casein formula (control. Formula-fed infants (14 ± 3 days were randomized to test or control groups until 112 days of age. Anthropometrics were assessed at 14, 28, 56, 84, and 112 days, and daily records were kept for 2 days prior to study visits. Serum albumin and plasma amino acids at 84 days were assessed in a subset. A total of 282 infants were randomized (124 test, 158 control. Significantly more infants dropped out of the control (56% as compared with the test (41% group. Mean daily weight gain was significantly higher in the test group compared with the control group (27.95 ± 5.91 vs 25.93 ± 6.12 g/d; P = .027 with the test group reporting significantly fewer stools (2.2 vs 3.6 stools/d; P 3 loose stools/d and a higher incidence of vomiting as compared with the test group. There were no differences in gas, mood, sleep, or serum albumin. Plasma arginine and valine were significantly lower in the test group, whereas leucine and lysine were higher; all values were within normal limits. Significantly more adverse events attributed to the study formula were reported in the control group. The 100% whey-based hypoallergenic EHF containing Bifidobacterium lactis and medium chain triglycerides supported growth of healthy infants. Future studies on the application of this formula in clinically indicated populations are warranted.

  8. Genetic evaluation and selection response for growth in meat-type quail through random regression models using B-spline functions and Legendre polynomials.

    Science.gov (United States)

    Mota, L F M; Martins, P G M A; Littiere, T O; Abreu, L R A; Silva, M A; Bonafé, C M

    2017-08-14

    The objective was to estimate (co)variance functions using random regression models (RRM) with Legendre polynomials, B-spline function and multi-trait models aimed at evaluating genetic parameters of growth traits in meat-type quail. A database containing the complete pedigree information of 7000 meat-type quail was utilized. The models included the fixed effects of contemporary group and generation. Direct additive genetic and permanent environmental effects, considered as random, were modeled using B-spline functions considering quadratic and cubic polynomials for each individual segment, and Legendre polynomials for age. Residual variances were grouped in four age classes. Direct additive genetic and permanent environmental effects were modeled using 2 to 4 segments and were modeled by Legendre polynomial with orders of fit ranging from 2 to 4. The model with quadratic B-spline adjustment, using four segments for direct additive genetic and permanent environmental effects, was the most appropriate and parsimonious to describe the covariance structure of the data. The RRM using Legendre polynomials presented an underestimation of the residual variance. Lesser heritability estimates were observed for multi-trait models in comparison with RRM for the evaluated ages. In general, the genetic correlations between measures of BW from hatching to 35 days of age decreased as the range between the evaluated ages increased. Genetic trend for BW was positive and significant along the selection generations. The genetic response to selection for BW in the evaluated ages presented greater values for RRM compared with multi-trait models. In summary, RRM using B-spline functions with four residual variance classes and segments were the best fit for genetic evaluation of growth traits in meat-type quail. In conclusion, RRM should be considered in genetic evaluation of breeding programs.

  9. A comparison of different methods to estimate species proportions by area in mixed stands

    Directory of Open Access Journals (Sweden)

    Gerald F. Dirnberger

    2014-12-01

    Full Text Available Aim of the study: This paper presents the most appropriate ways to estimate the species proportions by area in mixed stands of Norway spruce (Picea abies L. Karst. and European beech (Fagus sylvatica L. by comparing stand level and individual tree level approaches. It also investigates whether different ways of describing species proportions by area can result in different judgments on the over- or under-yielding of species in mixtures.Area of the study: Three triplets of pure and mixed stands of Norway spruce and European beech in three locations in the northeast of Austria are investigated. The three locations differ considerably in slope, bedrock and soil type as well as in site index.Material and Methods: In all 9 plots the coordinates of all trees, their dbh, height, height to the crown base and five year increment were measured. The potentially available areas of individual trees are calculated by Voronoi- diagrams and potential densities are estimated from the comparable pure stands, yield tables, and published equations for maximum basal area and Reineke’s maximum density line.Main results: The species proportions estimated by the individual tree approach with leaf area as growth characteristic gave the best fit with the stand approach with the most appropriate, regional maximum basal area equations. By using various definitions of species proportions, in the worst case the mixing effects on individual species can be seriously over- or underestimated while the mixing effects on the total increment is only negligibly affected.Research highlightsMeasures of species proportions by area are needed for comparing growth per hectare of a species in a mixed stand with that of the same species in a pure standSpecies proportions at the stand level are based on estimates of the species’ potential densities, either in terms of maximum basal area or of maximum stand density indexSpecies proportions at the tree level are derived from the area

  10. To compare growth outcomes and cost-effectiveness of "Kangaroo ward care" with "intermediate intensive care" in stable extremely low birth weight infants: randomized control trial.

    Science.gov (United States)

    Sharma, Deepak; Murki, Srinivas; Pratap, Oleti Tejo

    2017-07-01

    To compare growth outcome and cost-effectiveness of "Kangaroo ward care" (KWC) with "Intermediate intensive care" (IIC) in stable extremely low birth weight (ELBW) infants. This is secondary analysis of the study and we analyzed 62 ELBW infants, 33 were randomized to KWC and 29 to IIC once the infant reached a weight of 1150 g. Infants in the KWC group were shifted to the Kangaroo ward immediately after randomization and in the IIC group received IIC care till they attain a weight of 1250 g before shifting to Kangaroo ward. The gain in weight (g/day), length (cm/week), and head circumference (cm/week) were comparable between the two groups. The mean weight, length, and head circumference were comparable at term gestational age. The infants in KWC group were shifted five days earlier to Kangaroo ward when compared to IIC group. The cost-effective analysis using "top-down" and "bottom-up" accounting method showed that there was significant reduction of hospital and parents expenditure in KWC group (p < 0.001) with approximate saving of 452 USD for each patient in the KWC group. Early shifting of ELBW infants for KWC is very efficacious and cost-effective intervention when compared to IIC. (CTRI/2014/05/004625).

  11. A randomized clinical trial evaluating plasma rich in growth factors (PRGF-Endoret) versus hyaluronic acid in the short-term treatment of symptomatic knee osteoarthritis.

    Science.gov (United States)

    Sánchez, Mikel; Fiz, Nicolás; Azofra, Juan; Usabiaga, Jaime; Aduriz Recalde, Enmanuel; Garcia Gutierrez, Antonio; Albillos, Javier; Gárate, Ramón; Aguirre, Jose Javier; Padilla, Sabino; Orive, Gorka; Anitua, Eduardo

    2012-08-01

    This multicenter, double-blind clinical trial evaluated and compared the efficacy and safety of PRGF-Endoret (BTI Biotechnology Institute, Vitoria-Gasteiz, Spain), an autologous biological therapy for regenerative purposes, versus hyaluronic acid (HA) as a short-term treatment for knee pain from osteoarthritis. We randomly assigned 176 patients with symptomatic knee osteoarthritis to receive infiltrations with PRGF-Endoret or with HA (3 injections on a weekly basis). The primary outcome measure was a 50% decrease in knee pain from baseline to week 24. As secondary outcomes, we also assessed pain, stiffness, and physical function using the Western Ontario and McMaster Universities Osteoarthritis Index; the rate of response using the criteria of the Outcome Measures for Rheumatology Committee and Osteoarthritis Research Society International Standing Committee for Clinical Trials Response Criteria Initiative (OMERACT-OARSI); and safety. The mean age of the patients was 59.8 years, and 52% were women. Compared with the rate of response to HA, the rate of response to PRGF-Endoret was 14.1 percentage points higher (95% confidence interval, 0.5 to 27.6; P = .044). Regarding the secondary outcome measures, the rate of response to PRGF-Endoret was higher in all cases, although no significant differences were reached. Adverse events were mild and evenly distributed between the groups. Plasma rich in growth factors showed superior short-term results when compared with HA in a randomized controlled trial, with a comparable safety profile, in alleviating symptoms of mild to moderate osteoarthritis of the knee. Level I, randomized controlled multicenter trial. Copyright © 2012 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

  12. Randomized controlled trial of aerobic exercise on insulin and insulin-like growth factors in breast cancer survivors: the Yale Exercise and Survivorship study.

    Science.gov (United States)

    Irwin, Melinda L; Varma, Katie; Alvarez-Reeves, Marty; Cadmus, Lisa; Wiley, Andrew; Chung, Gina G; Dipietro, Loretta; Mayne, Susan T; Yu, Herbert

    2009-01-01

    High insulin and insulin-like growth factor-I (IGF-I) levels may be associated with an increased breast cancer risk and/or death. Given the need to identify modifiable factors that decrease insulin, IGF-I, and breast cancer risk and death, we investigated the effects of a 6-month randomized controlled aerobic exercise intervention versus usual care on fasting insulin, IGF-I, and its binding protein (IGFBP-3) in postmenopausal breast cancer survivors. Seventy-five postmenopausal breast cancer survivors were identified from the Yale-New Haven Hospital Tumor Registry and randomly assigned to an exercise (n = 37) or usual care (n = 38) group. The exercise group participated in 150 minutes per week of moderate-intensity aerobic exercise. The usual care group was instructed to maintain their current physical activity level. A fasting blood sample was collected on each study participant at baseline and 6 months. Blood levels of insulin and IGF were measured with ELISA. On average, exercisers increased aerobic exercise by 129 minutes per week compared with 45 minutes per week among usual care participants (P exercise experienced decreases in insulin, IGF-I, and IGFBP-3, whereas women randomized to usual care had increases in these hormones. Between-group differences in insulin, IGF-I, and IGFBP-3 were 20.7% (P = 0.089), 8.9% (P = 0.026), and 7.9% (P = 0.006), respectively. Moderate-intensity aerobic exercise, such as brisk walking, decreases IGF-I and IGFBP-3. The exercise-induced decreases in IGF may mediate the observed association between higher levels of physical activity and improved survival in women diagnosed with breast cancer.

  13. Media arrangement impacts cell growth in anaerobic fixed-bed reactors treating sugarcane vinasse: Structured vs. randomic biomass immobilization.

    Science.gov (United States)

    de Aquino, Samuel; Fuess, Lucas Tadeu; Pires, Eduardo Cleto

    2017-07-01

    This study reports on the application of an innovative structured-bed reactor (FVR) as an alternative to conventional packed-bed reactors (PBRs) to treat high-strength solid-rich wastewaters. Using the FVR prevents solids from accumulating within the fixed-bed, while maintaining the advantages of the biomass immobilization. The long-term operation (330days) of a FVR and a PBR applied to sugarcane vinasse under increasing organic loads (2.4-18.0kgCODm -3 day -1 ) was assessed, focusing on the impacts of the different media arrangements over the production and retention of biomass. Much higher organic matter degradation rates, as well as long-term operational stability and high conversion efficiencies (>80%) confirmed that the FVR performed better than the PBR. Despite the equivalent operating conditions, the biomass growth yield was different in both reactors, i.e., 0.095gVSSg -1 COD (FVR) and 0.066gVSSg -1 COD (PBR), indicating a clear control of the media arrangement over the biomass production in fixed-bed reactors. Copyright © 2017 Elsevier Ltd. All rights reserved.

  14. Long-chain PUFA supplementation in rural African infants: a randomized controlled trial of effects on gut integrity, growth, and cognitive development.

    Science.gov (United States)

    van der Merwe, Liandré F; Moore, Sophie E; Fulford, Anthony J; Halliday, Katherine E; Drammeh, Saikou; Young, Stephen; Prentice, Andrew M

    2013-01-01

    Intestinal damage and malabsorption caused by chronic environmental enteropathy are associated with growth faltering seen in infants in less-developed countries. Evidence has suggested that supplementary omega-3 (n-3) long-chain PUFAs (LC-PUFAs) might ameliorate this damage by reducing gastrointestinal inflammation. LC-PUFA supplementation may also benefit cognitive development. We tested whether early n-3 LC-PUFA supplementation improves infant intestinal integrity, growth, and cognitive function. A randomized, double-blind, controlled trial [200 mg DHA and 300 mg EPA or 2 mL olive oil/d for 6 mo] was conducted in a population of 172 rural Gambian infants aged 3-9 mo. The primary endpoints were anthropometric measures and gut integrity [assessed by using urinary lactulose:mannitol ratios (LMRs)]. Plasma fatty acid status, intestinal mucosal inflammation (fecal calprotectin), daily morbidity, and cognitive development (2-step means-end test and an attention assessment) were secondary endpoints. PUFA supplementation resulted in a significant increase in plasma n-3 LC-PUFA concentrations (P development. The trial was registered at www.isrctn.org as ISRCTN66645725.

  15. Early versus Late Enteral Feeding in Preterm Intrauterine Growth Restricted Neonates with Antenatal Doppler Abnormalities: An Open-Label Randomized Trial.

    Science.gov (United States)

    Tewari, Vishal Vishnu; Dubey, Sachin Kumar; Kumar, Reema; Vardhan, Shakti; Sreedhar, C M; Gupta, Girish

    2018-02-01

    Enteral feeding in preterm neonates with intrauterine growth restriction (IUGR) and absent or reversed end diastolic flow (AREDF) on umbilical artery (UA) Doppler is delayed owing to an increased risk of necrotizing enterocolitis (NEC). Delaying enteral feeding with longer duration of parenteral nutrition (PN) carries an increased risk of sepsis. To study early versus late feeding in preterm IUGR neonates for time required to attain sufficient feed volume to discontinue PN and increased risk of NEC or feed intolerance (FI). Open-label randomized controlled trial. Tertiary care neonatal unit and fetal-maternal medicine unit in India. Preterm intrauterine growth restricted neonates' ≤32 weeks with AREDF on UA Doppler enrolled from 1 January 2014 to 31 July 2015. Randomized to receive early or late feeding using mothers own or donor breast milk as per a feed initiation and advancement protocol. Time in days required to attain sufficient feed volume allowing discontinuation of PN and incidence of NEC in neonates fed early versus late. There were 77 eligible neonates. Sixty-two neonates were included and stratified as extreme preterm (27-29 weeks) (n = 20) and very preterm (30-32 weeks) (n = 42). Ten extreme preterm and 21 very preterm neonates were randomized to each early feeding and late feeding arm. There was a significantly faster attainment of sufficient feeds in the early feeding arm of both the stratified groups [extreme preterm: median 14 days (Interquartile range IQR: 12-15) compared with 18 days (IQR: 18-20), hazard ratio (HR): 1.59, 95% CI: 0.626-4.078; very preterm: 12 days (IQR: 10-14) as compared with 16 days (IQR 15-17), HR: 1.89, 95% CI: 1.011-3.555]. There was no difference in the incidence of NEC, FI and combined outcome of NEC and FI. Early feeding in preterm IUGR neonates with AREDF on antenatal UA Doppler allowed earlier discontinuation of PN, allowing birth weight to be regained earlier and did not increase the incidence of NEC and FI.

  16. Health-related quality of life of young adults with Turner syndrome following a long-term randomized controlled trial of recombinant human growth hormone

    Directory of Open Access Journals (Sweden)

    Van Vliet Guy

    2011-05-01

    Full Text Available Abstract Background There are limited long-term randomized controlled trials of growth hormone (GH supplementation to adult height and few published reports of the health-related quality of life (HRQOL following treatment. The present follow-up study of young adults from a long-term controlled trial of GH treatment in patients with Turner syndrome (TS yielded data to examine whether GH supplementation resulted in a higher HRQOL (either due to taller stature or from the knowledge that active treatment and not placebo had been received or alternatively a lower HRQOL (due to medicalization from years of injections. Methods The original trial randomized 154 Canadian girls with TS aged 7-13 years from 13 centres to receive either long-term GH injections at the pharmacologic dose of 0.3 mg/kg/week or to receive no injections; estrogen prescription for induction of puberty was standardized. Patients were eligible for the follow-up study if they were at least 16 years old at the time of follow-up. The instrument used to study HRQOL was the SF-36, summarized into physical and mental component scales (PCS and MCS; higher scores indicate better HRQOL. Results Thirty-four of the 48 eligible participants (71% consented to participate; data were missing for one patient. Both groups (GH and no treatment had normal HRQOL at this post-treatment assessment. The GH group had a (mean ± SD PCS score of 56 ± 5; the untreated group 58 ± 4; mean score for 16-24 year old females in the general population 53.5 ± 6.9. The GH group had a mean MCS score of 52 ± 6; the untreated group 49 ± 13; mean score for 16-24 year old females in the general population 49.6 ± 9.8. Secondary analyses showed no relationship between HRQOL and height. Conclusions We found no benefit or adverse effect on HRQOL either from receiving or not receiving growth hormone injections in a long-term randomized controlled trial, confirming larger observational studies. We suggest that it remains

  17. Estimating sighting proportions of American alligator nests during helicopter survey

    Science.gov (United States)

    Rice, Kenneth G.; Percival, H. Franklin; Woodward, Allan R.

    2000-01-01

    Proportions of American alligator (Alligator mississippiensis) nests sighted during aerial survey in Florida were estimated based upon multiple surveys by different observers. We compared sighting proportions across habitats, nesting seasons, and observer experience levels. The mean sighting proportion across all habitats and years was 0.736 (SE=0.024). Survey counts corrected by the mean sighting proportion reliably predicted total nest counts (7?2=0.933). Sighting proportions did not differ by habitat type (P=0.668) or year P=0.328). Experienced observers detected a greater proportion of nests (P<0.0001) than did either less experienced or inexperienced observers. Reliable estimates of nest abundance can be derived from aerial counts of alligator nests when corrected by the appropriate sighting proportion.

  18. PROPORTIONS AND HUMAN SCALE IN DAMASCENE COURTYARD HOUSES

    Directory of Open Access Journals (Sweden)

    M. Salim Ferwati

    2008-03-01

    Full Text Available Interior designers, architects, landscape architects, and even urban designers, agree that environment, as a form of non-verbal communication means, has a symbolic dimension to it. As for its aesthetic dimension, it seems that beauty is related to a certain proportion, partially and as a whole. Suitable proportion leaves a good impression upon the beholders, especially when it matches human proportion. That in fact was the underlining belief of LeCorbusier, according to which he developed his Modular concept. The study searches for a modular, or proportion, system that governs the design of Damascene traditional house. By geometrical and mathematical examinations of 28 traditional houses, it was found that a certain proportional relationship existed; however, these proportional relationships were not fixed ones. The study relied on analyzing the Iwan elevation as well as the inner courtyard proportion in relation to the building area. Charts, diagrams and tables were produced to summarize the results.

  19. Micronutrient fortified milk improves iron status, anemia and growth among children 1-4 years: a double masked, randomized, controlled trial.

    Directory of Open Access Journals (Sweden)

    Sunil Sazawal

    Full Text Available BACKGROUND: Multiple micronutrient deficiencies are highly prevalent among preschool children and often lead to anemia and growth faltering. Given the limited success of supplementation and health education programs, fortification of foods could be a viable and sustainable option. We report results from a community based double-masked, randomized trial among children 1-4 years evaluating the effects of micronutrients (especially of zinc and iron delivered through fortified milk on growth, anemia and iron status markers as part of a four group study design, running two studies simultaneously. METHODS AND FINDINGS: Enrolled children (n = 633 were randomly allocated to receive either micronutrients fortified milk (MN = 316 or control milk (Co = 317. Intervention of MN milk provided additional 7.8 mg zinc, 9.6 mg iron, 4.2 microg selenium, 0.27 mg copper, 156 microg vitamin A, 40.2 mg vitamin C, and 7.5 mg vitamin E per day (three serves for one year. Anthropometry was recorded at baseline, mid- and end-study. Hematological parameters were estimated at baseline and end-study. Both groups were comparable at baseline. Compliance was over 85% and did not vary between groups. Compared to children consuming Co milk, children consuming MN milk showed significant improvement in weight gain (difference of mean: 0.21 kg/year; 95% confidence interval [CI] 0.12 to 0.31, p<0.001 and height gain (difference of mean: 0.51 cm/year; 95% CI 0.27 to 0.75, p<0.001. Mean hemoglobin (Hb (difference of 13.6 g/L; 95% CI 11.1 to 16.0, p<0.001 and serum ferritin levels (difference of 7.9 microg/L; 95% CI 5.4 to 10.5, p<0.001 also improved. Children in MN group had 88% (odds ratio = 0.12, 95% CI 0.08 to 0.20, p<0.001 lower risk of iron deficiency anemia. CONCLUSIONS/SIGNIFICANCE: Milk provides an acceptable and effective vehicle for delivery of specific micronutrients, especially zinc and iron. Micronutrient bundle improved growth and iron status and reduced anemia in

  20. Effect of Photobiomodulation on Transforming Growth Factor-β1, Platelet-Derived Growth Factor-BB, and Interleukin-8 Release in Palatal Wounds After Free Gingival Graft Harvesting: A Randomized Clinical Study.

    Science.gov (United States)

    Keskiner, Ilker; Lutfioğlu, Muge; Aydogdu, Ahmet; Saygun, N Isil; Serdar, Muhittin A

    2016-06-01

    This study evaluated the impact of photobiomodulation (PBM) on the healing of the donor palatal area following free gingival graft (FGG) harvesting by examining changes in transforming growth factor (TGF)-β1, platelet-derived growth factor (PDGF)-BB, and interleukin (IL)-8 levels in palatal wound fluid (PWF). Thirty patients were selected and randomly assigned to receive PBM (laser group) or PBM sham (sham group) in the palatine area after FGG harvesting. A neodymium-doped yttrium aluminum garnet (Nd:YAG) laser (1064 nm) was applied to the test sites immediately after surgery and every 24 h thereafter for 4 days. PWF was collected on Days 7 and 12, and PWF TGF-β1, PDGF-BB, and IL-8 levels were analyzed by enzyme-linked immunosorbent assays (ELISA). PWF TGF-β1, PDGF-BB, and IL-8 levels were significantly lower on Day 12 than on Day 7 for both groups. PWF TGF-β1, PDGF-BB, and IL-8 levels of the laser group were significantly higher than those of sham group on Day 7 (p BB and IL-8 levels between groups on Day 12 were statistically nonsignificant. Observed increases in PWF TGF-β1, PDGF-BB, and IL-8 levels suggest that PBM may accelerate wound healing by stimulating production of selected mediators.

  1. Nursery growth and biomass of the seedlings of nine tree species ...

    African Journals Online (AJOL)

    Four types of potting media, three of them mixed from different proportions (farm yard manure, forest soil, sand), and the local soil were compared. A factorial experiment was laid out in Randomized Complete Block Design. ANOVA on growth and biomass data were performed for nine tree species using the GLM procedure ...

  2. Proportion of gynecologic cancer patients using complementary and alternative medicine.

    Science.gov (United States)

    Supoken, Amornrat; Chaisrisawatsuk, Thitima; Chumworathayi, Bandit

    2009-01-01

    Complementary and alternative medicine (CAM) for treatment of cancer and for supportive care of cancer patients must be clearly separated. There is encouraging evidence for CAM in the latter area, such as acupuncture and progressive muscle relaxation for chemotherapy-related nausea and vomiting, and aromatherapy for decreasing anxiety and increasing quality of life. However, there are limited data about CAM used by gynecologic cancer patients, especially in Thai women. Therefore, the authors aimed to investigate the proportion and types of CAM using in our gynecologic cancer patients. This cross-sectional survey was conducted between October to December, 2008. Totals of 50 admitted and 50 walk-in gynecologic cancer patients 1 month after diagnosis, aged more than 20 years and able to give informed consent, were selected for one-by-one interview by random walking survey. Among the 100 interviewed patients, aged 21-69 (mean=50.12), there were 46 cases of cervical cancers, 35 of ovarian cancers, 18 of endometrial cancers (two of these also had ovarian cancers), 2 of malignant gestational trophoblastic diseases, 1 of vulvar cancer, and 1 liver cancer (in a patient with ovarian cancer). Some 67% (95% CI, 57.8-76.2%) of them used CAM. As diet modifications, 11 used Chinese vegetarian, 8 common vegetarian, 5 Cheewajit, and 1 macrobiotics. Five of them used dietary supplements while colonic detoxification was emplyed in three. As herbal medicines, 27 used Thai herbs, 4 Chinese herbs, and 1 a herbal sauna. Twelve were receiving Thai massage. As exercises, 23 used aerobics and 5 stretching. Interestingly, 62 of them used Buddhist praying while only 3 employed native magic. The three most common forms of CAM used by our gynecologic cancer patients were Buddhist praying (62/67, 92.5%), followed by herbal medicines (27/67, 40.3%) and exercises (25/67, 37.3%).

  3. Long-term effects of dihydrotestosterone treatment on prostate growth in healthy, middle-aged men without prostate disease: a randomized, placebo-controlled trial.

    Science.gov (United States)

    Idan, Amanda; Griffiths, Kaye A; Harwood, D Tim; Seibel, Markus J; Turner, Leo; Conway, Ann J; Handelsman, David J

    2010-11-16

    Benign prostatic hypertrophy increases with age and can result in substantially decreased quality of life for older men. Surgery is often required to control symptoms. It has been hypothesized that long-term administration of a nonamplifiable pure androgen might decrease prostate growth, thereby decreasing or delaying the need for surgical intervention. To test the hypothesis that dihydrotestosterone (DHT), a nonamplifiable and nonaromatizable pure androgen, reduces late-life prostate growth in middle-aged men. Randomized, placebo-controlled, parallel-group trial. (Australian New Zealand Clinical Trials Registry number: ACTRN12605000358640) SETTING: Ambulatory care research center. Healthy men (n = 114) older than 50 years without known prostate disease. Transdermal DHT (70 mg) or placebo gel daily for 2 years. Prostate volume was measured by ultrasonography; bone mineral density (BMD) and body composition were measured by dual-energy x-ray absorptiometry; and blood samples and questionnaires were collected every 6 months, with data analyzed by mixed-model analysis for repeated measures. Over 24 months, there was an increase in total (29% [95% CI, 23% to 34%]) and central (75% [CI, 64% to 86%]; P prostate volume and serum prostate-specific antigen level (15% [CI, 6% to 24%]) with time on study, but DHT had no effect (P > 0.2). Dihydrotestosterone treatment decreased spinal BMD (1.4% [CI, 0.6% to 2.3%]; P 0.2) and increased serum aminoterminal propeptide of type I procollagen in the second year of the study compared with placebo. Dihydrotestosterone increased serum DHT levels and its metabolites (5α-androstane-3α,17β-diol and 5α-androstane-3β,17β-diol) and suppressed serum testosterone, estradiol, luteinizing hormone, and follicle-stimulating hormone levels. Dihydrotestosterone increased hemoglobin levels (7% [CI, 5% to 9%]), serum creatinine levels (9% [CI, 5% to 11%]), and lean mass (2.4% [CI, 1.6% to 3.1%) but decreased fat mass (5.2% [CI, 2.6% to 7.7%]) (P

  4. Investigation of Adding Proportion of RAP in Recycled Asphalt Mixture

    Directory of Open Access Journals (Sweden)

    Cao He

    2016-01-01

    Full Text Available According to the relationship between gradation and proportion of Reclaimed Asphalt Pavement (RAP and design gradation of recycled mixture, the authors discussed the influence of proportion of RAP on gradation adjustment of recycled mixture. And then, recycled mixture with 0%, 30%, 50%, 70% of RAP were made, and Influence of proportion of RAP on high and low temperature performance, water stability and anti-aging performance of recycled mixture were discussed. The results and analysis indicate that gradation of recycled mixture would not be adjusted to aiming gradation if proportion of RAP was too big. With the increase of proportion of RAP, high temperature performance and anti-aging performance of recycled mixture enhanced, but low temperature performance and water stability decayed sharply. In practical application, reasonable proportion of RAP should be determined according to gradation, performance demand and economy of recycled mixture.

  5. Inquiry pedagogy to promote emerging proportional reasoning in primary students

    Science.gov (United States)

    Fielding-Wells, Jill; Dole, Shelley; Makar, Katie

    2014-03-01

    Proportional reasoning as the capacity to compare situations in relative (multiplicative) rather than absolute (additive) terms is an important outcome of primary school mathematics. Research suggests that students tend to see comparative situations in additive rather than multiplicative terms and this thinking can influence their capacity for proportional reasoning in later years. In this paper, excerpts from a classroom case study of a fourth-grade classroom (students aged 9) are presented as they address an inquiry problem that required proportional reasoning. As the inquiry unfolded, students' additive strategies were progressively seen to shift to proportional thinking to enable them to answer the question that guided their inquiry. In wrestling with the challenges they encountered, their emerging proportional reasoning was supported by the inquiry model used to provide a structure, a classroom culture of inquiry and argumentation, and the proportionality embedded in the problem context.

  6. Guided tissue regeneration and platelet rich growth factor for the treatment of Grade II furcation defects: A randomized double-blinded clinical trial - A pilot study.

    Science.gov (United States)

    Jenabian, Niloofar; Haghanifar, Sina; Ehsani, Hodis; Zahedi, Ehsan; Haghpanah, Masumeh

    2017-01-01

    The treatment of furcation area defects remained as a challenging issue in periodontal treatments. Regeneration treatment of furcation defects is the most discussed periodontal treatment. Although not completely hopeless in prognosis, the presence of the furcation involvement significantly increases the chance of tooth loss. The current research was conductedeto compare theeadditive effect of combined guided tissue regeneration (GTR) and platelet-rich growth factor (PRGF) on the treatment of furcation bony defects. A randomized, triple-blinded, split-mouth study was designed. It included patients with a moderate to severe chronic periodontitis with bilateral Grade II furcation involvement of first or second mandibular molars. Each side of mouth was randomly allocated for the treatment with either Bio-Gide American Society of Anesthesiologists GTR or a PRGF or PRGF by itself. Plaque index, gingival index, vertical clinical attachment level, vertical probing depth, recession depth (REC), horizontal probing depth, fornix to alveolar crest (FAC), fornix to base of defect (FBD), furcation vertical component and furcation horizontal component (FHC) were recorded. The current research was conducted to compare the additive effect of combined GTR and PRGF on treatment of furcation bony defects. Altman's nomogram, Kolmogorov-Smirnov test, Friedman test, general linear model, repeated measures, and paired t-test were used as statistical analysis in this research. P < 0.05 was considered statistically significant. Eight patients were finally enrolled for this study. Overly, general and specific clinical and furcation parameters were improved except REC that was deteriorated insignificantly and FAC improved not significantly. Intergroup comparison revealed better improvement of FHC in GTR/PRGF group (P = 0.02). A significant improvement in the Grade II furcation defects treated with either GTR or PRGF/GTR was noticed. Further large-scale trials are needed to reveal differences

  7. Cluster-randomized trial on complementary and responsive feeding education to caregivers found improved dietary intake, growth and development among rural Indian toddlers.

    Science.gov (United States)

    Vazir, Shahnaz; Engle, Patrice; Balakrishna, Nagalla; Griffiths, Paula L; Johnson, Susan L; Creed-Kanashiro, Hilary; Fernandez Rao, Sylvia; Shroff, Monal R; Bentley, Margaret E

    2013-01-01

    Inadequate feeding and care may contribute to high rates of stunting and underweight among children in rural families in India. This cluster-randomized trial tested the hypothesis that teaching caregivers appropriate complementary feeding and strategies for how to feed and play responsively through home-visits would increase children's dietary intake, growth and development compared with home-visit-complementary feeding education alone or routine care. Sixty villages in Andhra Pradesh were randomized into three groups of 20 villages with 200 mother-infant dyads in each group. The control group (CG) received routine Integrated Child Development Services (ICDS); the complementary feeding group (CFG) received the ICDS plus the World Health Organization recommendations on breastfeeding and complementary foods; and the responsive complementary feeding and play group (RCF&PG) received the same intervention as the CFG plus skills for responsive feeding and psychosocial stimulation. Both intervention groups received bi-weekly visits by trained village women. The groups did not differ at 3 months on socioeconomic status, maternal and child nutritional indices, and maternal depression. After controlling for potential confounding factors using the mixed models approach, the 12-month intervention to the CFG and RCF&PG significantly (P Development scores (mean = 3.1, CI: 0.8-5.3) in the RCF&PG (but not CFG) compared with CG. Community-based educational interventions can improve dietary intake, length (CFG) and mental development (RCF&PG) for children under 2 years in food-secure rural Indian families. © 2012 Blackwell Publishing Ltd.

  8. Effects of multimicronutrient supplementation during pregnancy on postnatal growth of children under 5 years of age: a meta-analysis of randomized controlled trials.

    Directory of Open Access Journals (Sweden)

    Wei-Ping Lu

    Full Text Available BACKGROUND: The beneficial effect of antenatal multiple micronutrients supplementation on infant birth outcomes has been proposed by previous meta-analyses. However, their benefits on postnatal health of children have not been summarized. A meta-analysis of randomized controlled trials was conducted to evaluate the effect of maternal multimicronutrient supplementation on postnatal growth of children under 5 years of age. METHODS: We searched both published and ongoing trials through the PubMed, EMBASE, CENTRAL (OVID platform, Web of Science, BIOSIS Previews, Chinese Science Citation Database, Scopus, ProQuest, ClinicalTrials.gov, Chinese Biomedical Database, and WANFANG database for randomized controlled trials. Reference lists of included studies and relevant reviews were also reviewed for eligible studies. Standard mean difference (SMD was employed as the index for continuous variables by using fixed effects models. Trend analysis by visual inspection was applied to evaluate the change of mean difference of weight and height between the groups over time. RESULTS: Nine trials (12 titles from nine different countries were retrieved for analysis. Pooled results showed that antenatal multimicronutrient supplementation increased child head circumference (SMD = 0.08, 95% CI: 0.00-0.15 compared with supplementation with two micronutrient or less. No evidence was found for the benefits of antenatal multimicronutrient supplementation on weight (P = 0.11, height (P = 0.66, weight-for-age z scores (WAZ (P = 0.34, height-for-age z scores (HAZ (P = 0.81 and weight-for-height z scores (WHZ (P = 0.22. A positive effect was found on chest circumference based on two included studies. CONCLUSIONS: Antenatal multimicronutrient supplementation has a significant positive effect on head circumference of children under 5 years. No impact of the supplementation was found on weight, height, WAZ, HAZ and WHZ.

  9. Universal randomness

    Energy Technology Data Exchange (ETDEWEB)

    Dotsenko, Viktor S [Landau Institute for Theoretical Physics, Russian Academy of Sciences, Moscow (Russian Federation)

    2011-03-31

    In the last two decades, it has been established that a single universal probability distribution function, known as the Tracy-Widom (TW) distribution, in many cases provides a macroscopic-level description of the statistical properties of microscopically different systems, including both purely mathematical ones, such as increasing subsequences in random permutations, and quite physical ones, such as directed polymers in random media or polynuclear crystal growth. In the first part of this review, we use a number of models to examine this phenomenon at a simple qualitative level and then consider the exact solution for one-dimensional directed polymers in a random environment, showing that free energy fluctuations in such a system are described by the universal TW distribution. The second part provides detailed appendix material containing the necessary mathematical background for the first part. (reviews of topical problems)

  10. Effect of topical basic fibroblast growth factor on the healing of chronic diabetic neuropathic ulcer of the foot. A pilot, randomized, double-blind, placebo-controlled study.

    Science.gov (United States)

    Richard, J L; Parer-Richard, C; Daures, J P; Clouet, S; Vannereau, D; Bringer, J; Rodier, M; Jacob, C; Comte-Bardonnet, M

    1995-01-01

    To assess the efficacy and safety of topical human recombinant basic fibroblast growth factor (bFGF) on the healing of diabetic neurotrophic foot ulcers. Seventeen diabetic patients suffering from chronic neuropathic ulcer of the plantar surface of the foot entered a pilot, randomized, double-blind study comparing local application of bFGF with placebo. Main inclusion criteria were a typical neuropathic ulcer of Wagner grade I-III, more than 0.5 cm in the largest diameter, with an abnormally high vibration perception threshold in the absence of significant peripheral vascular disease or wound infection. bFGF or placebo was applied daily during the 6 weeks as inpatients then twice a week for 12 weeks. Evolution of ulcer size was assessed through weekly clinical examination and computerized photographs. In the bFGF group, three of nine ulcers healed compared with five of eight in the placebo group (NS). The weekly reduction in ulcer perimeter and area was identical in both groups, as was the rate of linear advance from entry to the 6th week of treatment (bFGF: 0.053 +/- 0.048 mm vs. placebo: 0.116 +/- 1.129 mm): the same result was obtained at the 11th week. Moreover, percent healed area at the end of the study did not differ significantly. No side effects were observed during bFGF application. Topical application of bFGF has no advantage over placebo for healing chronic neuropathic diabetic ulcer of the foot. Because diabetes causes significant wound-healing defects, we hypothesized that using a single growth factor might be insufficient to accelerate wound closure of diabetic ulcers.

  11. A comparative randomized trial to assess the impact of oral contraceptive pretreatment on follicular growth and hormone profiles in GnRH antagonist-treated patients.

    Science.gov (United States)

    Rombauts, Luk; Healy, David; Norman, Rob J

    2006-01-01

    This randomized controlled trial was designed to assess the impact of oral contraceptive (OC) scheduling with a GnRH antagonist (ganirelix) regimen on the ovarian response of women undergoing recombinant FSH (rFSH) stimulation for IVF, compared with a non-scheduled ganirelix regimen and a long GnRH agonist (nafarelin) protocol. A total of 110 women was treated with an OC and ganirelix, 111 with ganirelix alone and 111 with nafarelin. The OC (containing 30 microg ethinylestradiol/150 microg desogestrel) was taken for 14-28 days and stopped 2 days prior to the start of rFSH treatment. Primary efficiency parameters were the number of cumulus-oocyte complexes (per attempt) and the number of grade 1 or 2 embryos (per attempt). In terms of follicular growth and hormone profiles, the OC-scheduled antagonist regimen mimicked the agonist regimen rather than the (non-scheduled) GnRH antagonist regimen. In the OC-scheduled GnRH antagonist group and the nafarelin group (versus the non-scheduled antagonist group), pituitary suppression was more profound at the start of stimulation (P growth (P < or = 0.001), longer stimulation was required (11.7 and 10.3 days respectively versus 9.4; P < or = 0.001), and more rFSH was used (2667 and 2222 IU versus 1966 IU; P < or = 0.001). In the three groups, the number of oocytes was similar (13.1, 12.9 and 11.5 respectively; not significant) as well as the number of good quality embryos (5.1, 5.7 and 5.0 respectively; not significant). OC treatment prior to the rFSH/ganirelix regimen can be successfully applied to schedule patients, although more days of stimulation and more rFSH are required than with a non-scheduled GnRH antagonist regimen.

  12. Anti-Vascular Endothelial Growth Factor Comparative Effectiveness Trial for Diabetic Macular Edema: Additional Efficacy Post Hoc Analyses of a Randomized Clinical Trial.

    Science.gov (United States)

    Jampol, Lee M; Glassman, Adam R; Bressler, Neil M; Wells, John A; Ayala, Allison R

    2016-12-01

    Post hoc analyses from the Diabetic Retinopathy Clinical Research Network randomized clinical trial comparing aflibercept, bevacizumab, and ranibizumab for diabetic macular edema (DME) might influence interpretation of study results. To provide additional outcomes comparing 3 anti-vascular endothelial growth factor (VEGF) agents for DME. Post hoc analyses performed from May 3, 2016, to June 21, 2016, of a randomized clinical trial performed from August 22, 2012, to September 23, 2015, of 660 participants comparing 3 anti-VEGF treatments in eyes with center-involved DME causing vision impairment. Randomization to intravitreous aflibercept (2.0 mg), bevacizumab (1.25 mg), or ranibizumab (0.3 mg) administered up to monthly based on a structured retreatment regimen. Focal/grid laser treatment was added after 6 months for the treatment of persistent DME. Change in visual acuity (VA) area under the curve and change in central subfield thickness (CST) within subgroups based on whether an eye received laser treatment for DME during the study. Post hoc analyses were performed for 660 participants (mean [SD] age, 61 [10] years; 47% female, 65% white, 16% black or African American, 16% Hispanic, and 3% other). For eyes with an initial VA of 20/50 or worse, VA improvement was greater with aflibercept than the other agents at 1 year but superior only to bevacizumab at 2 years. Mean (SD) letter change in VA over 2 years (area under curve) was greater with aflibercept (+17.1 [9.7]) than with bevacizumab (+12.1 [9.4]; 95% CI, +1.6 to +7.3; P post hoc analyses should be viewed with caution given the potential for bias, in eyes with a VA of 20/50 or worse, aflibercept has the greatest improvement in VA over 2 years. Focal/grid laser treatment, ceiling and floor effects, or both may account for mean thickness reductions noted only in bevacizumab-treated eyes between 1 and 2 years. clinicaltrials.gov Identifier NCT01627249.

  13. Recombinant human growth hormone and rosiglitazone for abdominal fat accumulation in HIV-infected patients with insulin resistance: a randomized, double-blind, placebo-controlled, factorial trial.

    Directory of Open Access Journals (Sweden)

    Marshall J Glesby

    Full Text Available Recombinant human growth hormone (rhGH reduces visceral adipose tissue (VAT volume in HIV-infected patients but can worsen glucose homeostasis and lipoatrophy. We aimed to determine if adding rosiglitazone to rhGH would abrogate the adverse effects of rhGH on insulin sensitivity (SI and subcutaneous adipose tissue (SAT volume.Randomized, double-blind, placebo-controlled, multicenter trial using a 2×2 factorial design in which HIV-infected subjects with abdominal obesity and insulin resistance were randomized to rhGH 3 mg daily, rosiglitazone 4 mg twice daily, combination rhGH + rosiglitazone, or double placebo (control for 12 weeks. The primary endpoint was change in SI by frequently sampled intravenous glucose tolerance test from entry to week 12. Body composition was assessed by whole body magnetic resonance imaging (MRI and dual Xray absorptiometry (DEXA. Seventy-seven subjects were randomized of whom 72 initiated study drugs. Change in SI from entry to week 12 differed across the 4 arms by 1-way ANCOVA (P = 0.02; by pair-wise comparisons, only rhGH (decreasing SI; P = 0.03 differed significantly from control. Changes from entry to week 12 in fasting glucose and glucose area under the curve on 2-hour oral glucose tolerance test differed across arms (1-way ANCOVA P = 0.004, increasing in the rhGH arm relative to control. VAT decreased significantly in the rhGH arms (-17.5% in rhGH/rosiglitazone and -22.7% in rhGH but not in the rosiglitazone alone (-2.5% or control arms (-1.9%. SAT did not change significantly in any arm. DEXA results were consistent with the MRI data. There was no significant rhGH x rosiglitazone interaction for any body composition parameter.The addition of rosiglitazone abrogated the adverse effects of rhGH on insulin sensitivity and glucose tolerance while not significantly modifying the lowering effect of rhGH on VAT.Clinicaltrials.gov NCT00130286.

  14. Which Mixed-Member Proportional Electoral Formula Fits You Best? Assessing the Proportionality Principle of Positive Vote Transfer Systems

    DEFF Research Database (Denmark)

    Bochsler, Daniel

    2014-01-01

    Mixed-member proportional systems (MMP) are a family of electoral systems which combine district-based elections with a proportional seat allocation. Positive vote transfer systems belong to this family. This article explains why they might be better than their siblings, and examines under which ...... conditions full proportionality is reached. A formal model shows that full proportionality depends on the number of compensation mandates available, and on the degree of coordination among voters and parties. The model is applied to six elections in Hungary....

  15. Visualizing Proportions and Dissimilarities by Space-filling Maps

    DEFF Research Database (Denmark)

    Carrizosa, Emilio; Guerrero, Vanesa; Morales, Dolores Romero

    2017-01-01

    In this paper we address the problem of visualizing a set of individuals, which have attached a statistical value given as a proportion, and a dissimilarity measure. Each individual is represented as a region within the unit square, in such a way that the area of the regions represent the proport...

  16. Attention Modulation by Proportion Congruency: The Asymmetrical List Shifting Effect

    Science.gov (United States)

    Abrahamse, Elger L.; Duthoo, Wout; Notebaert, Wim; Risko, Evan F.

    2013-01-01

    Proportion congruency effects represent hallmark phenomena in current theorizing about cognitive control. This is based on the notion that proportion congruency determines the relative levels of attention to relevant and irrelevant information in conflict tasks. However, little empirical evidence exists that uniquely supports such an attention…

  17. On estimation methods and test for proportional hazards ...

    African Journals Online (AJOL)

    This work compared three estimation methods to handle tied survival time data under the semiparametric Cox proportional hazards model framework (the Exact, Breslow and Efron partial likelihood) and also two parametric proportional hazards models (the Exponential and Weibull) which utilized full likelihood estimation ...

  18. Sexual dimorphism based on body proportions and ontogenetic ...

    African Journals Online (AJOL)

    Sexual dimorphism in the Brazilian electric ray Narcine brasiliensis from the south-western Atlantic coast was evaluated based on body proportions and ontogenetic changes. All regions of the body were found to have differences in body proportions between the sexes, except the spiracles. The nature of allometric and ...

  19. The principle of proportionality and European contract law

    NARCIS (Netherlands)

    Cauffman, C.; Rutgers, J.; Sirena, P.

    2015-01-01

    The paper investigates the role of the principle of proportionality within contract law, in balancing the rights and obligations of the contracting parties. It illustrates that the principle of proportionality is one of the general principles which govern contractual relations, and as such it is an

  20. What proportion of abortion seekers in Calabar are really pregnant ...

    African Journals Online (AJOL)

    Conclusion: A significant proportion of women seeking abortion services in Calabar Nigeria are not pregnant. The routine use of pregnancy tests and/or ultrasonography could prevent a substantial proportion of unnecessary procedures. This will result in reduced health risks and substantial cost saving for women.

  1. Effects of a low-glycemic index diet during pregnancy on offspring growth, body composition, and vascular health: a pilot randomized controlled trial.

    Science.gov (United States)

    Kizirian, Nathalie V; Kong, Yang; Muirhead, Roslyn; Brodie, Shannon; Garnett, Sarah P; Petocz, Peter; Sim, Kyra A; Celermajer, David S; Louie, Jimmy C Y; Markovic, Tania P; Ross, Glynis P; Ward, Leigh C; Brand-Miller, Jennie C; Skilton, Michael R

    2016-04-01

    Elevated maternal blood glucose concentrations may contribute to macrosomia, adiposity, and poorer vascular health in the offspring. The aim was to explore the effect of a low-glycemic index (low-GI) diet during pregnancy on offspring growth, adiposity, and arterial wall thickness during infancy. This was a longitudinal follow-up study in a self-selected subgroup of mother-infant pairs (n= 59) participating in a larger randomized trial comparing the effects on perinatal outcomes of a low-GI diet and a conventional high-fiber (HF) diet during pregnancy. Infant anthropometric measurements were taken every month for 6 mo and then at 9 and 12 mo of age. Adiposity was assessed at birth and at 3 mo by air-displacement plethysmography by using the Pea Pod system (Cosmed) and at 6 and 12 mo by bioimpedance analysis (Bodystat). Aortic intima-media thickness was assessed at 12 mo by high-resolution ultrasound (Philips). Maternal dietary GI was lower in the low-GI group than in the HF group (51 ± 1 compared with 57 ± 1;P< 0.001). No differences in neonatal outcomes were observed in the main trial. In the self-selected subsample, birth weight and length z scores were lower in the low-GI group than in the HF group (birth weight z score: 0.2 ± 0.2 compared with 0.7 ± 0.2, respectively;P= 0.04; birth length z score: 0.3 ± 0.2 compared with 0.9 ± 0.2, respectively;P= 0.04), but adiposity from birth to 12 mo of age and growth trajectories from 1 to 12 mo of age were similar. Aortic intima-media thickness was lower in the low-GI group than in the HF group (657 ±12 compared with 696 ± 12 μm, respectively;P= 0.02), which was partly mediated by differences in birth weight. In women at risk of gestational diabetes mellitus, a low-GI diet influences offspring birth weight, birth length, and arterial wall thickness in early childhood, but not adiposity or growth trajectory during the first year of life. This trial was registered at anzctr.org.au as ACTRN12610000681055. © 2016

  2. Growth and tolerance of infants fed formula supplemented with polydextrose (PDX and/or galactooligosaccharides (GOS: double-blind, randomized, controlled trial

    Directory of Open Access Journals (Sweden)

    Ashley Claude

    2012-06-01

    Full Text Available Abstract Background To ensure the suitability of an infant formula as the sole source of nutrition or provide benefits similar to outcomes in breastfed infants, advancements in formula composition are warranted as more research detailing the nutrient composition of human milk becomes available. This study was designed to evaluate growth and tolerance in healthy infants who received one of two investigational cow’s milk-based formulas with adjustments in carbohydrate, fat, and calcium content and supplemented with a prebiotic blend of polydextrose (PDX and galactooligosaccharides (GOS or GOS alone. Methods In this multi-center, double-blind, parallel-designed, gender-stratified prospective study 419 infants were randomized and consumed either a marketed routine cow’s milk-based infant formula (Control; Enfamil® LIPIL®, Mead Johnson Nutrition, Evansville, IN (n = 142 or one of two investigational formulas from 14 to 120 days of age. Investigational formulas were supplemented with 4 g/L (1:1 ratio of a prebiotic blend of PDX and GOS (PDX/GOS; n = 139 or 4 g/L of GOS alone (GOS; n = 138. Anthropometric measurements were taken at 14, 30, 60, 90, and 120 days of age. Daily recall of formula intake, tolerance, and stool characteristics was collected during study weeks 1 and 2 and 24-h recall was collected at 60, 90, and 120 days of age. Medically-confirmed adverse events were recorded throughout the study. Results There were no group differences in growth rate from 14 to 120 days of age. Discontinuation rates were not significantly different among study groups. No differences in formula intake or infant fussiness or gassiness were observed. During study weeks 1 and 2 and at 60 days of age stool consistency ratings were higher (i.e. softer stools for infants in the PDX/GOS and GOS groups versus Control and remained higher at 120 days for the PDX/GOS group (all P  Conclusions Investigational routine infant formulas

  3. Proportional reasoning as a key to numeracy across the curriculum

    DEFF Research Database (Denmark)

    Hilton, Annette; Hilton, Geoff

    2013-01-01

    . Proportional reasoning is the ability to understand, interpret, and solve problems related to situations of proportion, using comparison and relative and multiplicative thinking. It relies on numerous foundational skills including fractional thinking and an understanding of ratio, scale, decimals......Numeracy (mathematical literacy) is an essential skill in life and work. Lack of numeracy has been linked to poor health and work outcomes, and diminished social and civic participation. A key aspect of numeracy, which is not often explicitly mentioned in school curricula, is proportional reasoning...... internationally. Research has also shown that while proportional reasoning develops in students from Years 5 to 9, this development does not always happen naturally. Further, research suggests that targeted teaching can assist students to develop better proportional reasoning skills. This multi-state Australian...

  4. Acupuncture versus solifenacin for treatment of overactive bladder and its correlation with urine nerve growth factor levels: a randomized, placebo-controlled clinical trial.

    Science.gov (United States)

    Aydoğmuş, Yasin; Sunay, Melih; Arslan, Hüseyin; Aydın, Arif; Adiloğlu, Ali Kudret; Şahin, Hünkar

    2014-01-01

    To determine whether acupuncture is effective as an overactive bladder (OAB) treatment compared with solifenacin and placebo, and to investigate its relation with urine nerve growth factor (NGF) levels. The study was conducted with methodological rigor based on the Consolidated Standards of Reporting Trials criteria. 90 female patients with OAB were included and randomly assigned to a solifenacin, acupuncture or placebo group. The medicated group received solifenacin 5 mg/day; the acupuncture and placebo groups were treated twice a week for 4 weeks. Symptom scores, quality of life scores, frequency of micturition and urine NGF levels were used to assess treatment efficiency. The study was completed with 82 patients (n = 30 in the solifenacin group, n = 28 in the acupuncture group and n = 24 in the placebo group). After treatment, comparison of the medical and acupuncture therapy groups with the placebo group showed significant differences between recovery concerning quality of life (p acupuncture, placebo group; p acupuncture group. Therefore, comparisons were assessed twice with and without including these patients, and NGF levels in the acupuncture group were higher than at first comparison in which all patients in the acupuncture group were included. In patients with OAB in whom anticholinergic treatment is contraindicated, acupuncture may be considered another treatment option.

  5. Does Problem-Solving Training for Family Caregivers Benefit Their Care Recipients With Severe Disabilities? A Latent Growth Model of the Project CLUES Randomized Clinical Trial

    Science.gov (United States)

    Berry, Jack W.; Elliott, Timothy R.; Grant, Joan S.; Edwards, Gary; Fine, Philip R.

    2012-01-01

    Objective To examine whether an individualized problem-solving intervention provided to family caregivers of persons with severe disabilities provides benefits to both caregivers and their care recipients. Design Family caregivers were randomly assigned to an education-only control group or a problem-solving training (PST) intervention group. Participants received monthly contacts for 1 year. Participants Family caregivers (129 women, 18 men) and their care recipients (81 women, 66 men) consented to participate. Main Outcome Measures Caregivers completed the Social Problem-Solving Inventory–Revised, the Center for Epidemiological Studies-Depression scale, the Satisfaction with Life scale, and a measure of health complaints at baseline and in 3 additional assessments throughout the year. Care recipient depression was assessed with a short form of the Hamilton Depression Scale. Results Latent growth modeling was used to analyze data from the dyads. Caregivers who received PST reported a significant decrease in depression over time, and they also displayed gains in constructive problem-solving abilities and decreases in dysfunctional problem-solving abilities. Care recipients displayed significant decreases in depression over time, and these decreases were significantly associated with decreases in caregiver depression in response to training. Conclusions PST significantly improved the problem-solving skills of community-residing caregivers and also lessened their depressive symptoms. Care recipients in the PST group also had reductions in depression over time, and it appears that decreases in caregiver depression may account for this effect. PMID:22686549

  6. Statistical inference for Hardy-Weinberg proportions in the presence of missing genotype information.

    Science.gov (United States)

    Graffelman, Jan; Sánchez, Milagros; Cook, Samantha; Moreno, Victor

    2013-01-01

    In genetic association studies, tests for Hardy-Weinberg proportions are often employed as a quality control checking procedure. Missing genotypes are typically discarded prior to testing. In this paper we show that inference for Hardy-Weinberg proportions can be biased when missing values are discarded. We propose to use multiple imputation of missing values in order to improve inference for Hardy-Weinberg proportions. For imputation we employ a multinomial logit model that uses information from allele intensities and/or neighbouring markers. Analysis of an empirical data set of single nucleotide polymorphisms possibly related to colon cancer reveals that missing genotypes are not missing completely at random. Deviation from Hardy-Weinberg proportions is mostly due to a lack of heterozygotes. Inbreeding coefficients estimated by multiple imputation of the missings are typically lowered with respect to inbreeding coefficients estimated by discarding the missings. Accounting for missings by multiple imputation qualitatively changed the results of 10 to 17% of the statistical tests performed. Estimates of inbreeding coefficients obtained by multiple imputation showed high correlation with estimates obtained by single imputation using an external reference panel. Our conclusion is that imputation of missing data leads to improved statistical inference for Hardy-Weinberg proportions.

  7. Investigating Proportional Reasoning in a University Quantitative Literacy Course

    Directory of Open Access Journals (Sweden)

    Vera Frith

    2016-01-01

    Full Text Available The ability to reason with proportions is known to take a long time to develop and to be difficult to learn. We regard proportional reasoning (the ability to reason about quantities in relative terms as a threshold concept for academic quantitative literacy. Our study of the teaching and learning of proportional reasoning in a university quantitative literacy course for law students consisted of iterative action research, in which we introduced various teaching interventions and analysed students’ written responses to assessment questions requiring students to explain their reasoning in situations that call for proportional reasoning. For this analysis we used a modified phenomenographic method to develop and refine a framework to code the responses. This enabled us to broadly describe the responses in terms of the concept of the liminal space that a student must traverse in coming to a full understanding of a threshold concept, and to further define the liminal space to facilitate finer description of students’ responses. Our latest analysis confirmed that many university students cannot reason with proportions, that this kind of thinking is difficult to learn, and that it takes more time than is available in a one-semester course. The context and structure of the questions have a marked effect on students’ ability to apply proportional reasoning successfully. The fraction of students who were classified as ‘at or over the threshold’ (i.e., fairly competent at proportional reasoning after instruction ranged between 8% for the most difficult question and 48% for the easiest.

  8. Inexpensive weir and proportional sampler for miniature watershed ecosystems

    Energy Technology Data Exchange (ETDEWEB)

    Nabholz, J V; Crossley, Jr, D A; Best, G R

    1979-07-01

    A weir system with proportional sampler for use on miniature water-shed ecosystems is described. Eight weir collection systems were evaluated for their ability to measure and sample the inputs and outputs of soil-island ecosystems which occur on granite outcrops. The proportion of water actually collected by the weir systems was generally less than the proportion the systems were designed to sample, but adequate for supplying data needed for estimating elemental budgets. The weir systems were not able to account for 25 to 50% of the variation in total water passing over the cutoff wall. Several ways of improving overall performance of the weir systems are discussed.

  9. Properties of an imaging gas scintillation proportional counter

    Science.gov (United States)

    Ku, W. H.-M.; Hailey, C. J.

    1981-01-01

    An instrument which combines the improved energy resolution offered by the gas scintillation proportional counter (GSPC) with the submillimeter imaging capabilities of the multiwire proportional counter (MWPC) is described. The imaging gas scintillation proportional counter detects the centroid of the UV light excited by X-ray photons interacting in the noble gas of the GSPC with a UV sensitive gas in the MWPC. The prototype counter yields a measured performance of 9% (FWHM) energy resolution and 0.9 mm (FWHM) spatial resolution at 6 keV. Further design refinements should achieve 18% (FWHM) energy resolution and 0.6 mm (FWHM) spatial resolution at 1 keV.

  10. Enoxaparin for the prevention of preeclampsia and intrauterine growth restriction in women with a history: a randomized trial.

    Science.gov (United States)

    Groom, Katie M; McCowan, Lesley M; Mackay, Laura K; Lee, Arier C; Said, Joanne M; Kane, Stefan C; Walker, Susan P; van Mens, Thijs E; Hannan, Natalie J; Tong, Stephen; Chamley, Larry W; Stone, Peter R; McLintock, Claire

    2017-03-01

    Preeclampsia and small-for-gestational-age pregnancy are major causes of maternal and perinatal morbidity and mortality. Women with a previous pregnancy affected by these conditions are at an increased risk of recurrence in a future pregnancy. Past trials evaluating the effect of low-molecular-weight heparin for the prevention of recurrence of preeclampsia and small-for-gestational-age pregnancy have shown conflicting results with high levels of heterogeneity displayed when trials were compared. We sought to assess the effectiveness of enoxaparin in addition to high-risk care for the prevention of preeclampsia and small-for-gestational-age pregnancy in women with a history of these conditions. This was an open-label randomized controlled trial in 5 tertiary care centers in 3 countries. Women with a viable singleton pregnancy were invited to participate between >6 +0 and preeclampsia and/or small for gestational age based on their obstetric history. Eligible participants were randomly assigned in a 1-to-1 ratio to standard high-risk care or standard high-risk care plus enoxaparin 40 mg (4000 IU) by subcutaneous injection daily from recruitment until 36 +0 weeks or delivery, whichever occurred sooner. Standard high-risk care was defined as care coordinated by a high-risk antenatal clinic service, aspirin 100 mg daily until 36 +0 weeks, and-for women with prior preeclampsia-calcium 1000-1500 mg daily until 36 +0 weeks. In a subgroup of participants serum samples were taken at recruitment and at 20 and 30 weeks' gestation and later analyzed for soluble fms-like tyrosine kinase-1, soluble endoglin, endothelin-1, placental growth factor, and soluble vascular cell adhesion molecule 1. The primary outcome was a composite of preeclampsia and/or small-for-gestational-age preeclampsia and/or small-for-gestational-age preeclampsia, but there was no difference in levels of these antiangiogenic factors (nor any of the other serum analytes measured) among those treated with

  11. Proportionality: a valid alternative to correlation for relative data.

    Directory of Open Access Journals (Sweden)

    David Lovell

    2015-03-01

    Full Text Available In the life sciences, many measurement methods yield only the relative abundances of different components in a sample. With such relative-or compositional-data, differential expression needs careful interpretation, and correlation-a statistical workhorse for analyzing pairwise relationships-is an inappropriate measure of association. Using yeast gene expression data we show how correlation can be misleading and present proportionality as a valid alternative for relative data. We show how the strength of proportionality between two variables can be meaningfully and interpretably described by a new statistic ϕ which can be used instead of correlation as the basis of familiar analyses and visualisation methods, including co-expression networks and clustered heatmaps. While the main aim of this study is to present proportionality as a means to analyse relative data, it also raises intriguing questions about the molecular mechanisms underlying the proportional regulation of a range of yeast genes.

  12. Constant Proportion Portfolio Insurance Strategy in Southeast European Markets

    National Research Council Canada - National Science Library

    Elma Agić-Šabeta

    2016-01-01

    .... A special attention is given to modelling non-risky assets of the portfolio. Monte Carlo simulations are used to test the buy-and-hold, the constant-mix, and the constant proportion portfolio insurance (CPPI...

  13. The evolution of human and ape hand proportions

    National Research Council Canada - National Science Library

    Almécija, Sergio; Smaers, Jeroen B; Jungers, William L

    2015-01-01

    ...) of humans and chimpanzees. We inspect human and ape hand-length proportions using phylogenetically informed morphometric analyses and test alternative models of evolution along the anthropoid tree of life, including fossils...

  14. Nutrition, hygiene, and stimulation education to improve growth, cognitive, language, and motor development among infants in Uganda: A cluster-randomized trial.

    Science.gov (United States)

    Muhoozi, Grace K M; Atukunda, Prudence; Diep, Lien M; Mwadime, Robert; Kaaya, Archileo N; Skaare, Anne B; Willumsen, Tiril; Westerberg, Ane C; Iversen, Per O

    2017-09-19

    Stunting is associated with impaired cognitive and motor function. The effect of an education intervention including nutrition, stimulation, sanitation, and hygiene on child growth and cognitive/language/motor development, delivered to impoverished mothers in Uganda, was assessed. In a community-based, open cluster-randomized trial, 511 mother/children dyads aged 6-8 months were enrolled to an intervention (n = 263) or control (n = 248) group. The primary outcome was change in length-for-age z-score at age 20-24 months. Secondary outcomes included anthropometry and scores on the 2 developmental scales: Bayley Scales of Infant and Toddler Development-III and the Ages and Stages Questionnaire. There was no evidence of a difference in mean length-for-age z-score at 20-24 months between the 2 study groups: 0.10, 95% CI [-0.17, 0.36], p = .49. The intervention group had higher mean composite development scores than the controls on Bayley Scales of Infant and Toddler Development-III, the mean difference being 15.6, 95% CI [10.9, 20.2], p = .0001; 9.9, 95% CI [6.4, 13.2], p = .0001; and 14.6, 95% CI [10.9, 18.2], p = .0001, for cognitive, language, and motor composite scores, respectively. The mean difference in scores from the Ages and Stages Questionnaire were 7.0, 95% CI [2.9, 11.3], p = .001; 5.9, 95% CI [1.2, 10.3], p = .01; 4.2, 95% CI [1.7, 6.7], p = .001; 8.9, 95% CI [5.3, 12.3], p = .0001; and 4.4, 95% CI [0.0, 8.8], p = .05, for communication, gross motor, fine motor, problem solving, and personal-social development, respectively. The intervention education delivered to mothers promoted early development domains in cognitive, language, and motor development but not linear growth of small children in impoverished rural communities in Uganda. Our study showed that child development may be improved with a relatively low cost intervention strategy. This trial was registered at ClinicalTrials.gov as NCT02098031. © 2017 John Wiley & Sons Ltd.

  15. Proportional reasoning in the learning of chemistry: levels of complexity

    Science.gov (United States)

    Ramful, Ajay; Narod, Fawzia Bibi

    2014-03-01

    This interdisciplinary study sketches the ways in which proportional reasoning is involved in the solution of chemistry problems, more specifically, problems involving quantities in chemical reactions (commonly referred to as stoichiometry problems). By building on the expertise of both mathematics and chemistry education research, the present paper shows how the theoretical constructs in proportional reasoning in mathematics education offer rich explanatory accounts of the complexities involved in solving stoichiometry problems. Using Vergnaud's concept of measure spaces, the theoretical analysis shows that proportionality situations are relatively more intricate, involving various layers of complexity in chemistry as compared to those in the mathematics curriculum. Knowledge of proportionality and chemistry are simultaneously required to provide solutions to chemical reactions. Our analysis of a range of stoichiometry situations led us to propose a problem analysis framework involving five levels of difficulty. Further, the specificity of proportionality in stoichiometry is that it can only be established when quantities are interpreted in the unit "mole," a unit which does not have any physical embodiment in terms of a measure of quantity unlike mass and volume. Our analysis of student-teachers' solution to the stoichiometry problems, shows that they tend to incorrectly (probably intuitively) set proportional relationships when two quantities in a reaction are expressed in non-molar quantities such as mass. The data also bring to the fore the primarily formulaic approach that student-teachers use in setting inherent proportionality relationships. An important finding is the interpretation of a chemical equation as a mathematical equation, rather than a statement of proportionality.

  16. Declining trends of male proportion at birth in Europe.

    Science.gov (United States)

    Martuzzi, M; Di Tanno, N D; Bertollini, R

    2001-01-01

    Declining trends in male proportion at birth observed in several Western countries might reflect widespread exposure to pollutants capable of interfering with human reproduction. In this study, the authors describe male live birth proportion trends in 23 European countries from 1950 to 1996 (total of 305 million live births). Overall, there was a significant linearly decreasing trend of 10 fewer males per 100,000 births each year, resulting in a loss of 73,462 boys during a 47-yr period. The proportion of male births during the first 3 yr of the study period was higher than in the last 3 yr in 18 countries (i.e., 78%). Decreasing trends, which varied in slope and shape, were observed in 11 countries; no significant trend was found in 8 countries, and male birth proportion increased in 4 countries. The results of this study confirmed that the proportion of male births is declining in Europe, and differences exist by region and country. Social and cultural aggregations of countries with decreasing trends suggest that sociodemographic characteristics might be more likely to explain trends than environmental exposures to chemicals. Investigators should evaluate this hypothesis to assess the usefulness of male birth proportion as a sentinel event.

  17. The effects of Spirulina Platensis on anthropometric indices, appetite, lipid profile and serum vascular endothelial growth factor (VEGF) in obese individuals: a randomized double blinded placebo controlled trial.

    Science.gov (United States)

    Zeinalian, Reihaneh; Farhangi, Mahdieh Abbasalizad; Shariat, Atefeh; Saghafi-Asl, Maryam

    2017-04-21

    In recent years, a great attention has been focused on Spirulina platensis as a source of potential valuable nutrients for prevention and treatment of chronic diseases. The objectives of the current study were to determine the effects of Spirulina platensis on anthropometric parameters, serum lipids, appetite and serum Vascular Endothelial Growth Factor (VEGF) in obese individuals. In the current study sixty four obese individuals aged 20-50 years were enrolled and randomly allocated into two groups of intervention and placebo. Intervention group (n = 29) received each 500 mg of the Spirulina platensis a twice-daily dosage while the control group (n = 27) received two pills daily starch for 12 weeks. Anthropometric parameters and serum VEGF and lipid profile were measured in fasting blood samples at the beginning and end of the study period. Dietary intakes were assessed by a 24-h recall method and appetite was measured using standard visual analogue scale (VAS). Body weight and body mass index (BMI) were decreased in intervention and placebo treated groups although the mean reduction in Spirulina platensis-treated group was significantly higher (P Spirulina platensis significantly reduced appetite (P = 0.008). Mean serum VEGF, low density lipoprotein-cholesterol, and triglycerides did not change significantly after intervention. Serum high density lipoprotein-cholesterol concentrations (HDL-c) significantly increased in both groups while no difference in mean difference of this change has been observed. Spirulina supplementation at a dose of 1 g/d for 12 weeks is effective in modulating body weight and appetite and partly modifies serum lipids. This can further confirm the efficacy of this herbal supplement in control and prevention of obesity and obesity- related disorders. Iranian registry of clinical trials (IRCT registration number: IRCT2015071219082N7 ; Date registered: September 12, 2015).

  18. Effects of animal source food and micronutrient fortification in complementary food products on body composition, iron status, and linear growth: a randomized trial in Cambodia.

    Science.gov (United States)

    Skau, Jutta K H; Touch, Bunthang; Chhoun, Chamnan; Chea, Mary; Unni, Uma S; Makurat, Jan; Filteau, Suzanne; Wieringa, Frank T; Dijkhuizen, Marjoleine A; Ritz, Christian; Wells, Jonathan C; Berger, Jacques; Friis, Henrik; Michaelsen, Kim F; Roos, Nanna

    2015-04-01

    Poor nutritional quality of complementary foods often limits growth. Animal source foods, such as milk or meat, are often unaffordable. Local affordable alternatives are needed. We evaluate the efficacy of 2 newly developed, rice-based complementary food products: WinFood (WF) with small fish and edible spiders and WinFood-Lite (WF-L) fortified with small fish, against 2 existing fortified corn-soy blend products, CSB+ (purely plant based) and CSB++ (8% dried skimmed milk). In total, 419 infants aged 6 mo were enrolled in this randomized, single-blinded study for 9 mo, designed primarily to assess increments in fat-free mass by a deuterium dilution technique and change in plasma ferritin and soluble transferrin receptor. Secondary endpoints were changes in anthropometric variables, including knee-heel length. Data were analyzed by the intention-to-treat approach. There was no difference in fat-free mass increment in WF or WF-L compared with CSB+ [WF: +0.04 kg (95% CI: -0.20, 0.28 kg); WF-L: +0.14 kg (95% CI: -0.10, 0.38 kg)] or CSB++ [WF: -0.03 kg (95% CI: -0.27, 0.21 kg); WF-L: +0.07 kg (95% CI: -0.18, 0.31 kg)] and no effect on iron status. The 1.7-mm (95% CI: -0.1, 3.5 mm) greater increase in knee-heel length in WF-L than in CSB+ was not significant. No difference was found between the locally produced products (WF and WF-L) and the CSBs. Micronutrient fortification may be necessary, and small fish may be an affordable alternative to milk to improve complementary foods. The dietary role of edible spiders needs to be further explored. This trial was registered at controlled-trials.com as ISRCTN19918531. © 2015 American Society for Nutrition.

  19. Treatment of silicosis with hepatocyte growth factor-modified autologous bone marrow stromal cells: a non-randomized study with follow-up.

    Science.gov (United States)

    Liu, W W; Wang, H X; Yu, W; Bi, X Y; Chen, J Y; Chen, L Z; Ding, L; Han, D M; Guo, Z K; Lei, Y X

    2015-09-09

    Pulmonary silicosis is an irreversible and untreatable disease that is characterized by interstitial lesions and perpetual fibrosis in the lungs. This study was performed to determine whether mesenchymal stem cells (MSCs) and hepatocyte growth factor (HGF) could exhibit therapeutic effects on human silicosis. This non-randomized uncontrolled trial comprised four patients with pulmonary silicosis who had developed lung fibrosis and received autologous bone marrow MSCs previously transfected by a vector containing human HGF cDNA (MSCs/HGF). MSCs/HGF were intravenously administered weekly for three consecutive weeks at a dose of 2 x 10(6) cells/kg. Pulmonary function, high kilo-voltage chest X-ray radiography, computed tomography (CT) scan, and peripheral blood lymphocyte subset and serum IgG concentrations were evaluated after cell therapy. The treatment was found to be generally safe. Symptoms such as cough and chest distress gradually ameliorated at six months post-therapy, accompanied by the significant improvement of pulmonary function. The ratios of the peripheral CD4- and CD8- positive cell concentrations were increased (P < 0.05). Furthermore, the serum IgG levels in these patients were decreased and reached the normal range (P < 0.05). CT scans showed partial absorption of the nodular and reticulonodular lesions in the lungs during follow-up of at least 12 months. The effectiveness of this novel regimen observed in these patients suggests that a placebo-controlled clinical trial needs to be developed. This study carries trial registration No. NCT01977131 (ClinicalTrials.gov).

  20. Limb-size proportions in Australopithecus afarensis and Australopithecus africanus.

    Science.gov (United States)

    Green, David J; Gordon, Adam D; Richmond, Brian G

    2007-02-01

    Previous analyses have suggested that Australopithecus africanus possessed more apelike limb proportions than Australopithecus afarensis. However, due to the errors involved in estimating limb length and body size, support for this conclusion has been limited. In this study, we use a new Monte Carlo method to (1) test the hypothesis that A. africanus had greater upper:lower limb-size proportions than A. afarensis and (2) assess the statistical significance of interspecific differences among these taxa, extant apes, and humans. Our Monte Carlo method imposes sampling constraints that reduce extant ape and human postcranial measurements to sample sizes comparable to the fossil samples. Next, composite ratios of fore- and hindlimb geometric means are calculated for resampled measurements from the fossils and comparative taxa. Mean composite ratios are statistically indistinguishable (alpha=0.05) from the actual ratios of extant individuals, indicating that this method conserves each sample's central tendency. When applied to the fossil samples, upper:lower limb-size proportions in A. afarensis are similar to those of humans (p=0.878) and are significantly different from all great ape proportions (pAustralopithecus africanus is more similar to the apes (p> or =0.180) and significantly different from humans and A. afarensis (pafricanus possessed more apelike limb-size proportions than A. afarensis, suggesting that A. africanus either evolved from a more postcranially primitive ancestor than A. afarensis or that the more apelike limb-size proportions of A. africanus were secondarily derived from an A. afarensis-like ancestor. Among the extant taxa, limb-size proportions correspond with observed levels of forelimb- and hindlimb-dominated positional behaviors. In conjunction with detailed anatomical features linked to arboreality, these results suggest that arboreal posture and locomotion may have been more important components of the A. africanus behavioral repertoire

  1. The principle of proportionality revisited: interpretations and applications.

    Science.gov (United States)

    Hermerén, Göran

    2012-11-01

    The principle of proportionality is used in many different contexts. Some of these uses and contexts are first briefly indicated. This paper focusses on the use of this principle as a moral principle. I argue that under certain conditions the principle of proportionality is helpful as a guide in decision-making. But it needs to be clarified and to be used with some flexibility as a context-dependent principle. Several interpretations of the principle are distinguished, using three conditions as a starting point: importance of objective, relevance of means, and most favourable option. The principle is then tested against an example, which suggests that a fourth condition, focusing on non-excessiveness, needs to be added. I will distinguish between three main interpretations of the principle, some primarily with uses in research ethics, others with uses in other areas of bioethics, for instance in comparisons of therapeutic means and ends. The relations between the principle of proportionality and the precautionary principle are explored in the following section. It is concluded that the principles are different and may even clash. In the next section the principle of proportionality is applied to some medical examples drawn from research ethics and bioethics. In concluding, the status of the principle of proportionality as a moral principle is discussed. What has been achieved so far and what remains to be done is finally summarized.

  2. A reduced feedback proportional fair multiuser scheduling scheme

    KAUST Repository

    Shaqfeh, Mohammad

    2011-12-01

    Multiuser switched-diversity scheduling schemes were recently proposed in order to overcome the heavy feedback requirements of conventional opportunistic scheduling schemes by applying a threshold-based, distributed and ordered scheduling mechanism. A slight reduction in the prospected multiuser diversity gains is an acceptable trade-off for great savings in terms of required channel-state-information feedback messages. In this work, we propose a novel proportional fair multiuser switched-diversity scheduling scheme and we demonstrate that it can be optimized using a practical and distributed method to obtain the per-user feedback thresholds. We demonstrate by numerical examples that our reduced feedback proportional fair scheduler operates within 0.3 bits/sec/Hz from the achievable rates by the conventional full feedback proportional fair scheduler in Rayleigh fading conditions. © 2011 IEEE.

  3. Prospective Teachers Proportional Reasoning and Presumption of Student Work

    Directory of Open Access Journals (Sweden)

    Mujiyem Sapti

    2015-08-01

    Full Text Available This study aimed to describe the proportional reasoning of prospective teachers and their predictions about students' answers. Subjects were 4 prospective teacher  7th semester Department of Mathematics Education, Muhammadiyah University of Purworejo. Proportional reasoning task used to obtain research data. Subjects were asked to explain their reasoning and write predictions of student completion. Data was taken on October 15th, 2014. Interviews were conducted after the subjects completed the task and recorded with audio media. The research data were subject written work and interview transcripts. Data were analyzed using qualitative analysis techniques. In solving the proportional reasoning task, subjects using the cross product. However, they understand the meaning of the cross product. Subject also could predict students' reasoning on the matter.

  4. A multiball read-out for the spherical proportional counter

    Science.gov (United States)

    Giganon, A.; Giomataris, I.; Gros, M.; Katsioulas, I.; Navick, X. F.; Tsiledakis, G.; Savvidis, I.; Dastgheibi-Fard, A.; Brossard, A.

    2017-12-01

    We present a novel concept of proportional gas amplification for the read-out of the spherical proportional counter. The standard single-ball read-out presents limitations for large diameter spherical detectors and high-pressure operations. We have developed a multi-ball read-out system which consists of several balls placed at a fixed distance from the center of the spherical vessel. Such a module can tune the volume electric field at the desired value and can also provide detector segmentation with individual ball read-out. In the latter case, the large volume of the vessel becomes a spherical time projection chamber with 3D capabilities.

  5. Full simulation of the Sudbury Neutrino Observatory proportional counters

    CERN Document Server

    Beltran, B; Cai, B.; Cox, G.A.; Deng, H.; Detwiler, J.; Formaggio, J.A.; Habib, S.; Hallin, A.L.; Hime, A.; Huang, M.; Kraus, C.; Leslie, H.R.; Loach, J.C.; Martin, R.; McGee, S.; Miller, M.L.; Monreal, B.; Monroe, J.; Oblath, N.S.; Peeters, S.J.M.; Poon, A.W.P.; Prior, G.; Rielage, K.; Robertson, R.G.H.; Smith, M.W.E.; Stonehill, L.C.; Tolich, N.; Van Wechel, T.; Wan Chan Tseung, H.; Wendland, J.; Wilkerson, J.F.; Wright, A.

    2011-01-01

    The third phase of the Sudbury Neutrino Observatory (SNO) experiment added an array of 3He proportional counters to the detector. The purpose of this Neutral Current Detection (NCD) array was to observe neutrons resulting from neutral-current solar neutrino-deuteron interactions. We have developed a detailed simulation of the current pulses from the NCD array proportional counters, from the primary neutron capture on 3He through the NCD array signal-processing electronics. This NCD array Monte Carlo simulation was used to model the alpha-decay background in SNO's third-phase 8B solar-neutrino measurement.

  6. The MSFC large-area imaging multistep proportional counter

    Science.gov (United States)

    Ramsey, B. D.; Weisskopf, M. C.; Joy, M. K.

    1989-01-01

    A large-area multistep imaging proportional counter that is being currently developed at the Marshall Space Flight Center is described. The device, known as a multistep fluorescence gated detector, consists of a multiwire proportional counter (MWPC) with a preamplification region. The MWCP features superior spatial resolution with a very high degree of background rejection. It is ideally suited for use in X-ray astronomy in 20-100 keV energy range. The paper includes the MWPC schematic and a list of instrument specifications.

  7. Full simulation of the Sudbury Neutrino Observatory proportional counters

    Energy Technology Data Exchange (ETDEWEB)

    Beltran, B; Habib, S; Hallin, A L [Department of Physics, University of Alberta, Edmonton, Alberta T6G 2R3 (Canada); Bichsel, H; Cox, G A; Formaggio, J A; McGee, S; Miller, M L; Oblath, N S [Center for Experimental Nuclear Physics and Astrophysics, and Department of Physics, University of Washington, Seattle, WA 98195 (United States); Cai, B; Kraus, C; Leslie, H R; Martin, R [Department of Physics, Queen' s University, Kingston, Ontario K7L 3N6 (Canada); Deng, H [Department of Physics and Astronomy, University of Pennsylvania, Philadelphia, PA 19104-6396 (United States); Detwiler, J; Loach, J C [Institute for Nuclear and Particle Astrophysics and Nuclear Science Division, Lawrence Berkeley National Laboratory, Berkeley, CA 94720 (United States); Hime, A [Los Alamos National Laboratory, Los Alamos, NM 87545 (United States); Huang, M [Department of Physics, University of Texas at Austin, Austin, TX 78712-0264 (United States); Monreal, B; Monroe, J, E-mail: nsoblath@mit.edu [Laboratory for Nuclear Science, Massachusetts Institute of Technology, Cambridge, MA 02139 (United States)

    2011-07-15

    The third phase of the Sudbury Neutrino Observatory (SNO) experiment added an array of {sup 3}He proportional counters to the detector. The purpose of this neutral-current detection (NCD) array was to observe neutrons resulting from neutral-current solar-neutrino-deuteron interactions. We have developed a detailed simulation of current pulses from NCD array proportional counters, from the primary neutron capture on {sup 3}He through NCD array signal-processing electronics. This NCD array MC simulation was used to model the alpha-decay background in SNO's third-phase {sup 8}B solar-neutrino measurement.

  8. Naval Power System Dynamics with Proportional Type Regulators

    Directory of Open Access Journals (Sweden)

    Florentiu Deliu

    2011-09-01

    Full Text Available This work analyzes the dynamic behavior of naval power system using proportional type controllers, system which provides energy for consumers on the vessel so that the voltage and frequency is always in nominal value limits. Essential problems of the work relates to the tuning of controllers, because the system is nonlinear and we can’t apply known criteria. Analyzing type P controllers we found that oscillations known to occur in proportional type controller can put out the naval power system.

  9. Random regression models

    African Journals Online (AJOL)

    zlukovi

    modelled as a quadratic regression, nested within parity. The previous lactation length was ... This proportion was mainly covered by linear and quadratic coefficients. Results suggest that RRM could .... The multiple trait models in scalar notation are presented by equations (1, 2), while equation. (3) represents the random ...

  10. Reduced Th22 cell proportion and prevention of atopic dermatitis in infants following maternal probiotic supplementation.

    Science.gov (United States)

    Rø, A D B; Simpson, M R; Rø, T B; Storrø, O; Johnsen, R; Videm, V; Øien, T

    2017-08-01

    In the randomized, controlled study Probiotics in the Prevention of Allergy among Children in Trondheim (ProPACT), maternal probiotic supplementation reduced the incidence of atopic dermatitis (AD) in the offspring. In the current study, we hypothesized that the effect was mediated by a shift in the T helper (Th) cells in the children. To examine whether Th cell proportions were affected by maternal probiotic supplementation and thus could mediate the preventive effect of probiotics on AD. A total of 415 pregnant women were randomized to ingest a combination of Lactobacillus rhamnosus GG (LGG), Bifidobacterium animalis subsp. lactis Bb-12 (Bb-12) and Lactobacillus acidophilus La-5 (La-5) or placebo, and their offspring were assessed for AD during the first 2 years of life. Peripheral blood collected at 3 months of age was analysed for regulatory T cells (n=140) and Th subsets (n=77) including Th1, Th2, Th9, Th17 and Th22. The proportion of Th22 cells was reduced in children in the probiotic group compared to the placebo group (median 0.038% vs 0.064%, P=.009). The difference between the probiotic and placebo groups was also observed in the children who did not develop AD during the 2-year follow-up. The proportion of Th22 cells was increased in children who developed AD compared to the children who did not develop AD (0.090% vs 0.044%, Ppreventive effect of probiotics was partially mediated through the reduction in Th22 cells. Perinatal maternal probiotic supplementation with a combination of LGG, Bb-12 and La-5 reduced the proportion of Th22 cells in 3-month-old children. This may partially explain the preventive effect of probiotics on AD. © 2017 John Wiley & Sons Ltd.

  11. Morphometrics and ratio of body proportionality of tadpoles of Rhinella icterica (Anura, Bufonidae) at different developmental stages.

    Science.gov (United States)

    Lima, M S C S; Pederassi, J

    2012-08-01

    The plasticity of the anurans' development is probably related to their great ecological and geographic diversity. Therefore, the understanding of environmental occupation by tadpoles is related to their morphological peculiarities. We evaluated the morphologic development of the larval phases 23, 25, 30, 37, 39 and 42 of Rhinella icterica with the aim of establishing the ratio of growth, the increase in corporal mass in relation to growth and the isometry of the corporal variables for each evaluated stage. We submitted the corporal variables to the Multivariate Allometry and the relation between these variables was evaluated using the Principal Components Analysis. We verified the isometric growth and correlation between the different variables, evaluated the growth according to the body mass and established the proportionality ratio between the corporal regions. Each corporal region evaluated presented a fixed proportionality ratio, regardless of the stage, and the size of this portion was found when its proportionality index was multiplied by the tadpole's total length. This study demonstrates that the larval phase of R. icterica presents an isometric growth with proportional development of the corporal parts regardless of the evaluated stage.

  12. Neocortical calretinin neurons in primates: increase in proportion and microcircuitry structure

    Directory of Open Access Journals (Sweden)

    Domagoj eDžaja

    2014-09-01

    Full Text Available In this mini review we first point at the expansion of associative cortical areas in primates as well as at the intrinsic changes in the structure of the cortical column. There is a huge increase in proportion of glutamatergic cortical projecting neurons located in the upper cortical layers (II/III. In addition, inside this group a novel class of associative neurons becomes recognized that is important for both, inter-areal and intra-areal columnar integration. By overviewing the literature data we found that there might be also a 50% increase in proportion of neocortical GABAergic neurons between primates and rodents, principally reflecting a 4 to 5 fold increase in proportion of calretinin interneurons. In primates calretinin interneurons might represent 15% of the total neuron number in the upper layers of high order associative areas. Evaluating data about functional properties of their connectivity we hypothesize that an exponential increase in proportion of calretinin interneurons might lead to supra-linear growth in memory capacity of the associative neocortical network. An open question is do we have some new calretinin interneuron subtypes which might substantially change micro-circuitry structure of the primate cerebral cortex.

  13. Map Scale, Proportion, and Google[TM] Earth

    Science.gov (United States)

    Roberge, Martin C.; Cooper, Linda L.

    2010-01-01

    Aerial imagery has a great capacity to engage and maintain student interest while providing a contextual setting to strengthen their ability to reason proportionally. Free, on-demand, high-resolution, large-scale aerial photography provides both a bird's eye view of the world and a new perspective on one's own community. This article presents an…

  14. faba bean and field pea seed proportion for intercropping system

    African Journals Online (AJOL)

    Administrator

    Intercropping of Faba bean (Vicia fabae) and field pea (Pisum sativum) is an important cropping system in the. Horro highlands of Ethiopia, but seed proportions balance is important to intercrop productivity. An experiment was conducted to determine the optimum seed rates on component crop yield and land equivalent ...

  15. The relation between spatial thinking and proportional reasoning in preschoolers.

    Science.gov (United States)

    Möhring, Wenke; Newcombe, Nora S; Frick, Andrea

    2015-04-01

    Previous research has indicated a close link between spatial and mathematical thinking. However, what shared processes account for this link? In this study, we focused on the spatial skill of map reading and the mathematical skill of proportional reasoning and investigated whether scaling, or the ability to relate information in different-sized representations, is a shared process. Scaling was experimentally manipulated in both tasks. In the map task, 4- and 5-year-olds (N=50) were asked to point to the same position shown on a map in a larger referent space on a touch screen. The sizes of the maps were varied systematically, such that some trials required scaling and some did not (i.e., the map had the same size as the referent space). In the proportional reasoning task, children were presented with different relative amounts of juice and water and were asked to estimate each mixture on a rating scale. Again, some trials required scaling, but others could be solved by directly mapping the proportional components onto the rating scale. Children's absolute errors in locating targets in the map task were closely related to their performance in the proportional reasoning task even after controlling for age and verbal intelligence. Crucially, this was only true for trials that required scaling, whereas performance on nonscaled trials was not related. These results shed light on the mechanisms involved in the close connection between spatial and mathematical thinking early in life. Copyright © 2015 Elsevier Inc. All rights reserved.

  16. An Investigation of Proportional Reasoning Skills of Middle School Students

    Science.gov (United States)

    Ozgun-Koca, S. Asli; Altay, Mesture Kayhan

    2009-01-01

    The purpose of this study was to examine the proportional reasoning skills of Turkish middle school students. It was also aimed at revealing the differences in students' performances in terms of their gender, grade level, and problem types--missing value and numerical comparison. The study was conducted with two sixth and seventh grade classes…

  17. Nature and proportion of total injuries at the Stellenbosch Rugby ...

    African Journals Online (AJOL)

    Objective. The purpose of this study was to compare the nature and proportion of total injuries occurring at Stellenbosch Rugby Football Club in Stellenbosch, South Africa, between the years 1973 - 1975 and 2003 - 2005. Design. Retrospective, descriptive study. Main outcome measures. Injured rugby players from the ...

  18. Effect of Different Proportion of Lucerne Meal in Broiler Chickens

    Directory of Open Access Journals (Sweden)

    Jana Tkáčová

    2011-05-01

    Full Text Available We carried the feeding experiment with broiler chickens ROSS 308. The experiment was contained from two groups. In each group were 100 pcs broiler chickens. We research in the experiment the efficiency of lucerne meal with proportion 2% and 6% in feed mixtures. The lucerne meal contains protein 164 g per kg, fiber 257 g per kg, lysine 6.95 g per kg, methionine 2.4 g per kg, methionine + cysteine 4.1 g per kg, threonine 6.66 g per kg, thryptophane 2.1 g per kg, metabolizable energy 4.0 MJ per kg and carotenoids content 293.0 mg per kg. The broilers body weight was increased 1738.4 g in group with proportion of lucerne meal 2% in feed mixtures. The proportion of proportion 6% lucerne meal in feed mixtures decreased a body weight of the broiler chickens on level 1552.8 g. The differences of body weight between groups of the broiler chickens were statistically significant (P<0.05. Lucerne meal contains fiber, which increases the overall percentage of fiber in the compound, resulting in worse feed utilization.

  19. Proportional control valves integrated in silicon nitride surface channel technology

    NARCIS (Netherlands)

    Groen, Maarten; Groenesteijn, Jarno; Meutstege, Esken; Brookhuis, Robert Anton; Brouwer, Dannis Michel; Lötters, Joost Conrad; Wiegerink, Remco J.

    2015-01-01

    We have designed and realized two types of proportional microcontrol valves in a silicon nitride surface channel technology process. This enables on-die integration of flow controllers with other surface channel devices, such as pressure sensors or thermal or Coriolis-based (mass) flow sensors, to

  20. The proportional odds cumulative incidence model for competing risks

    DEFF Research Database (Denmark)

    Eriksson, Frank; Li, Jianing; Scheike, Thomas

    2015-01-01

    We suggest an estimator for the proportional odds cumulative incidence model for competing risks data. The key advantage of this model is that the regression parameters have the simple and useful odds ratio interpretation. The model has been considered by many authors, but it is rarely used in pr...

  1. Performance Evaluation of Proportional Fair Scheduling Algorithm with Measured Channels

    DEFF Research Database (Denmark)

    Sørensen, Troels Bundgaard; Pons, Manuel Rubio

    2005-01-01

    Motivated by the promising performance results of the proportional fair (PF) packet scheduling algorithm, often quoted in connection with WCDMA High Speed Downlink Packet Access (HSDPA), we have performed an evaluation of the PF gain in comparison to the simpler round robin (RR) scheduler when...

  2. Fairness of seat allocation methods in proportional representation

    African Journals Online (AJOL)

    Fairness of seat allocation methods in proportional representation. 95 is allocated the next seat and the quotient is recalculated with si increased by one. This process is repeated until all the seats have been allocated. d'Hondt's method to allocate. 6 seats to 5 parties is shown in Table 1. The numbers in bold indicate where ...

  3. Proportionality in the New German Insurance Contract Act 2008

    NARCIS (Netherlands)

    H. Heiss (Helmut)

    2013-01-01

    markdownabstract__Abstract__ In 2008, the German legislature enacted a completely revised Insurance Contract Act, in which a new rule of proportionality replaced the former all-or-nothing principle for questions of liability. This article outlines the reasons for this shift and the impact of the

  4. Proportional Reasoning in the Learning of Chemistry: Levels of Complexity

    Science.gov (United States)

    Ramful, Ajay; Narod, Fawzia Bibi

    2014-01-01

    This interdisciplinary study sketches the ways in which proportional reasoning is involved in the solution of chemistry problems, more specifically, problems involving quantities in chemical reactions (commonly referred to as stoichiometry problems). By building on the expertise of both mathematics and chemistry education research, the present…

  5. Proportion of bacteria causing healthcare associated infection in ...

    African Journals Online (AJOL)

    Proportion of bacteria causing healthcare associated infection in Khartoum North Teaching Hospital. ... isolates were highly sensitive to antibiotic such as ceftriaxone, ciprofloxacin and imipenem, while P. aeruginosa showed resistant to many commonly used antibiotics, but was sensitive to imipenem and pipracillin.

  6. Facial approximation: Evaluation of dental and facial proportions ...

    African Journals Online (AJOL)

    Objective: To explore if any relationship exists between dental and facial proportions as well as the height of the individuals. Methods: Two hundred and four dental students of the Obafemi Awolowo University volunteered to participated in the study. The lower facial height, inter incisal, inter canine, and intercommisure ...

  7. Fairness of seat allocation methods in proportional representation ...

    African Journals Online (AJOL)

    In this paper the fairness of some methods of allocating seats in a proportional representation (PR) voting system is investigated. Different PR systems are in use throughout the democratic world, but the primary focus here is the method used in South Africa, namely the largest remainder method with a Droop quota.

  8. Geometric proportions in Islamic architecture: case of the Sidi El ...

    African Journals Online (AJOL)

    In the next step the measurements of heights, widths, lengths and angles of different architectural elements were compared in order to find arithmetic and harmonic proportions. The last ones were found especially in the golden number Φ, equal to 1.618. In addition, the cubit of time was computed and found equal to 0.4375 ...

  9. The Case of Lesotho's Mixed Member Proportional System | Kapa ...

    African Journals Online (AJOL)

    preparation of the 2002 poll, prominent among which has been the introduction of the Mixed Member Proportional (MMP) electoral system. Through this model, Lesotho enjoyed a large degree of political stability as almost all parties that contested the poll got representation in the national parliament. However, following the ...

  10. Modelling boron-lined proportional counter response to neutrons.

    Science.gov (United States)

    Shahri, A; Ghal-Eh, N; Etaati, G R

    2013-09-01

    The detailed Monte Carlo simulation of a boron-lined proportional counter response to a neutron source has been presented. The MCNP4C and experimental data on different source-moderator geometries have been given for comparison. The influence of different irradiation geometries and boron-lining thicknesses on the detector response has been studied.

  11. The influence of proportion of Hereford breeding in a multibreed ...

    African Journals Online (AJOL)

    Unknown

    frame-sized breeds such as the Simmentaler and Charolais to the composition of the herd (Schoeman et al., submitted). In earlier reports (Schoeman et al., 1993) it was found that the large negative maternal effect overrides a positive direct effect, thus leading to the decreased WW with increasing proportion of H, despite a ...

  12. High condylectomy versus proportional condylectomy: is secondary orthognathic surgery necessary?

    Science.gov (United States)

    Fariña, R; Olate, S; Raposo, A; Araya, I; Alister, J P; Uribe, F

    2016-01-01

    The objective of this study was to assess the need for secondary orthognathic surgery in patients undergoing two different condylectomy protocols for active unilateral condylar hyperplasia (UCH). A retrospective cohort study evaluated UCH patients treated by condylectomy. Two groups were established: group 1 comprised those who had undergone a high condylectomy (5 mm removed) and group 2 comprised those who had undergone a proportional condylectomy (removing the difference observed between the measurements of the hyperplastic and the healthy side). Data analysis was done with the Levene test and t-test; a P-value of <0.05 indicated a statistically significant relationship. Forty-nine patients, with an average age of 19.83 years, were analyzed; 11 were included in group 1 and 38 in group 2. There was no statistical difference between the two groups with regard to age or sex (P=0.781). An average of 5.81 mm was removed in the high condylectomy group, while an average of 9.28 mm was removed in the proportional condylectomy group; this difference was statistically significant (P=0.042). Comparing the two groups, proportional condylectomy reduced the need for secondary orthognathic surgery (P<0.001). The proportional condylectomy can be used as the sole surgical treatment in cases of UCH, thus avoiding the need for secondary orthognathic surgery. Copyright © 2015 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  13. One-step quantitative cortisol dipstick with proportional reading

    NARCIS (Netherlands)

    Leung, Wingman; Chan, Puiyee; Bosgoed, F.; Lehmann, Karin; Renneberg, Ilka; Lehmann, Matthias; Renneberg, Reinhard

    2003-01-01

    Rapid quantitative immuno-detection of haptens by the lateral flow assay without “typical” competitive inhibition results is studied. In the present study, we describe an immuno-threshold-based assay for the quantification of cortisol. It gives a signal which is directly proportional to the cortisol

  14. Proportional hazards modeling of saccadic response times during reading.

    Science.gov (United States)

    Nilsson, Mattias; Nivre, Joakim

    2013-07-01

    In this article we use proportional hazards models to examine how low-level processes affect the probability of making a saccade over time, through the period of fixation, during reading. We apply the Cox proportional hazards model to investigate how launch distance (relative to word beginning), fixation location (relative to word center), and word frequency affect the hazard of a saccadic response. This model requires that covariates have a constant impact on the hazard over time, the assumption of proportional hazards. We show that this assumption is not supported. The impact of the covariates changes with the time passed since fixation onset. To account for the non-proportional hazards we fit step functions of time, resulting in a model with time-varying effects on the hazard. We evaluate the ability to predict the timing of saccades on held-out fixation data. The model with time-varying effects performs better in predicting the timing of saccades for fixations as short as 100 ms and as long as 500 ms, when compared both to a baseline model without covariates and a model which assumes constant covariate effects. This result suggests that the time-varying effects model better recovers the time course of low-level processes that influence the decision to move the eyes. Copyright © 2013 Cognitive Science Society, Inc.

  15. Development of a honeycomb gas proportional counter array for ...

    Indian Academy of Sciences (India)

    Development of a honeycomb gas proportional counter array for photon multiplicity measurements in high multiplicity environment. M S Ganti ... A novel gas-based detector using large arrays of honeycomb cells has been developed and tested for use as a pre-shower photon multiplicity detector (PMD) for STAR and ALICE ...

  16. Differences in body composition, body proportions and timing of ...

    African Journals Online (AJOL)

    The purpose of this study was to assess differences in body composition, proportions and timing of puberty between stunted and non-stunted South African adolescents in the North West Province, South Africa. A total of 259 black adolescents (118 boys, 141 girls), aged 13-18 years were measured. The following data were ...

  17. What proportion of patients with chronic heart failure are eligible for sacubitril-valsartan?

    OpenAIRE

    Pellicori, Pierpaolo; Urbinati, Alessia; Shah, Parin; MacNamara, Alexandra; Kazmi, Syed; Dierckx, Riet; Zhang, Jufen; Cleland, John G.F.; Clark, Andrew L.

    2017-01-01

    Aims:\\ud \\ud The PARADIGM-HF trial showed that sacubitril–valsartan, an ARB–neprilysin inhibitor, is more effective than enalapril for some patients with heart failure (HF). It is uncertain what proportion of patients with HF would be eligible for sacubitril–valsartan in clinical practice.\\ud Methods and results:\\ud \\ud Between 2001 and 2014, 6131 patients consecutively referred to a community HF clinic with suspected HF were assessed. The criteria required to enter the randomized phase of PA...

  18. The Principle of Proportionality in International Criminal Law

    Directory of Open Access Journals (Sweden)

    Venus GHAREH BAGHI

    2011-11-01

    Full Text Available The principle of proportionality indicated to, are that the criminal codes should contain specific maximums for crime or category of crimes. As to the applicable penalty, should be made distinctive not only between types of crimes but also between completed crimes and inchoate crimes. Unfortunately, the principle of proportionality is not obvious in substantive international law. Although the 1993 draft statute allowed for right of appeal against sentences where there was obvious disproportion between the crime and the sentence. The Tribunals’ Rules of Procedure and Evidence has been given additional directives on sentencing but The ICC Statute, does not provide precise penalties for specific crimes, despite the wide range of offenses and forms of participation that the court is called upon to judge.

  19. Proportional Distribution of Patient Satisfaction Scores by Clinical Service

    Directory of Open Access Journals (Sweden)

    Michael S Leonard MD, MS

    2015-11-01

    Full Text Available The Proportional Responsibility for Integrated Metrics by Encounter (PRIME model is a novel means of allocating patient experience scores based on the proportion of each physician's involvement in care. Secondary analysis was performed on Hospital Consumer Assessment of Healthcare Providers and Systems surveys from a tertiary care academic institution. The PRIME model was used to calculate specialty-level scores based on encounters during a hospitalization. Standard and PRIME scores for services with the most inpatient encounters were calculated. Hospital medicine had the most discharges and encounters. The standard model generated a score of 74.6, while the PRIME model yielded a score of 74.9. The standard model could not generate a score for anesthesiology due to the lack of returned surveys, but the PRIME model yielded a score of 84.2. The PRIME model provides a more equitable method for distributing satisfaction scores and can generate scores for specialties that the standard model cannot.

  20. Detecting selection-induced departures from Hardy-Weinberg proportions.

    Science.gov (United States)

    Lachance, Joseph

    2009-01-21

    Viability selection influences the genotypic contexts of alleles and leads to quantifiable departures from Hardy-Weinberg proportions. One measure of these departures is Wright's inbreeding coefficient (F), where observed heterozygosity is compared with expected heterozygosity. Here, I extend population genetics theory to describe post-selection genotype frequencies in terms of post-selection allele frequencies and fitness dominance. The resulting equations correspond to non-equilibrium populations, allowing the following questions to be addressed: When selection is present, how large a sample size is needed to detect significant departures from Hardy-Weinberg? How do selection-induced departures from Hardy-Weinberg vary with allele frequencies and levels of fitness dominance? For realistic selection coefficients, large sample sizes are required and departures from Hardy-Weinberg proportions are small.

  1. A multiwire proportional counter for XAS fluorescence experiments.

    Science.gov (United States)

    Barrea, R A; Tamura, E; Tolentino, H C

    2001-03-01

    A multiwire proportional counter was used in fluorescence X ray absorption measurements and a comparison to a Si(Li) and NaI(Tl) detectors was done. The main features of the multiwire proportional counter are its high counting rate capability (10(7)) counts x s(-1)) and large active area (6 x 6 cm2). It was shown that the MWPC is suitable for fluorescence absorption. Although the maximum capability was not reached in the present experiments, it was found that as the counting rate increase the MWPC performance became better than Si(Li) detectors and shows a similar response to the scintillator counter at medium counting rates (up to 10(5) counts x s(-1)).

  2. Exact Group Sequential Methods for Estimating a Binomial Proportion

    Directory of Open Access Journals (Sweden)

    Zhengjia Chen

    2013-01-01

    Full Text Available We first review existing sequential methods for estimating a binomial proportion. Afterward, we propose a new family of group sequential sampling schemes for estimating a binomial proportion with prescribed margin of error and confidence level. In particular, we establish the uniform controllability of coverage probability and the asymptotic optimality for such a family of sampling schemes. Our theoretical results establish the possibility that the parameters of this family of sampling schemes can be determined so that the prescribed level of confidence is guaranteed with little waste of samples. Analytic bounds for the cumulative distribution functions and expectations of sample numbers are derived. Moreover, we discuss the inherent connection of various sampling schemes. Numerical issues are addressed for improving the accuracy and efficiency of computation. Computational experiments are conducted for comparing sampling schemes. Illustrative examples are given for applications in clinical trials.

  3. Detecting selection-induced departures from Hardy-Weinberg proportions

    Science.gov (United States)

    Lachance, Joseph

    2009-01-01

    Viability selection influences the genotypic contexts of alleles and leads to quantifiable departures from Hardy-Weinberg proportions. One measure of these departures is Wright's inbreeding coefficient (F), where observed heterozygosity is compared with expected heterozygosity. Here, I extend population genetics theory to describe post-selection genotype frequencies in terms of post-selection allele frequencies and fitness dominance. The resulting equations correspond to non-equilibrium populations, allowing the following questions to be addressed: When selection is present, how large a sample size is needed to detect significant departures from Hardy-Weinberg? How do selection-induced departures from Hardy-Weinberg vary with allele frequencies and levels of fitness dominance? For realistic selection coefficients, large sample sizes are required and departures from Hardy-Weinberg proportions are small. PMID:19284519

  4. Sur l'utilité de la carte en proportions

    Directory of Open Access Journals (Sweden)

    Isabelle DEBEER

    1996-03-01

    Full Text Available Seule la carte en proportions révèle des répartitions de masses. Cette règle élémentaire de cartographie est rappelée ici par un exemple opérationnel: la répartition spatiale des logements chauffés à l'énergie solaire en Belgique.

  5. Finishing procedures in Orthodontics: dental dimensions and proportions (microesthetics)

    OpenAIRE

    Roberto Carlos Bodart Brandão; Larissa Bustamente Capucho Brandão

    2013-01-01

    OBJECTIVE: The objective of the present article is to describe procedures that can be performed to achieve excellence in orthodontic treatment finishing. The content is limited to microesthetics, which comprises the concept of ideal dental dimensions and proportions (white esthetics) and its correlation with the periodontium (pink esthetics). Standards of normality are described both in their real dimensions (dental height and width), and in those effectively perceived by the observer, the vi...

  6. Constitutional Model and Rationality in Judicial Decisions from Proportionality Technique

    OpenAIRE

    Feio, Thiago Alves

    2016-01-01

    In the current legal systems, the content of the Constitutions consists of values that serve to limit state action. The department in charge of the control of this system is, usually, the Judiciary. This choice leads to two major problems, the tension between democracy and constitutionalism and the subjectivity that control. One of the solutions to subjectivity is weighting of principles through the proportionality technique, which aims to give rational decisions. This technique doesn’t elimi...

  7. Implicative analysis of strategies in solving proportional and nonproportional problems

    OpenAIRE

    Fernández Verdú, Ceneida; Llinares Ciscar, Salvador; Valls González, Julia

    2008-01-01

    The purpose of this study is to examine the implicative relationship among students’ strategies while solving proportional and nonproportional problems. We used the computer software CHIC to carry out an implicative statistical analysis of the strategies used in different types of problems. Our analysis showed that the use of some strategies was linked to characteristics of the problem, as the context and the type of relationship between numbers in the situation. The implicative analysis gene...

  8. Proportional drift tubes for large area muon detectors

    Science.gov (United States)

    Cho, C.; Higashi, S.; Hiraoka, N.; Maruyama, A.; Okusawa, T.; Sato, T.; Suwada, T.; Takahashi, T.; Umeda, H.

    1985-01-01

    A proportional drift chamber which consists of eight rectangular drift tubes with cross section of 10 cm x 5 cm, a sense wire of 100 micron phi gold-plated tungsten wire and the length of 6 m, was tested using cosmic ray muons. Spatial resolution (rms) is between 0.5 and 1 mm over drift space of 50 mm, depending on incident angle and distance from sense wire.

  9. Pharmacokinetics and dose proportionality of ceftibuten in men.

    OpenAIRE

    Lin, C; Lim, J; Radwanski, E; Marco, A; Affrime, M

    1995-01-01

    The pharmacokinetics and dose proportionality of ceftibuten were evaluated in healthy male volunteers receiving single oral doses of 200, 400, and 800 mg of ceftibuten. The drug was absorbed with similar times to the maximum concentration of drug in plasma for all three doses. Concentrations of ceftibuten in plasma increased with increasing dose. Analysis of variance was carried out on the dose-adjusted values for the maximum concentration of drug in plasma and the area under the plasma conce...

  10. The evolution of human and ape hand proportions

    OpenAIRE

    Alm?cija, Sergio; Smaers, Jeroen B; Jungers, William L.

    2015-01-01

    Human hands are distinguished from apes by possessing longer thumbs relative to fingers. However, this simple ape-human dichotomy fails to provide an adequate framework for testing competing hypotheses of human evolution and for reconstructing the morphology of the last common ancestor (LCA) of humans and chimpanzees. We inspect human and ape hand-length proportions using phylogenetically informed morphometric analyses and test alternative models of evolution along the anthropoid tree of life...

  11. Proportion and Factors Associated with late Antenatal Care Booking ...

    African Journals Online (AJOL)

    Key words: Late booking, Antenatal care, Gondar Town. Résumé. La proportion de femmes enceintes qui commencent à fréquenter les centre des soins prénatals au cours du premier trimestre de grossesse est l'une des mesures de la performance clinique standard pour évaluer la qualité des soins de santé maternelle.

  12. Regularization Paths for Cox's Proportional Hazards Model via Coordinate Descent

    Directory of Open Access Journals (Sweden)

    Noah Simon

    2011-03-01

    Full Text Available We introduce a pathwise algorithm for the Cox proportional hazards model, regularized by convex combinations of l1 and l2 penalties (elastic net. Our algorithm fits via cyclical coordinate descent, and employs warm starts to find a solution along a regularization path. We demonstrate the efficacy of our algorithm on real and simulated data sets, and find considerable speedup between our algorithm and competing methods.

  13. Redistribution spurs growth by using a portfolio effect on risky human capital.

    Directory of Open Access Journals (Sweden)

    Jan Lorenz

    Full Text Available We demonstrate by mathematical analysis and systematic computer simulations that redistribution can lead to sustainable growth in a society. In accordance with economic models of risky human capital, we assume that dynamics of human capital is modeled as a multiplicative stochastic process which, in the long run, leads to the destruction of individual human capital. When agents are linked by fully redistributive taxation the situation might turn to individual growth in the long run. We consider that a government collects a proportion of income and reduces it by a fraction as costs for administration (efficiency losses. The remaining public good is equally redistributed to all agents. Sustainable growth is induced by redistribution despite the losses from the random growth process and despite administrative costs. Growth results from a portfolio effect. The findings are verified for three different tax schemes: proportional tax, taking proportionally more from the rich, and proportionally more from the poor. We discuss which of these tax schemes performs better with respect to maximize growth under a fixed rate of administrative costs, and the governmental income. This leads us to general conclusions about governmental decisions, the relation to public good games with free riding, and the function of taxation in a risk-taking society.

  14. Redistribution spurs growth by using a portfolio effect on risky human capital.

    Science.gov (United States)

    Lorenz, Jan; Paetzel, Fabian; Schweitzer, Frank

    2013-01-01

    We demonstrate by mathematical analysis and systematic computer simulations that redistribution can lead to sustainable growth in a society. In accordance with economic models of risky human capital, we assume that dynamics of human capital is modeled as a multiplicative stochastic process which, in the long run, leads to the destruction of individual human capital. When agents are linked by fully redistributive taxation the situation might turn to individual growth in the long run. We consider that a government collects a proportion of income and reduces it by a fraction as costs for administration (efficiency losses). The remaining public good is equally redistributed to all agents. Sustainable growth is induced by redistribution despite the losses from the random growth process and despite administrative costs. Growth results from a portfolio effect. The findings are verified for three different tax schemes: proportional tax, taking proportionally more from the rich, and proportionally more from the poor. We discuss which of these tax schemes performs better with respect to maximize growth under a fixed rate of administrative costs, and the governmental income. This leads us to general conclusions about governmental decisions, the relation to public good games with free riding, and the function of taxation in a risk-taking society.

  15. Proportionality in enterprise development of South African towns

    Directory of Open Access Journals (Sweden)

    Maitland T. Seaman

    2012-05-01

    Full Text Available We investigated proportionalities in the enterprise structures of 125 South African towns through examining four hypotheses, (1 the magnitude of enterprise development in a town is a function of the population size of the town; (2 the size of an enterprise assemblage of a town is a function of the town’s age; (3 there are statistically significant relationships, and hence proportionalities, between the total number of enterprises in towns and some, if not all, of the enterprise numbers of different business sectors in towns; and (4 the implications of proportionalities have far-reaching implications for rural development and job creation. All hypotheses were accepted on the basis of statistically significant (p < 0.05 correlations, except for the second hypothesis – the age of a town does not determine the size of its enterprise assemblage. Analysis for the fourth hypothesis suggested that there are two broad entrepreneurial types in South African towns: ‘run-of-the-mill’ entrepreneurs and ‘special’ entrepreneurs, which give rise to different enterprise development dynamics. ‘Run-of-the-mill’ enterprises are dependent on, and limited by, local demand and if there is only a small demand, the entrepreneurial space is small. By comparison, ‘special’ enterprises have much larger markets because their products and/or services are exportable. We propose that the fostering of ‘special’ entrepreneurs is an imperative for local economic development in South African towns.

  16. Pharmacokinetics and dose proportionality of ceftibuten in men.

    Science.gov (United States)

    Lin, C; Lim, J; Radwanski, E; Marco, A; Affrime, M

    1995-01-01

    The pharmacokinetics and dose proportionality of ceftibuten were evaluated in healthy male volunteers receiving single oral doses of 200, 400, and 800 mg of ceftibuten. The drug was absorbed with similar times to the maximum concentration of drug in plasma for all three doses. Concentrations of ceftibuten in plasma increased with increasing dose. Analysis of variance was carried out on the dose-adjusted values for the maximum concentration of drug in plasma and the area under the plasma concentration-time curve; the results indicated that the concentrations in plasma after the 200- and 400-mg doses were dose proportional, and after the 800-mg of dose they were less than dose proportional. The elimination half-life from plasma ranged from 2.0 to 2.3 h and was independent of dose. The total excretion of unchanged ceftibuten in urine accounted for 53 to 68% of the dose, and the renal clearance was estimated to be 53 to 61 ml/min after all doses. The amount of ceftibuten-trans, the major in vitro and in vivo conversion product of ceftibuten, was low in both plasma and urine. PMID:7726498

  17. Body physique and proportionality of Brazilian female artistic gymnasts.

    Science.gov (United States)

    Bacciotti, Sarita; Baxter-Jones, Adam; Gaya, Adroaldo; Maia, José

    2018-04-01

    This study aimed to identify physique characteristics (anthropometry, somatotype, body proportionality) of Brazilian female artistic gymnasts, and to compare them across competitive levels (sub-elite versus non-elite) within competitive age-categories. Two hundred forty-nine female gymnasts (68 sub-elite; 181 non-elite) from 26 Brazilian gymnastics clubs, aged 9-20 years and split into four age-categories, were sampled. Gymnasts were assessed for 16 anthropometric traits (height, weight, lengths, widths, girths, and skinfolds); somatotype was determined according to Heath-Carter method, body fat was estimated by bioimpedance, and proportionality was computed based on the z-phantom strategy. Non-elite and sub-elite gymnasts had similar values in anthropometric characteristics, however non-elite had higher fat folds in all age-categories (P < 0.01). In general, mesomorphy was the salient somatotype component in all age-categories, and an increase in endomorphy, followed by a decrease in ectomorphy across age was observed. Regarding proportionality, profile similarity was found between sub-elite and non-elite within age-categories. In conclusion results suggest the presence of a typical gymnast's physical prototype across age and competitive level, which can be useful to coaches during their selection processes in clubs and regional/national teams.

  18. Energy Proportionality and Performance in Data Parallel Computing Clusters

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jinoh; Chou, Jerry; Rotem, Doron

    2011-02-14

    Energy consumption in datacenters has recently become a major concern due to the rising operational costs andscalability issues. Recent solutions to this problem propose the principle of energy proportionality, i.e., the amount of energy consumedby the server nodes must be proportional to the amount of work performed. For data parallelism and fault tolerancepurposes, most common file systems used in MapReduce-type clusters maintain a set of replicas for each data block. A coveringset is a group of nodes that together contain at least one replica of the data blocks needed for performing computing tasks. In thiswork, we develop and analyze algorithms to maintain energy proportionality by discovering a covering set that minimizesenergy consumption while placing the remaining nodes in lowpower standby mode. Our algorithms can also discover coveringsets in heterogeneous computing environments. In order to allow more data parallelism, we generalize our algorithms so that itcan discover k-covering sets, i.e., a set of nodes that contain at least k replicas of the data blocks. Our experimental results showthat we can achieve substantial energy saving without significant performance loss in diverse cluster configurations and workingenvironments.

  19. Pharmacokinetics and dose proportionality of ceftibuten in men.

    Science.gov (United States)

    Lin, C; Lim, J; Radwanski, E; Marco, A; Affrime, M

    1995-02-01

    The pharmacokinetics and dose proportionality of ceftibuten were evaluated in healthy male volunteers receiving single oral doses of 200, 400, and 800 mg of ceftibuten. The drug was absorbed with similar times to the maximum concentration of drug in plasma for all three doses. Concentrations of ceftibuten in plasma increased with increasing dose. Analysis of variance was carried out on the dose-adjusted values for the maximum concentration of drug in plasma and the area under the plasma concentration-time curve; the results indicated that the concentrations in plasma after the 200- and 400-mg doses were dose proportional, and after the 800-mg of dose they were less than dose proportional. The elimination half-life from plasma ranged from 2.0 to 2.3 h and was independent of dose. The total excretion of unchanged ceftibuten in urine accounted for 53 to 68% of the dose, and the renal clearance was estimated to be 53 to 61 ml/min after all doses. The amount of ceftibuten-trans, the major in vitro and in vivo conversion product of ceftibuten, was low in both plasma and urine.

  20. LDPC Codes with Minimum Distance Proportional to Block Size

    Science.gov (United States)

    Divsalar, Dariush; Jones, Christopher; Dolinar, Samuel; Thorpe, Jeremy

    2009-01-01

    Low-density parity-check (LDPC) codes characterized by minimum Hamming distances proportional to block sizes have been demonstrated. Like the codes mentioned in the immediately preceding article, the present codes are error-correcting codes suitable for use in a variety of wireless data-communication systems that include noisy channels. The previously mentioned codes have low decoding thresholds and reasonably low error floors. However, the minimum Hamming distances of those codes do not grow linearly with code-block sizes. Codes that have this minimum-distance property exhibit very low error floors. Examples of such codes include regular LDPC codes with variable degrees of at least 3. Unfortunately, the decoding thresholds of regular LDPC codes are high. Hence, there is a need for LDPC codes characterized by both low decoding thresholds and, in order to obtain acceptably low error floors, minimum Hamming distances that are proportional to code-block sizes. The present codes were developed to satisfy this need. The minimum Hamming distances of the present codes have been shown, through consideration of ensemble-average weight enumerators, to be proportional to code block sizes. As in the cases of irregular ensembles, the properties of these codes are sensitive to the proportion of degree-2 variable nodes. A code having too few such nodes tends to have an iterative decoding threshold that is far from the capacity threshold. A code having too many such nodes tends not to exhibit a minimum distance that is proportional to block size. Results of computational simulations have shown that the decoding thresholds of codes of the present type are lower than those of regular LDPC codes. Included in the simulations were a few examples from a family of codes characterized by rates ranging from low to high and by thresholds that adhere closely to their respective channel capacity thresholds; the simulation results from these examples showed that the codes in question have low

  1. The Cognitive Social Network in Dreams: Transitivity, Assortativity, and Giant Component Proportion Are Monotonic.

    Science.gov (United States)

    Han, Hye Joo; Schweickert, Richard; Xi, Zhuangzhuang; Viau-Quesnel, Charles

    2016-04-01

    For five individuals, a social network was constructed from a series of his or her dreams. Three important network measures were calculated for each network: transitivity, assortativity, and giant component proportion. These were monotonically related; over the five networks as transitivity increased, assortativity increased and giant component proportion decreased. The relations indicate that characters appear in dreams systematically. Systematicity likely arises from the dreamer's memory of people and their relations, which is from the dreamer's cognitive social network. But the dream social network is not a copy of the cognitive social network. Waking life social networks tend to have positive assortativity; that is, people tend to be connected to others with similar connectivity. Instead, in our sample of dream social networks assortativity is more often negative or near 0, as in online social networks. We show that if characters appear via a random walk, negative assortativity can result, particularly if the random walk is biased as suggested by remote associations. Copyright © 2015 Cognitive Science Society, Inc.

  2. Longitudinal functional additive model with continuous proportional outcomes for physical activity data.

    Science.gov (United States)

    Li, Haocheng; Kozey-Keadle, Sarah; Kipnis, Victor; Carroll, Raymond J

    2016-01-01

    Motivated by physical activity data obtained from the BodyMedia FIT device (www.bodymedia.com), we take a functional data approach for longitudinal studies with continuous proportional outcomes. The functional structure depends on three factors. In our three-factor model, the regression structures are specified as curves measured at various factor-points with random effects that have a correlation structure. The random curve for the continuous factor is summarized using a few important principal components. The difficulties in handling the continuous proportion variables are solved by using a quasilikelihood type approximation. We develop an efficient algorithm to fit the model, which involves the selection of the number of principal components. The method is evaluated empirically by a simulation study. This approach is applied to the BodyMedia data with 935 males and 84 consecutive days of observation, for a total of 78, 540 observations. We show that sleep efficiency increases with increasing physical activity, while its variance decreases at the same time.

  3. What proportion of patients with chronic heart failure are eligible for sacubitril-valsartan?

    Science.gov (United States)

    Pellicori, Pierpaolo; Urbinati, Alessia; Shah, Parin; MacNamara, Alexandra; Kazmi, Syed; Dierckx, Riet; Zhang, Jufen; Cleland, John G F; Clark, Andrew L

    2017-06-01

    The PARADIGM-HF trial showed that sacubitril-valsartan, an ARB-neprilysin inhibitor, is more effective than enalapril for some patients with heart failure (HF). It is uncertain what proportion of patients with HF would be eligible for sacubitril-valsartan in clinical practice. Between 2001 and 2014, 6131 patients consecutively referred to a community HF clinic with suspected HF were assessed. The criteria required to enter the randomized phase of PARADIGM-HF, including symptoms, NT-proBNP, and current treatment with or without target doses of ACE inhibitors or ARBs, were applied to identify the proportion of patients eligible for sacubitril-valsartan. Recognizing the diversity of clinical opinion and guideline recommendations concerning this issue, entry criteria were applied singly and in combination. Of 1396 patients with reduced left ventricular ejection fraction (≤40%, HFrEF) and contemporary measurement of NT-proBNP, 379 were on target doses of an ACE inhibitor or ARB at their initial visit and, of these, 172 (45%) fulfilled the key entry criteria for the PARADIGM-HF trial. Lack of symptoms (32%) and NT-proBNP <600 ng/L (49%) were common reasons for failure to fulfil criteria. A further 122 patients became eligible during follow-up (n = 294, 21%). However, if background medication and doses were ignored, then 701 (50%) were eligible initially and a further 137 became eligible during follow-up. Of patients with HFrEF referred to a clinic such as ours, only 21% fulfilled the PARADIGM-HF randomization criteria, on which the ESC Guidelines are based; this proportion rises to 60% if background medication is ignored. © 2017 The Authors. European Journal of Heart Failure © 2017 European Society of Cardiology.

  4. PRINCIPLE OF PROPORTIONALITY, CRITERION OF LEGITIMACY IN THE PUBLIC LAW

    Directory of Open Access Journals (Sweden)

    MARIUS ANDREESCU

    2011-04-01

    Full Text Available A problem of essence of the state is the one to delimit the discretionary power, respectively the power abuse in the activity of the state’s institutions. The legal behavior of the state’s institutions consists in their right to appreciate them and the power excess generates the violation of a subjective right or of the right that is of legitimate interest to the citizen. The application and nonobservance of the principle of lawfulness in the activities of the state is a complex problem because the exercise of the state’s functions assumes the discretionary powers with which the states authorities are invested, or otherwise said the ‘right of appreciation” of the authorities regarding the moment of adopting the contents of the measures proposed. The discretionary power cannot be opposed to the principle of lawfulness, as a dimension of the state de jure. In this study we propose to analyze the concept of discretionary power, respectively the power excess, having as a guidance the legislation, jurisprudence and doctrine in the matter. At the same time we would like to identify the most important criterions that will allow the user, regardless that he is or not an administrator, a public clerk or a judge, to delimit the legal behavior of the state’s institutions from the power excess. Within this context, we appreciate that the principle of proportionality represents such a criterion. The proportionality is a legal principle of the law, but at the same time it is a principle of the constitutional law and of other law branches. It expresses clearly the idea of balance, reasonability but also of adjusting the measures ordered by the state’s authorities to the situation in fact, respectively to the purpose for which they have been conceived. In our study we choose theoretical and jurisprudence arguments according to which the principle of proportionality can procedurally be determined and used to delimit the discretionary power and

  5. High proportion of male faeces in jaguar populations.

    Directory of Open Access Journals (Sweden)

    Francisco Palomares

    Full Text Available Faeces provide relevant biological information which includes, with the application of genetic techniques, the sex and identity of individuals that defecated, thus providing potentially useful data on the behaviour and ecology of individuals, as well as the dynamics and structure of populations. This paper presents estimates of the sex ratio of different felid species (jaguar, Panthera onca; puma, Puma concolor; and ocelot/margay, Leopardus pardalis/Leopardus wiedi as observed in field collected faeces, and proposes several hypotheses that could explain the strikingly high proportion of faeces from male jaguars. The proportion of male and female faeces was estimated using a non-invasive faecal sampling method in 14 study areas in Mexico and Brazil. Faecal samples were genetically analysed to identify the species, the sex and the individual (the latter only for samples identified as belonging to jaguars. Considering the three species, 72.6% of faeces (n = 493 were from males; however, there were significant differences among them, with the proportion from males being higher for jaguars than for pumas and ocelots/margays. A male-bias was consistently observed in all study areas for jaguar faeces, but not for the other species. For jaguars the trend was the same when considering the number of individuals identified (n = 68, with an average of 4.2±0.56 faeces per male and 2.0±0.36 per female. The observed faecal marking patterns might be related to the behaviour of female jaguars directed toward protecting litters from males, and in both male and female pumas, to prevent interspecific aggressions from male jaguars. The hypothesis that there are effectively more males than females in jaguar populations cannot be discarded, which could be due to the fact that females are territorial and males are not, or a tendency for males to disperse into suboptimal areas for the species.

  6. The elite athlete - assessing body shape, size, proportion and composition.

    Science.gov (United States)

    Kerr, D A; Ackland, T R; Schreiner, A B

    1995-03-01

    In the quest to optimize performance of the elite athlete the sport scientist has sought to determine the ideal physique for a given sport or event. For some sports, specific structural characteristics offer definite performance advantages; for example in rowing, in addition to height, a large arm span has been identified as important. In other sports. such as long distance running, low levels of adiposity or 'fatness' appear to be linked with faster running times. There are four areas where appraisal of the athlete's physique can provide useful information: (1) identification of talented athletes; (2) to assess and monitor the growing athlete; (3) to monitor training and performance; and (4) to determine 'race weight' in weight-category sports. As a research tool a particular method must be reliable and valid. Other considerations include how expensive the method is, if it is suitable for a field situation and if large amounts of data on a number of subjects can be collected quickly. The method should be safe for both the athlete and the tester and provide useful feedback for the athlete or coach. Anthropometry, with training is able to fulfil most of these criteria and is the most widely used method of physique assessment in sports science. Large anthropometric data bases have been collected on elite athletes at Olympic games and world championships according to a standard protocol. Kinanthropometry, which has developed from anthropometry, is concerned with measurement and evaluation of different aspects of human movement and individual variation in body shape, size, proportion and composition. For the assessment of adiposity a sum of skinfolds, usually over six sites, is most commonly used rather than percentage body fat formulae. Muscle mass can be assessed indirectly through girth and corrected girth measurements. Limb lengths and breadths are used to assess skeletal structure and proportional differences in limb size. The anthropometric methods most commonly

  7. Randomization tests

    CERN Document Server

    Edgington, Eugene

    2007-01-01

    Statistical Tests That Do Not Require Random Sampling Randomization Tests Numerical Examples Randomization Tests and Nonrandom Samples The Prevalence of Nonrandom Samples in Experiments The Irrelevance of Random Samples for the Typical Experiment Generalizing from Nonrandom Samples Intelligibility Respect for the Validity of Randomization Tests Versatility Practicality Precursors of Randomization Tests Other Applications of Permutation Tests Questions and Exercises Notes References Randomized Experiments Unique Benefits of Experiments Experimentation without Mani

  8. Generalized Proportional Integral Control for an Unmanned Quadrotor System

    Directory of Open Access Journals (Sweden)

    Antonio Fernández-Caballero

    2015-07-01

    Full Text Available In this article, a generalized proportional integral (GPI control approach is presented for regulation and trajectory tracking problems in a nonlinear, multivariable quadrotor system model. In the feedback control law, no asymptotic observers or time discretizations are needed in the feedback loop. The GPI controller guarantees the asymptotically and exponentially stable behaviour of the controlled quadrotor position and orientation, as well as the possibilities of carrying out trajectory tracking tasks. The simulation results presented in the paper show that the proposed method exhibits very good stabilization and tracking performance in the presence of atmospheric disturbances and noise measurements.

  9. The simulation analysis for cartridge proportional flow valve

    Directory of Open Access Journals (Sweden)

    Dong Peng

    2016-01-01

    Full Text Available Mechanical and electrical integration is an important direction for future development of the industry. There are many products in hydraulic filed. By connecting electrical and mechanical, we can obtain more precise displacement, velocity and force of controlled object. The simulation can reduct the model and evaluate the performance of the controlled system. The overall development time and costs saved. The aim of the paper is to build a model of cartridge proportional flow valve with LMS Imagine.lab -AMESim and validate the accuracy of the built model by comparing with products catalogue.

  10. Monte Carlo algorithms for Hardy-Weinberg proportions.

    Science.gov (United States)

    Huber, Mark; Chen, Yuguo; Dinwoodie, Ian; Dobra, Adrian; Nicholas, Mike

    2006-03-01

    The Hardy-Weinberg law is among the most important principles in the study of biological systems. Given its importance, many tests have been devised to determine whether a finite population follows Hardy-Weinberg proportions. Because asymptotic tests can fail, Guo and Thompson developed an exact test; unfortunately, the Monte Carlo method they proposed to evaluate their test has a running time that grows linearly in the size of the population N. Here, we propose a new algorithm whose expected running time is linear in the size of the table produced, and completely independent of N. In practice, this new algorithm can be considerably faster than the original method.

  11. Average and Asymptotic Properties of Apportionment Methods for Proportional Representation

    OpenAIRE

    Schwingenschlögl, Udo

    2006-01-01

    Because in democratic systems the electoral outcome decides on the line of future policy, the process of voting is of great importance for society. In general, an election consists of two parts, both influencing its result. In the first step, each voter gives his vote to one of the parties participating in the election. The numbers of votes in favor of the competing parties then give rise to vote proportions, which specify the share of voters supporting a party. In the second step, almost con...

  12. A multiwire proportional counter for very high counting rates

    Energy Technology Data Exchange (ETDEWEB)

    Barbosa, A.F.; Guedes, G.P. [Centro Brasileiro de Pesquisas Fisicas (CBPF), Rio de Janeiro, RJ (Brazil); Tamura, E. [Laboratorio Nacional de Luz Sincrotron (LNLS), Campinas, SP (Brazil); Pepe, I.M.; Oliveira, N.B. [Bahia Univ., Salvador, BA (Brazil). Inst. de Fisica

    1997-12-01

    Preliminary measurements in a proportional counter with two independently counting wires showed that counting rates up to 10{sup 6} counts/s per wire can be reached without critical loss in the true versus measured linearity relation. Results obtained with a detector containing 30 active wires (2 mm pitch) are presented. To each wire is associated a fast pre-amplifier and a discriminator channel. Global counting rates in excess to 10{sup 7} events/s are reported. Data acquisition systems are described for 1D (real time) and 2D (off-line) position sensitive detection systems. (author) 13 refs., 6 figs.

  13. Social Markers of Mild Cognitive Impairment: Proportion of Word Counts in Free Conversational Speech.

    Science.gov (United States)

    Dodge, Hiroko H; Mattek, Nora; Gregor, Mattie; Bowman, Molly; Seelye, Adriana; Ybarra, Oscar; Asgari, Meysam; Kaye, Jeffrey A

    2015-01-01

    Detecting early signs of Alzheimer's disease (AD) and mild cognitive impairment (MCI) during the pre-symptomatic phase is becoming increasingly important for costeffective clinical trials and also for deriving maximum benefit from currently available treatment strategies. However, distinguishing early signs of MCI from normal cognitive aging is difficult. Biomarkers have been extensively examined as early indicators of the pathological process for AD, but assessing these biomarkers is expensive and challenging to apply widely among pre-symptomatic community dwelling older adults. Here we propose assessment of social markers, which could provide an alternative or complementary and ecologically valid strategy for identifying the pre-symptomatic phase leading to MCI and AD. The data came from a larger randomized controlled clinical trial (RCT), where we examined whether daily conversational interactions using remote video telecommunications software could improve cognitive functions of older adult participants. We assessed the proportion of words generated by participants out of total words produced by both participants and staff interviewers using transcribed conversations during the intervention trial as an indicator of how two people (participants and interviewers) interact with each other in one-on-one conversations. We examined whether the proportion differed between those with intact cognition and MCI, using first, generalized estimating equations with the proportion as outcome, and second, logistic regression models with cognitive status as outcome in order to estimate the area under ROC curve (ROC AUC). Compared to those with normal cognitive function, MCI participants generated a greater proportion of words out of the total number of words during the timed conversation sessions (p=0.01). This difference remained after controlling for participant age, gender, interviewer and time of assessment (p=0.03). The logistic regression models showed the ROC AUC of

  14. Growth, livability, feed consumption, and carcass composition of the Athens Canadian Random Bred 1955 meat-type chicken versus the 2012 high-yielding Cobb 500 broiler

    National Research Council Canada - National Science Library

    Collins, K E; Kiepper, B H; Ritz, C W; McLendon, B L; Wilson, J L

    2014-01-01

    A flock of the Athens Canadian Random Bred (ACRB), a 1955 meat-type chicken control strain, was raised alongside a flock of 2012 Cobb 500 fast feathering high-yielding broilers to determine selection changes over the past 57 yr...

  15. Beneficial effects of growth hormone treatment on cognition in children with prader-willi syndrome: A randomized controlled trial and longitudinal study

    NARCIS (Netherlands)

    E.P.C. Siemensma (Elbrich); R.F.A. Tummers-de Lind Van Wijngaarden (Roderick F.); D.A.M. Festen (Dederieke); Z.C.E. Troeman (Zyrhea C.); A.A.E.M. van der Alfen-van Der Velden; B.J. Otten (Barto); J. Rotteveel (Joost); R.J.H. Odink (Roelof); G.C.B. Bindels-de Heus (Karen); M. van Leeuwen (Mariëtte); D.A.J.P. Haring (Danny); W. Oostdijk (Wilma); G. Bocca (Gianni); E.C.A.M. Houdijk (Mieke); A.S.P. van Trotsenburg (Paul); J.J.G. Hoorweg-Nijman (Gera); H. van Wieringen (Hester); R.C.F.M. Vreuls (René); P.E. Jira (Petr); E.J. Schroor (Eelco); E. van Pinxteren-Nagler (Evelyn); J.W. Pilon; S. Lunshof (Simone); A.C.S. Hokken-Koelega (Anita)

    2012-01-01

    textabstractBackground: Knowledge about the effects of GH treatment on cognitive functioning in children with Prader-Willi syndrome (PWS) is limited. Methods: Fifty prepubertal children aged 3.5 to 14 yr were studied in a randomized controlled GH trial during 2 yr, followed by a longitudinal study

  16. Beneficial Effects of Growth Hormone Treatment on Cognition in Children with Prader-Willi Syndrome : A Randomized Controlled Trial and Longitudinal Study

    NARCIS (Netherlands)

    Siemensma, Elbrich P. C.; van Wijngaarden, Roderick F. A. Tummers-de Lind; Festen, Dederieke A. M.; Troeman, Zyrhea C. E.; van Alfen-van der Velden, A. A. E. M. (Janielle); Otten, Barto J.; Rotteveel, Joost; Odink, Roelof J. H.; Bindels-de Heus, G. C. B. (Karen); van Leeuwen, Mariette; Haring, Danny A. J. P.; Oostdijk, Wilma; Bocca, Gianni; Houdijk, E. C. A. Mieke; van Trotsenburg, A. S. Paul; Hoorweg-Nijman, J. J. Gera; van Wieringen, Hester; Vreuls, Rene C. F. M.; Jira, Petr E.; Schroor, Eelco J.; van Pinxteren-Nagler, Evelyn; Pilon, Jan Willem; Lunshof, L. (Bert); Hokken-Koelega, Anita C. S.

    Background: Knowledge about the effects of GH treatment on cognitive functioning in children with Prader-Willi syndrome (PWS) is limited. Methods: Fifty prepubertal children aged 3.5 to 14 yr were studied in a randomized controlled GH trial during 2 yr, followed by a longitudinal study during 4 yr

  17. Beneficial Effects of Growth Hormone Treatment on Cognition in Children with Prader-Willi Syndrome: A Randomized Controlled Trial and Longitudinal Study

    NARCIS (Netherlands)

    Siemensma, Elbrich P. C.; Tummers-de Lind van Wijngaarden, Roderick F. A.; Festen, Dederieke A. M.; Troeman, Zyrhea C. E.; van Alfen-van der Velden, A. A. E. M. Janielle; Otten, Barto J.; Rotteveel, Joost; Odink, Roelof J. H.; Bindels-de Heus, G. C. B. Karen; van Leeuwen, Mariette; Haring, Danny A. J. P.; Oostdijk, Wilma; Bocca, Gianni; Mieke Houdijk, E. C. A.; van Trotsenburg, A. S. Paul; Hoorweg-Nijman, J. J. Gera; van Wieringen, Hester; Vreuls, René C. F. M.; Jira, Petr E.; Schroor, Eelco J.; van Pinxteren-Nagler, Evelyn; Willem Pilon, Jan; Lunshof, L. Bert; Hokken-Koelega, Anita C. S.

    2012-01-01

    Background: Knowledge about the effects of GH treatment on cognitive functioning in children with Prader-Willi syndrome (PWS) is limited. Methods: Fifty prepubertal children aged 3.5 to 14 yr were studied in a randomized controlled GH trial during 2 yr, followed by a longitudinal study during 4 yr

  18. The Effects of Coach Training on Fear of Failure in Youth Swimmers: A Latent Growth Curve Analysis from a Randomized, Controlled Trial

    Science.gov (United States)

    Conroy, David E.; Coatsworth, Douglas J.

    2004-01-01

    The present study was a randomized trial of the efficacy of psychosocial and injury prevention-based coach training programs for reducing fear of failure (FF) among youth swimmers aged 7 to 18 years. Results revealed that (a) psychosocial training increased coaches' use of reward/reinforcement, (b) the FF measure demonstrated strong factorial…

  19. Beneficial effects of growth hormone treatment on cognition in children with Prader-Willi syndrome: a randomized controlled trial and longitudinal study.

    NARCIS (Netherlands)

    Siemensma, E.P.C.; Tummers-de Lind van Wijngaarden, R.F.; Festen, D.A.M.; Troeman, Z.C.; Alfen-van der Velden, A.A.E.M. van; Otten, B.J.; Rotteveel, J.J.; Odink, R.J.; Bindels-de Heus, G.C.; Leeuwen, M. van; Haring, D.A.; Oostdijk, W.; Bocca, G.; Mieke Houdijk, E.C.; Trotsenburg, A.S. van; Hoorweg-Nijman, J.J.G.; Wieringen, H. van; Vreuls, R.C.; Jira, P.E.; Schroor, E.J.; Pinxteren-Nagler, E. van; Willem Pilon, J.; Lunshof, L.B.; Hokken-Koelega, A.C.S.

    2012-01-01

    BACKGROUND: Knowledge about the effects of GH treatment on cognitive functioning in children with Prader-Willi syndrome (PWS) is limited. METHODS: Fifty prepubertal children aged 3.5 to 14 yr were studied in a randomized controlled GH trial during 2 yr, followed by a longitudinal study during 4 yr

  20. [Survey on changes in the proportion for facial aesthetics].

    Science.gov (United States)

    Lei, Shize; Wu, Qizhen; Shi, Qingmei; Lei, Shaorong

    2016-12-28

    To explore the proportion for facial aesthetics that may be recognized by the potential group who will do plastic surgery in the future. 
 Methods: We measured the celebrity photos, who were born before 1980 recognizable by the people over 40 years old or by high school students. The proportions for facial aesthetics recognizable by these two generations were obtained and compared. 
 Results: Compared the new generation of male celebrities with the older generation of male celebrities, the difference was statistically significant by the independent samples t test (t=-2.502, P0.05). Compared the new generation of female celebrities with the older generation of female celebrities, the difference was statistically significant by the independent samples t test. The ratios between inter-canthic diameter and eyeslit breadth, mouth breadth and eyeslit breadth, stirnhohe and 1/3 of the physiognomic facial height, nasal height and 1/3 of the physiognomic facial height were significantly different (P0.05).
 Conclusion: The young new generation loves more larger eyeslit breadth for men, while a larger eyeslit breadth, smaller bizygomatic breadth and sharper chin for women.

  1. Aesthetics of the Nasal Dorsum: Proportions, Light, and Shadow.

    Science.gov (United States)

    Krane, Natalie A; Markey, Jeffrey D; Moneta, Lauren B; Kim, Michael M

    2017-04-01

    Due to its central location, the nose plays a prominent role in facial aesthetics. As tastes have shifted and techniques have advanced, the accepted "ideal" appearance and proportions of the nose have evolved over time. By assessing the aesthetics of the nasal dorsum through the use of lines and angles, one can more precisely elucidate a goal for the patient's postoperative nasal shape, which should, in turn, guide the surgeon to execute specific operative maneuvers needed to achieve that contour. In assessing the aesthetics of the nasal dorsum, practitioners calculate and observe aspects such as the paired dorsal aesthetic lines, the nasofrontal angle, and the nasofacial angle. There is also additional consideration given to nasal tip position as this must fit harmoniously with the shape of the dorsum. In contrast to the established aesthetic lines and angles, using nasal geometric polygons for the aesthetic evaluation and development of operative goals in rhinoplasty has recently been described in the literature. Constructed ideals, in the form of proportions, lines, and angles, should be used with caution, as there are many factors to consider in the aesthetic analysis of the nasal dorsum, including ethnic differences, and subjective and changing views of beauty. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  2. Global Partial Likelihood for Nonparametric Proportional Hazards Models.

    Science.gov (United States)

    Chen, Kani; Guo, Shaojun; Sun, Liuquan; Wang, Jane-Ling

    2010-01-01

    As an alternative to the local partial likelihood method of Tibshirani and Hastie and Fan, Gijbels, and King, a global partial likelihood method is proposed to estimate the covariate effect in a nonparametric proportional hazards model, λ(t|x) = exp{ψ(x)}λ(0)(t). The estimator, ψ̂(x), reduces to the Cox partial likelihood estimator if the covariate is discrete. The estimator is shown to be consistent and semiparametrically efficient for linear functionals of ψ(x). Moreover, Breslow-type estimation of the cumulative baseline hazard function, using the proposed estimator ψ̂(x), is proved to be efficient. The asymptotic bias and variance are derived under regularity conditions. Computation of the estimator involves an iterative but simple algorithm. Extensive simulation studies provide evidence supporting the theory. The method is illustrated with the Stanford heart transplant data set. The proposed global approach is also extended to a partially linear proportional hazards model and found to provide efficient estimation of the slope parameter. This article has the supplementary materials online.

  3. Growth hormone combined with child-specific motor training improves motor development in infants with Prader-Willi syndrome: A randomized controlled trial

    NARCIS (Netherlands)

    Reus, L.; Pelzer, B.J.; Otten, B.J.; Siemensma, E.P.C.; Velden, J.A.M. van der; Festen, D.A.M.; Hokken-Koelega, A.C.S.; Sanden, M.W.

    2013-01-01

    Although severe motor problems in infants with Prader-Willi syndrome (PWS) are striking, motor development has never been studied longitudinally and the results of growth hormone (GH) treatment on motor development are contradictory. The authors studied whether GH treatment can enhance the effect of

  4. Possible autocrine loop of the epidermal growth factor system in patients with benign prostatic hyperplasia treated with finasteride: a placebo-controlled randomized study

    DEFF Research Database (Denmark)

    Tørring, Niels; Jensen, Klaus Møller-Ernst; Lund, L

    2002-01-01

    To analyse the expression of the epidermal growth factor (EGF) system in prostate tissue and secretions obtained from patients with benign prostatic hyperplasia (BPH) treated with or without finasteride (which primarily targets the androgen-sensitive secretory epithelial cells in the prostate...

  5. The evolution of human and ape hand proportions.

    Science.gov (United States)

    Almécija, Sergio; Smaers, Jeroen B; Jungers, William L

    2015-07-14

    Human hands are distinguished from apes by possessing longer thumbs relative to fingers. However, this simple ape-human dichotomy fails to provide an adequate framework for testing competing hypotheses of human evolution and for reconstructing the morphology of the last common ancestor (LCA) of humans and chimpanzees. We inspect human and ape hand-length proportions using phylogenetically informed morphometric analyses and test alternative models of evolution along the anthropoid tree of life, including fossils like the plesiomorphic ape Proconsul heseloni and the hominins Ardipithecus ramidus and Australopithecus sediba. Our results reveal high levels of hand disparity among modern hominoids, which are explained by different evolutionary processes: autapomorphic evolution in hylobatids (extreme digital and thumb elongation), convergent adaptation between chimpanzees and orangutans (digital elongation) and comparatively little change in gorillas and hominins. The human (and australopith) high thumb-to-digits ratio required little change since the LCA, and was acquired convergently with other highly dexterous anthropoids.

  6. Imaging performance of a multiwire proportional-chamber positron camera

    Energy Technology Data Exchange (ETDEWEB)

    Perez-Mandez, V.; Del Guerra, A.; Nelson, W.R.; Tam, K.C.

    1982-08-01

    A new design - fully three-dimensional - Positron Camera is presented, made of six MultiWire Proportional Chamber modules arranged to form the lateral surface of a hexagonal prism. A true coincidence rate of 56000 c/s is expected with an equal accidental rate for a 400 ..mu..Ci activity uniformly distributed in a approx. 3 l water phantom. A detailed Monte Carlo program has been used to investigate the dependence of the spatial resolution on the geometrical and physical parameters. A spatial resolution of 4.8 mm FWHM has been obtained for a /sup 18/F point-like source in a 10 cm radius water phantom. The main properties of the limited angle reconstruction algorithms are described in relation to the proposed detector geometry.

  7. Method of proportioning stone to stowing installations underground

    Energy Technology Data Exchange (ETDEWEB)

    Szafarczyk, J.; Kubek, F.

    1992-07-01

    Reviews types of stowing intallations and the technology of supplying after-washing stone used. It is recommended to take advantage of downward inclined stowing pipeline sections for underground feeding of the stowing stone. Calculation of the mass of stone fed to a stowing pipeline is explained. First experience of using the method in the Jankowice black coal mine in 1991 is reported on. About 8,000 t of stone were stowed using the method during 7 months. The stowing installation consists of a tippler, a belt conveyor and a batcher of about 10 m[sup 3]. The capacity of the installation is 30 m[sup 3]/h. Suitable proportions of slag-crushed stone mixtures are recommended.

  8. A prototype low-background multiwire proportional chamber

    Science.gov (United States)

    Ahmed, Z.; Bowles, M. A.; Bunker, R.; Golwala, S. R.; Grant, D. R.; Kos, M.; Nelson, R. H.; Rider, A.; Schnee, R. W.; Sotolongo, D.; Wang, B.; Zahn, A.

    2014-01-01

    A prototype multiwire proportional chamber (MWPC) was developed to demonstrate the feasibility of constructing a radiopure time projection chamber with MWPC track readout to assay materials for alpha- and beta-emitting surface contaminants for future rare-event-search experiments as well as other scientific fields. The design features and assembly techniques described here are motivated by the position and energy resolution required to reconstruct alpha and beta tracks while efficiently rejecting backgrounds. Results from a test setup using an 55Fe x-ray source indicate excellent operational stability and a near-ideal energy resolution of 15.8% FWHM at 5.89 keV and a gas gain of ~ 104.

  9. On the energy resolution obtained with a multistep proportional counter

    Science.gov (United States)

    Ramsey, B. D.; Weisskopf, M. C.

    1986-01-01

    Results of laboratory experiments with a standard multiwire imaging proportional counter (MWPC), modified to include a parallel grid preamplification stage are presented. Both argon and xenon were used as the primary absorbing gas in conjunction with a number of quench gases. It is found that extremely good energy resolution is obtained from the preamplification stage, almost independent of the ionization potential of the quench gas and over a broad range of gains. Furthermore, regardless of absorbing gas or quench agent, there was no difficulty in transferring a portion of this preamplified charge to the MWPC section for multistep mode operation. Finally, even for overall system gains greater than 10,000, the energy resolution from the second stage is found to be significantly improved, as long as the preamplification stage is operating. These results should have wide application and are of special interest for X-ray astronomy.

  10. Mixtures of organic and inorganic substrates, particle size and proportion.

    Directory of Open Access Journals (Sweden)

    Emilio Raymundo Morales-Maldonado

    2015-06-01

    Full Text Available The objective of this paper was to review the mixtures of organic and inorganic materials used in the preparation of a new material, particle size, proportion, and their response in plant. In Mexico, agricultural waste is considered as a pollutant reservoir; however, from another perspective, this represents an industry with great potential. The nutrients ingested by animals represent nutriments available for plants when properly recycled. An option that minimizes the risk of contamination and improves its quality is the production of compost and vermicompost. Both processes are an alternative to organic production. A material by itself does not meet the optimum conditions. Reducing the volume of an organic material increases compaction and compression of roots, affecting the efficiency of irrigation and fertilization, so it is necessary to make mixtures with inorganic materials, that is used in the development of a new material for better growing conditions of the plant.

  11. Constant Proportion Portfolio Insurance Strategies in Contagious Markets

    DEFF Research Database (Denmark)

    Buccioli, Alice; Kokholm, Thomas

    2017-01-01

    charging and for risk management. The literature on CPPI modeling typically assumes diffusive or Lévy-driven dynamics for the risky asset underlying the strategy. In either case the self-contagious nature of asset prices is not taken into account. In order to account for contagion while preserving......Constant Proportion Portfolio Insurance (CPPI) strategies are popular as they allow to gear up the upside potential of a stock index while limiting its downside risk. From the issuer's perspective it is important to adequately assess the risks associated with the CPPI, both for correct "gap'' fee......-time rebalancing rules governing the CPPI product. When rebalancing is performed on a frequency less than weekly, failing to take contagion into account will significantly underestimate the risks of the CPPI. Finally, in order to mimic a situation with low liquidity, we impose a daily trading cap on the risky...

  12. Design of pneumatic proportional flow valve type 5/3

    Science.gov (United States)

    Laski, P. A.; Pietrala, D. S.; Zwierzchowski, J.; Czarnogorski, K.

    2017-08-01

    In this paper the 5/3-way pneumatic, proportional flow valve was designed and made. Stepper linear actuator was used to move the spool. The valve is controlled by the controlled based on a AVR microcontroller. Virtual model of the valve was created in CAD. The real element was made based on a standard 5/3-way manually actuated valve with hand lever, which was dismounted and replaced by linear stepper motor. All the elements was mounted in a specially made housing. The controller consists of microcontroller Atmega16, integrated circuit L293D, display, two potentiometers, three LEDs and six buttons. Series of research was also conducted. Simulation research were performed using CFD by the Flow Simulation addition to SolidWorks. During the experiments the valve characteristics of flow and pressure was determined.

  13. Penalized estimation for proportional hazards models with current status data.

    Science.gov (United States)

    Lu, Minggen; Li, Chin-Shang

    2017-12-30

    We provide a simple and practical, yet flexible, penalized estimation method for a Cox proportional hazards model with current status data. We approximate the baseline cumulative hazard function by monotone B-splines and use a hybrid approach based on the Fisher-scoring algorithm and the isotonic regression to compute the penalized estimates. We show that the penalized estimator of the nonparametric component achieves the optimal rate of convergence under some smooth conditions and that the estimators of the regression parameters are asymptotically normal and efficient. Moreover, a simple variance estimation method is considered for inference on the regression parameters. We perform 2 extensive Monte Carlo studies to evaluate the finite-sample performance of the penalized approach and compare it with the 3 competing R packages: C1.coxph, intcox, and ICsurv. A goodness-of-fit test and model diagnostics are also discussed. The methodology is illustrated with 2 real applications. Copyright © 2017 John Wiley & Sons, Ltd.

  14. Biologic rationale of esthetic crown lengthening using innovative proportion gauges.

    Science.gov (United States)

    Fletcher, Paul

    2011-01-01

    Research shows that practitioners tend to underestimate the amount of tooth structure that must be exposed during a crown lengthening procedure. In the anterior portion of the mouth, this can lead to biologic width problems and subsequent cosmetic issues. This paper presents a biologically based, step-by-step approach to periodontal esthetic crown lengthening. Using a series of innovative measuring gauges, the ideal clinical crown length of a tooth as well as the proper occlusogingival placement of the interproximal papilla will be determined based on established, documented tooth proportion relationships. The biologic crown length of the tooth, defined as the distance from the incisal edge to the bone crest, will subsequently be determined as a function of the clinical crown length, with the ultimate goals being adequate tooth structure for the placement of a restorative margin, establishment of a healthy dentogingival complex, and the placement of an esthetically pleasing definitive restoration.

  15. Debris and meteoroid proportions deduced from impact crater residue analysis

    Science.gov (United States)

    Berthoud, Lucinda; Mandeville, Jean-Claude; Durin, Christian; Borg, Janet

    1995-01-01

    This study is a further investigation of space-exposed samples recovered from the LDEF satellite and the Franco-Russian 'Aragatz' dust collection experiment on the Mir Space Station. Impact craters with diameters ranging from 1 to 900 micron were found on the retrieved samples. Elemental analysis of residues found in the impact craters was carried out using Energy Dispersive X-ray spectrometry (EDX). The analyses show evidence of micrometeoroid and orbital debris origins for the impacts. The proportions of these two components vary according to particle size and experimental position with respect to the leading edge of the spacecraft. On the LDEF leading edge 17 percent of the impacts were apparently caused by micrometeoroids and 11 percent by debris; on the LDEF trailing edge 23 percent of the impacts are apparently caused by micrometeoroids and 4 percent consist of debris particles - mostly larger than 3 micron in diameter - in elliptical orbits around the Earth. For Mir, the analyses indicate that micrometeoroids form 23 percent of impacts and debris 9 percent. However, we note that 60-70 percent of the craters are unidentifiable, so the definitive proportions of natural v. man-made particles are yet to be determined. Experiments carried out using a light gas gun to accelerate glass spheres and fragments demonstrate the influence of particle shape on crater morphology. The experiments also show that it is more difficult to analyze the residues produced by an irregular fragment than those produced by a spherical projectile. If the particle is travelling above a certain velocity, it vaporizes upon impact and no residues are left. Simulation experiments carried out with an electrostatic accelerator indicate that this limit is about 14 km/s for Fe particles impacting Al targets. This chemical analysis cut-off may bias interpretations of the relative populations of meteoroid and orbital debris. Oblique impacts and multiple foil detectors provide a higher likelihood

  16. Boosted PWM open loop control of hydraulic proportional valves

    Energy Technology Data Exchange (ETDEWEB)

    Amirante, R.; Catalano, L.A. [Dipartimento di Ingegneria Meccanica e Gestionale, Politecnico di Bari, Via Re David 200, 70125 Bari (Italy); Innone, A. [Universita degli Studi di Foggia, via Napoli, 25 Foggia (Italy)

    2008-08-15

    This paper presents an innovative open loop control technique for direct single stage hydraulic proportional valves whose response rate is significantly higher than that obtained by standard open loop control techniques, even comparable to more costly commercial closed loop systems. Different from standard open loop techniques, which provide the coil with a constant current proportional to the target position, the control strategy proposed in this paper employs the peak and hold (P and H) technique, widely used in Diesel engine modern supply systems, to boost the duty cycle value of the pulse width modulation (PWM) signal for a short time, namely during the spool displacement, while maintaining a lower duty cycle for holding the spool in the required opening position. The developed 'boosted PWM' technique only requires a low cost microcontroller, such as a peripheral interface controller (PIC) equipped with a metal oxide semiconductor (MOS) power driver. The PWM parameters are calibrated as a function of the spool displacement so as to maximize the response rate without introducing overshoots: the collected data are stored in the PIC. Different valve opening procedures with step response have been compared to demonstrate the merits of the proposed boosted PWM technique. No overshoots have been registered. Moreover, the proposed method is characterized by a significantly higher response rate with respect to a standard open loop control, which approximately has the same cost. Similar experimental tests show that the proposed boosted PWM technique has a response rate even higher than that provided by the more costly commercial closed loop system mounted on the valve, and it produces no overshoots. (author)

  17. Improved yield of minimal proportional sample volume platelet bacterial culture.

    Science.gov (United States)

    Kamel, Hany; Townsend, Mary; Bravo, Marjorie; Vassallo, Ralph R

    2017-10-01

    Reports of septic transfusion reactions (STRs) after transfusion of culture-negative platelets (PLTs) justify more effective prevention strategies. Pathogen reduction technologies or performance of additional point-of-issue testing are proposed strategies to enhance safety through Day 5 of storage. Trima leukoreduced apheresis PLTs (APs) were collected during two study periods (45 and 31 months) using standard procedures, with target settings adjusted during the second period to maintain split rate after increased culture volume. Primary testing for bacterial contamination was performed using BacT/ALERT 3D with sampling from the mother bag 24 to 36 hours after collection. Two culture approaches were compared: in Period A, an 8-mL sample in one aerobic culture bottle (CB), and in Period B a minimal proportional sample volume (PSV) of at least 3.8% of mother bag volume into one to three aerobic CBs (7-10 mL per bottle). In Periods A and B, 188,389 and 159,098 AP collections were tested, respectively. The true-positive (TP) rate in Period A was 0.90 per 10,000 collections and in Period B was 1.83 per 10,000 (p collections, was significantly higher than that of Period A, 3.66 per 10,000. One contaminated collection resulting in STR(s) was reported in each study period. Implementation of PSV was operationally successful and did not impact the AP split rate. Proportional sample volume improved the sensitivity of primary testing and identified collections that could have escaped detection had only a single bottle with 8- to 10-mL volume been used. PSV may represent another approach to enhanced PLT safety for 5-day storage without a requirement for secondary testing. © 2017 AABB.

  18. Effects of early thyroxine treatment on development and growth at age 10.7 years: follow-up of a randomized placebo-controlled trial in children with Down's syndrome.

    Science.gov (United States)

    Marchal, Jan Pieter; Maurice-Stam, Heleen; Ikelaar, Nadine A; Klouwer, Femke C C; Verhorstert, Kim W J; Witteveen, M Emma; Houtzager, Bregje A; Grootenhuis, Martha A; van Trotsenburg, A S Paul

    2014-12-01

    In 2-year-old children with Down's syndrome (DS), early T4 treatment was found to result in slightly better motor development and growth. This study sought to determine long-term effects of early T4 treatment on development and growth in children with DS with either an elevated or normal neonatal TSH concentration. Patients received a single follow-up visit 8.7 years after a randomized placebo-controlled trial (RCT) comparing T4 and placebo treatment during the first 2 years of life. Dutch Academic Hospital. All children who completed the RCT (N = 181, of 196 randomly assigned children) were invited for the follow-up study. A total of 123 participants enrolled, at a mean age of 10.7 years. T4 or placebo treatment from the neonatal period until 2 years. Primary: mental and motor development. Secondary: communication skills, fine-motor coordination, height, weight, and head circumference (HC). Outcomes were compared between T4- and placebo-treated children, and between treatment groups with either a normal (development, communication skills, or fine-motor coordination did not differ between T4- (N = 64) and placebo-treated children (N = 59). T4-treated children had a larger HC (50.4 vs 49.8 cm, P = .04) and tended to be taller (133.2 vs 131.1 cm, P = .06). These differences were somewhat greater in children with TSH ≥ 5 mIU/L (HC: T4, 50.5 vs placebo, 49.7 cm; P = .01; height: T4, 133.8 vs placebo, 130.8 cm; P = .02), but were not found in children with TSH children with DS does not seem to benefit mental or motor development later in life. However, the positive effect on growth is still measurable, especially in children with an elevated plasma TSH concentration in the neonatal period.

  19. Relatively low proportion of dystrophin gene deletions in Israeili Duchenne and Becker muscular dystrophy patients

    Energy Technology Data Exchange (ETDEWEB)

    Shomrat, R.; Gluck, E.; Legum, C.; Shiloh, Y. [Tel Aviv Univ. (Israel)

    1994-02-15

    Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD) are allelic disorders caused by mutations in the X-linked dystrophin gene. The most common mutations in western populations are deletions that are spread non-randomly throughout the gene. Molecular analysis of the dystrophin gene structure by hybridization of the full length cDNA to Southern blots and by PCR in 62 unrelated Israeli male DMD/BMD patients showed deletions in 23 (37%). This proportion is significantly lower than that found in European and North American populations (55-65%). Seventy-eight percent of the deletions were confined to exons 44-52, half of these exons 44-45, and the remaining 22% to exons 1 and 19. There was no correlation between the size of the deletion and the severity of the disease. All the deletions causing frameshift resulted in the DMD phenotypes. 43 refs., 1 fig., 1 tab.

  20. Self-oscillation of standing spin wave in ring resonator with proportional-integral-derivative control

    Energy Technology Data Exchange (ETDEWEB)

    Peng, B.; Urazuka, Y.; Chen, H.; Oyabu, S.; Otsuki, H.; Tanaka, T., E-mail: t-tanaka@ed.kyushu-u.ac.jp; Matsuyama, K. [ISEE, Kyushu University, Motooka 744, Nishi-ku, Fukuoka 819-0395 (Japan)

    2014-05-07

    We report on numerical analysis on self-oscillation of standing spin wave excited in a nanostructured active ring resonator, consists of a ferromagnetic nanowire with perpendicular anisotropy. The confined resonant modes are along the nanowire length. A positive feedback with proportional-integral-derivative gain control was adopted in the active ring. Stable excitation of the 1st order standing spin wave has been demonstrated with micromagnetic simulations, taking into account the thermal effect with a random field model. The stationary standing spin wave with a pre-determined set variable of precession amplitude was attained within 20 ns by optimizing the proportional-integral-derivative gain control parameters. The result indicates that a monochromatic oscillation frequency f{sub osc} is extracted from the initial thermal fluctuation state and selectively amplified with the positive feedback loop. The obtained f{sub osc} value of 5.22 GHz practically agrees with the theoretical prediction from dispersion relation of the magneto static forward volume wave. It was also confirmed that the f{sub osc} change due to the temperature rise can be compensated with an external perpendicular bias field H{sub b}. The observed quick compensation time with an order of nano second suggests the fast operation speed in the practical device application.

  1. eulerAPE: drawing area-proportional 3-Venn diagrams using ellipses.

    Science.gov (United States)

    Micallef, Luana; Rodgers, Peter

    2014-01-01

    Venn diagrams with three curves are used extensively in various medical and scientific disciplines to visualize relationships between data sets and facilitate data analysis. The area of the regions formed by the overlapping curves is often directly proportional to the cardinality of the depicted set relation or any other related quantitative data. Drawing these diagrams manually is difficult and current automatic drawing methods do not always produce appropriate diagrams. Most methods depict the data sets as circles, as they perceptually pop out as complete distinct objects due to their smoothness and regularity. However, circles cannot draw accurate diagrams for most 3-set data and so the generated diagrams often have misleading region areas. Other methods use polygons to draw accurate diagrams. However, polygons are non-smooth and non-symmetric, so the curves are not easily distinguishable and the diagrams are difficult to comprehend. Ellipses are more flexible than circles and are similarly smooth, but none of the current automatic drawing methods use ellipses. We present eulerAPE as the first method and software that uses ellipses for automatically drawing accurate area-proportional Venn diagrams for 3-set data. We describe the drawing method adopted by eulerAPE and we discuss our evaluation of the effectiveness of eulerAPE and ellipses for drawing random 3-set data. We compare eulerAPE and various other methods that are currently available and we discuss differences between their generated diagrams in terms of accuracy and ease of understanding for real world data.

  2. Bayesian Predictive Inference of a Proportion Under a Twofold Small-Area Model

    Directory of Open Access Journals (Sweden)

    Nandram Balgobin

    2016-03-01

    Full Text Available We extend the twofold small-area model of Stukel and Rao (1997; 1999 to accommodate binary data. An example is the Third International Mathematics and Science Study (TIMSS, in which pass-fail data for mathematics of students from US schools (clusters are available at the third grade by regions and communities (small areas. We compare the finite population proportions of these small areas. We present a hierarchical Bayesian model in which the firststage binary responses have independent Bernoulli distributions, and each subsequent stage is modeled using a beta distribution, which is parameterized by its mean and a correlation coefficient. This twofold small-area model has an intracluster correlation at the first stage and an intercluster correlation at the second stage. The final-stage mean and all correlations are assumed to be noninformative independent random variables. We show how to infer the finite population proportion of each area. We have applied our models to synthetic TIMSS data to show that the twofold model is preferred over a onefold small-area model that ignores the clustering within areas. We further compare these models using a simulation study, which shows that the intracluster correlation is particularly important.

  3. Chemical characterization of vermicompost of sewage sludge with different proportions of diatomaceous material

    Directory of Open Access Journals (Sweden)

    Fabíola M. Braga

    Full Text Available ABSTRACT The pursuit for waste recovery has been the best way to contribute to environmental sustainability. The mix of sewage sludge (SS from Sewage Treatment Plant with diatomaceous material containing oil (DE, used as a filter in biofuel production, can form a substrate rich in minerals and organic matter through vermicomposting. Therefore, this study aimed to produce vermicompost using worms, Eisenia foetida, from a pre-compost (PC of sewage sludge and garden pruning residues mixed with different proportions of DE in relation to PC: 0; 7.53; 15.06; 22.59; and 30.12% v/v. The design was randomized complete blocks with five treatment replicates. The chemical characteristics of the vermicompost were analyzed after a period of four months. The proportion of up to 30.12% v/v of DE met the criteria established for agriculture uses, registration and marketing of the product as organic compost in accordance with the Normative Instructions SDA 27/2006 and 25/2009 from the Ministry of Agriculture.

  4. A 3-Month, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Ability of an Extra-Strength Marine Protein Supplement to Promote Hair Growth and Decrease Shedding in Women with Self-Perceived Thinning Hair

    Directory of Open Access Journals (Sweden)

    Glynis Ablon

    2015-01-01

    Full Text Available An oral marine protein supplement (MPS is designed to promote hair growth in women with temporary thinning hair (Viviscal Extra Strength; Lifes2good, Inc., Chicago, IL. This double-blind, placebo-controlled study assessed the ability of MPS to promote terminal hair growth in adult women with self-perceived thinning hair associated with poor diet, stress, hormonal influences, or abnormal menstrual cycles. Adult women with thinning hair were randomized to receive MPS (N=30 or placebo (N=30 twice daily for 90 days. Digital images were obtained from a 4 cm2 area scalp target area. Each subject’s hair was washed and shed hairs were collected and counted. After 90 days, these measures were repeated and subjects completed Quality of Life and Self-Assessment Questionnaires. MPS-treated subjects achieved a significant increase in the number of terminal hairs within the target area (P<0.0001 which was significantly greater than placebo (P<0.0001. MPS use also resulted in significantly less hair shedding (P=0.002 and higher total Self-Assessment (P=0.006 and Quality of Life Questionnaires scores (P=0.035. There were no reported adverse events. MPS promotes hair growth and decreases hair loss in women suffering from temporary thinning hair. This trial is registered with ClinicalTrials.gov Identifier: NCT02297360.

  5. Conflicts between domestic inequality and global poverty: lexicality versus proportionality

    Directory of Open Access Journals (Sweden)

    Francisco García Gibson

    2016-12-01

    Full Text Available Current views on global justice often hold that affluent states are under at least two duties: a duty to reduce socioeconomic inequalities at home and a duty to reduce extreme poverty abroad. Potential duty conflicts deriving from resource scarcity can be solved in broadly two principled ways. The ‘lexical’ principle requires all disputed resources to be allocated to the weightiest duty. The ‘proportionality’ principle requires resources to be distributed between the two duties according to their relative weight (the weightiest duty receives the largest resource share, but the less weighty duty receives a share too. I argue that the proportionality principle is morally preferable. I show that it is sensitive to a number of factors that are intuitively relevant when solving duty conflicts: the number of affected individuals, the size of the benefits each individual could get, and the time it could take to eventually comply with the less weighty duty. Some argue that the lexical principle should nevertheless be preferred because domestic egalitarian duties are duties of justice, and they are therefore lexically prior to mere humanitarian duties to reduce global poverty. I reject this view by showing that duties of justice are not necessarily lexically prior to humanitarian duties, and that (even if they were duties to reduce global poverty can be regarded as duties of justice too.

  6. Facial approximation: evaluation of dental and facial proportions with height.

    Science.gov (United States)

    Esan, T A; Oziegbe, O E; Onapokya, H O

    2012-03-01

    Fabrication of complete dentures requires the use of certain guidelines which are placed on the bite blocks to assist the clinician to have the maxillary anterior teeth restored to optimal dento-labial relations, in harmony with the overall facial appearance. To explore if any relationship exists between dental and facial proportions as well as the height of the individuals. Two hundred and four dental students of the Obafemi Awolowo University volunteered to participated in the study. The lower facial height, inter incisal, inter canine, and intercommisure distances, as well as the height of the participants were measured. The data were imputed, analyzed, and reported as simple frequency, means and standard deviations using the SPSS vs 11. Statistical significance was inferred at pfacial height, and the height of the participants with the intercommissural distance. Hence, intercommissural distance may not be used in marking canine line during bite registration procedure. At best, 1.75-2.45 cm should be subtracted from the intercommissural distance to determine the intercanine distance.

  7. Finishing procedures in Orthodontics: dental dimensions and proportions (microesthetics

    Directory of Open Access Journals (Sweden)

    Roberto Carlos Bodart Brandão

    2013-10-01

    Full Text Available OBJECTIVE: The objective of the present article is to describe procedures that can be performed to achieve excellence in orthodontic treatment finishing. The content is limited to microesthetics, which comprises the concept of ideal dental dimensions and proportions (white esthetics and its correlation with the periodontium (pink esthetics. Standards of normality are described both in their real dimensions (dental height and width, and in those effectively perceived by the observer, the virtual dimensions. METHODS: The best scientific evidence was sought in the literature to support the clinical procedures that must guide the professional to obtain maximum esthetic quality on their treatments. Therefore, it is necessary to investigate what the other specialties in Dentistry expect from Orthodontics and, specially, what they have to offer. Clinical cases will be used to illustrate the dental movement that might maximize treatment outcome and to confront the ideal standards with the current state of the art. CONCLUSION: Treatment quality is directly related to the amount of procedures implemented by the orthodontist, associated with concepts and resources from Periodontics and Dental Prosthesis. Microesthetics cannot be seen in isolation, but rather as the key to establish a pleasant smile (miniesthetics in addition to a harmonious face (macroesthetics and a human being with high self-esteem (hyper-esthetics.

  8. Flexible proportional-rate scheduling for OFDMA system

    KAUST Repository

    Leith, Alex

    2013-10-01

    In this paper, we study the sum-rate maximization algorithms for downlink and uplink orthogonal frequency division multiple access (OFDMA) systems under proportional-rate constraint (PRC) and minimum-rate constraint. We develop a low-complexity weighted channel signal-to-noise ratio (w-SNR)-based ranking scheme for user selection on each subchannel in OFDMA combined with waterfilling (WF) power allocation. Both offline and online optimization algorithms are developed to optimize the SNR weight vector to maximize the sum rate while satisfying several constraints, such as PRC. The offline weight optimization technique relies on the analytical throughput results developed in this paper, and the online weight adaptation method tracks the user rates and meets the PRC using a subgradient search. Furthermore, we introduce a novel SNR operating region test to enhance the multiuser diversity gain and the sum rate. The proposed schemes have a low complexity, which is linear to the numbers of users and subchannels. Simulation results verify the accuracy of the developed analytical rates and fairness formulas, and show that the proposed w-SNR schemes can achieve higher sum rates than several benchmark schemes that provide the PRC with either short-term or long-term fairness. © 2013 IEEE. © 2013 ESO.

  9. The European ‘Nomofilachia’ and the Principle of Proportionality

    Directory of Open Access Journals (Sweden)

    Antonio BARONE

    2009-12-01

    Full Text Available *The European Court of Justice greatly contributes to the guarantees that Community law will be uniformly interpreted and applied (“nomofilachia” and the rights which individuals derive from the Community legal order will be effectively protected. This essay analyses some aspects of the European Union “nomofilachia”; the research is developed in two steps which are strictly correlated. In the first part, it will be underlined how the uniform interpretation and the uniform application of EC law go beyond the provisions of art. 234 of the EC Treat; and are supported by new kind of relations among the Court of Justice, national courts and national administrations. In the second part of the research, it will be highlighted the impact of the general principles of the European Community legal system, moulded through the “nomofilachia” function of the Luxembourg Court, as regards the activities of national administrations. The analysis gives a particular attention to the evolutionary dynamics of the proportionality principle. All these aspects work in a contemporary context of deep transformation of the traditional relations among law, courts, administrations and citizens. * This essay is the joint work of both authors with Barone primary responsible for paragraph 1,2,3,4,9 and Ansaldi for paragraph 5,6,7,8.

  10. Boron-lined proportional counters with improved neutron sensitivity

    CERN Document Server

    Dighe, P M; Prasad, K R; Kataria, S K; Athavale, S N; Pappachan, A L; Grover, A K

    2003-01-01

    Boron-lined proportional counters with higher neutron sensitivity have been developed by introducing baffle structures within the sensitive volume. the results are compared to devices developed with multiple cathode assemblies in a single enclosure. in either case, the increase in the boron-coated surface area results in higher neutron sensitivity. one of these counters has 51 annular baffles coated with natural boron with 10 mm hole for the anode wire to pass through. filled with p-10 gas at 20 cm hg, it has an overall diameter of 30 and 300 mm length. multiple dip coating method was employed for better uniformity in boron thickness. the neutron sensitivity of this counter is 1.6 cps/nv, which is 2.5 times that of a counter with standard electrode geometry. another counter was developed with three cathode assemblies (30 mm IDx300 mm) coated with 92% sup 1 sup 0 B while the third has seven assemblies coated with natural boron (16 mm IDx750 mm length). the neutron sensitivity is 10 and 5.5 cps/nv, respectively...

  11. A surface EMG test tool to measure proportional prosthetic control.

    Science.gov (United States)

    Sturma, Agnes; Roche, Aidan D; Göbel, Peter; Herceg, Malvina; Ge, Nan; Fialka-Moser, Veronika; Aszmann, Oskar

    2015-06-01

    In upper limb amputees, prosthetic control training is recommended before and after fitting. During rehabilitation, the focus is on selective proportional control signals. For functional monitoring, many different tests are available. None can be used in the early phase of training. However, an early assessment is needed to judge if a patient has the potential to control a certain prosthetic set-up. This early analysis will determine if further training is needed or if other strategies would be more appropriate. Presented here is a tool that is capable of predicting achievable function in voluntary EMG control. This tool is applicable to individual muscle groups to support preparation of training and fitting. In four of five patients, the sEMG test tool accurately predicted the suitability for further myoelectric training based on SHAP outcome measures. (P1: "Poor" function in the sEMG test tool corresponded to 54/100 in the SHAP test; P2: Good: 85; P3: Good: 81; P4: Average: 78). One patient scored well during sEMG testing, but was unmotivated during SHAP testing. (Good: 50) Therefore, the surface EMG test tool may predict achievable control skills to a high extent, validated with the SHAP, but requires further clinical testing to validate this technique.

  12. Proportional Hazards Model with Covariate Measurement Error and Instrumental Variables.

    Science.gov (United States)

    Song, Xiao; Wang, Ching-Yun

    2014-12-01

    In biomedical studies, covariates with measurement error may occur in survival data. Existing approaches mostly require certain replications on the error-contaminated covariates, which may not be available in the data. In this paper, we develop a simple nonparametric correction approach for estimation of the regression parameters in the proportional hazards model using a subset of the sample where instrumental variables are observed. The instrumental variables are related to the covariates through a general nonparametric model, and no distributional assumptions are placed on the error and the underlying true covariates. We further propose a novel generalized methods of moments nonparametric correction estimator to improve the efficiency over the simple correction approach. The efficiency gain can be substantial when the calibration subsample is small compared to the whole sample. The estimators are shown to be consistent and asymptotically normal. Performance of the estimators is evaluated via simulation studies and by an application to data from an HIV clinical trial. Estimation of the baseline hazard function is not addressed.

  13. Double-blind, randomized, controlled clinical trial of the effects of diosmectite and basic fibroblast growth factor paste on the treatment of minor recurrent aphthous stomatitis.

    Science.gov (United States)

    Jiang, Xiao-Wen; Zhang, Yi; Zhang, Hao; Lu, Kun; Yang, Shou-Kang; Sun, Guo-Liang

    2013-11-01

    This study investigated the effectiveness and safety of topical application of diosmectite (DS) and basic fibroblast growth factor (bFGF) paste in the treatment of minor recurrent aphthous stomatitis. Four pastes, containing bFGF and DS, DS alone, bFGF alone, and vehicle only, were consecutively applied 4 times per day for 5 days. Pain levels and the amount of ulcer amelioration were evaluated. A total of 129 participants completed the study. DS+bFGF paste released bFGF continuously and significantly lowered ulcer pain scores (P minor recurrent aphthous stomatitis. Copyright © 2013 Elsevier Inc. All rights reserved.

  14. Towards Quantitative Image Reconstruction Using Monte-Carlo Simulations in Multi-Wire Proportional Chamber-Based Small Animal PET

    Science.gov (United States)

    Gottschlag, Holger; Kösters, Thomas; Vernekohl, Don; Reygers, Klaus; Schäfers, Klaus P.; Wübbeling, Frank; Wessels, Johannes P.

    2013-10-01

    The quadHIDAC is a dedicated high resolution small animal PET scanner based on multi-wire proportional chamber detectors. It provides very high spatial resolution, good sensitivity, and a large field-of-view allowing the examination of more than one animal in a single scan or a whole body scan of larger species in a single bed position. Excellent image quality has been obtained through list-mode-based EM reconstruction using resolution recovery. However, quantitative results on local uptake are still missing due to both (1) lack of energy discrimination and (2) inaccurate characterization of random events recorded by the scanner. In this work we describe how quantification can be achieved through the use of an appropriate Monte Carlo simulation of the quadHIDAC. The complex structure of the quadHIDAC has been completely implemented in a Geant4 simulation. Point sources, line sources, cylindrical phantoms, and voxelized image data have been successfully simulated and compared to real measurements. The magnitude and spatial distribution of scattered and random events could be quantitatively characterized for the different phantom geometries. The simulation provides access to information on single hit distributions resulting in appropriate randoms corrections in image reconstruction. Both randoms and scatter correction is demonstrated to improve quantification. Their accuracy and performance was tested on simulated and measured data. Using simulation-based correction techniques for quantitative image reconstruction, multi-wire proportional chamber-based PET technology may be attractive for future high resolution PET scanners.

  15. What Proportion of Terminally Ill and Dying People Require Specialist Palliative Care Services?

    Directory of Open Access Journals (Sweden)

    Donna M. Wilson

    2014-01-01

    Full Text Available Currently, around 55 million people die each year worldwide. That number is expected to increase rapidly with accelerating population aging. Despite growth in the number of palliative care specialists and specialist services in most countries, the prospect of an increasing number of terminally ill and dying persons is daunting. This paper attempts to answer the question: what proportion of terminally ill and dying persons require specialist palliative care services? To address this question and highlight which persons require specialist palliative care, the current state of access to specialist palliative care services and specialists in Canada and other countries is highlighted, along with available evidence-based information on specialist services utilization and the care needs of terminally ill and dying persons. Current evidence and information gaps reveal that this question cannot be answered now, but it should be answered in advance of a crisis of unmet end-of-life care needs with the rising death toll.

  16. Random Young diagrams in a Rectangular Box

    DEFF Research Database (Denmark)

    Beltoft, Dan; Boutillier, Cédric; Enriquez, Nathanaël

    We exhibit the limit shape of random Young diagrams having a distribution proportional to the exponential of their area, and confined in a rectangular box. The Ornstein-Uhlenbeck bridge arises from the fluctuations around the limit shape.......We exhibit the limit shape of random Young diagrams having a distribution proportional to the exponential of their area, and confined in a rectangular box. The Ornstein-Uhlenbeck bridge arises from the fluctuations around the limit shape....

  17. The association between social factors and body length proportions in Polish schoolchildren from Lower Silesia

    Directory of Open Access Journals (Sweden)

    Kozieł Sławomir

    2016-12-01

    Full Text Available Many studies worldwide have shown that social factors are significantly associated with growth in childhood. However, very few researchers studied influence of social factors on body length proportions. The aim of the present study was the assessment how urbanization level, sibship size and parental education may affect body length proportions in schoolchildren. 325 boys and 335 girls aged 7-18 years were measured in schools in Wrocław, two small towns and villages around these towns. Height, sitting height, leg length , and lower leg length were measured in all children, then relative lengths (in relation to height were calculated: leg, femur, lower leg, estimated leg and lower leg length to leg length ratio. Height was standardized on age using LMS parameters for CDC 2002 year cohort. Other indices were standardized on age by using residuals variance derived from linear regressions. Four-way analysis of variance was used for height and each index, where independent variables were four social factors. Except for father’s education in boys, no other social factor was significant associated with height. Urbanization level significantly differed almost all indices, whereas father’s education level was significantly associated with relative leg length in girls and estimated leg length in both sexes. Our study has shown that the segments of lower limb seems to be more sensitive than height to the effect of social factors. In Lower Silesia, the level of urbanization is still related to differences in environmental conditions, enough to significantly affect growth of children, especially within the segments of lower limbs.

  18. A Dexterous Optional Randomized Response Model

    Science.gov (United States)

    Tarray, Tanveer A.; Singh, Housila P.; Yan, Zaizai

    2017-01-01

    This article addresses the problem of estimating the proportion Pi[subscript S] of the population belonging to a sensitive group using optional randomized response technique in stratified sampling based on Mangat model that has proportional and Neyman allocation and larger gain in efficiency. Numerically, it is found that the suggested model is…

  19. Analysis of Cutting Growth Characteristics in Robusta Coffee(Coffea canephora Pierre.

    Directory of Open Access Journals (Sweden)

    Ucu Sumirat

    2013-12-01

    Full Text Available Development of Robusta coffee clones needs special characteristics for rootstock. This research was aimed to study the characteristics of cutting growth of Robusta coffee as influenced by genetic factor. The research was conducted at Indonesian Coffee and Cocoa Research Institute using 269 progenies originated from reciprocal crossing populations among three parentals, namely BP 409, BP 961, and Q 121. BP 308 an easy cutting-propagated genotype was used as control. The research was arranged in three replications of randomized completely block design with 10 cuttings per replication. Each cutting was single planted in plastic polybag of 15 cm x 25 cm without any growth-regulator treatment. Cluster analysis procedure showed root growth characteristics which could be divided into three groups namely easy (85.3%, 3.82 and 6.68 cm, moderate (57.6%, 1.73 and 4.01 cm and difficult (25.1%, 0.58 dan 1.44 cm based on proportion of rooted cuttings, number of primary root and length of root, respectively. On the other side, growth of sprout showed good homogenous characteristic, mainly indicated by proportion of sprouted cuttings which generally achieved up to 98% in average. Study on shoot-root ratio of cuttings resulted in two groups of progenies, namely the first which tended to be dominant on sprout growth and the second which tended to balance their root and sprout growth. Based on proportion of sprouted cuttings which almost achieved up to 100% and various proportion of rooted cutting, it could be indicated that growth of cuttings was started and dominated by the growth of sprout. Key words: Coffee canephora, progeny, genetic variation, cutting, rooting, sprouting

  20. Aplikasi Kontrol PI (Proportional Integral pada Katup Ekspansi Mesin Pendingin

    Directory of Open Access Journals (Sweden)

    Bayu Rudiyanto

    2016-10-01

    Full Text Available Abstrak. Penelitian ini bertujuan untuk melakukan proses perancangan dan pembuatan kontrol katup ekspansi otomatis dengan menggunakan sistem kontrol PI, untuk melakukan proses pengontrolan temperatur ruang evaporator agar didapatkan hasil pembekuan yang lebih optimal. Sensor temperatur LM35 digunakan dalam penelitian ini untuk melakukan pembacaan temperatur pada ruang evaporator, yang mana dari hasil pembacaan sensor tersebut digunakan sebagai sinyal masukan untuk sistem kontrol PI. Berdasarkan hasil pengujian sensor LM35 mempunyai sensitivitas pembacaan sebesar 0,009335 V/oC.  Unjuk kerja sistem kontrol PI pada penelitian ini didapatkan respon yang baik pada nilai Kp = 20 dan Ki = 10, dimana dengan nilai berikut untuk mencapai temperatur set point waktu yang dibutuhkan selama 251 detik dengan nilai maximum overshoot lebih rendah yaitu -2,4 oC. Hasil pendinginan yang didapatkan pada penelitian ini dengan menggunakan sistem kontrol katup ekspansi otomatis didapat proses pendinginan yang lebih cepat dan energi yang dibutuhkan jauh lebih hemat yaitu sebesar 0,265 kWh.   The Application of A Control PI (Proportional Integral on Expansion Valves Refrigeration Machine  Abstract. This research aim to do design process and making control valve expansion automatic by using control system PI, which then applied on refrigerator plates touch to perform the process of control freezing temperatures. Censor temperature LM35 used in this research to do reading the temperature at evaporator room, of results reading sensors is used as input signal to control system PI. Based on the test result of testing censor LM35 have the sensitivity reading of almost accordance with the datav sheet is as much as 0,009335 V/oC. Were control sistem works PI the research this obtained response good to value center Kp = 20 and Ki =10. In which value, to reach set temperature point , the time it takes 251 seconds by value maximum overshoot point lower then -2.4°C. The result

  1. The Principle of Proportionality and the European Arrest Warrant

    Directory of Open Access Journals (Sweden)

    Sarah Haggenmüller

    2013-01-01

    Full Text Available The European Arrest Warrant (EAW is a grossly coercive instrument that was designed for the persecution of serious cross-border crimes. In recent years, however, Member States have increasingly reported cases in which EAWs have not been issued for serious, but rather for harmless and minor offences. This article analyses the reasons behind the disproportionate use of the EAW and outlines measures to alleviate the problem. Thereby, it claims that in current debates different categories of disproportionate use of EAWs are often lumped together, and only concentrate on the introduction of a (binding proportionality test, failing to consider other alternative legislative solutions regarding minor crimes, such as the introduction of new comparable and effective alternative measures. These, however, are considered to be crucial for an alleviation of disproportionate warrants. La orden de detención europea (ODE es un instrumento extremadamente coercitivo que fue diseñado para la persecución de delitos transfronterizos graves. En años recientes, sin embargo, los Estados miembro han notificado cada vez más casos en los que la ODE no se debía a delitos serios, sino a casos menores e inofensivos.. En este artículo se analizan las razones que hay detrás del uso desproporcionado de la orden de detención europea y propone medidas para paliar el problema. De esta manera, se defiende que el debate actual, frecuentemente agrupan diferentes categorías de uso desproporcionado de la ODE, y sólo se concentran en la introducción de un test de proporcionalidad (vinculante, sin tener en cuenta otras soluciones legislativas alternativas, en lo que respecta a delitos menores, como la introducción de nuevas medidas alternativas, comparables y eficaces. Sin embargo, se considera que estas medidas son cruciales para reducir las órdenes de arresto desproporcionadas. DOWNLOAD THIS PAPER FROM SSRN: http://ssrn.com/abstract=2200874

  2. The effect of early measles vaccination at 4.5 months of age on growth at 9 and 24 months of age in a randomized trial in Guinea-Bissau.

    Science.gov (United States)

    Rasmussen, S M; Biering-Sørensen, S; Byberg, S; Andersen, A; Bjerregaard-Andersen, M; Rodrigues, A; Benn, C S; Martins, C L; Aaby, P

    2016-12-03

    Providing an early, additional measles vaccine (MV) at 4.5 months of age has been shown to reduce child mortality in low-income countries. We studied the effects on growth at 9 and 24 months of age. A randomized controlled trial was conducted in Guinea-Bissau from 2003-2007 including 6,648 children. Children were randomized 1:1:1 to receive Edmonston-Zagreb measles vaccine at 4.5 and 9 months of age (group A), no vaccine at 4.5 months and Edmonston-Zagreb measles vaccine at 9 months (group B), or no vaccine at 4.5 months and Schwarz measles vaccine at 9 months (group C) Data on anthropometrics were obtained at enrolment at 4.5 months of age and again at 9 and 24 months of age. Analyses were stratified by sex, season of enrolment, and neonatal vitamin A supplementation (NVAS) status, as all these factors have been shown to modify the effect of early MV on mortality. Overall there was no effect of early MV on anthropometry at 9 months. At 24 months children who had received early MV had a significantly larger mid-upper-arm-circumference (MUAC/in cm) (Difference = 0.08; 95% CI (0.02;0.14)) compared with children in the control group; this effect was most pronounced among girls (0.12 (0.03;0.20)). The effect of early MV on MUAC remained significant in the dry season and in girls who received placebo rather than NVAS. Early MV was associated with a larger MUAC particularly in girls. These results indicate that a two-dose measles vaccination schedule might not only reduce child mortality but also improve growth. ClinicalTrials.gov NCT00168558 . Registered September 9, 2005, retrospectively registered.

  3. Randomized, phase II study of the insulin-like growth factor-1 receptor inhibitor IMC-A12, with or without cetuximab, in patients with cetuximab- or panitumumab-refractory metastatic colorectal cancer.

    Science.gov (United States)

    Reidy, Diane Lauren; Vakiani, Efsevia; Fakih, Marwan G; Saif, Muhammad Wasif; Hecht, Joel Randolph; Goodman-Davis, Noah; Hollywood, Ellen; Shia, Jinru; Schwartz, Jonathan; Chandrawansa, Kumari; Dontabhaktuni, Aruna; Youssoufian, Hagop; Solit, David B; Saltz, Leonard B

    2010-09-20

    To evaluate the safety and efficacy of IMC-A12, a human monoclonal antibody (mAb) that blocks insulin-like growth factor receptor-1 (IGF-1R), as monotherapy or in combination with cetuximab in patients with metastatic refractory anti-epidermal growth factor receptor (EGFR) mAb colorectal cancer. A randomized, phase II study was performed in which patients in arm A received IMC-A12 10 mg/kg intravenously (IV) every 2 weeks, while patients in arm B received this same dose of IMC-A12 plus cetuximab 500 mg/m(2) IV every 2 weeks. Subsequently, arm C (same combination treatment as arm B) was added to include patients who had disease control on a prior anti-EGFR mAb and wild-type KRAS tumors. Archived pretreatment tumor tissue was obtained when possible for KRAS, PIK3CA, and BRAF genotyping, and immunohistochemistry was obtained for pAKT as well as IGF-1R. Overall, 64 patients were treated (median age, 61 years; range, 40 to 84 years): 23 patients in arm A, 21 in arm B, and 20 in arm C. No antitumor activity was seen in the 23 patients treated with IMC-A12 monotherapy. Of the 21 patients randomly assigned to IMC-A12 plus cetuximab, one patient (with KRAS wild type) achieved a partial response, with disease control lasting 6.5 months. Arm C (all patients with KRAS wild type), however, showed no additional antitumor activity. Serious adverse events thought possibly related to IMC-A12 included a grade 2 infusion-related reaction (2%; one of 64 patients), thrombocytopenia (2%; one of 64 patients), grade 3 hyperglycemia (2%; one of 64 patients), and grade 1 pyrexia (2%, one of 64 patients). IMC-A12 alone or in combination with cetuximab was insufficient to warrant additional study in patients with colorectal cancer refractory to EGFR inhibitors.

  4. Can proportional ventilation modes facilitate exercise in critically ill patients? A physiological cross-over study : Pressure support versus proportional ventilation during lower limb exercise in ventilated critically ill patients.

    Science.gov (United States)

    Akoumianaki, Evangelia; Dousse, Nicolas; Lyazidi, Aissam; Lefebvre, Jean-Claude; Graf, Severine; Cordioli, Ricardo Luiz; Rey, Nathalie; Richard, Jean-Christophe Marie; Brochard, Laurent

    2017-12-01

    Early exercise of critically ill patients may have beneficial effects on muscle strength, mass and systemic inflammation. During pressure support ventilation (PSV), a mismatch between demand and assist could increase work of breathing and limit exercise. A better exercise tolerance is possible with a proportional mode of ventilation (Proportional Assist Ventilation, PAV+ and Neurally Adjusted Ventilatory Assist, NAVA). We examined whether, in critically ill patients, PSV and proportional ventilation have different effects on respiratory muscles unloading and work efficiency during exercise. Prospective pilot randomized cross-over study performed in a medico-surgical ICU. Patients requiring mechanical ventilation >48 h were enrolled. At initiation, the patients underwent an incremental workload test on a cycloergometer to determine the maximum level capacity. The next day, 2 15-min exercise, at 60% of the maximum capacity, were performed while patients were randomly ventilated with PSV and PAV+ or NAVA. The change in oxygen consumption (ΔVO2, indirect calorimetry) and the work efficiency (ratio of ΔVO2 per mean power) were computed. Ten patients were examined, 6 ventilated with PSV/PAV+ and 4 with PSV/NAVA. Despite the same mean inspiratory pressure at baseline between the modes, baseline VO2 (median, IQR) was higher during proportional ventilation (301 ml/min, 270-342) compared to PSV (249 ml/min, 206-353). Exercise with PSV was associated with a significant increase in VO2 (ΔVO2, median, IQR) (77.6 ml/min, 59.9-96.5), while VO2 did not significantly change during exercise with proportional modes (46.3 ml/min, 5.7-63.7, p PSV. The ventilator modes did not affect patient's dyspnea, limb fatigue, distance, hemodynamics and breathing pattern. Proportional ventilation during exercise results in higher work efficiency and less increase in VO2 compared to ventilation with PSV. These preliminary findings suggest that proportional ventilation could enhance the

  5. Experimental study on mix proportion of fiber reinforced cementitious composites

    Science.gov (United States)

    Jia, Yi; Zhao, Renda; Liao, Ping; Li, Fuhai; Yuan, Yuan; Zhou, Shuang

    2017-10-01

    To study the mechanical property of fiber reinforced cementations composites influenced by the fiber length, quartz sand diameter, matrix of water cement ratio, volume fraction of fiber and magnesium acrylate solution. Several 40×40×160 mm standard test specimens, "8" specimens and long "8" specimens and 21 groups of fiber concrete specimens were fabricated. The flexural, compressive and uniaxial tensile strength were tested by using the bending resistance, compression resistance and electronic universal testing machine. The results show that flexural and compressive strength of fiber reinforced cementations composites increases along with the increase of quartz sand diameter, with the growth of the PVA fiber length increases; When the water-binder ratio is 0.25 and powder-binder ratio is 0.3, the PVA fiber content is 1.5% of the mass of cementations materials, there is a phenomenon of strain hardening; The addition of magnesium acrylate solution reduces the tensile strength of PVA fiber reinforced cementations composites, the tensile strength of the specimens in the curing age of 7d is decreased by about 21% and the specimens in curing age of 28d is decreased by more than 50%.

  6. Growth, livability, feed consumption, and carcass composition of the Athens Canadian Random Bred 1955 meat-type chicken versus the 2012 high-yielding Cobb 500 broiler.

    Science.gov (United States)

    Collins, K E; Kiepper, B H; Ritz, C W; McLendon, B L; Wilson, J L

    2014-12-01

    A flock of the Athens Canadian Random Bred (ACRB), a 1955 meat-type chicken control strain, was raised alongside a flock of 2012 Cobb 500 fast feathering high-yielding broilers to determine selection changes over the past 57 yr. All birds were reared under management practices appropriate for the Cobb 500. Birds were weighed weekly and processed at 6, 8, and 10 wk. Whole carcass, carcass parts, and organs were weighed. Modern broilers outweighed ACRB at every age, ranging from 3.7 to 4.7 times the size of the ACRB. All parts and organs were compared as a percentage of live fasted BW. The ACRB had significantly heavier feet, wings, internal organs, and feathers. The modern Cobb broiler had double the breast and larger leg muscles and had a significantly greater fat pad. Despite the larger muscle mass, the supply organs, the heart and lungs, were significantly smaller in the Cobb broiler than the ACRB as a percentage of BW. Relative size of supply and other vital organs should be given consideration for genetic selection of the future broiler. Comparisons of ACRB weights and organ percentages with past published data indicates that the ACRB remains a consistent control strain. ©2014 Poultry Science Association Inc.

  7. The effect of early measles vaccination at 4.5 months of age on growth at 9 and 24 months of age in a randomized trial in Guinea-Bissau

    DEFF Research Database (Denmark)

    Rasmussen, S M; Biering-Sørensen, S; Byberg, S

    2016-01-01

    BACKGROUND: Providing an early, additional measles vaccine (MV) at 4.5 months of age has been shown to reduce child mortality in low-income countries. We studied the effects on growth at 9 and 24 months of age. METHODS: A randomized controlled trial was conducted in Guinea-Bissau from 2003.......03;0.20)). The effect of early MV on MUAC remained significant in the dry season and in girls who received placebo rather than NVAS. CONCLUSION: Early MV was associated with a larger MUAC particularly in girls. These results indicate that a two-dose measles vaccination schedule might not only reduce child mortality......-2007 including 6,648 children. Children were randomized 1:1:1 to receive Edmonston-Zagreb measles vaccine at 4.5 and 9 months of age (group A), no vaccine at 4.5 months and Edmonston-Zagreb measles vaccine at 9 months (group B), or no vaccine at 4.5 months and Schwarz measles vaccine at 9 months (group C) Data...

  8. Effect of early, short-term supplementation on weight and linear growth of 4-7-mo-old infants in developing countries: a four-country randomized trial.

    Science.gov (United States)

    Simondon, K B; Gartner, A; Berger, J; Cornu, A; Massamba, J P; San Miguel, J L; Ly, C; Missotte, I; Simondon, F; Traissac, P; Delpeuch, F; Maire, B

    1996-10-01

    The effect of supplementation on growth was tested by means of four similar controlled randomized trials in the Congo (n = 120), Senegal (n = 110), Bolivia (n = 127), and New Caledonia (n = 90). Four-month-old infants were randomly allocated to supplement or control groups. A cereal-based precooked porridge was offered twice daily for 3 mo and consumption was monitored. Both groups were free to eat local food. At 7 mo of age, all infants were still breast-fed in the Congo, Senegal, and Bolivia compared with 47% in New Caledonia. Mean daily consumption of the supplement varied among countries (558-790 kJ/d). Mean length at 4 mo was lowest in Bolivia, higher in Senegal and the Congo, and near the National Center for Health Statistics reference in New Caledonia. The mean 4-7 mo length increment was 0.48 cm higher for supplemented than for control infants in Senegal (P < 0.05), whereas weight increments did not differ. No significant effect was found in the other countries.

  9. SAS macros for point and interval estimation of area under the receiver operating characteristic curve for non-proportional and proportional hazards Weibull models.

    Science.gov (United States)

    Mannan, Haider; Stevenson, Chris

    2010-08-01

    For prediction of risk of cardiovascular end points using survival models the proportional hazards assumption is often not met. Thus, non-proportional hazards models are more appropriate for developing risk prediction equations in such situations. However, computer program for evaluating the prediction performance of such models has been rarely addressed. We therefore developed SAS macro programs for evaluating the discriminative ability of a non-proportional hazards Weibull model developed by Anderson (1991) and that of a proportional hazards Weibull model using the area under receiver operating characteristic (ROC) curve. Two SAS macro programs for non-proportional hazards Weibull model using Proc NLIN and Proc NLP respectively and model validation using area under ROC curve (with its confidence limits) were written with SAS IML language. A similar SAS macro for proportional hazards Weibull model was also written. The computer program was applied to data on coronary heart disease incidence for a Framingham population cohort. The five risk factors considered were current smoking, age, blood pressure, cholesterol and obesity. The predictive ability of the non-proportional hazard Weibull model was slightly higher than that of its proportional hazard counterpart. An advantage of SAS Proc NLP in terms of the example provided here is that it provides significance level for the parameter estimates whereas Proc NLIN does not. The program is very useful for evaluating the predictive performance of non-proportional and proportional hazards Weibull models.

  10. Adult height in short children born SGA treated with growth hormone and gonadotropin releasing hormone analog: results of a randomized, dose-response GH trial.

    Science.gov (United States)

    Lem, Annemieke J; van der Kaay, Danielle C M; de Ridder, Maria A J; Bakker-van Waarde, Willie M; van der Hulst, Flip J P C M; Mulder, Jaap C; Noordam, Cees; Odink, Roel J; Oostdijk, Wilma; Schroor, Eelco J; Sulkers, Eric J; Westerlaken, Ciska; Hokken-Koelega, Anita C S

    2012-11-01

    GH treatment is effective in improving height in short children born small for gestational age (SGA). GH is thought to have limited effect when started during adolescence. The aim of this study was to investigate GH treatment efficacy in short SGA children when treatment was started during adolescence; to assess whether GH 2 mg/m(2) · d during puberty improves adult height (AH) compared with 1 mg/m(2) · d; and to assess whether an additional 2-yr postponement of puberty by GnRH analog (GnRHa) improves AH in children who are short at the start of puberty (SGA children (60 boys) at least 8 yr of age. We performed intention-to-treat analyses on all children and uncensored case analyses on 84 children who reached AH. Besides, we evaluated growth during 2 yr of combined GH/GnRHa and subsequent GH treatment until AH in a subgroup of 40 pubertal children with a height of less than 140 cm at the start. Short SGA children started treatment at a median age of 11.2 yr, when 46% had already started puberty. Median height increased from -2.9 at start to -1.7 sd score (SDS) at AH (P SGA children, particularly with GH 2 mg/m(2) · d during puberty. When SGA children are short at the start of puberty, they can benefit from combined GH/GnRHa treatment.

  11. Does docosahexaenoic acid (DHA) status in pregnancy have any impact on postnatal growth? Six-year follow-up of a prospective randomized double-blind monocenter study on low-dose DHA supplements.

    Science.gov (United States)

    Bergmann, Renate L; Bergmann, Karl E; Richter, Rolf; Haschke-Becher, Elisabeth; Henrich, Wolfgang; Dudenhausen, Joachim W

    2012-11-01

    Fetuses and breastfed children depend on the maternal docosahexaenoic acid (DHA) supply, which might have long-lasting consequences. We studied the growth of 6-year-old children whose mothers received supplemental DHA from midpregnancy to 3 months after delivery. One hundred and forty-four pregnant women had been randomized to receive one of three vitamin-mineral supplements, one supplying an additional 200 mg/day DHA. Of the original sample, 120 children were measured at age 6 years with standardized methods. As one objective of the follow-up was to investigate the DHA influence on normal growth, the DHA group was compared with the pooled controls after exclusion of five premature infants. The weight, length, body mass index (BMI), head circumference, and skin-fold thickness at 6 years were similar in the 41 children of the DHA group and the 74 controls. Longitudinally, the BMI z-scores of the DHA group increased up at a later age than that of the controls. We found a highly significant negative correlation between height at 6 years and the increase in red blood cell DHA concentration of mothers from 22 to 37 weeks of pregnancy. We conclude that DHA supplements during midpregnancy corrected a low maternal DHA status (which correlated with children's height) and was favorable in regard to the BMI development up to 6 years.

  12. Patient-reported outcomes of bimatoprost for eyelash growth: results from a randomized, double-masked, vehicle-controlled, parallel-group study.

    Science.gov (United States)

    Fagien, Steven; Walt, John G; Carruthers, Jean; Cox, Sue Ellen; Wirta, David; Weng, Emily; Beddingfield, Frederick C

    2013-08-01

    Hypotrichosis of the eyelashes may negatively influence an individual's self-perception and appearance. Assessing the impact of treatment from a patient's perspective may be particularly relevant in trials of aesthetic agents. Once-daily dermal (topically applied) administration of bimatoprost ophthalmic solution 0.03% has been associated with increased eyelash prominence (ie, length, thickness, darkness). The authors assess patient-reported outcomes (PRO) after treatment with bimatoprost for hypotrichosis of the eyelashes. In this multicenter, double-masked, randomized, vehicle-controlled, parallel clinical trial, 4 PRO questionnaires were distributed to 278 patients (bimatoprost [n = 137] and vehicle [n = 141]). The primary PRO questionnaire was the 23-item Eyelash Satisfaction Questionnaire (ESQ), which measured satisfaction in 3 domains: length, fullness, and overall satisfaction (LFOS); confidence, attractiveness, and professionalism (CAP); and impact on daily routine (DR). By week 16, the bimatoprost group reported significantly greater improvements from baseline on all ESQ items (P ≤ .0433). These improvements were sustained through the 4-week posttreatment study visit. Patient satisfaction was significantly greater in the bimatoprost group than in the vehicle group for all 3 domains: LFOS (weeks 8-20; P ≤ .0052), CAP (weeks 12-20; P < .0001), and DR (weeks 16 and 20; P ≤ .01). The bimatoprost group reported significantly greater levels of positive patient outcomes and satisfaction than the vehicle group across all 23 questions and all 3 domains of the primary PRO questionnaire. These results support the effectiveness, as measured by objective measures and PRO, of once-daily bimatoprost ophthalmic solution 0.03% at producing more prominent eyelashes in adults.

  13. Recombinant insulin-like growth factor (IGF)-I treatment in short children with low IGF-I levels: first-year results from a randomized clinical trial.

    Science.gov (United States)

    Midyett, L Kurt; Rogol, Alan D; Van Meter, Quentin L; Frane, James; Bright, George M

    2010-02-01

    Short stature in children may be associated with low IGF-I despite normal stimulated GH levels and without other causes. Our objective was to assess the safety and efficacy of recombinant human IGF-I (rhIGF-I) in short children with low IGF-I levels. This was a 1-yr, randomized, open-label trial (MS301). The study was conducted at 30 U.S. pediatric endocrinology clinics. A total of 136 short, prepubertal subjects with low IGF-I (height and IGF-I sd scores or =7 ng/ml); 124 completed the study, and six withdrew for adverse events and six for other reasons. rhIGF-I was administered sc, twice daily using weight-based dosing (40, 80, or 120 microg/kg; n = 111) or subjects were observed (n = 25). First-year height velocity (centimeters per year, cm/yr), height sd score, IGF-I, and adverse events were prespecified outcomes. First-year height velocities for subjects completing the trial were increased for the 80- and 120-microg/kg twice-daily vs. the untreated group (7.0 +/- 1.0, 7.9 +/- 1.4, and 5.2 +/- 1.0 cm/yr, respectively; all P < 0.0001) and for the 120- vs. 80-microg/kg group (P = 0.0002) and were inversely related to age. They were not predicted by GH stimulation or IGF-I generation test results and were not correlated with IGF-I antibody status. The most commonly reported adverse events of special interest during treatment were headache (38% of subjects), vomiting (25%), and hypoglycemia (14%). rhIGF-I treatment was associated with age- and dose-dependent increases in first-year height velocity. Adverse events during treatment were less common than in previous studies and were generally transient, easily managed, and without known sequelae.

  14. Temporal Learning and Rhythmic Responding: No Reduction in the Proportion Easy Effect with Variable Response-Stimulus Intervals

    Directory of Open Access Journals (Sweden)

    James R Schmidt

    2016-05-01

    Full Text Available The present report further investigates the proportion easy effect, a conflict-free version of the proportion congruent effect. In the proportion easy paradigm, it is observed that the difference in performance between easy (high contrast and hard (low contrast items is smaller in a task with mostly hard items relative to a task with mostly easy items. This effect has been interpreted as evidence for temporal learning: participants learn a faster pace (i.e., rhythm of responding in the mostly easy context, which boosts the contrast effect, and a slower pace in the mostly hard context. In the present experiment, intervals between trials were either fixed or randomly varied from trial to trial. Interestingly, the proportion easy effect was still present with variable intervals. These data suggest that participants do not learn the regularity in timing from one response to the next (which was highly inconsistent with variable intervals. As one alternative, participants might be learning the intervals between stimulus onset and responses, which were not manipulated. They could then use this learned timing information to prepare for responding at the anticipated time, resulting in rhythmic responding. The results further imply that variable response-stimulus intervals are insufficient for controlling for rhythmic biases.

  15. The critical proportion of immune individuals needed to control hepatitis B

    Science.gov (United States)

    Ospina, Juan; Hincapié-Palacio, Doracelly

    2016-05-01

    We estimate the critical proportion of immunity (Pc) to control hepatitis B in Medellin - Colombia, based on a random population survey of 2077 individuals of 6-64 years of age. The force of infection (Fi) was estimated according to empirical data of susceptibility by age S(a), assuming a quadratic expression. Parameters were estimated by adjusting data to a nonlinear regression. Fi was defined by -(ds(a)/da)/s(a) and according to the form of the empirical curve S(a) we assume a quadratic expression given by S(a)= Ea2+Ba+C. Then we have the explicit expression for the accumulated Fi by age given by F(a) = -a(Ea+B)/c. The expression of average infection age A is obtained as A = L + EL3/(3C)+BL2/(2C) and the basic reproductive number R0 is obtained as R0 = 1 + 6C/(6C+2EL2+3BL). From the las result we obtain the Pc given by Pc= 6C/(12C+2EL2+3BL). Numerical simulations were performed with the age-susceptibility proportion and initial values (a=0.02, b=20, c=100), obtaining an adjusted coefficient of multiple determination of 64.83%. According to the best estimate, the algebraic expressions for S(a) and the Fi were derived. Using the result of Fi, we obtain A = 30, L =85; R0 CI 95%: 1.42 - 1.64 and Pc: 0-0.29. These results indicate that at the worst case, to maintain control of the disease should be immunes at least 30% of susceptible individuals. Similar results were obtained by sex and residential area.

  16. Design of proportional-derivative-type state feedback controllers for congestion control of transmission control protocol networks

    Science.gov (United States)

    Azadegan, Masoumeh; Beheshti, Mohammad T. H.; Tavassoli, Babak

    2015-07-01

    A new proportional-derivative-type state feedback controller is proposed for congestion control of transmission control protocol (TCP) networks. An analytical TCP model is adopted. In the proposed control scheme, it is possible to efficiently control the TCP traffic using only the queue length at the router without the need to know the TCP window size which is not available locally. The results are presented in terms of delay-dependent linear matrix inequality. The proposed method is verified by simulation examples using NS software, and the effectiveness and superiority of our method over other control schemes, such as the proportional-integral, random early detection and generalised minimum variancemethods, are also shown.

  17. A Bayesian approach to jointly estimate centre and treatment by centre heterogeneity in a proportional hazards model.

    Science.gov (United States)

    Legrand, Catherine; Ducrocq, Vincent; Janssen, Paul; Sylvester, Richard; Duchateau, Luc

    2005-12-30

    When multicentre clinical trial data are analysed, it has become more and more popular to look for possible heterogeneity in outcome between centres. However, beyond the investigation of such heterogeneity, it is also interesting to consider heterogeneity in treatment effect over centres. For time-to-event outcomes, this may be investigated by including a random centre effect and a random treatment by centre interaction in a Cox proportional hazards model. Assuming independence between the random effects, we propose a Bayesian approach to fit our proposed model. The parameters of interest are the variance components sigma(0) (2) and sigma(1) (2) of these random effects, which can be interpreted as a measure of centre and treatment effect over centres heterogeneity of the hazard. These variance components are estimated from their marginal posterior density after integrating out the fixed treatment effect and the random effects. As this integration cannot be performed analytically, the marginal posterior density is approximated using the Laplace integration technique. Statistical inference is then based on the characteristics of the posterior marginal density, such as the mode and the standard deviation. We demonstrate the proposed technique using data from a pooled database of seven EORTC bladder cancer clinical trials. Substantial centre and treatment effect over centres heterogeneity in disease-free interval was found. Copyright 2005 John Wiley & Sons, Ltd.

  18. Prevalence of knee pain and knee OA in southern Sweden and the proportion that seeks medical care

    DEFF Research Database (Denmark)

    Turkiewicz, Aleksandra; Gerhardsson de Verdier, Maria; Engström, Gunnar

    2015-01-01

    OBJECTIVE: The aim of this study was to estimate the prevalence of frequent knee pain in radiographic, symptomatic and clinically defined knee OA in middle-aged and elderly patients and the proportion that seeks medical care. METHODS: In 2007 a random sample of 10 000 56- to 84-year-old residents...... symptomatic or clinically defined knee OA. Of these, 68.9% consulted a physician for knee OA or pain during 2004-11. CONCLUSION: Fifteen per cent of middle-aged or elderly individuals have knee OA and symptoms. About one in three of those do not consult a physician. Inefficient care of OA and self-coping may...

  19. THE PROPORTION OF X AND Y SPERM, VIABILITY AND MOTILITY OF RAM SPERMATOZOA AFTER SEPARATED WITH WHITE EGG ALBUMIN

    Directory of Open Access Journals (Sweden)

    Moh Takdir

    2017-02-01

    The aim of this research was to determine the proportion, viability and motility of X and Y ram spermatozoa separated with egg white albumin. Sperm samples derived from Garut ram, which was collected by using an artificial vagina. Observations were made on spermatozoa fraction above and below each medium fraction treatment. There are treatment egg white albumin as separation medium, each medium consisting of fractions top and bottom fraction with different concentration: 1 P0 = sperma before separation (control; 2 P1 = 10% above fraction + 30% lower fraction; P2 = 25% + 45%; P3 = 25% + 75%. Data proportion of X and Y, viability and motility were analyzed statistically by Completely Randomized Design patern in the direction followed by Duncan’s Multiple Range Test for data with a real difference. Separation with egg white albumin affect significantly increased the proportion of spermatozoa X and Y (P≤0.05, but tends to decrease the viability and motility of spermatozoa.The proportion of spermatozoa X and Y was highest in treatment P3,76.76% of spermatozoa X (fraction above 25% and 79.81% spermatozoa Y (75% lower fraction, with an average viability obtained respectively 68,9% (fraction above and 59,7% (bottom fraction, motility 77,5% (fraction above dan 84,0% (bottom fraction. It was concluded that the egg white albumin is very effective in changing the proportions of X and Y ram sperm with the quality of spermatozoa after separation feasible for applications insemination or processed into frozen semen.   (Keywords: Garut ram, White egg albumin, Spermatozoa X and Y

  20. Randomized phase II trial of the efficacy and safety of trastuzumab combined with docetaxel in patients with human epidermal growth factor receptor 2-positive metastatic breast cancer administered as first-line treatment: the M77001 study group.

    Science.gov (United States)

    Marty, Michel; Cognetti, Francesco; Maraninchi, Dominique; Snyder, Ray; Mauriac, Louis; Tubiana-Hulin, Michèle; Chan, Stephen; Grimes, David; Antón, Antonio; Lluch, Ana; Kennedy, John; O'Byrne, Kenneth; Conte, PierFranco; Green, Michael; Ward, Carol; Mayne, Karen; Extra, Jean-Marc

    2005-07-01

    This randomized, multicenter trial compared first-line trastuzumab plus docetaxel versus docetaxel alone in patients with human epidermal growth factor receptor 2 (HER2) -positive metastatic breast cancer (MBC). Patients were randomly assigned to six cycles of docetaxel 100 mg/m2 every 3 weeks, with or without trastuzumab 4 mg/kg loading dose followed by 2 mg/kg weekly until disease progression. A total of 186 patients received at least one dose of the study drug. Trastuzumab plus docetaxel was significantly superior to docetaxel alone in terms of overall response rate (61% v 34%; P = .0002), overall survival (median, 31.2 v 22.7 months; P = .0325), time to disease progression (median, 11.7 v 6.1 months; P = .0001), time to treatment failure (median, 9.8 v 5.3 months; P = .0001), and duration of response (median, 11.7 v 5.7 months; P = .009). There was little difference in the number and severity of adverse events between the arms. Grade 3 to 4 neutropenia was seen more commonly with the combination (32%) than with docetaxel alone (22%), and there was a slightly higher incidence of febrile neutropenia in the combination arm (23% v 17%). One patient in the combination arm experienced symptomatic heart failure (1%). Another patient experienced symptomatic heart failure 5 months after discontinuation of trastuzumab because of disease progression, while being treated with an investigational anthracycline for 4 months. Trastuzumab combined with docetaxel is superior to docetaxel alone as first-line treatment of patients with HER2-positive MBC in terms of overall survival, response rate, response duration, time to progression, and time to treatment failure, with little additional toxicity.

  1. Approximation of Quantities of Interest in Stochastic PDEs by the Random Discrete L^2 Projection on Polynomial Spaces

    KAUST Repository

    Migliorati, G.

    2013-05-30

    In this work we consider the random discrete L^2 projection on polynomial spaces (hereafter RDP) for the approximation of scalar quantities of interest (QOIs) related to the solution of a partial differential equation model with random input parameters. In the RDP technique the QOI is first computed for independent samples of the random input parameters, as in a standard Monte Carlo approach, and then the QOI is approximated by a multivariate polynomial function of the input parameters using a discrete least squares approach. We consider several examples including the Darcy equations with random permeability, the linear elasticity equations with random elastic coefficient, and the Navier--Stokes equations in random geometries and with random fluid viscosity. We show that the RDP technique is well suited to QOIs that depend smoothly on a moderate number of random parameters. Our numerical tests confirm the theoretical findings in [G. Migliorati, F. Nobile, E. von Schwerin, and R. Tempone, Analysis of the Discrete $L^2$ Projection on Polynomial Spaces with Random Evaluations, MOX report 46-2011, Politecnico di Milano, Milano, Italy, submitted], which have shown that, in the case of a single uniformly distributed random parameter, the RDP technique is stable and optimally convergent if the number of sampling points is proportional to the square of the dimension of the polynomial space. Here optimality means that the weighted $L^2$ norm of the RDP error is bounded from above by the best $L^\\\\infty$ error achievable in the given polynomial space, up to logarithmic factors. In the case of several random input parameters, the numerical evidence indicates that the condition on quadratic growth of the number of sampling points could be relaxed to a linear growth and still achieve stable and optimal convergence. This makes the RDP technique very promising for moderately high dimensional uncertainty quantification.

  2. Concrete pavement mixture design and analysis (MDA) : an innovative approach to proportioning concrete mixtures.

    Science.gov (United States)

    2015-03-01

    Mixture proportioning is routinely a matter of using a recipe based on a previously produced concrete, rather than adjusting the : proportions based on the needs of the mixture and the locally available materials. As budgets grow tighter and increasi...

  3. Small-quantity lipid-based nutrient supplements, regardless of their zinc content, increase growth and reduce the prevalence of stunting and wasting in young burkinabe children: a cluster-randomized trial.

    Directory of Open Access Journals (Sweden)

    Sonja Y Hess

    Full Text Available Small-quantity lipid-based nutrient supplements (SQ-LNS are promising home fortification products, but the optimal zinc level needed to improve growth and reduce morbidity is uncertain. We aimed to assess the impact of providing SQ-LNS with varied amounts of zinc, along with illness treatment, on zinc-related outcomes compared with standard care. In a placebo-controlled, cluster-randomized trial, 34 communities were stratified to intervention (IC or non-intervention cohorts (NIC. 2435 eligible IC children were randomly assigned to one of four groups:1 SQ-LNS without zinc, placebo tablet; 2 SQ-LNS containing 5mg zinc, placebo tablet; 3 SQ-LNS containing 10mg zinc, placebo tablet; or 4 SQ-LNS without zinc and 5mg zinc tablet from 9–18 months of age. During weekly morbidity surveillance, oral rehydration salts were provided for reported diarrhea and antimalarial therapy for confirmed malaria. Children in NIC (n = 785 did not receive SQ-LNS, tablets, illness surveillance or treatment. At 9 and 18 months, length, weight and hemoglobin were measured in all children. Reported adherence was 97 ± 6% for SQ-LNS and tablets. Mean baseline hemoglobin was 89 ± 15g/L. At 18 months, change in hemoglobin was greater in IC than NIC (+8 vs -1g/L, p<0.0001, but 79.1% of IC were still anemic (vs. 91.1% in NIC. Final plasma zinc concentration did not differ by group. During the 9-month observation period, the incidence of diarrhea was 1.10 ± 1.03 and of malaria 0.54 ± 0.50 episodes per 100 child-days, and did not differ by group. Length at 18 months was significantly greater in IC compared to NIC (77.7 ± 3.0 vs. 76.9 ± 3.4 cm; p<0.001 and stunting prevalence was significantly lower in IC (29.3% than NIC (39.3%; p<0.0001, but did not differ by intervention group within IC. Wasting prevalence was also significantly lower in IC (8.7% than in NIC (13.5%; p = 0.0003. Providing SQ-LNS daily with or without zinc, along with malaria and diarrhea treatment

  4. Deviations from Hardy-Weinberg proportions for multiple alleles under viability selection.

    Science.gov (United States)

    Alvarez, Gonzalo

    2008-04-01

    Departures of genotype frequencies from Hardy-Weinberg proportions (HWP) for a single autosomal locus due to viability selection in a random mating population have been studied only for the two-allele case. In this article, the analysis of deviations from HWP due to constant viability selection is extended to multiple alleles. The deviations for an autosomal locus with k alleles are measured by means of k fii fixation indices for homozygotes and k(k-1)/2 fij fixation indices for heterozygotes, and expressions are obtained for these indices (FIS statistics) under the multiallele viability model. Furthermore, expressions for fii and fij when the multiallele polymorphism is at stable equilibrium are also derived and it is demonstrated that the pattern of multiallele Hardy-Weinberg deviations at equilibrium is characterized by a global heterozygote excess and a deficiency of each of the homozygotes. This pattern may be useful for detecting whether a given multiallelic polymorphism is at stable equilibrium in the population due to viability selection. An analysis of Hardy-Weinberg deviations from published data for the three-allele polymorphism at the beta-globin locus in human populations from West Africa is presented for illustration.

  5. Resistance Training Alters the Proportion of Skeletal Muscle Fibers but Not Brain Neurotrophic Factors in Young Adult Rats.

    Science.gov (United States)

    Antonio-Santos, José; Ferreira, Diórginis José S; Gomes Costa, Gizelle L; Matos, Rhowena Jane B; Toscano, Ana E; Manhães-de-Castro, Raul; Leandro, Carol G

    2016-12-01

    Antonio-Santos, J, Ferreira, DJS, Gomes Costa, GL, Matos, RJB, Toscano, AE, Manhães-de-Castro, R, and Leandro, CG. Resistance training alters the proportion of skeletal muscle fibers but not brain neurotrophic factors in young adult rats. J Strength Cond Res 30(12): 3531-3538, 2016-Resistance training (RT) is related to improved muscular strength and power output. Different programs of RT for rats have been developed, but peripheral and central response has not been evaluated directly in the same animal. To test the hypothesis that RT induces central and peripheral adaptations, this study evaluated the effects of a RT on the performance of a weekly maximum overload test, fiber-type typology, and brain neurotrophic factors in young adult rats. Thirty-one male Wistar rats (65 ± 5 days) were divided in 2 groups: nontrained (NT, n = 13) and trained (T, n = 18). Trained group was submitted to a program of RT ladder climbing, gradually added mass, 5 days per week during 8 weeks at 80% of individual maximum overload. This test was weekly performed to adjust the individual load throughout the weeks for both groups. After 48 hours from the last session of exercise, soleus and extensor digital longus (EDL) muscles were removed for myofibrillar ATPase staining analysis. Spinal cord, motor cortex, and cerebellum were removed for RT-PCR analysis of BDNF and insulin-like growth factor-1 (IGF-1) gene expression. In EDL muscle, T animals showed an increase in the proportion of type IIb fibers and a reduction of type IIa fibers. Insulin-like growth factor-1 gene expression was reduced in the cerebellum of T animals (NT: 1.025 ± 0.12; T: 0.57 ± 0.11). Our data showed that 8 weeks of RT were enough to increase maximum overload capacity and the proportion of glycolytic muscle fibers, but there were no associations with the expression of growth neurotrophic factors.

  6. Preconception Micronutrient Supplementation with Iron and Folic Acid Compared with Folic Acid Alone Affects Linear Growth and Fine Motor Development at 2 Years of Age: A Randomized Controlled Trial in Vietnam.

    Science.gov (United States)

    Nguyen, Phuong H; Gonzalez-Casanova, Ines; Young, Melissa F; Truong, Truong Viet; Hoang, Hue; Nguyen, Huong; Nguyen, Son; DiGirolamo, Ann M; Martorell, Reynaldo; Ramakrishnan, Usha

    2017-08-01

    Background: Maternal health and nutrition play a crucial role in early child growth and development. However, little is known about the benefits of preconception micronutrient interventions beyond the role of folic acid (FA) and neural tube defects.Objective: We evaluated the impact of weekly preconception multiple micronutrient (MM) or iron and folic acid (IFA) supplementation on child growth and development through the age of 2 y compared with FA alone.Methods: We followed 1599 offspring born to women who participated in a randomized controlled trial of preconception supplementation in Vietnam. Women received weekly supplements that contained either 2800 μg FA, 60 mg Fe and 2800 μg FA, or 15 MMs including IFA, from baseline until conception followed by daily prenatal IFA supplements until delivery. Child anthropometry was measured at birth and at 3, 6, 12, 18, and 24 mo. Child development was measured with the use of the Bayley Scales for Infant Development III at 24 mo.Results: The groups were similar for baseline maternal and offspring birth characteristics. At 24 mo of age, the offspring in the IFA group had significantly higher length-for-age z scores (LAZs) (0.14; 95% CI: 0.03, 0.26), reduced risk of being stunted (0.87; 95% CI: 0.76, 0.99), and smaller yearly decline in LAZs (0.10; 95% CI: 0.04, 0.15) than the offspring in the FA group. Similar trends were found for the offspring in the MM group compared with the FA group for LAZs (0.10; 95% CI: -0.02, 0.22) and the risk of being stunted (0.88; 95% CI: 0.77, 1.01). Offspring in the IFA group had improved motor development (P = 0.03), especially fine motor development (0.41; 95% CI: 0.05, 0.77), at the age of 24 mo, but there were no differences for measures of cognition or language.Conclusions: Preconception supplementation with IFA improved linear growth and fine motor development at 2 y of age compared with FA. Future studies should examine whether these effects persist and improve child health and

  7. Avoidance of Total Knee Arthroplasty in Early Osteoarthritis of the Knee with Intra-Articular Implantation of Autologous Activated Peripheral Blood Stem Cells versus Hyaluronic Acid: A Randomized Controlled Trial with Differential Effects of Growth Factor Addition

    Directory of Open Access Journals (Sweden)

    Thana Turajane

    2017-01-01

    Full Text Available In this randomized controlled trial, in early osteoarthritis (OA that failed conservative intervention, the need for total knee arthroplasty (TKA and WOMAC scores were evaluated, following a combination of arthroscopic microdrilling mesenchymal cell stimulation (MCS and repeated intra-articular (IA autologous activated peripheral blood stem cells (AAPBSCs with growth factor addition (GFA and hyaluronic acid (HA versus IA-HA alone. Leukapheresis-harvested AAPBSCs were administered as three weekly IA injections combined with HA and GFA (platelet-rich plasma [PRP] and granulocyte colony-stimulating factor [hG-CSF] and MCS in group 1 and in group 2 but without hG-CSF while group 3 received IA-HA alone. Each group of 20 patients was evaluated at baseline and at 1, 6, and, 12 months. At 12 months, all patients in the AAPBSC groups were surgical intervention free compared to three patients needing TKA in group 3 (p<0.033. Total WOMAC scores showed statistically significant improvements at 6 and 12 months for the AAPBSC groups versus controls. There were no notable adverse events. We have shown avoidance of TKA in the AAPBSC groups at 12 months and potent, early, and sustained symptom alleviation through GFA versus HA alone. Differential effects of hG-CSF were noted with an earlier onset of symptom alleviation throughout.

  8. Evaluation of gingival crevicular fluid transforming growth factor-β1 level after treatment of intrabony periodontal defects with enamel matrix derivatives and autogenous bone graft: A randomized controlled clinical trial.

    Science.gov (United States)

    Agrali, Ö B; Kuru, B E; Yarat, A; Kuru, L

    2016-01-01

    The present study aimed to evaluate the effects of enamel matrix derivatives (EMD) either alone or combined with autogenous bone graft (ABG) applied to intrabony defects in chronic periodontitis patients on clinical/radiographic parameters and gingival crevicular fluid (GCF) transforming growth factor-β1 (TGF-β1) level and to compare with open flap debridement (OFD). A total of 30 deep intrabony defects in 12 patients were randomly treated with EMD + ABG (combination group), EMD alone (EMD group), or OFD (control group). Clinical parameters, including plaque index, gingival index, bleeding on probing, probing depth, relative attachment level, and recession were recorded at baseline and 6 months postsurgery. Intrabony defect fill percentage was calculated on the standardized radiographs. TGF-β1 level was evaluated in GCF just before surgery and 7, 14, 30, 90, 180 days after surgery using enzyme-linked immunosorbent assay. All treatment procedures led to significant improvements at 6 months (P < 0.01). Gain in attachment level (P < 0.01) and radiographic defect fill (P < 0.05) of the combination and EMD groups were found to be significantly higher than those of the control group, while the use of EMD either with ABG or alone was observed to produce significantly less recession than the OFD (P < 0.05). The findings suggest no clinical and radiographic differences between the combination and EMD groups whereas GCF TGF-β1 level demonstrates an increase during the healing phase and is positively affected from EMD.

  9. HISTORY, MORPHOLOGY AND PERFECT PROPORTIONS OF MUGHAL TOMBS: THE SECRET TO CREATION OF TAJ MAHAL

    Directory of Open Access Journals (Sweden)

    Krupali Krusche

    2010-03-01

    Full Text Available This study investigates the language of architecture of the east. Traditional Islamic architecture, especially Mughal architecture and its influence on India is examined through developmental growth and linage of Mughal tombs. This paper basically presents research with emphasis on clarity of spatial characteristics on four Mughal tombs in India, two of which are world heritage sites including the world renowned Taj Mahal. A strong context of methodological approach in unfolding the codex of architecture at Taj and influences of its predecessors in creating this magnificent monument is examined. A key to some of the unknown mysteries of architecture in India, this paper can be of reference to historians, architects and the general reader alike in understanding what makes Taj the pinnacle of architecture in India. It lays emphasis on how western architectural students can get a better understanding of the paradigms of architecture in east. With methods like comparative understanding of ordering principles, proportional analysis and studies of composition and approach, this paper explains the process of systematically understanding the ground rules of architectural composition of non-western culture, especially Mughal architecture as developed through the renaissance phase in the east (AD 1508 to 1707.

  10. Physician review websites: effects of the proportion and position of negative reviews on readers' willingness to choose the doctor.

    Science.gov (United States)

    Li, Siyue; Feng, Bo; Chen, Meng; Bell, Robert A

    2015-04-01

    Health consumers are increasingly turning to physician review websites to research potential health care providers. This experiment examined how the proportion and position of negative reviews on such websites influence readers' willingness to choose the reviewed physician. A 5 × 2 (Proportion of Negative Reviews × Position of Negative Reviews) factorial design was implemented, augmented with two standalone comparison groups. Five hundred participants were recruited through a crowdsource website and were randomly assigned to read a webpage screenshot corresponding to 1 of 12 experimental conditions. The participants then completed a questionnaire that assessed evaluations of and cognitive elaborations (thoughts) about the physician. The authors hypothesized that readers would be less willing to use a physician's services when reviews were predominantly negative and negative comments were positioned before positive comments. As hypothesized, an increase in the proportion of negative reviews led to a reduced willingness to use the physician's services. However, this effect was not moderated by the level of cognitive elaboration. A primacy effect was found for negative reviews such that readers were less willing to use the physician's services when negative reviews were presented before positive reviews, rather than after. Implications for future research are discussed.

  11. THE CONCEPT OF DEGRESSIVE AND PROGRESSIVE PROPORTIONALITY AND ITS NORMATIVE AND DESCRIPTIVE APPLICATIONS

    Directory of Open Access Journals (Sweden)

    Haman Jacek

    2017-06-01

    Full Text Available The article discusses the concept of progressive and degressive proportionality of the distribution of parliamentary seats. In the first part are presented axiological sources of the principles of proportionality and progressive and degressive proportionality and the history of degressively proportional apportionments of seats in the European Parliament. The main part of the article is devoted to the formulation of proposals for strict formal definition of degressive and progressive proportionality, and a description of the method of apportionment of seats in the European Parliament based on the strict definition of degressive proportionality and maintaining maximum compatibility with former apportionments adopted in multilateral negotiations. The last part of the article consists of a discussion of the possibilities of adopting the concept of progressive proportionality in the analysis of the functioning of parliamentary electoral systems.

  12. Background Parenchymal Enhancement and Fibroglandular Tissue Proportion on Breast MRI: Correlation with Hormone Receptor Expression and Molecular Subtypes of Breast Cancer.

    Science.gov (United States)

    Öztürk, Mesut; Polat, Ahmet Veysel; Süllü, Yurdanur; Tomak, Leman; Polat, Ayfer Kamalı

    2017-01-01

    To assess the relationship between background parenchymal enhancement (BPE) and fibroglandular tissue (FGT) proportion on breast magnetic resonance imaging (MRI) and hormone receptor expression and molecular subtypes in invasive breast cancer. This retrospective study enrolled 75 breast cancer patients who underwent breast MRI before treatment. T1-weighted images were reviewed to determine the FGT proportion, and contrast-enhanced fat-suppressed T1-weighted images were reviewed to determine BPE. Estrogen receptor (ER), progesterone receptor (PR), human epidermal growth factor 2-neu (HER2) status, and molecular subtypes of the tumors were compared with the BPE and FGT proportions. Women with high BPE tended to have increased rate of ER and PR positive tumors (p=0.018 and p=0.013). FGT proportion was associated with ER positivity (p=0.009), but no significant differences between FGT proportion and PR positivity were found (p=0.256). There was no significant difference between HER2 status and any of the imaging features (p=0.453 and p=0.922). For premenopausal women, both FGT proportion and BPE were associated with molecular subtypes (p=0.025 and p=0.042). FGT proportion was also associated with BPE (pbreast cancer, both high FGT containing breasts and high BPE breasts tended to have ER positive tumors.

  13. Modelos de regressão aleatória para avaliação da curva de crescimento em matrizes de codorna de corte Random regression models for growth evaluation of meat-type quail hens

    Directory of Open Access Journals (Sweden)

    Bruno Bastos Teixeira

    2012-09-01

    Full Text Available Objetivou-se comparar diferentes modelos de regressão aleatória por meio de funções polinomiais de Legendre de diferentes ordens, para avaliar o que melhor se ajusta ao estudo genético da curva de crescimento de codornas de corte. Foram avaliados dados de 2136 matrizes de codorna de corte, dos quais 1026 pertenciam ao grupo genético UFV1 e 1110 ao grupo UFV2. As codornas foram pesadas nos 1°, 7°, 14°, 21°, 28°, 35°, 42°, 77°, 112° e 147° dias de idade e seus pesos utilizados para a análise. Foram testadas duas possíveis modelagens de variância residual heterogênea, sendo agrupadas em 3 e 5 classes de idade. Após, foi realizado o estudo do modelo de regressão aleatória que melhor aplica-se à curva de crescimento das codornas. A comparação entre os modelos foi feita pelo Critério de Informação de Akaike (AIC, Critério de Informação Bayesiano de Schwarz (BIC, Logaritmo da função de verossimilhança (Log e L e teste da razão de verossimilhança (LRT, ao nível de 1%. O modelo que considerou a heterogeneidade de variância residual CL3 mostrou-se adequado à linhagem UFV1, e o modelo CL5 à linhagem UFV2. Uma função polinomial de Legendre com ordem 5, para efeito genético aditivo direto e 5 para efeito permanente de animal, para a linhagem UFV1 e, com ordem 3, para efeito genético aditivo direto e 5 para efeito permanente de animal para a linhagem UFV2, deve ser utilizada na avaliação genética da curva de crescimento das codornas de corte.The objective was to compare different random regression models using Legendre polynomial functions of different orders, to evaluate what best fits the genetic study of the growth curve of meat quails. It was evaluated data from 2136 cut dies quail, of which 1026 belonged to genetic group UFV1 and 1110 the group UFV2. Quail were weighed at 10, 70, 140, 210, 280, 350, 420, 770, 1120 and 1470 days of age, and weights used for the analysis. It was tested two possible modeling

  14. Interval breast cancers: Absolute and proportional incidence and blinded review in a community mammographic screening program

    Energy Technology Data Exchange (ETDEWEB)

    Carbonaro, Luca A., E-mail: luca.carbonaro@gmail.com [Unità di Radiologia, IRCCS Policlinico San Donato, Piazza E. Malan 2, San Donato Milanese (Mi) 20097 (Italy); Azzarone, Antonio [Servizio di Radiologia, Azienda Ospedaliera Circolo di Melegnano, Via Pandina 1, Vizzolo Predabissi (Mi) 20070 (Italy); Paskeh, Bijan Babaei [Unità di Radiologia, IRCCS Policlinico San Donato, Piazza E. Malan 2, San Donato Milanese (Mi) 20097 (Italy); Brambilla, Giorgio [Dipartimento di Radiologia, IRCCS Istituto Clinico Humanitas, Via Manzoni 56, Rozzano (Mi) 20089 (Italy); Brunelli, Silvia [Centro di Prevenzione Senologica, ULSS 20, Piazza Lambranzi, Verona 37034 (Italy); Calori, Anna [Servizio di Radiologia, Azienda Ospedaliera Circolo di Melegnano, Via Pandina 1, Vizzolo Predabissi (Mi) 20070 (Italy); Caumo, Francesca [Centro di Prevenzione Senologica, ULSS 20, Piazza Lambranzi, Verona 37034 (Italy); Malerba, Paolo [Dipartimento di Radiologia, IRCCS Istituto Clinico Humanitas, Via Manzoni 56, Rozzano (Mi) 20089 (Italy); Menicagli, Laura [Unità di Radiologia, IRCCS Policlinico San Donato, Piazza E. Malan 2, San Donato Milanese (Mi) 20097 (Italy); Sconfienza, Luca M. [Unità di Radiologia, IRCCS Policlinico San Donato, Piazza E. Malan 2, San Donato Milanese (Mi) 20097 (Italy); Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milano (Italy); Vadalà, Giuseppe [Servizio di Radiologia, Azienda Ospedaliera Circolo di Melegnano, Via Pandina 1, Vizzolo Predabissi (Mi) 20070 (Italy); Brambilla, Gelma; Fantini, Luigi [Servizio di Medicina Preventiva delle Comunità, ASL Milano 2, Via Friuli 2, Lacchiarella (Mi) 20084 (Italy); Ciatto, Stefano [Screening Program, ULSS 16, Padova (Italy); and others

    2014-02-15

    Purpose: To evaluate the performance of the first years since the beginning of a mammographic population-based screening program. Materials and methods: Women aged 49–69 were invited biennially for two-view film-screen mammography and double reading without arbitration was performed. Interval cancers (ICs) from 2001 to 2006 were identified using screening archives, local pathology archives, and hospital discharge records. The proportional incidence of IC was determined considering breast cancers expected without screening. Three offsite radiologists experienced in breast cancer screening blindly evaluated mammograms prior to diagnosis, randomly mixed with negative mammograms (1:2 ratio). Cases unrecalled at review were considered as true ICs, those recalled by only one reviewer as minimal signs, and those recalled by two or three reviewers as missed cancers. T and N stage of the reviewed ICs were evaluated and compared. Results: A total of 86,276 first level mammograms were performed. Mean recall rate was 6.8% at first and 4.6% at repeat screening. We had 476 screen-detected cancers and 145 ICs (10 of them ductal carcinomas in situ). Absolute incidence was 17 per 10,000 screening examinations. Invasive proportional incidence was 19% (44/234) in the first year, 39% (91/234) in the second year, and 29% (135/468) in the two-year interval. Of 145 ICs, 130 (90%) were reviewed mixed with 287 negative controls: 55% (71/130) resulted to be true ICs, 24% (31/130) minimal signs, and 22% (28/130) missed cancers. The rate of ICs diagnosed in the first year interval was 21% (15/71) for true ICs, 46% (13/28) for missed cancers, and 39% (12/31) for minimal signs, with a significant difference of true ICs rate compared to missed cancers rate (p = 0.012). A higher rate of T3 and T4 stages was found for missed cancers (18%, 5/28) compared to minimal signs (6%, 2/31) or true ICs (8%, 6/71), while the rate of N2 and N3 stage for both minimal signs (19%, 6/31) or missed cancers (25

  15. Interval breast cancers: absolute and proportional incidence and blinded review in a community mammographic screening program.

    Science.gov (United States)

    Carbonaro, Luca A; Azzarone, Antonio; Paskeh, Bijan Babaei; Brambilla, Giorgio; Brunelli, Silvia; Calori, Anna; Caumo, Francesca; Malerba, Paolo; Menicagli, Laura; Sconfienza, Luca M; Vadalà, Giuseppe; Brambilla, Gelma; Fantini, Luigi; Ciatto, Stefano; Sardanelli, Francesco

    2014-02-01

    To evaluate the performance of the first years since the beginning of a mammographic population-based screening program. Women aged 49-69 were invited biennially for two-view film-screen mammography and double reading without arbitration was performed. Interval cancers (ICs) from 2001 to 2006 were identified using screening archives, local pathology archives, and hospital discharge records. The proportional incidence of IC was determined considering breast cancers expected without screening. Three offsite radiologists experienced in breast cancer screening blindly evaluated mammograms prior to diagnosis, randomly mixed with negative mammograms (1:2 ratio). Cases unrecalled at review were considered as true ICs, those recalled by only one reviewer as minimal signs, and those recalled by two or three reviewers as missed cancers. T and N stage of the reviewed ICs were evaluated and compared. A total of 86,276 first level mammograms were performed. Mean recall rate was 6.8% at first and 4.6% at repeat screening. We had 476 screen-detected cancers and 145 ICs (10 of them ductal carcinomas in situ). Absolute incidence was 17 per 10,000 screening examinations. Invasive proportional incidence was 19% (44/234) in the first year, 39% (91/234) in the second year, and 29% (135/468) in the two-year interval. Of 145 ICs, 130 (90%) were reviewed mixed with 287 negative controls: 55% (71/130) resulted to be true ICs, 24% (31/130) minimal signs, and 22% (28/130) missed cancers. The rate of ICs diagnosed in the first year interval was 21% (15/71) for true ICs, 46% (13/28) for missed cancers, and 39% (12/31) for minimal signs, with a significant difference of true ICs rate compared to missed cancers rate (p=0.012). A higher rate of T3 and T4 stages was found for missed cancers (18%, 5/28) compared to minimal signs (6%, 2/31) or true ICs (8%, 6/71), while the rate of N2 and N3 stage for both minimal signs (19%, 6/31) or missed cancers (25%, 7/28) was higher than that for true ICs (10

  16. Random thoughts

    Science.gov (United States)

    ajansen; kwhitefoot; panteltje1; edprochak; sudhakar, the

    2014-07-01

    In reply to the physicsworld.com news story “How to make a quantum random-number generator from a mobile phone” (16 May, http://ow.ly/xFiYc, see also p5), which describes a way of delivering random numbers by counting the number of photons that impinge on each of the individual pixels in the camera of a Nokia N9 smartphone.

  17. Registration of randomized clinical trials

    DEFF Research Database (Denmark)

    Østervig, R M; Sonne, A; Rasmussen, L S

    2015-01-01

    starting enrolment before 2010 to 63.2% after 2010 (24/38, P clinical trials were registered at clinicaltrials.gov. CONCLUSION: Many published randomized controlled trials from Acta Anaesthesiologica Scandinavica were not adequately registered but the requirement of trial registration has...... the proportion of correctly registered randomized controlled trials (RCTs) published in Acta from 2009 to 2014. METHODS: We manually searched all Acta issues from 2009 to 2014 for RCTs. Information about timing of data collection and registration in trial registries was extracted. We classified RCTs as correctly...... registered when it could be verified that patient enrolment was started after registration in a trial registry. RESULTS: We identified 200 RCTs. Dates for patient enrolment were not specified in 51 (25.5%). The proportion of correctly registered trials increased significantly from 17.1% (19/111) for trials...

  18. Effects of recombinant human growth hormone for 1 year on body composition and muscle strength in children on long-term steroid therapy: randomized controlled, delayed-start study.

    Science.gov (United States)

    Simon, Dominique; Alberti, Corinne; Alison, Marianne; Le Henaff, Loïc; Chevenne, Didier; Boizeau, Priscilla; Canal, Aurélie; Ollivier, Gwenn; Decostre, Valérie; Jacqz-Aigrain, Evelyne; Carel, Jean-Claude; Czernichow, Paul; Hogrel, Jean-Yves

    2013-07-01

    Recombinant human GH (rhGH) improves growth and body composition in glucocorticoid-treated children. Its effects on muscle strength are poorly evaluated. Our objective was to evaluate rhGH effects on muscle strength in children receiving long-term glucocorticoid therapy; effects on height SD score (SDS) and body composition were assessed also. A randomized, controlled, delayed-start study of rhGH for 12 months was started after randomization (baseline) or 6 months later (M6). Patients included 30 children with various diagnoses. rhGH was administered at 0.065 mg/kg/d for 6 months and then in the dosage maintaining serum IGF-I levels below +2 SDS for chronological age. The primary criterion was the between-group difference in composite index of muscle strength (CIMS) change at M6. Secondary criteria included between-group differences in CIMS SDS(height), lean mass (LM), thigh muscle area (MA), and height SDS changes at M6; these parameters were also assessed in the overall population after 1 year of rhGH therapy. At M6, rhGH therapy did not significantly affect changes in CIMS or CIMS SDS(height) (+17.6% vs +7.5% and +0.14 ± 0.38 vs +0.11 ± 0.62, respectively); the rhGH-treated group had significantly larger changes in height SDS (+0.2 [0.3] vs -0.2 [0.3]; P = 0.003), LM (+7.3% [+3.7%; +21.6%] vs 0% [-4.7%; +3.2%]; P = 0.002), and MA (+8.8% [+5%; +15.6%] vs. -0.6% [-6.3%; +7.7%]; P = 0.01) compared with the untreated group. After 1 year of rhGH, height SDS, LM, and MA increased significantly, CIMS increased by 24.7% (+5.8%; +34.2%), and CIMS SDS(height) remained within the normal range. rhGH increased height, LM, and MA. However, muscle strength did not improve significantly.

  19. Randomized Multicenter Phase II Study of Modified Docetaxel, Cisplatin, and Fluorouracil (DCF) Versus DCF Plus Growth Factor Support in Patients With Metastatic Gastric Adenocarcinoma: A Study of the US Gastric Cancer Consortium.

    Science.gov (United States)

    Shah, Manish A; Janjigian, Yelena Y; Stoller, Ronald; Shibata, Stephen; Kemeny, Margaret; Krishnamurthi, Smitha; Su, Yungpo Bernard; Ocean, Allyson; Capanu, Marinela; Mehrotra, Bhoomi; Ritch, Paul; Henderson, Charles; Kelsen, David P

    2015-11-20

    Docetaxel, cisplatin, and fluorouracil (DCF) is a standard first-line three-drug chemotherapy regimen for advanced gastric or gastroesophageal junction (GEJ) adenocarcinoma and is associated with significant toxicity. We examined the safety and efficacy of a modified DCF (mDCF) regimen in a randomized multicenter phase II study. Previously untreated patients with metastatic gastric or GEJ adenocarcinoma were randomly assigned to receive either mDCF (fluorouracil 2,000 mg/m2 intravenously [IV] over 48 hours, docetaxel 40 mg/m2 IV on day 1, cisplatin 40 mg/m2 IV on day 3, every 2 weeks) or parent DCF (docetaxel 75 mg/m2, cisplatin 75 mg/m2, and fluorouracil 750 mg/m2 IV over 5 days with granulocyte colony-stimulating factor, every 3 weeks). The study had 90% power to differentiate between 6-month progression-free survival of 26% and 43%, with type I and II error rates of 10% each. An early stopping rule for toxicity was included, defined as grade 3 to 4 adverse event rate > 70% in the first 3 months. From November 2006 to June 2010, 85 evaluable patients were enrolled (male, n = 61; female, n = 24; median age, 58 years; Karnofsky performance status, 90%; GEJ, n = 28; gastric, 57). mDCF (n = 54) toxicity rates included 54% grade 3 to 4 toxicity (22% hospitalized) within the first 3 months and 76% grade 3 to 4 toxicity over the course of treatment. The DCF arm (n = 31) closed early because of toxicity, with rates of 71% grade 3 to 4 toxicity (52% hospitalized) within 3 months and 90% grade 3 to 4 toxicity over the course of treatment. Six-month PFS was 63% (95% CI, 48% to 75%) for mDCF and 53% (95% CI, 34% to 69%) for DCF. Median overall survival was improved for mDCF (18.8 v 12.6 months; P = .007). mDCF is less toxic than parent DCF, even when supported with growth factors, and is associated with improved efficacy. mDCF should be considered a standard first-line option for patients with metastatic gastric or GEJ adenocarcinoma.

  20. Neurally adjusted ventilatory assist and proportional assist ventilation both improve patient-ventilator interaction.

    Science.gov (United States)

    Schmidt, Matthieu; Kindler, Felix; Cecchini, Jérôme; Poitou, Tymothée; Morawiec, Elise; Persichini, Romain; Similowski, Thomas; Demoule, Alexandre

    2015-02-25

    The objective was to compare the impact of three assistance levels of different modes of mechanical ventilation; neurally adjusted ventilatory assist (NAVA), proportional assist ventilation (PAV), and pressure support ventilation (PSV) on major features of patient-ventilator interaction. PSV, NAVA, and PAV were set to obtain a tidal volume (VT) of 6 to 8 ml/kg (PSV₁₀₀, NAVA₁₀₀, and PAV₁₀₀) in 16 intubated patients. Assistance was further decreased by 50% (PSV₅₀, NAVA₅₀, and PAV₅₀) and then increased by 50% (PSV₁₅₀, NAVA₁₅₀, and PAV₁₅₀) with all modes. The three modes were randomly applied. Airway flow and pressure, electrical activity of the diaphragm (EAdi), and blood gases were measured. VT, peak EAdi, coefficient of variation of VT and EAdi, and the prevalence of the main patient-ventilator asynchronies were calculated. PAV and NAVA prevented the increase of VT with high levels of assistance (median 7.4 (interquartile range (IQR) 5.7 to 10.1) ml/kg and 7.4 (IQR, 5.9 to 10.5) ml/kg with PAV₁₅₀ and NAVA₁₅₀ versus 10.9 (IQR, 8.9 to 12.0) ml/kg with PSV₁₅₀, P variation of VT was higher with NAVA and PAV (19 (IQR, 14 to 31)% and 21 (IQR 16 to 29)% with NAVA₁₀₀ and PAV₁₀₀ versus 13 (IQR 11 to 18)% with PSV₁₀₀, P ventilator asynchrony in fairly similar ways compared with PSV. Further studies are needed to evaluate the possible clinical benefits of NAVA and PAV on clinical outcomes. Clinicaltrials.gov NCT02056093 . Registered 18 December 2013.

  1. Fermentative characteristics of coffee pulp silage with different proportions of coffee hulls

    Directory of Open Access Journals (Sweden)

    Adauto Ferreira Barcelos

    2013-03-01

    Full Text Available This study aimed to evaluate the chemical composition and fermentation characteristics of the coffee pulp silages with different proportions of coffee hulls. The material was ensiled in PVC with 150 mm diameter by 750 mm high, according to the treatments: coffee pulp (CoP, CoP + 20% of coffee hulls (CH, CoP + 40% of CH and CoP + 60% CH in a completely randomized design with six replications. The silos were opened 60 days after closing, when samples were taken for determination of dry matter (DM, crude protein (CP, neutral detergent fiber (NDF, acid detergent fiber (ADF, lignin, cellulose, pH, N-NH3, caffeine, calcium (Ca, phosphorus (P and in vitro digestibility of dry matter. We also determined gas production and effluent. There was a linear increase in DM content and pH, and a linear decrease of CP, NDF and ADF, lignin, cellulose, caffeine, Ca and P. This reduction occurs because the coffee hulls have lower levels than pulp to CP, NDF, ADF, caffeine, Ca and P. There was also a linear reduction in N-NH3 values, and only the highest percentage of silage with coffee hulls obtained below 10%, considered as the limit for good quality silage. Effluent production was higher for silage shelled coffee pulp and do not get any production in silage with 60% coffee hull. There was no significant difference in vitro digestibility of dry matter among treatments. The coffee hulls was effective in increasing DM content of CoP silage and to reduce NDF, ADF, N-NH3, providing nutritional value of silage satisfactory for cattle feed, creating an alternative for recovery of such waste. When considering the DM content found in silages, the amount of bark best coffee to be added to coffee pulp for the production of silage is between 30% and 35%.

  2. Random sequential adsorption of cubes.

    Science.gov (United States)

    Cieśla, Michał; Kubala, Piotr

    2018-01-14

    Random packings built of cubes are studied numerically using a random sequential adsorption algorithm. To compare the obtained results with previous reports, three different models of cube orientation sampling were used. Also, three different cube-cube intersection algorithms were tested to find the most efficient one. The study focuses on the mean saturated packing fraction as well as kinetics of packing growth. Microstructural properties of packings were analyzed using density autocorrelation function.

  3. Growing random networks with fitness

    OpenAIRE

    Ergun, G.; Rodgers, GJ

    2001-01-01

    Three models of growing random networks with fitness dependent growth rates are analysed using the rate equations for the distribution of their connectivities. In the first model (A), a network is built by connecting incoming nodes to nodes of connectivity $k$ and random additive fitness $\\eta$, with rate $(k-1)+ \\eta $. For $\\eta >0$ we find the connectivity distribution is power law with exponent $\\gamma=+2$. In the second model (B), the network is built by connecting nodes to nodes of conn...

  4. Additive Effect of Plasma Rich in Growth Factors With Guided Tissue Regeneration in Treatment of Intrabony Defects in Patients With Chronic Periodontitis: A Split-Mouth Randomized Controlled Clinical Trial.

    Science.gov (United States)

    Ravi, Sheethalan; Malaiappan, Sankari; Varghese, Sheeja; Jayakumar, Nadathur D; Prakasam, Gopinath

    2017-09-01

    Periodontal regeneration can be defined as complete restoration of lost periodontal tissues to their original architecture and function. A variety of treatment modalities have been proposed to achieve it. Plasma rich in growth factors (PRGF) is a concentrated suspension of growth factors that promotes restoration of lost periodontal tissues. The objective of the present study is to assess the effect of PRGF associated with guided tissue regeneration (GTR) versus GTR only in the treatment of intrabony defects (IBDs) in patients with chronic periodontitis (CP). Patients with CP (n = 14) with 42 contralateral 2- and 3-walled defects were randomly assigned to test (PRGF+GTR) and control (GTR alone) treatment groups. Clinical and radiographic assessments performed at baseline and after 6 months were: 1) gingival index (GI), 2) probing depth (PD), 3) clinical attachment level (CAL), 4) radiologic defect depth, and 5) bone fill. Comparison of parameters measured at baseline and after 6 months showed mean PD reduction of 3.37 ± 1.62 mm in the control group (P <0.001) and 4.13 ± 1.59 mm in the test group (P <0.001). There was a significant difference in mean change in CAL (P <0.001) in the control group (5.42 ± 1.99) and the test group (5.99 ± 1.77). Mean change in GI was 1.89 ± 0.32 and 1.68 ± 0.58 in the control group and test group, respectively, and the difference was statistically significant (P <0.001). When compared between groups, clinical parameters did not show any statistically significant variations. Mean radiographic bone fill was 1.06 ± 0.81 and 1.0 ± 0.97 in the control group and test group, respectively. However, the difference was not statistically significant. PRGF with GTR, as well as GTR alone, was effective in improving clinical and radiographic parameters of patients with CP at the 6-month follow-up. There was no additive effect of PRGF when used along with GTR in the treatment of IBDs in patients with CP in terms of both clinical and

  5. An imaging gas scintillation proportional counter for the detection of subkiloelectron-volt X-rays

    Science.gov (United States)

    Hailey, C. J.; Ku, W. H. M.; Vartanian, M. H.

    1981-01-01

    A large area imaging gas scintillation proportional counter (IGSPC) was constructed for use in X-ray astronomy. The IGSPC consists of a gas scintillation proportional counted (GSPC) with a micron polyprotylene window coupled to a multiwire proportional counter (MWPC) via a calcium fluoride window. Over a sensitive area of 21 cu cm the instrument has a measured energy resolution of 17.5% (FWHM) and 1.9 mm (FWHM) spatial resolution at 1.5 keV.

  6. Biased retro-proportional navigation law for interception of high-speed targets with angular constraint

    Directory of Open Access Journals (Sweden)

    Liang Yan

    2014-03-01

    Full Text Available A new guidance law, called biased retro proportional navigation (BRPN, is proposed. The guidance law is designed to intercept high-speed targets with angular constraint, which can be used for ballistic target interception. BRPN guidance law is defined, and the exact time-varying bias for a required impact angle is derived. Furthermore, the simulation results (trajectory, variation of navigation ratio, capture region, etc are compared with those of biased proportional navigation (BPN, proportional navigation and retro-proportional navigation. The results show that, at the cost of a higher intercept time, BRPN demands lower terminal lateral acceleration and has larger capture region compared to BPN.

  7. The effects of Nigella sativa on thyroid function, serum Vascular Endothelial Growth Factor (VEGF) - 1, Nesfatin-1 and anthropometric features in patients with Hashimoto's thyroiditis: a randomized controlled trial.

    Science.gov (United States)

    Farhangi, Mahdieh Abbasalizad; Dehghan, Parvin; Tajmiri, Siroos; Abbasi, Mehran Mesgari

    2016-11-16

    Hashimoto's thyroiditis is an autoimmune disorder and the most common cause of hypothyroidism. The use of Nigella sativa, a potent herbal medicine, continues to increase worldwide as an alternative treatment of several chronic diseases including hyperlipidemia, hypertension and type 2 diabetes mellitus (T2DM). The aim of the current study was to evaluate the effects of Nigella sativa on thyroid function, serum Vascular Endothelial Growth Factor (VEGF) - 1, Nesfatin-1 and anthropometric features in patients with Hashimoto's thyroiditis. Forty patients with Hashimoto's thyroiditis, aged between 22 and 50 years old, participated in the trial and were randomly allocated into two groups of intervention and control receiving powdered Nigella sativa or placebo daily for 8 weeks. Changes in anthropometric variables, dietary intakes, thyroid status, serum VEGF and Nesfatin-1 concentrations after 8 weeks were measured. Treatment with Nigella sativa significantly reduced body weight and body mass index (BMI). Serum concentrations of thyroid stimulating hormone (TSH) and anti-thyroid peroxidase (anti-TPO) antibodies decreased while serum T3 concentrations increased in Nigella sativa-treated group after 8 weeks. There was a significant reduction in serum VEGF concentrations in intervention group. None of these changes had been observed in placebo treated group. In stepwise multiple regression model, changes in waist to hip ratio (WHR) and thyroid hormones were significant predictors of changes in serum VEGF and Nesgfatin-1 values in Nigella sativa treated group (P thyroid status and anthropometric variables in patients with Hashimoto's thyroiditis. Moreover, Nigella sativa significantly reduced serum VEGF concentrations in these patients. Considering observed health- promoting effect of this medicinal plant in ameliorating the disease severity, it can be regarded as a useful therapeutic approach in management of Hashimoto's thyroiditis. Iranian registry of clinical trials

  8. A standardized randomized 6-month aerobic exercise-training down-regulated pro-inflammatory genes, but up-regulated anti-inflammatory, neuron survival and axon growth-related genes.

    Science.gov (United States)

    Iyalomhe, Osigbemhe; Chen, Yuanxiu; Allard, Joanne; Ntekim, Oyonumo; Johnson, Sheree; Bond, Vernon; Goerlitz, David; Li, James; Obisesan, Thomas O

    2015-09-01

    There is considerable support for the view that aerobic exercise may confer cognitive benefits to mild cognitively impaired elderly persons. However, the biological mechanisms mediating these effects are not entirely clear. As a preliminary step towards informing this gap in knowledge, we enrolled older adults confirmed to have mild cognitive impairment (MCI) in a 6-month exercise program. Male and female subjects were randomized into a 6-month program of either aerobic or stretch (control) exercise. Data collected from the first 10 completers, aerobic exercise (n=5) or stretch (control) exercise (n=5), were used to determine intervention-induced changes in the global gene expression profiles of the aerobic and stretch groups. Using microarray, we identified genes with altered expression (relative to baseline values) in response to the 6-month exercise intervention. Genes whose expression were altered by at least two-fold, and met the p-value cutoff of 0.01 were inputted into the Ingenuity Pathway Knowledge Base Library to generate gene-interaction networks. After a 6-month aerobic exercise-training, genes promoting inflammation became down-regulated, whereas genes having anti-inflammatory properties and those modulating immune function or promoting neuron survival and axon growth, became up-regulated (all fold change≥±2.0, paerobic program as opposed to the stretch group. We conclude that three distinct cellular pathways may collectively influence the training effects of aerobic exercise in MCI subjects. We plan to confirm these effects using rt-PCR and correlate such changes with the cognitive phenotype. Copyright © 2015. Published by Elsevier Inc.

  9. Random triangles

    OpenAIRE

    Matula, Dominik

    2013-01-01

    The author summarizes some previous results concerning random triangles. He describes the Gaussian triangle and random triangles whose vertices lie in a unit n-dimensional ball, in a rectangle or in a general bounded convex set. In the second part, the author deals with an inscribed triangle in a triangle - let ABC be an equilateral triangle and let M, N, O be three points, each laying on one side of the ABC. We call MNO inscribed triangle (in an equi- laterral triangle). The median triangle ...

  10. Random matrices

    CERN Document Server

    Mehta, Madan Lal

    1990-01-01

    Since the publication of Random Matrices (Academic Press, 1967) so many new results have emerged both in theory and in applications, that this edition is almost completely revised to reflect the developments. For example, the theory of matrices with quaternion elements was developed to compute certain multiple integrals, and the inverse scattering theory was used to derive asymptotic results. The discovery of Selberg's 1944 paper on a multiple integral also gave rise to hundreds of recent publications. This book presents a coherent and detailed analytical treatment of random matrices, leading

  11. A new method for evaluating forest thinning: growth dominance in managed Pinus resinosa stands

    Science.gov (United States)

    John B. Bradford; Anthony W. D' Amato; Brian J. Palik; Shawn. Fraver

    2010-01-01

    Growth dominance is a relatively new, simple, quantitative metric of within-stand individual tree growth patterns, and is defined as positive when larger trees in the stand display proportionally greater growth than smaller trees, and negative when smaller trees display proportionally greater growth than larger trees. We examined long-term silvicultural experiments in...

  12. Numerical measures of the degree of non-proportionality of multiaxial fatigue loadings

    Directory of Open Access Journals (Sweden)

    A. Bolchoun

    2015-07-01

    Full Text Available The influence of the non-proportional loadings on the fatigue life depends on the material ductility. Ductile materials react with a shortening of lifetime compared to proportional loading conditions. For a semiductile material there is almost no difference between proportional and non-proportional loadings with respect to the fatigue life. Brittle materials show an increase of the lifetime under non-proportional loadings. If fatigue life assessment is performed using stress-based hypotheses, it is a rather difficult task to take into account material ductility correctly, especially the fatigue life reduction as displayed by ductile materials. Most stress-based hypotheses will compute a longer fatigue life under non-proportional loading conditions. There are also hypotheses, which already include quantitative evaluation of the non-proportionality (e.g. EESH, SSCH and MWCM. Anyway in order to improve assessment for ductile materials, some sort of numerical measure for the degree of non-proportionality of the fatigue loading is required. A number of measures of this kind (or non-proportionality factors were proposed in the literature and are discussed here: - the factor used in EESH is a quotient of stress amplitudes integrals, - the factor according to Gaier, which works with a discrete stress tensor values in a scaled stress space, - the factor according to Kanazawa, which makes use of plane-based stress values, - the factor used in MWCM, which exploits stress values in the plane with the highest shear stress amplitude, a new non-proportionality factor, which is based on the correlation between individual stress tensor components, is proposed. General requirements imposed on the non-proportionality factors are discussed and each of the factors is evaluated with respect to these requirements. Also application with the stress-based hypotheses is discussed and illustrated using the experimental data for aluminum and magnesium welded joints under

  13. The Growth Delusion

    Directory of Open Access Journals (Sweden)

    Bob Lloyd

    2009-08-01

    Full Text Available Concern for the environment and a move towards “sustainable development” has assisted progress in a wide range of renewable energy technologies in recent years. The science suggests that a transition from fossil fuels to sustainable sources of energy in a time frame commensurate with the demise of the fossil fuels and prevention of runaway climate change is needed. However, while the movement towards sustainable energy technologies is underway, the World does not want to give up the idea of continuing economic growth. In recent times the financial collapse of October 2008 has given rise to yet another set of pleas from corporations and politicians alike to restart the growth machine. The transition to renewable energy technologies will be difficult to achieve as nowhere within existing economic and political frameworks are the limits to when growth will be curtailed being set. It is possible that the irrational insistence on endless growth as a non negotiable axiom, by a large proportion of the world’s population, may in fact be akin to the similarly irrational belief, by a similarly large proportion of the world’s population, that a supernatural being controls our existence and destiny. The irrationality of religion has recently been examined by Richard Dawkins in “The God Delusion”. Dawkins’ book is used as a starting point to investigate similarities between a belief in God and a belief in continuous growth.

  14. The role of misclassification in estimating proportions and an estimator of misclassification probability

    Science.gov (United States)

    Patrick L. Zimmerman; Greg C. Liknes

    2010-01-01

    Dot grids are often used to estimate the proportion of land cover belonging to some class in an aerial photograph. Interpreter misclassification is an often-ignored source of error in dot-grid sampling that has the potential to significantly bias proportion estimates. For the case when the true class of items is unknown, we present a maximum-likelihood estimator of...

  15. Proportionality and the limitation clauses of the South African Bill of ...

    African Journals Online (AJOL)

    SUMMARY "Proportionality" is a contemporary heavy-weight concept which has been described as an element of a globalised international grammar and as a foundational element of global constitutionalism. The article firstly describes the elements of proportionality as they are generally understood in foreign systems, ...

  16. A Cross-Disciplinary Approach to Teaching Data Literacy and Proportionality

    Science.gov (United States)

    Vahey, Philip; Rafanan, Ken; Patton, Charles; Swan, Karen; van't Hooft, Mark; Kratcoski, Annette; Stanford, Tina

    2012-01-01

    The Thinking with Data project (TWD) expands on current notions of data literacy by (1) focusing on proportional reasoning as key to data literacy and (2) leveraging the non-mathematics disciplines to engage students in deep thinking about the context of data and the application of proportionality. A set of four 2-week, sequential modules for…

  17. proportional counting chamber for large-area-coated β sources

    Indian Academy of Sciences (India)

    Keywords. Surface contamination; windowless proportional counter; beta counting chamber; large area coated sources. Abstract. Detection system for measuring absolute emission rate from large-area-coated β sources has been indigenously developed. The system consists of a multiwire-based proportional counter with ...

  18. Child Proportional Scaling: Is 1/3 = 2/6 = 3/9 = 4/12?

    Science.gov (United States)

    Boyer, Ty W.; Levine, Susan C.

    2012-01-01

    The current experiments examined the role of scale factor in children's proportional reasoning. Experiment 1 used a choice task and Experiment 2 used a production task to examine the abilities of kindergartners through fourth-graders to match equivalent, visually depicted proportional relations. The findings of both experiments show that accuracy…

  19. Improved Margin of Error Estimates for Proportions in Business: An Educational Example

    Science.gov (United States)

    Arzumanyan, George; Halcoussis, Dennis; Phillips, G. Michael

    2015-01-01

    This paper presents the Agresti & Coull "Adjusted Wald" method for computing confidence intervals and margins of error for common proportion estimates. The presented method is easily implementable by business students and practitioners and provides more accurate estimates of proportions particularly in extreme samples and small…

  20. Make Your Own Paint Chart: A Realistic Context for Developing Proportional Reasoning with Ratios

    Science.gov (United States)

    Beswick, Kim

    2011-01-01

    Proportional reasoning has been recognised as a crucial focus of mathematics in the middle years and also as a frequent source of difficulty for students (Lamon, 2007). Proportional reasoning concerns the equivalence of pairs of quantities that are related multiplicatively; that is, equivalent ratios including those expressed as fractions and…

  1. Scientific basis for banana cultivar proportions on-farm in East Africa ...

    African Journals Online (AJOL)

    perceptions behind cultivar proportions and to understand the scientific basis of these proportions in selected sites in East Africa. The study was carried out in Karagwe, Bushenyi and Masaka districts in East Africa, a region considered to be a secondary centre of diversity for bananas. Thirty farms were sampled in one ...

  2. Model of predicting proportion of diesel fuel and engine oil in diesel ...

    African Journals Online (AJOL)

    Viscosity of diesel adulterated SAE 40 engine oil at varying proportions of the mixture is presented. Regression, variation of intercept and the power parameters methods are used for developing polynomial and power law functions for predicting proportion of either diesel or engine oil in diesel adulterated SAE 40 engine oil ...

  3. Performance of microstrip proportional counters for x-ray astronomy on spectrum-roentgen-gamma

    DEFF Research Database (Denmark)

    Budtz-Jørgensen, Carl; BAHNSEN, A; Christensen, Finn Erland

    1991-01-01

    DSRI will provide a set of four imaging proportional counters for the Danish-Soviet X-ray telescopes XSPECT/SODART. The sensor principle is based on the novel micro-strip proportional counter (MSPC), where the strip electrodes are deposited by photolithography onto a rigid substrate. The MSPC off...

  4. Effect of Strategy Teaching for the Solution of Ratio Problems on Students' Proportional Reasoning Skills

    Science.gov (United States)

    Sen, Ceylan; Güler, Gürsel

    2017-01-01

    The study was conducted to reveal the effects of the instruction of different problem-solving strategies on the proportional reasoning skills of students in solving proportional problems in the 6th grade math's class. Quasi-experimental research model with pretest-posttest control group was employed in the study. For eight class hours, the…

  5. The role of cognitive style and its influence on proportional reasoning

    Science.gov (United States)

    Niaz, Mansoor

    It has been suggested that proportional reasoning tasks contain field effects. Field-dependent students are considered to be highly influenced by the structure of the perceptual field and lack an articulated conceptual framework. To test the hypothesis that there is a significant correlation between field independence and proportional reasoning tasks, a sample of science students were tested to determine performance in proportional reasoning and degree of field independence. It was found that even students who are normally capable of proportional reasoning can be misled by the presence of field effects. A significant correlation (r = 0.50; p = 0.001) was found between the test of field independence and the nine items of proportional reasoning. Educational implications are drawn.

  6. The effects of hydrogen proportion on the synthesis of carbon nanomaterials with gaseous detonation (deflagration) method

    Science.gov (United States)

    Zhao, Tiejun; Li, Xiaojie; Lee, John H. S.; Yan, Honghao

    2018-02-01

    Using ferrocene, H2 and O2, Carbon nanomaterials were prepared with gaseous detonation (deflagration) method. The effects of H2 on the phase and morphology of carbon nanomaterials were studied by various proportions of H2 in the reaction. The prepared samples were characterized by x-ray diffractometer, transmission electron microscope and Raman spectrometer. The results show that hydrogen proportion has a great influence on the phase and morphology of carbon nanomaterials. The high hydrogen proportion leads to much unreacted hydrogen, which could protect the iron atom from oxidation of carbon and dilute the reactants contributing to uniform particle size. In addition, the graphitization degree of multi-walled carbon nanotubes, observed in samples with high H2 proportion, is high enough to see the lattice fringes, but the degree of graphitization of whole sample is lower than which fabricated with low H2 proportion, and it may result from the low energy generation.

  7. Tumor angiogenesis assessment using multi-fluorescent scans on murine slices by Markov random field framework

    Science.gov (United States)

    Laifa, Oumeima; Le Guillou-Buffello, Delphine; Racoceanu, Daniel

    2017-11-01

    The fundamental role of vascular supply in tumor growth makes the evaluation of the angiogenesis crucial in assessing effect of anti-angiogenic therapies. Since many years, such therapies are designed to inhibit the vascular endothelial growth factor (VEGF). To contribute to the assessment of anti-angiogenic agent (Pazopanib) effect on vascular and cellular structures, we acquired data from tumors extracted from a murine tumor model using Multi- Fluorescence Scanning. In this paper, we implemented an unsupervised algorithm combining the Watershed segmentation and Markov Random Field model (MRF). This algorithm allowed us to quantify the proportion of apoptotic endothelial cells and to generate maps according to cell density. Stronger association between apoptosis and endothelial cells was revealed in the tumors receiving anti-angiogenic therapy (n = 4) as compared to those receiving placebo (n = 4). A high percentage of apoptotic cells in the tumor area are endothelial. Lower density cells were detected in tumor slices presenting higher apoptotic endothelial areas.

  8. Data generation for the Cox proportional hazards model with time-dependent covariates: a method for medical researchers.

    Science.gov (United States)

    Hendry, David J

    2014-02-10

    The proliferation of longitudinal studies has increased the importance of statistical methods for time-to-event data that can incorporate time-dependent covariates. The Cox proportional hazards model is one such method that is widely used. As more extensions of the Cox model with time-dependent covariates are developed, simulations studies will grow in importance as well. An essential starting point for simulation studies of time-to-event models is the ability to produce simulated survival times from a known data generating process. This paper develops a method for the generation of survival times that follow a Cox proportional hazards model with time-dependent covariates. The method presented relies on a simple transformation of random variables generated according to a truncated piecewise exponential distribution and allows practitioners great flexibility and control over both the number of time-dependent covariates and the number of time periods in the duration of follow-up measurement. Within this framework, an additional argument is suggested that allows researchers to generate time-to-event data in which covariates change at integer-valued steps of the time scale. The purpose of this approach is to produce data for simulation experiments that mimic the types of data structures applied that researchers encounter when using longitudinal biomedical data. Validity is assessed in a set of simulation experiments, and results indicate that the proposed procedure performs well in producing data that conform to the assumptions of the Cox proportional hazards model. Copyright © 2013 John Wiley & Sons, Ltd.

  9. Proportion of contextual effects in the treatment of fibromyalgia-a meta-analysis of randomised controlled trials.

    Science.gov (United States)

    Whiteside, Nicola; Sarmanova, Aliya; Chen, Xi; Zou, Kun; Abdullah, Natasya; Doherty, Michael; Zhang, Weiya

    2017-12-20

    The objective of this study is to examine the proportion of the total treatment effect that is attributable to contextual effects in randomised controlled trials (RCTs) of treatments for fibromyalgia. A systematic literature search was undertaken in Medline, Web of Science, EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Allied and Complementary Medicine in September 2015. The proportion of contextual effect (PCE) was calculated by dividing the improvement in the placebo arm by the improvement in the treatment arm. The measure was log-transformed for each trial and the random effects model was used to pool data. The primary outcome was pain. Secondary outcomes were fibromyalgia impact questionnaire (FIQ) total and fatigue. Heterogeneity was quantified using I 2. Publication bias was assessed using a funnel plot and Egger's test. Subgroup analysis was undertaken to explore heterogeneity and potential determinants of the PCE. Fifty-one eligible trials (9599 participants) were identified. The PCE was 0.60 (95% CI 0·56 to 0·64) for pain, 0·57 (95% CI 0·53 to 0·61) for FIQ total, and 0·63 (95% CI 0·59 to 0·68) for fatigue. The I 2 was 99.4% for pain, 99.2% for FIQ total, and 97.6% for fatigue. More than half of the treatment effect in fibromyalgia RCTs results from non-specific contextual factors. This suggests that optimising contextual care may enhance treatment effects and improve outcomes. Reporting the total treatment effect and the proportion of contextual effect in trials may help to better translate research evidence into practice.

  10. Heterosis and Effect of Breed Proportion for Milk Production Traits in Crosses Between Danish Holstein, Danish Red and Danish Jersey

    DEFF Research Database (Denmark)

    Norberg, Elise; Byskov, Kenneth; Kargo, Morten

    2013-01-01

    During the last decade the use of systematic crossbreeding in dairy cattle herds has been increasing in Denmark. The aim of this study was to estimate the effect of breed proportion and heterosis on milk production traits. The study was based on records on milk yield (MY), protein yield (PY......, a random genetic effect of the cow and a residual. Data was analyzed using AI-REML in the DMU package. The effect of breed proportions was estimated relatively to a pure DH. For MY, a pure DR was estimated to give 259 kg less than a pure DH, while a pure DJ gave 1838 kg less than a pure DH. For PY...... between DH and DR was estimated to 177 kg, 5.8 kg and 8.4 kg for MY, PY and FY, respectively. Corresponding figures for crosses between DH and DJ was 320 kg, 13.4 kg and 17.5 kg, while crosses between DR and DJ gave heterosis estimates of 380 kg, 14.3 kg and 20.2 for MY, PY and FY, respectively...

  11. Lung recruitment maneuver during proportional assist ventilation of preterm infants with acute respiratory distress syndrome.

    Science.gov (United States)

    Wu, R; Li, S-B; Tian, Z-F; Li, N; Zheng, G-F; Zhao, Y-X; Zhu, H-L; Hu, J-H; Zha, L; Dai, M-Y; Xu, W-Y

    2014-07-01

    To investigate the effect of lung recruitment maneuver (LRM) with positive end-expiratory pressure (PEEP) on oxygenation and outcomes in preterm infants ventilated by proportional assist ventilation (PAV) for respiratory distress syndrome (RDS). Preterm infants on PAV for RDS after surfactant randomly received an LRM (group A, n=12) or did not (group B, n=12). LRM entailed increments of 0.2 cm H2O PEEP every 5 min, until fraction of inspired oxygen (FiO2)=0.25. Then PEEP was reduced and the lung volume was set on the deflation limb of the pressure/volume curve. When saturation of peripheral oxygen fell and FiO2 rose, we reincremented PEEP until SpO2 became stable. Group A and B infants were similar: gestational age 29.5 ± 1.0 vs 29.4 ± 0.9 weeks; body weight 1314 ± 96 vs 1296 ± 88 g; Silverman Anderson score for babies at start of ventilation 8.6 ± 0.8 vs 8.2 ± 0.7; initial FiO2 0.56 ± 0.16 vs 0.51 ± 0.14, respectively. The less doses of surfactant administered in group A than that in group B (P<0.05). Groups A and B showed different max PEEP during the first 12 h of life (8.4 ± 0.5 vs 6.7 ± 0.6 cm H2O, P=0.00), time to lowest FiO2 (101 ± 18 versus 342 ± 128 min; P=0.000) and O2 dependency (7.83 ± 2.04 vs 9.92 ± 2.78 days; P=0.04). FiO2 levels progressively decreased (F=43.240, P=0.000) and a/AO2 ratio gradually increased (F=30.594, P=0.000). No adverse events and no differences in the outcomes were observed. LRM led to the earlier lowest FiO2 of the first 12 h of life and a shorter O2 dependency.

  12. Evaluation of Facial Proportions and Their Association with Thumbprint Patterns among Hausa Ethnic Group

    Directory of Open Access Journals (Sweden)

    Lawan Hassan Adamu

    2017-01-01

    Full Text Available Background. Evolutionary forces such as founder effect resulted in reproductive isolation and reduced genetic diversity may have led to ethnic variation in the facial appearance and other features like fingerprints pattern. Aim. To determine the pattern of facial proportion based on neoclassical facial canon. The associations between facial proportions and thumbprint patterns were also investigated. Subject and Methods. A total of 534 subjects of 18–25 years of age participated. Direct sensing and photographs methods were used to determine fingerprint and facial features, respectively. Fisher’s Exact test was used to test for association between variables. Results. It was observed that in both males and females there was no (0% occurrence of classical canon of facial proportion. There was also no association between sex and facial proportions. A significant association was found in between thumbprint patterns and vertical class III neoclassical facial proportion only when the frequency of both left and right thumbprint patterns was considered a single entity. There is no significant association between the thumbprint patterns of the right and left thumbs with vertical horizontal facial proportions in male and female participants. It was observed that right and left thumbs have more tendency of significance with facial proportion in males and females, respectively. Conclusion. Fingerprint pattern and its associated features may be controlled by a different mechanism such that the two may correlate differently with other features as the case may be with facial features.

  13. Evaluation of maxillary anterior teeth and their relation to the golden proportion in Malaysian population.

    Science.gov (United States)

    Al-Marzok, Maan Ibrahim; Majeed, Kais Raad Abdul; Ibrahim, Ibrahim Khalil

    2013-01-24

    The maxillary anterior teeth are important in achieving pleasing dental aesthetics. Various methods are used to measure the size and form of them, including the golden proportion between their perceived widths, and the width-to-height ratio, referred to as the golden standard. The purpose of this study was conducted to evaluate whether consistent relationships exist between tooth width and height of the clinical crown dimensions; and to investigate the occurrence of the golden proportion of the maxillary anterior teeth. Dental casts of the maxillary arches were made in this cross-sectional study from MAHSA University College students who met the inclusion criteria. The 49 participants represented the Malaysian population main ethnics. The dimensions of the anterior teeth and the perceived width of anterior teeth viewed from front were measured using a digital caliper. Comparison of the perceived width ratio of lateral to central incisor and canine to lateral incisor with the golden proportion of 0.618 revealed there were a significant statistical difference (p standard of 80%. There was no significant difference in the comparison among ethnic groups for the golden proportion and the golden standard. The golden proportion was not found to exist between the perceived widths of maxillary anterior teeth. No golden standard were detected for the width-to-height proportions of maxillary incisors. Specific population characteristics and perception of beauty must be considered. However, ethnicity has no association with the proportions of maxillary anterior teeth.

  14. Proportional Systems in the History of Architecture: A Conversation with James S. Ackerman

    Directory of Open Access Journals (Sweden)

    Matthew A Cohen

    2014-06-01

    Full Text Available In November 2010, James S. Ackerman, today the only living participant of the conference ‘De divina proportione’, which was held in Milan in 1951, sat for a video interview that was later shown at the conference ‘Proportional Systems in the History of Architecture’ in Leiden in 2011 to mark the sixtieth anniversary of the Milan conference. In this interview, conducted by Matthew A. Cohen, Ackerman discusses how the study of proportional systems has changed over the past six decades, and thereby provides a unique link between the two conferences. The interview begins with Ackerman’s experiences in northern Italy at the close of World War II, and a few years later at the Milan conference. It considers prevailing twentieth-century attitudes toward proportion up to the time of the conference, and compares them with prevailing medieval and Renaissance attitudes. Ackerman then shares his thoughts on the works and legacies of Rudolf Wittkower, Le Corbusier and Colin Rowe, before exploring the influences of architectural proportional theory on architectural design, and possible relationships between proportional systems and architectural beauty. After exploring changes in the uses of proportional systems that accompanied the rise of Abstract Expressionism, the arc of the interview concludes with Ackerman’s thoughts about the future of proportional systems in light of the evolving role of the computer in architectural practice today.

  15. Optimizing the treatment of bevacizumab as first-line therapy for human epidermal growth factor receptor 2 (HER2-negative advanced breast cancer: an updated meta-analysis of published randomized trials

    Directory of Open Access Journals (Sweden)

    Li C

    2017-06-01

    Full Text Available Cunfu Li,1 Aizhai Xiang,2 Xianzhi Chen,3 Kai Yin,4 Jinsong Lu,4 Wenjin Yin5,6 1Department of General Surgery, Weihai Central Hospital, Weihai, 2Department of Breast Surgery, Hangzhou First People’s Hospital, Nanjing Medical University, Hangzhou, 3Department of General Surgery, Huainan First People’s Hospital, Huainan, 4Department of Breast Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, 5Department of Breast Surgery, Fudan University Shanghai Cancer Center, 6Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, People’s Republic of China Background: Manifold data have demonstrated that the addition of bevacizumab to chemotherapy improved progression-free survival (PFS, while few trials have revealed its significant overall survival (OS benefit. Furthermore, it still remains suspended how to maximize the benefits of bevacizumab as first-line therapy for human epidermal growth factor receptor 2 (HER2-negative breast cancer. We sought to conduct a meta-analysis to assess the benefits of bevacizumab with chemotherapy and to identify the ideal chemotherapy partner of bevacizumab in the first-line setting for HER2-negative advanced breast cancer patients.Methods: Computerized and manual searches were performed to identify randomized clinical trials evaluating the efficacy of bevacizumab plus chemotherapy versus chemotherapy alone or bevacizumab with different chemotherapy regimens as first-line therapy for HER2-negative locally recurrent or metastatic breast cancer patients. Risk ratios or odds ratios with their 95% CIs were used to estimate the association between multiple combinations of bevacizumab with chemotherapy and various clinical outcomes.Results: With 7 trials identified, this analysis included 3,984 eligible patients. The addition of bevacizumab to chemotherapy resulted in a statistically significant improvement in PFS (P=0.019 and objective response rate (ORR; P<0.001 rather than

  16. The Efficacy of Single-Agent Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor Therapy in Biologically Selected Patients with Non-Small-Cell Lung Cancer: A Meta-Analysis of 19 Randomized Controlled Trials.

    Science.gov (United States)

    Li, Guifang; Gao, Shunji; Sheng, Zhixin; Li, Bin

    2016-01-01

    To determine the efficacy of first-generation single-agent epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) therapy in advanced non-small-cell lung cancer patients with known EGFR mutation status, we undertook this pooled analysis. We searched for randomized controlled trials (RCTs) in Medline, Embase, the Cochrane Controlled Trials Register, the Science Citation Index, and the American Society of Clinical Oncology annual meetings. Out of 2,129 retrieved articles, 19 RCTs enrolling 2,016 patients with wild-type EGFR tumors and 1,034 patients with mutant EGFR tumors were identified. For these EGFR mutant patients, single-agent EGFR-TKI therapy improved progression-free survival (PFS) over chemotherapy: the summary hazard ratios (HRs) were 0.41 (p chemotherapy in the first-line setting (HR = 1.65, p = 0.03) and in the second-/third-line setting (HR = 1.27, p = 0.006). No statistically significant difference was observed in terms of overall survival (OS). Using platinum-based doublet chemotherapy as a common comparator, indirect comparison showed the superior efficacy of single-agent EGFR-TKI therapy over EGFR-TKIs added to chemotherapy in PFS [HR = 1.35 (1.03, 1.77), p = 0.03]. Additionally, a marginal trend towards the same direction was found in the OS analysis [HR = 1.16 (0.99, 1.35), p = 0.06]. Interestingly, for those EGFR wild-type tumors, single-agent EGFR-TKI therapy was inferior to EGFR-TKIs added to chemotherapy in PFS [HR = 0.38 (0.33, 0.44), p chemotherapy. However, single-agent EGFR-TKI therapy was inferior to chemotherapy in PFS for those EGFR wild-type patients. Single-agent EGFR-TKI therapy could improve PFS over the combination of EGFR-TKIs and chemotherapy in these EGFR mutant patients. However, EGFR-TKIs combined with chemotherapy could provide additive PFS and OS benefit over single-agent EGFR-TKI therapy in those EGFR wild-type patients. © 2016 S. Karger AG, Basel.

  17. CEREBEL (EGF111438): A Phase III, Randomized, Open-Label Study of Lapatinib Plus Capecitabine Versus Trastuzumab Plus Capecitabine in Patients With Human Epidermal Growth Factor Receptor 2-Positive Metastatic Breast Cancer.

    Science.gov (United States)

    Pivot, Xavier; Manikhas, Alexey; Żurawski, Bogdan; Chmielowska, Ewa; Karaszewska, Boguslawa; Allerton, Rozenn; Chan, Stephen; Fabi, Alessandra; Bidoli, Paolo; Gori, Stefania; Ciruelos, Eva; Dank, Magdolna; Hornyak, Lajos; Margolin, Sara; Nusch, Arnd; Parikh, Roma; Nagi, Fareha; DeSilvio, Michelle; Santillana, Sergio; Swaby, Ramona F; Semiglazov, Vladimir

    2015-05-10

    CEREBEL compared the incidence of CNS metastases as first site of relapse in patients with human epidermal growth factor receptor 2-positive metastatic breast cancer receiving lapatinib-capecitabine or trastuzumab-capecitabine. Patients without baseline CNS metastases were randomly assigned (1:1) to receive lapatinib-capecitabine (lapatinib 1,250 mg per day; capecitabine 2,000 mg/m(2) per day on days 1 to 14 every 21 days) or trastuzumab-capecitabine (trastuzumab loading dose of 8 mg/kg followed by an infusion of 6 mg/kg every 3 weeks; capecitabine 2,500 mg/m(2) per day on days 1 to 14 every 21 days). The primary end point was incidence of CNS metastases as first site of relapse. Secondary end points included progression-free survival (PFS) and overall survival (OS). The study was terminated early with 540 enrolled patients (271 received lapatinib-capecitabine, and 269 received trastuzumab-capecitabine). Incidence of CNS metastases as first site of relapse was 3% (eight of 251 patients) for lapatinib-capecitabine and 5% (12 of 250 patients) for trastuzumab-capecitabine (treatment differences, -1.6%; 95% CI, -2% to 5%; P = .360). PFS and OS were longer with trastuzumab-capecitabine versus lapatinib-capecitabine (hazard ratio [HR] for PFS, 1.30; 95% CI, 1.04 to 1.64; HR for OS, 1.34; 95% CI, 0.95 to 1.64). Serious adverse events were reported in 13% (34 of 269 patients) and 17% (45 of 267 patients) of patients in the lapatinib-capecitabine and trastuzumab-capecitabine arms, respectively. CEREBEL is inconclusive for the primary end point, and no difference was detected between lapatinb-capecitabine and trastuzumab-capecitabine for the incidence of CNS metastases. A better outcome was observed with trastuzumab-capecitabine in the overall population. However, lapatinib-capecitabine efficacy may have been affected by previous exposure to a trastuzumab regimen and/or when treatment was given as first- or second-line therapy in the metastatic setting. © 2015 by American

  18. Adult height after long-term, continuous growth hormone (GH) treatment in short children born small for gestational age: results of a randomized, double-blind, dose-response GH trial

    NARCIS (Netherlands)

    Y. van Pareren; M. Houdijk; M. Jansen (Maarten); M. Reeser; P.G.H. Mulder (Paul); A.C.S. Hokken-Koelega (Anita)

    2003-01-01

    textabstractThe GH dose-response effect of long-term continuous GH treatment on adult height (AH) was evaluated in 54 short children born small for gestational age (SGA) who were participating in a randomized, double-blind, dose-response trial. Patients were randomly and blindly

  19. The Relationship between Eighth Grade Primary School Students’ Proportional Reasoning Skills and Success in Solving Equations

    Directory of Open Access Journals (Sweden)

    Hatice Cetin

    2011-01-01

    Full Text Available This study investigates the relationship between eighth grade primary school students’ success levels in solving equations and proportional reasoning skills. 344 eighth grade students, who were registered at various primary schools in the central districts of Konya in the 2007-2008 educational year, participated in the research. The study had a relational survey research design. The findings indicated that eighth grade students’ success in solving equations and their proportional reasoning skills were highly correlated (r=0.89. Students were most successful at finding the missing value within the proportional reasoning question types, followed by questions that required quantitative comparison and qualitative comparison.

  20. Growth Disorders

    Science.gov (United States)

    ... because their parents are. But some children have growth disorders. Growth disorders are problems that prevent children from developing ... or other features. Very slow or very fast growth can sometimes signal a gland problem or disease. ...

  1. Random walks in a random environment

    Indian Academy of Sciences (India)

    R. Narasimhan (Krishtel eMaging) 1461 1996 Oct 15 13:05:22

    Abstract. Random walks as well as diffusions in random media are considered. Methods are developed that allow one to establish large deviation results for both the 'quenched' and the 'averaged' case. Keywords. Large deviations; random walks in a random environment. 1. Introduction. A random walk on Zd is a stochastic ...

  2. Le Corbusier’s Modulor and the Debate on Proportion in France

    Directory of Open Access Journals (Sweden)

    Jean-Louis Cohen

    2014-09-01

    Full Text Available Finally codified in 1945 after several years of research, Le Corbusier’s Modulor is probably the most comprehensive proportional system imagined during the 20th century. Developed through contacts with consultants such as art historian Elisa Maillard, and referring to statistical measurements of the human body, the Modulor concluded decades of discourse on proportions, a theme that preoccupied Le Corbusier ever since his sojourn in Germany in 1910. Matila Ghyka’s work on the golden section was one of the sources for the Modulor, but his work in general was used by other architects, such as Le Corbusier’s rival André Lurçat, who proposed his own range of proportions related to the work of builders as much as to that of designers. Proportions thus became a central issue in the postwar French reconstruction, as architects struggled to maintain their status amid changing procedures in building production.

  3. The Relationship between Eighth Grade Primary School Students’ Proportional Reasoning Skills and Success in Solving Equations

    National Research Council Canada - National Science Library

    Hatice Cetin; Erhan Ertekin

    2011-01-01

    ...’ success levels in solving equations and proportional reasoning skills. 344 eighth grade students, who were registered at various primary schools in the central districts of Konya in the 2007-2008 educational year, participated in the research...

  4. Proportion of Uterine Malignant Tumors in Patients with Laparoscopic Myomectomy: A National Multicenter Study in China

    Directory of Open Access Journals (Sweden)

    Hua Yang

    2017-01-01

    Conclusions: The proportion of malignancy is low after using morcellation in patients who undergo laparoscopic myomectomy. Patients with fast-growing uterine fibroids and abnormal ultrasonic tumor blood flow should be considered for malignant potential, and morcellation should be avoided.

  5. Testing for Hardy-Weinberg proportions: have we lost the plot?

    National Research Council Canada - National Science Library

    Waples, Robin S

    2015-01-01

    Testing for Hardy-Weinberg proportions (HWP) is routine in almost all genetic studies of natural populations, but many researchers do not demonstrate a full understanding of the purposes of these tests or how to interpret the results...

  6. Federal Report Shows Drop in Proportion of Children in US Population

    Science.gov (United States)

    ... Releases News Release Friday, July 12, 2013 Federal report shows drop in proportion of children in US ... children, according to the federal government’s annual statistical report on the well-being of the nation’s children ...

  7. Epistemological Obstacles on the Topic of Ratio and Proportion among Junior High School Students

    Science.gov (United States)

    Wahyuningrum, A. S.; Suryadi, D.; Turmudi

    2017-09-01

    This study intends to investigate how students’ understanding of ratio and proportion concept indicates epistemological obstacles. It was part of Didactical Design Research which was conducted to 72 students of 8th grade who ever learned about ratio and proportion. Data were collected through the students’ answers and interview in solving ratio and proportion problems. The results show that students’ conception, the ways of applying other mathematical concepts, the ways of using the rules, and variety of contexts are factors influencing epistemological obstacles in teaching and learning of ratio and proportion. These conditions can affect the students’ understanding o f related mathematics topics. Based on analysis of the results, this study is expected to overcome or minimize the epistemological obstacles.

  8. Using Photographic Images to Enhance Conceptual Development in Situations of Proportion

    Science.gov (United States)

    Hilton, Annette; Hilton, Geoff; Dole, Shelley; Goos, Merrilyn

    2015-01-01

    Find out how to use photographic images to support the conceptual development of proportional thinking. This paper provides insight into a sequenced activity that promotes student engagement and makes links to familiar and unfamiliar contexts.

  9. Allocation of seats in the European Parliament and a degressive proportionality

    CERN Document Server

    Florek, Jan

    2011-01-01

    Distribution of seats in The European Parliament postulated by Treaty of Lisbon should be degressively proportional. The meaning of degressively proportional concept can be found in two principles annexed to the draft of European Parliament resolution. The first, referred as the principle of fair division, states that "the larger the population of a Member State, the greater is entitlement to a large number of seats". The other condition, referred to as the principle of relative proportionality, holds that "the larger the population of a country, the more inhabitants are represented by each of its Members of the EU". We postulate a clear and fair method which determines uniquely a distribution of seats in the European Parliament which fulfill the requirements of degressive proportionality.

  10. Ethnicity, education, and the non-proportional hazard of first marriage in Turkey.

    Science.gov (United States)

    Gore, DeAnna L; Carlson, Elwood

    2010-07-01

    This study uses the 1998 Turkish Demographic and Health Survey to estimate non-proportional piecewise-constant hazards for first marriage among women in Turkey by education and ethnicity, with controls for region of residence and rural-urban migration. At low education levels Kurdish speakers married earlier than women who spoke Turkish or other languages, but at high education levels Kurdish women delayed marriage more than other women. This reversal across education groups furnishes a new illustration of the minority-group-status hypothesis specifically focused on marriage as the first step in the family formation process. The ethnic contrast concerned only marriage timing in Turkey, not proportions ever marrying. Eventual marriage remained nearly universal for all groups of women. This means that an assumption of proportional duration hazards (widespread in contemporary research) across the whole range of marriage-forming ages should be replaced by models with non-proportional duration hazards.

  11. Le test binomial exact de la différence entre deux proportions et ses approximations [The exact binomial test between two proportions and its approximations

    Directory of Open Access Journals (Sweden)

    Laurencelle, Louis

    2017-05-01

    Full Text Available Though it is a commonplace and quite frequent operation, the comparison of two independent proportions remains a problematic and ill understood issue in textbooks on applied statistics and for researchers. On the one hand, the comparison may be arrayed as a $2 \\times 2$ contingency table and be referred to chi-square type calculations; on the other hand, it can be viewed as the difference between means based on 0 / 1 data, this perspective leading to alternative normal-type treatments. The main known solutions for deciding upon the difference between two proportions are reviewed and briefly discussed. An original, theoretically deduced solution that we deem `exact' is then proposed. We conclude with a short numerical study that endorses two well-known approximate solutions. Résumé: Situation statistique banale, voire quotidiennement rencontrée, la comparaison de deux proportions indépendantes demeure une opération problématique dans les ouvrages de statistique appliquée comme dans la pratique. D'un côté, cette comparaison peut être présentée dans le format d'un tableau de contingence $2\\times 2$, ce qui l'associe aux statistiques habituelles d'un tel tableau; d'un autre côté, la différence entre deux proportions équivaut à la différence entre deux moyennes indépendantes, en considérant que les valeurs moyennées sont des "0" et des "1", ce cas admettant un autre type de traitement. Nous revoyons ici les principales solutions proposées pour l'étude de la différence entre deux proportions, et nous élaborons par déduction notre propre solution, que nous croyons exacte. Dans une courte étude numérique, nous établissons enfin les vertus de deux approximations déjà connues.

  12. Mask proportional assist vs pressure support ventilation in patients in clinically stable condition with chronic ventilatory failure.

    Science.gov (United States)

    Porta, Roberto; Appendini, Lorenzo; Vitacca, Michele; Bianchi, Luca; Donner, Claudio F; Poggi, Roberta; Ambrosino, Nicolino

    2002-08-01

    To compare the short-term physiologic effects of mask pressure support ventilation (PSV) and proportional assist ventilation (PAV) in patients in clinically stable condition with chronic ventilatory failure (CVF). Randomized, controlled physiologic study. Lung function units of two pulmonary rehabilitation centers. Eighteen patients with CVF caused by COPD (11 patients) and restrictive chest wall diseases (RCWDs) [7 patients]. Assessment of breathing pattern and minute ventilation (E), respiratory muscles and lung mechanics, and patient/ventilator interaction during both unassisted and assisted ventilation. After baseline assessment during spontaneous breathing (SB), mask PSV and PAV were randomly applied at the patient's comfort, with the addition of the same level of continuous positive airway pressure (2 cm H2O or 4 cm H2O in all patients), for 30 min each, with a 20-min interval of SB between periods of assisted ventilation. A longer time was spent to set PAV than PSV (663 +/- 179 s and 246 +/- 58 s, respectively; p variation coefficient, 16.3% +/- 10.5% vs 11.6% +/- 7.7%, respectively; p ventilator interaction between ventilatory modes.

  13. The Relationship between Eighth Grade Primary School Students’ Proportional Reasoning Skills and Success in Solving Equations

    OpenAIRE

    Hatice Cetin; Erhan Ertekin

    2011-01-01

    This study investigates the relationship between eighth grade primary school students’ success levels in solving equations and proportional reasoning skills. 344 eighth grade students, who were registered at various primary schools in the central districts of Konya in the 2007-2008 educational year, participated in the research. The study had a relational survey research design. The findings indicated that eighth grade students’ success in solving equations and their proportional reasoning sk...

  14. Proportional fair scheduling with superposition coding in a cellular cooperative relay system

    DEFF Research Database (Denmark)

    Kaneko, Megumi; Hayashi, Kazunori; Popovski, Petar

    2013-01-01

    Many works have tackled on the problem of throughput and fairness optimization in cellular cooperative relaying systems. Considering firstly a two-user relay broadcast channel, we design a scheme based on superposition coding (SC) which maximizes the achievable sum-rate under a proportional...... outperform conventional schedulers based on orthogonal user allocation, both in terms of throughput and proportional fairness. These results indicate promising new directions for the design of future radio resource allocation and scheduling algorithms....

  15. Time-trend and variations in the proportion of second-eye cataract surgery

    Directory of Open Access Journals (Sweden)

    Bernal-Delgado Enrique

    2007-04-01

    Full Text Available Abstract Background Despite recommendations for greater use of second-eye cataract surgery and the bilateral progression of the disease, there is a substantial proportion of unmet need for this treatment. Few studies have explored the factors associated with second-eye cataract surgery utilisation. The objective of our study was to estimate the proportion of second-eye cataract surgery, evaluate its time-trend, and explore differences in utilisation by patients' gender, age, and region of residence. Methods All senile cataract surgeries performed between 1999 and 2002 in the public health system of Catalonia (Spain were obtained from the Minimum Data Set. The proportion of second-eye surgery from November 2000 to December 2002 was calculated. The time-trend of this proportion was characterised through linear regression models with the logarithmic transformation of time. Results The proportion of second-eye surgery was 30.0% and showed an increasing trend from 24.8% (95% Confidence Interval [CI] 21.6; 26.1 in November 2000 to 31.8% (95% CI 31.4; 33.6 in December 2002. This proportion was 1.9% (95% CI 0.9; 2.9 higher in women (p Conclusion We predict greater utilization of second-eye surgery in patients aged 70 to 79 years and in women. A greater increase in the utilisation rates of second-eye surgery is expected in the regions with lower proportions and in older patients. The observed trend suggests that there will be a substantial proportion of unmet need for bilateral surgery.

  16. A Positron CT Camera System Using Multiwire Proportional Chambers as Detectors

    Science.gov (United States)

    1989-05-18

    Beijing) Abstract This article reports on a positron computerized tomography camera syste:. using 7ultiwire proportional chambers ( MWPC ) as detectors...This system is composed of two high-density MWPC gamma-ray detectors, an electronic readout system and a computer foi data piocessing. Three...proportional chamber ( MWPC ) PECT is directly used in the field of solid body investigation in physics to measure Fermi surfaces as well as to determine Lhe

  17. Evaluation of the Divine Proportion in the facial profile of young females

    Directory of Open Access Journals (Sweden)

    Jahanbin Arezoo

    2008-01-01

    Full Text Available Background: Beauty is the phenomenon of experiencing pleasure, through the perception of balance. According to some authors, attractive faces have ideal proportions that are related to the Divine Proportion (1.618:1. Aim: The purpose of this study was to evaluate the Divine Proportion in the human profile and investigate the effects of this ratio on the perception of the beauty of the profile. Study and Design: We conducted a cross-sectional study to determine the mentioned aims. Materials and Methods : In this cross-sectional study, fifty females in the age range of 20-25 years, with acceptable profiles were selected. Standardized profile silhouettes were each given a score by 20 judges (consisting of 10 men and 10 women using the visual analog scale. Five landmarks were determined and five ratios were measured on the silhouettes by using the adobe photoshop program. Statistical Analysis: The Student′s t test was used to compare profile proportions of the subjects. Results: Statistical analysis showed none of the proportions had the mean of 1.618, but in subjects having higher esthetic scores, trichion (Te-soft tissue menton (Me:Tr-subnasale (Sn and Tr-Me:soft tissue nasion (N-Me, with the mean of 1.58 were closer to Divine Proportion. Conclusions : The results suggested the perception of beauty is influenced by the Divine Proportions and Tr-Me:Tr-Sn and Tr-Me:N-Me are the most influential ratios in the perception of the beauty of profile; however, if the Divine Proportion is to be used in treatment planning, it should be used along with other factors.

  18. Computer Simulation of Atoms Nuclei Structure Using Information Coefficients of Proportionality

    OpenAIRE

    Labushev, Mikhail M.

    2012-01-01

    The latest research of the proportionality of atomic weights of chemical elements made it possible to obtain 3 x 3 matrices for the calculation of information coefficients of proportionality Ip that can be used for 3D modeling of the structure of atom nucleus. The results of computer simulation show high potential of nucleus structure research for the characterization of their chemical and physical properties.

  19. Modern prejudice and strength of conjunction error : overestimating proportions of minority employees

    OpenAIRE

    Wolfram, Hans-Joachim

    2017-01-01

    Modern prejudice was examined as a potential predictor of overestimating proportions of minority employees in gender-typed occupations. Strength of conjunction error was considered as an indicator of distorted perceptions of these proportions. Furthermore, we investigated whether the association between modern prejudice and strength of conjunction error was weaker for gender-untypical than for gender-typical targets.\\ud Modern prejudice was considered as a predictor of overestimations of blac...

  20. Gemcitabine Plus Docetaxel Versus Docetaxel in Patients With Predominantly Human Epidermal Growth Factor Receptor 2-Negative Locally Advanced or Metastatic Breast Cancer: A Randomized, Phase III Study by the Danish Breast Cancer Cooperative Group

    DEFF Research Database (Denmark)

    Nielsen, Dorte L; Bjerre, Karsten D; Jakobsen, Erik H

    2011-01-01

    , 0.59 to 1.01; log-rank P = .06). The adjusted Cox proportional model for TTP showed a significant difference favoring the combination (HR, 0.68; 95% CI, 0.51 to 0.90; P = .007). However, RR was similar (GD, 36%; docetaxel, 34%), and OS was not different (P = .57). Grades 3 to 4 neutropenia...

  1. Evaluation of maxillary anterior teeth and their relation to the golden proportion in malaysian population

    Directory of Open Access Journals (Sweden)

    Al-Marzok Maan Ibrahim

    2013-01-01

    Full Text Available Abstract Background The maxillary anterior teeth are important in achieving pleasing dental aesthetics. Various methods are used to measure the size and form of them, including the golden proportion between their perceived widths, and the width-to-height ratio, referred to as the golden standard. The purpose of this study was conducted to evaluate whether consistent relationships exist between tooth width and height of the clinical crown dimensions; and to investigate the occurrence of the golden proportion of the maxillary anterior teeth. Methods Dental casts of the maxillary arches were made in this cross-sectional study from MAHSA University College students who met the inclusion criteria. The 49 participants represented the Malaysian population main ethnics. The dimensions of the anterior teeth and the perceived width of anterior teeth viewed from front were measured using a digital caliper. Results Comparison of the perceived width ratio of lateral to central incisor and canine to lateral incisor with the golden proportion of 0.618 revealed there were a significant statistical difference (p  Conclusions The golden proportion was not found to exist between the perceived widths of maxillary anterior teeth. No golden standard were detected for the width-to-height proportions of maxillary incisors. Specific population characteristics and perception of beauty must be considered. However, ethnicity has no association with the proportions of maxillary anterior teeth.

  2. Estimation of aquifer scale proportion using equal area grids: assessment of regional scale groundwater quality

    Science.gov (United States)

    Belitz, Kenneth; Jurgens, Bryant C.; Landon, Matthew K.; Fram, Miranda S.; Johnson, Tyler D.

    2010-01-01

    The proportion of an aquifer with constituent concentrations above a specified threshold (high concentrations) is taken as a nondimensional measure of regional scale water quality. If computed on the basis of area, it can be referred to as the aquifer scale proportion. A spatially unbiased estimate of aquifer scale proportion and a confidence interval for that estimate are obtained through the use of equal area grids and the binomial distribution. Traditionally, the confidence interval for a binomial proportion is computed using either the standard interval or the exact interval. Research from the statistics literature has shown that the standard interval should not be used and that the exact interval is overly conservative. On the basis of coverage probability and interval width, the Jeffreys interval is preferred. If more than one sample per cell is available, cell declustering is used to estimate the aquifer scale proportion, and Kish's design effect may be useful for estimating an effective number of samples. The binomial distribution is also used to quantify the adequacy of a grid with a given number of cells for identifying a small target, defined as a constituent that is present at high concentrations in a small proportion of the aquifer. Case studies illustrate a consistency between approaches that use one well per grid cell and many wells per cell. The methods presented in this paper provide a quantitative basis for designing a sampling program and for utilizing existing data.

  3. Proportion hyperglycosylated hCG: a new test for discriminating gestational trophoblastic diseases.

    Science.gov (United States)

    Cole, Laurence A

    2014-11-01

    Hyperglycosylated human chorionic gonadotropin (hCG) is a variant of hCG with large oligosaccharide side chains. Although hCG is produced by syncytiotrophoblast cells, hyperglycosylated hCG marks cytotrophoblast cell. Hyperglycosylated hCG signals placental implantation. Total hCG in serum and urine is measured by the Siemens Immulite hCG pregnancy test; the result is in milli-international unit per milliliter. Hyperglycosylated hCG is determined by the B152 microtiter plate assay; the result is in nanogram per milliliter. Hyperglycosylated hCG results can be converted to milli-international unit per milliliter equivalents by multiplying by 11. The test measures proportion hyperglycosylated hCG, hyperglycosylated hCG / total hCG. Proportion hyperglycosylated hCG marks cases intent on developing persistent hydatidiform mole (68% detection at 17% false detection). Proportion hyperglycosylated hCG also marks persistent hydatidiform mole (100% detection at 5.1% false detection). Proportion hyperglycosylated hCG distinguishes choriocarcinoma and gestational trophoblastic neoplasm cases, absolutely discriminating aggressive cases and minimally aggressive cases. Proportion hyperglycosylated hCG identifies quiescent gestational trophoblastic disease cases. It recognizes quiescent cases that become persistent disease (100% detection at 0% false positive). Proportion hyperglycosylated hCG is an invaluable test for discriminating gestational trophoblastic diseases.

  4. Random tensors

    CERN Document Server

    Gurau, Razvan

    2017-01-01

    Written by the creator of the modern theory of random tensors, this book is the first self-contained introductory text to this rapidly developing theory. Starting from notions familiar to the average researcher or PhD student in mathematical or theoretical physics, the book presents in detail the theory and its applications to physics. The recent detections of the Higgs boson at the LHC and gravitational waves at LIGO mark new milestones in Physics confirming long standing predictions of Quantum Field Theory and General Relativity. These two experimental results only reinforce today the need to find an underlying common framework of the two: the elusive theory of Quantum Gravity. Over the past thirty years, several alternatives have been proposed as theories of Quantum Gravity, chief among them String Theory. While these theories are yet to be tested experimentally, key lessons have already been learned. Whatever the theory of Quantum Gravity may be, it must incorporate random geometry in one form or another....

  5. Phase III randomized study comparing docetaxel plus trastuzumab with vinorelbine plus trastuzumab as first-line therapy of metastatic or locally advanced human epidermal growth factor receptor 2-positive breast cancer: the HERNATA study

    DEFF Research Database (Denmark)

    Andersson, Michael; Lidbrink, Elisabeth; Bjerre, Karsten

    2011-01-01

    To evaluate docetaxel or vinorelbine, both with trastuzumab, as first-line therapy of human epidermal growth factor receptor 2-positive advanced breast cancer.......To evaluate docetaxel or vinorelbine, both with trastuzumab, as first-line therapy of human epidermal growth factor receptor 2-positive advanced breast cancer....

  6. Random functions and turbulence

    CERN Document Server

    Panchev, S

    1971-01-01

    International Series of Monographs in Natural Philosophy, Volume 32: Random Functions and Turbulence focuses on the use of random functions as mathematical methods. The manuscript first offers information on the elements of the theory of random functions. Topics include determination of statistical moments by characteristic functions; functional transformations of random variables; multidimensional random variables with spherical symmetry; and random variables and distribution functions. The book then discusses random processes and random fields, including stationarity and ergodicity of random

  7. Random amplified polymorphic DNA (RAPD) marker associated ...

    African Journals Online (AJOL)

    Jane

    2011-06-29

    Jun 29, 2011 ... between the studied provenances were less than 39%. Key words: Acacia Senegal, provenance variation, random amplified polymorphic DNA (RAPD) marker, salt tolerance, seed germination, seedling growth. INTRODUCTION. Salinity is the major factor limiting plants growth, widely spread and has more ...

  8. The effect of different proportions of astragaloside and curcumin on DM model of mice.

    Science.gov (United States)

    Miao, Mingsan; Liu, Jing; Wang, Tan; Liang, Xue; Bai, Ming

    2017-05-01

    This paper aims to study the effects of different proportion of astragaloside and curcumin on STZ induced Diabetes Mellitus (DM) model of mice, and to select a better proportion of active components. Its ultimate purpose is to lay a basis for the follow-up research on astragaloside-curcumin capsule. Increase-decrease baseline geometric proportion design method and comprehensive performance evaluation utilised to study the effect of different proportion of astragaloside and curcumin on DM mice models, which have an intravenous tail injection of STZ. The proportions of the two components are 10:0, 8:2, 7:3, 6:4, 5:5, 4:6, 3:7, 2:8, 0:10 respectively. And we will screen out the optimal composition. Blood glycated serum protein (GSP), hepatic glycogen and insulin tested to observe pathological changes in the pancreas. The mice DM model was copied successfully. Compared with the model group, groups treated with the metformin and with different proportions of astragaloside and curcumin help lower the blood glucose levels and GSP levels, increase glycogen stores of model mice by different degrees, and avoid pathological changes of pancreas in the model mice. The ratio of 3:7 was selected as the optimal one, based on the comprehensive performance evaluation method, followed by the ratio of 4:6. The optimal proportion of DM models is 3:7, followed by 4:6. The ratio of total astragaloside and curcumin can lower blood glucose levels, GSP levels, promote the formation of glycogen, and improve the pathological changes of pancreas in the model mice.

  9. When economic growth is less than exponential

    DEFF Research Database (Denmark)

    Groth, Christian; Koch, Karl-Josef; Steger, Thomas

    2010-01-01

    This paper argues that growth theory needs a more general notion of "regularity" than that of exponential growth. We suggest that paths along which the rate of decline of the growth rate is proportional to the growth rate itself deserve attention. This opens up for considering a richer set...... of parameter combinations than in standard growth models. And it avoids the usual oversimplistic dichotomy of either exponential growth or stagnation. Allowing zero population growth in three different growth models (the Jones R&D-based model, a learning-by-doing model, and an embodied technical change model......) serves as illustration that a continuum of "regular" growth processes fill the whole range between exponential growth and complete stagnation....

  10. When Economic Growth is Less than Exponential

    DEFF Research Database (Denmark)

    Groth, Christian; Koch, Karl-Josef; Steger, Thomas M.

    This paper argues that growth theory needs a more general notion of "regularity" than that of exponential growth. We suggest that paths along which the rate of decline of the growth rate is proportional to the growth rate itself deserve attention. This opens up for considering a richer set...... of parameter combinations than in standard growth models. And it avoids the usual oversimplistic dichotomy of either exponential growth or stagnation. Allowing zero population growth in three different growth models (the Jones R&D-based model, a learning-by-doing model, and an embodied technical change model......) serve as illustrations that a continuum of "regular" growth processes fill the whole range between exponential growth and complete stagnation....

  11. GSAMPLE: Stata module to draw a random sample

    OpenAIRE

    Jann, Ben

    2006-01-01

    gsample draws a random sample from the data in memory. Simple random sampling (SRS) is supported, as well as unequal probability sampling (UPS), of which sampling with probabilities proportional to size (PPS) is a special case. Both methods, SRS and UPS/PPS, provide sampling with replacement and sampling without replacement. Furthermore, stratified sampling and cluster sampling is supported.

  12. Fibroblast growth factor 23 and parathyroid hormone after treatment with active vitamin D and sevelamer carbonate in patients with chronic kidney disease stage 3b, a randomized crossover trial

    Directory of Open Access Journals (Sweden)

    Bleskestad Inger H

    2012-06-01

    Full Text Available Abstract Background Fibroblast growth factor 23 (FGF23 is a phosphaturic hormone that is secreted from bone and serum level increases as renal function declines. Higher levels of FGF23 are associated with increased mortality in hemodialysis-patients and in patients with chronic kidney disease (CKD stage 2-4. The use of active vitamin D and phosphate binders as recommended in international guidelines, may affect the level of FGF23 and thereby clinical outcome. We investigated the effects of a phosphate binder and active vitamin D on the serum levels of intact FGF23 (iFGF23 and intact parathyroid hormone (iPTH in patients with CKD stage 3b (glomerular filtration rate (GFR 30–44 ml/min/1.73 m2. Methods Seven women and 14 men were included, mean age 65.6 ± 12.2 years. They were randomized in a 1:1 ratio to receive one of two treatment sequences. Group-1 (the alphacalcidol-sevelamer carbonate group: alphacalcidol 0.25 μg once daily for two weeks followed by sevelamer carbonate 800 mg TID with meals for two weeks after a two-week washout period. Group-2 (the sevelamer carbonate-alphacalcidol group: vice versa. Nineteen patients completed the study. The 25-hydroxyvitamin D level at baseline was 97.6 ± 25.0 nmol/l. Results There were no treatment effects on the iFGF23 and iPTH levels overall. In group-1 the iFGF23 level was higher after treatment with alphacalcidol compared with sevelamer carbonate (mean 105.8 ± 41.6 vs. 79.1 ± 36.5 pg/ml, p = 0.047 (CI: 0.4-52.9, and the iPTH level was lower (median: 26.5, range: 14.6-55.2 vs. median 36.1, range 13.4-106.9 pg/ml, p = 0.011. In group-2 the iFGF23 level increased non-significantly after treatment with sevelamer carbonate and throughout the washout period. Conclusions In this crossover trial with alphacalcidol and sevelamer carbonate in patients with CKD stage 3b, the levels of iFGF23 were not significantly different after the two treatments. However, in the

  13. Effects of Varying Proportions of Glass on Reflectance Spectra of HED Polymict Breccias

    Science.gov (United States)

    Buchanan, P. C.; Reddy, V; LeCorre, L.; Cloutis, E. A.; Mann, P.; Le, L.

    2014-01-01

    Some meteorites contain significant amounts of glass, which, in most cases, probably results from impact processes on parent bodies.. Yamato 82202 is an example of one of the unequilibrated eucrites that contains significant proportions of impact glass distributed as veins throughout the meteorite. In other cases, fragments of glass are distributed throughout polymict breccias. For example, the polymict eucrite EET 87509 contains rare angular fragments of devitrified glass. Proportions of glass in most of these meteorites and in lithic clasts within these meteorites may vary locally from small amounts (less than one percent) to much larger amounts (subequal proportions of glass and mineral material). For example, some fragments within the South African polymict eucrite Macibini contain approximately 50% glass. The presence of these variable proportions of meteorite glass confirm the increased recognition that impact processes played an important role in the histories of asteroidal bodies. This study attempts to quantify the effects of a glass component on reflectance spectra by analyzing in the laboratory mixtures of varying proportions of a well-characterized HED polymict breccia and glass derived by melting a bulk sample of that breccia.

  14. The proportion of married couples who divorce: past patterns and current prospects.

    Science.gov (United States)

    Haskey, J

    1996-01-01

    This article provides estimates of the proportions of marriages which ended in divorce for the different groups of couples who have married since the 1950s. Over one quarter of all couples who married in the late 1970s and early 1980s had divorced by the end of 1994. As well as giving the overall proportion of couples married in a given year who subsequently divorced, estimates are provided of the corresponding proportions for different subsets of those couples--according to each partner's marital status before marriage, and age at marriage. For some of the higher risk groups--bachelors and spinsters who married as teenagers and divorced men and women who remarried in their early twenties--the proportions who had divorced by 1994 had reached over 40 per cent, and in some cases just over 50 per cent, amongst those who had married between the mid-1960s and the mid-1970s. Finally, a life table analysis is carried out to estimate the proportion of marriages which would end in divorce were the duration--specific divorce rates to remain unchanged at their 1993/94 levels. On this basis, two in five marriages would ultimately end in divorce; just under one half of couples would celebrate their silver wedding, whilst the average length of marriage would be 26 years.

  15. Effect of treated tannery effluent with domestic wastewater and amendments on growth and yield of cotton.

    Science.gov (United States)

    Jagathjothi, N; Amanullah, M Mohamed; Muthukrishnan, P

    2013-11-15

    Pot culture and field experiments were carried out at the Common Effluent Treatment Plant (CETP), Dindigul during kharif 2011-12 to investigate the influence of irrigation of treated tannery effluent along with domestic wastewater on growth, yield attributes and yield of cotton. The pot culture was in a factorial completely randomized design and field experiment laid out in factorial randomized block design with four replications. The results revealed that the mixing proportion of 25% Treated Tannery Effluent (TTE)+75% domestic wastewater (DWW) application recorded taller plants, higher dry matter production, number of sympodial branches plant(-1), number of fruiting points plant(-1), number of bolls plant(-1) and seed cotton yield with yield reduction of 15.28 and 16.11% compared to normal water irrigation under pot culture and field experiment, respectively. Regarding amendments, gypsum application registered higher seed cotton yield followed by VAM.

  16. The Lisbon Treaty and the New Dimensions of the Principles of Proportionality and Subsidiarity

    Directory of Open Access Journals (Sweden)

    Vasilica NEGRUT

    2010-11-01

    Full Text Available The general objective of the paper was constituted on an extremely present subject of real interest. Using the content analysis thorough a descriptive documentary research this study aims atidentifying the new dimensions of the principles of proportionality and subsidiarity after the Lisbon Treaty. For this end, an analysis of the specific objectives was performed: the concept ofproportionality, the evolution of subsidiarity and the new valences of the two principles in the framework of the modifications introduces by the adoption of the Lisbon Treaty. We assert thus thatin virtue of these modifications, the application of the principles of proportionality and subsidiarity has the purpose of maintaining the institutional balance, as the subsidiarity establishes which of the competencies belongs to the state or community institutions and the proportionality indicates the dimensions of applying the legislative measures.

  17. An imaging gas scintillation proportional counter for use in X-ray astronomy

    Science.gov (United States)

    Hailey, C. J.; Ku, W. H.-M.; Vartanian, M. H.

    1983-01-01

    An imaging gas scintillation proportional counter (GSPC) has been constructed for use in X-ray astronomy. The IGSPC consists of a gas scintillation proportional counter (GSPC) with a 1 micron polypropylene window coupled to a multiwire proportional counter (MWPC) via a calcium fluoride window. The MWPC, filled with a mixture of argon, methane, and tetrakis (dimethylamino) ethylene, detects the UV photons emitted by the xenon gas in the GSPC. The measured energy resolution is 17.0 percent (fwhm) and 8.0 percent (fwhm) at 1.5 keV and 5.9 keV, respectively. The measured position resolution is 1.9 mm (fwhm) and 0.9 mm (fwhm) at 1.5 and 5.9 keV, respectively. Possible astrophysical observations which can be performed with an IGSPC at the focal plane of a grazing incidence telescope are also discussed.

  18. Examining the Proportion of Dietary Phosphorus From Plants, Animals, and Food Additives Excreted in Urine.

    Science.gov (United States)

    St-Jules, David E; Jagannathan, Ram; Gutekunst, Lisa; Kalantar-Zadeh, Kamyar; Sevick, Mary Ann

    2017-03-01

    Phosphorus bioavailability is an emerging topic of interest in the field of renal nutrition that has important research and clinical implications. Estimates of phosphorus bioavailability, based on digestibility, indicate that bioavailability of phosphorus increases from plants to animals to food additives. In this commentary, we examined the proportion of dietary phosphorus from plants, animals, and food additives excreted in urine from four controlled-feeding studies conducted in healthy adults and patients with chronic kidney disease. As expected, a smaller proportion of phosphorus from plant foods was excreted in urine compared to animal foods. However, contrary to expectations, phosphorus from food additives appeared to be incompletely absorbed. The apparent discrepancy between digestibility of phosphorus additives and the proportion excreted in urine suggests a need for human balance studies to determine the bioavailability of different sources of phosphorus. Copyright © 2016 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.

  19. A plasticity model with yield surface distortion for non proportional loading

    CERN Document Server

    François, Marc Louis Maurice

    2010-01-01

    In order to enhance the modeling of metallic materials behavior in non proportional loadings, a modification of the classical elastic-plastic models including distortion of the yield surface is proposed. The new yield criterion uses the same norm as in the classical von Mises based criteria, and a "distorted stress" Sd replacing the usual stress deviator S. The obtained yield surface is then ?egg-shaped? similar to those experimentally observed and depends on only one new material parameter. The theory is built in such a way as to recover the classical one for proportional loading. An identification procedure is proposed to obtain the material parameters. Simulations and experiments are compared for a 2024 T4 aluminum alloy for both proportional and nonproportional tension-torsion loading paths.

  20. Method of technological control of proportional electromagnets for control systems of their production

    Science.gov (United States)

    Lankin, A. M.; Lankin, M. V.; Lankina, M. Y.

    2017-02-01

    This article describes the algorithm of the method of technological control of proportional solenoids to control their production process. An important element in the process of production of proportional solenoids is to identify deviations from the nominal mode of its occurrence. This situation shows the relevance of developing a method of technological control of proportional solenoids providing information on process control in a short time. The proposed algorithm consists of four steps: measuring the dynamic characteristics of the magnetization of electromagnet testing, the use of principal component analysis to reduce the dimension of the analyzed information, the classification of products by the condition and sub-standards, the definition of the numerical values of the manufacturing process variations using a calibration method. This approach allows us to determine the type and the degree of impairment of the mode of the process that will lead to effective management of the production process of the electromagnetic actuators.

  1. Sexually dimorphic proportions of the harbour porpoise (Phocoena phocoena) skeleton

    DEFF Research Database (Denmark)

    Galatius, Anders

    2005-01-01

    compared with males. Measurements of the skull and flipper bones show negative allometry, whereas those of the bones of the body generally show positive allometry. There are no statistically significant intersexual differences in allometry except for the pelvic bones, where the males show stronger positive...... allometry. Throughout the range of individual sizes, females have significantly larger skulls and shorter vertebral columns than males for similarly sized individuals. In fully grown specimens, the condylobasal length of females makes up a smaller proportion of total length, and the vertebrae make up...... a larger proportion as compared with males. As these characters show negative and positive allometry, respectively, it is suggested that males finish their development at an earlier stage than females, retaining more paedomorphic proportions of the skeleton. Paedomorphosis in fully grown males relative...

  2. Statistical power to detect violation of the proportional hazards assumption when using the Cox regression model.

    Science.gov (United States)

    Austin, Peter C

    2018-01-01

    The use of the Cox proportional hazards regression model is widespread. A key assumption of the model is that of proportional hazards. Analysts frequently test the validity of this assumption using statistical significance testing. However, the statistical power of such assessments is frequently unknown. We used Monte Carlo simulations to estimate the statistical power of two different methods for detecting violations of this assumption. When the covariate was binary, we found that a model-based method had greater power than a method based on cumulative sums of martingale residuals. Furthermore, the parametric nature of the distribution of event times had an impact on power when the covariate was binary. Statistical power to detect a strong violation of the proportional hazards assumption was low to moderate even when the number of observed events was high. In many data sets, power to detect a violation of this assumption is likely to be low to modest.

  3. Simulation and experiment research on the proportional pressure control of water-assisted injection molding

    Science.gov (United States)

    Zhou, Hua; Chen, Yinglong; Zhang, Zengmeng; Yang, Huayong

    2012-05-01

    Water-assisted injection molding (WAIM), a newly developed fluid-assisted injection molding technology has drawn more and more attentions for the energy saving, short cooling circle time and high quality of products. Existing research for the process of WAIM has shown that the pressure control of the injecting water is mostly important for the WAIM. However, the proportional pressure control for the WAIM system is quite complex due to the existence of nonlinearities in the water hydraulic system. In order to achieve better pressure control performance of the injecting water to meet the requirements of the WAIM, the proportional pressure control of the WAIM system is investigated both numerically and experimentally. A newly designed water hydraulic system for WAIM is first modeled in AMEsim environment, the load characteristics and the nonlinearities of water hydraulic system are both considered, then the main factors affecting the injecting pressure and load flow rate are extensively studied. Meanwhile, an open-loop model-based compensation control strategy is employed to regulate the water injection pressure and a feedback proportional integrator controller is further adopted to achieve better control performance. In order to verify the AMEsim simulation results WAIM experiment for particular Acrylonitrile Butadiene Styrene (ABS) parts is implemented and the measured experimental data including injecting pressure and flow rate results are compared with the simulation. The good coincidence between experiment and simulation shows that the AMEsim model is accurate, and the tracking performance of the load pressure indicates that the proposed control strategy is effective for the proportional pressure control of the nonlinear WAIM system. The proposed proportional pressure control strategy and the conclusions drawn from simulation and experiment contribute to the application of water hydraulic proportional control and WAIM technology.

  4. Coaptation Triangle and Golden Proportion in mitral valve anatomy. Does nature play with geometry?

    Science.gov (United States)

    Deorsola, Luca; Bellone, Alessandra

    2018-01-01

    The Coaptation Triangle, or Tenting Area, can be identified on long-axis 2D images. Its assessment is a routine practice during echocardiographic mitral evaluation. The Golden Proportion is a particular geometric ratio between two segments. Its value is an irrational number, commonly rounded to 0.618 and showing unique geometrical/mathematical properties. Interestingly, its presence has been documented in an extremely variable number of natural settings. Hypothesizing the presence of the Golden Proportion in normal mitral anatomy, we examined the Coaptation Triangle of healthy valves to investigate such a theory. A total of 41 healthy adults, with normal mitral valves, underwent 2D echocardiography. Adequate images were chosen and loaded into custom software. Firstly, the Coaptation Triangle was manually drawn by the operator. Then, a second Coaptation Triangle, with the same base, but based on Golden Proportion, was automatically built by the software. Eventually, the two triangles were analyzed and compared. All retrieved measurements were investigated for differences and correlations. Ratios close to the Golden Proportion were found in several locations of the manually drawn Coaptation Triangle. On the other hand, comparing the manually drawn Coaptation Triangle with the automatically built one, no significant differences were revealed, and very strong correlations were demonstrated. The Golden Proportion appears present in the geometry of normal mitral valves. Studying such an aspect and identifying disruption in anatomical proportions could improve early diagnosis of mitral alterations, and allows a more standardized follow-up and help surgeons to plan a repair strategy, particularly quantifying the needed surgical modifications. © 2017 Wiley Periodicals, Inc.

  5. Proportion of illness acquired by foodborne transmission for nine enteric pathogens in Australia: an expert elicitation.

    Science.gov (United States)

    Vally, Hassan; Glass, Kathryn; Ford, Laura; Hall, Gillian; Kirk, Martyn D; Shadbolt, Craig; Veitch, Mark; Fullerton, Katie E; Musto, Jennie; Becker, Niels

    2014-09-01

    Estimates of the burden of illness acquired from food inform public health policy and prioritize interventions. A key component of such estimates is the proportion of illnesses that are acquired by foodborne transmission. In view of the shortage of requisite data, these proportions are commonly obtained through a process known as expert elicitation. We report findings from an elicitation process used to assess the importance of the foodborne transmission route for nine pathogens in Australia, circa 2010. Eleven experts were asked to estimate the proportion of illness acquired by five transmission routes: food, environmental, water, person, and zoonotic, together with a 90% certainty interval for foodborne transmission. Foodborne estimates and intervals from each expert were combined using both modified triangular and Program Evaluation and Review Technique (PERT) distributions, in @Risk version 6, to generate final distributions from which median estimates and 95% Credible Intervals (CrI) were calculated. Shiga toxin-producing Escherichia coli (STEC) was the only pathogen believed to have an important zoonotic transmission route, while norovirus, hepatitis A virus, non-STEC pathogenic E. coli, and Shigella spp. were all thought to be primarily spread from person to person. Foodborne transmission was the main route for Clostridium perfringens (98%, CrI: 84-100), Listeria monocytogenes (98%, CrI: 86-100), nontyphoidal Salmonella spp. (72%, CrI: 50-87), and Campylobacter spp. (77%, CrI: 60-90). Foodborne estimates using the modified triangular distribution had wider CrI than these calculated using the PERT distribution. Foodborne proportions for most pathogens in this study were the same or lower than those estimated circa 2000 in Australia, with the greatest decline for non-STEC pathogenic E. coli. Inclusion of certainty intervals from experts helps to quantify the precision of foodborne proportions. A decline in estimates of the foodborne proportion for common

  6. A low proportion of systematic reviews in physical therapy are registered: a survey of 150 published systematic reviews.

    Science.gov (United States)

    Oliveira, Crystian B; Elkins, Mark R; Lemes, Ítalo Ribeiro; de Oliveira Silva, Danilo; Briani, Ronaldo V; Monteiro, Henrique Luiz; Azevedo, Fábio Mícolis de; Pinto, Rafael Zambelli

    2017-10-26

    Systematic reviews provide the best evidence about the effectiveness of healthcare interventions. Although systematic reviews are conducted with explicit and transparent methods, discrepancies might occur between the protocol and the publication. To estimate the proportion of systematic reviews of physical therapy interventions that are registered, the methodological quality of (un)registered systematic reviews and the prevalence of outcome reporting bias in registered systematic reviews. A random sample of 150 systematic reviews published in 2015 indexed on the PEDro database. We included systematic reviews written in English, Italian, Portuguese and Spanish. A checklist for assessing the methodological quality of systematic reviews tool was used. Relative risk was calculated to explore the association between meta-analysis results and the changes in the outcomes. Twenty-nine (19%) systematic reviews were registered. Funding and publication in a journal with an impact factor higher than 5.0 were associated with registration. Registered systematic reviews demonstrated significantly higher methodological quality (median=8) than unregistered systematic reviews (median=5). Nine (31%) registered systematic reviews demonstrated discrepancies between protocol and publication with no evidence that such discrepancies were applied to favor the statistical significance of the intervention (RR=1.16; 95% CI: 0.63-2.12). A low proportion of systematic reviews in the physical therapy field are registered. The registered systematic reviews showed high methodological quality without evidence of outcome reporting bias. Further strategies should be implemented to encourage registration. Copyright © 2017 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier Editora Ltda. All rights reserved.

  7. Tooth whitening with hydrogen/carbamide peroxides in association with a CPP-ACP paste at different proportions.

    Science.gov (United States)

    de Vasconcelos, A A M; Cunha, A G G; Borges, B C D; Machado, C T; dos Santos, A J S

    2012-06-01

    Different enhanced peroxide formulations have been developed to overcome mineral loss during tooth whitening. This study investigated the impact on tooth whitening from combining a CPP-ACP paste with home peroxide agents at several proportions. Ninety bovine incisors were randomly allocated into nine groups (n = 10) and exposed to 7.5% hydrogen peroxide (HP), 16% carbamide peroxide (CP), a CPP-ACP paste (Tooth Mousse/MI Paste, GC Corporation, Tokyo, Japan) and blends of HP/CP:MI at three proportions (1:1, 2:1 and 1:2). Tooth whitening was performed for 14 days and its effectiveness was measured by a spectrophotometer utilizing the CIE L*a*b* system (ΔE, ΔL*, Δa* and Δb*). Colour readings were measured at baseline (T0), 7 days of bleaching (T7), 14 days of bleaching (T14) and 7 days after the end of bleaching (T21). Data were analysed by two-way ANOVA for paired averages followed by the Tukey's test and Pearson's correlation at 5%. Although CP produced the greatest colour change (ΔE), all whitening protocols were considered to be effective regardless of the CPP-ACP presence. In general, greater changes in ΔE, ΔL*, Δa* and Δb* were detected at T14, with T21 exhibiting similar results to those at T7. A greater number of strong correlations with ΔE values was found for a* (11/15). Within the limitations of this study, the results indicate that the CPP-ACP paste did not affect tooth whitening efficacy. © 2012 Australian Dental Association.

  8. Canons of Proportion and the Laws of Nature: Observations on a Permanent and Unresolved Conflict

    Directory of Open Access Journals (Sweden)

    Mario Curti

    2014-06-01

    Full Text Available The mind of the artist always seems to oscillate between two poles: on one side, reality as represented by nature in all its aspects, and on the other, the dream of absolute perfection. This is the fundamental problem of the eternal conflict between the laws of nature and the canon of aesthetic proportions, which presents itself in different, though often related, guises. This article identifies, through explorations of thinkers from Vitruvius, to Galileo, to Le Corbusier, the problematic knots of a phenomenon that the champions of ideal proportions have always had to face and often to hide, even from themselves, when confronted with the evidence of facts.

  9. Robust fractional-order proportional-integral observer for synchronization of chaotic fractional-order systems

    KAUST Repository

    N U+02BC Doye, Ibrahima

    2018-02-13

    In this paper, we propose a robust fractional-order proportional-integral U+0028 FOPI U+0029 observer for the synchronization of nonlinear fractional-order chaotic systems. The convergence of the observer is proved, and sufficient conditions are derived in terms of linear matrix inequalities U+0028 LMIs U+0029 approach by using an indirect Lyapunov method. The proposed U+0028 FOPI U+0029 observer is robust against Lipschitz additive nonlinear uncertainty. It is also compared to the fractional-order proportional U+0028 FOP U+0029 observer and its performance is illustrated through simulations done on the fractional-order chaotic Lorenz system.

  10. Simultaneous measurement of tritium and radiocarbon by ultra-low-background proportional counting.

    Science.gov (United States)

    Mace, Emily; Aalseth, Craig; Alexander, Tom; Back, Henning; Day, Anthony; Hoppe, Eric; Keillor, Martin; Moran, Jim; Overman, Cory; Panisko, Mark; Seifert, Allen

    2017-08-01

    Use of ultra-low-background capabilities at Pacific Northwest National Laboratory provide enhanced sensitivity for measurement of low-activity sources of tritium and radiocarbon using proportional counters. Tritium levels are nearly back to pre-nuclear test backgrounds (~2-8 TU in rainwater), which can complicate their dual measurement with radiocarbon due to overlap in the beta decay spectra. We present results of single-isotope proportional counter measurements used to analyze a dual-isotope methane sample synthesized from ~120mg of H2O and present sensitivity results. Copyright © 2017 Elsevier Ltd. All rights reserved.

  11. Fractional Variational Iteration Method for Solving Fractional Partial Differential Equations with Proportional Delay

    Directory of Open Access Journals (Sweden)

    Brajesh Kumar Singh

    2017-01-01

    Full Text Available This paper deals with an alternative approximate analytic solution to time fractional partial differential equations (TFPDEs with proportional delay, obtained by using fractional variational iteration method, where the fractional derivative is taken in Caputo sense. The proposed series solutions are found to converge to exact solution rapidly. To confirm the efficiency and validity of FRDTM, the computation of three test problems of TFPDEs with proportional delay was presented. The scheme seems to be very reliable, effective, and efficient powerful technique for solving various types of physical models arising in science and engineering.

  12. Even-order self-adjoint boundary value problems for proportional derivatives

    Directory of Open Access Journals (Sweden)

    Douglas R. Anderson

    2017-09-01

    Full Text Available In this study, even order self-adjoint differential equations incorporating recently introduced proportional derivatives, and their associated self-adjoint boundary conditions, are discussed. Using quasi derivatives, a Lagrange bracket and bilinear functional are used to obtain a Lagrange identity and Green's formula; this also leads to the classification of self-adjoint boundary conditions. Next we connect the self-adjoint differential equations with the theory of Hamiltonian systems and (n,n-disconjugacy. Specific formulas of Green's functions for two and four iterated proportional derivatives are also derived.

  13. Random fixed points and random differential inclusions

    Directory of Open Access Journals (Sweden)

    Nikolaos S. Papageorgiou

    1988-01-01

    Full Text Available In this paper, first, we study random best approximations to random sets, using fixed point techniques, obtaining this way stochastic analogues of earlier deterministic results by Browder-Petryshyn, KyFan and Reich. Then we prove two fixed point theorems for random multifunctions with stochastic domain that satisfy certain tangential conditions. Finally we consider a random differential inclusion with upper semicontinuous orientor field and establish the existence of random solutions.

  14. growth stimulant

    African Journals Online (AJOL)

    Effects of timing and duration of supplementation of LIVFIT VET ® (growth stimulant) as substitute for fish meal on the growth performance, haematology and clinical enzymes concentration of growing pigs.

  15. NOGA-guided analysis of regional myocardial perfusion abnormalities treated with intramyocardial injections of plasmid encoding vascular endothelial growth factor A-165 in patients with chronic myocardial ischemia: subanalysis of the EUROINJECT-ONE multicenter double-blind randomized study

    DEFF Research Database (Denmark)

    Gyongyosi, Mariann; Khorsand, Aliasghar; Zamini, Sholeh

    2005-01-01

    BACKGROUND: The aim of this substudy of the EUROINJECT-ONE double-blind randomized trial was to analyze changes in myocardial perfusion in NOGA-defined regions with intramyocardial injections of plasmid encoding plasmid human (ph)VEGF-A(165) using an elaborated transformation algorithm. METHODS A...

  16. Low-energy gamma-ray spectroscopy using an X-ray-escape gated proportional counter

    DEFF Research Database (Denmark)

    Gregers Hansen, P.; Nielsen, H.L.; Williams, E.T.

    1965-01-01

    The utility of a gas-filled proportional counter in low-energy γ spectroscopy is greatly increased if it is operated in coincidence with an escaping fluorescent X-ray. An apparatus, having an efficiency greater than 10% of singles, is described and several examples are given. An efficiency curve...

  17. The role of surprising events in a math game on proportional reasoning

    NARCIS (Netherlands)

    Wouters, P.; van Oostendorp, H.; ter Vrugte, Judith; de Jong, Anthonius J.M.; Van der Cruysse, S.; Elen, J.

    2015-01-01

    This study examines whether surprising events can be used to stimulate students’ playful learning in a GBL environment in the domain of proportional reasoning. The assumed effect of surprise is that unexpected events interrupt an expectation and therefore triggers the player to evaluate the new

  18. Miniature proportional control valve with top-mounted piezo bimorph actuator with millisecond response time

    NARCIS (Netherlands)

    Groen, Maarten; Brouwer, Dannis Michel; Lötters, Joost Conrad; Wiegerink, Remco J.

    2015-01-01

    In this paper we demonstrate the realization of a micro control valve with a top-mounted piezoelectric bimorph actuator, to obtain a high-bandwidth proportional control valve for gases in the range of several grams per hour. Dynamic fluidic and mechanical characterization shows that the valve is

  19. The Non-Parametric Identification of the Mixed Proportional Hazards Competing Risks Model

    NARCIS (Netherlands)

    Abbring, J.H.; Berg, van den G.J.

    2000-01-01

    We prove identification of dependent competing risks models in whicheach risk has a mixed proportional hazard specification with regressors, and the risks are dependent by way of the unobserved heterogeneity, or frailty, components. We show that the conditions for non-parametric identification given

  20. A Multi-Objective Approach to Visualize Proportions and Similarities Between Individuals by Rectangular Maps

    DEFF Research Database (Denmark)

    Carrizosa, Emilio; Guerrero, Vanesa; Morales, Dolores Romero

    In this paper we address the problem of visualizing the proportions and the similarities attached to a set of individuals. We represent this information using a rectangular map, i.e., a subdivision of a rectangle into rectangular portions so that each portion is associated with one individual, th...