WorldWideScience

Sample records for reported decline rate

  1. Report to the nation finds continuing declines in cancer death rates

    Science.gov (United States)

    Death rates from all cancers combined for men, women, and children continued to decline in the United States between 2004 and 2008, according to the Annual Report to the Nation on the Status of Cancer, 1975-2008. The overall rate of new cancer diagnoses,

  2. Urban Unemployment Rate Declines

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    Nine million new jobs are to be created in 2005,according to the Ministry of Labor and Social Security. For the first time in five years, the jobless rate dropped in 2005, and the labor market is seeing a slight rebound.

  3. Declining death rates reflect progress against cancer.

    Directory of Open Access Journals (Sweden)

    Ahmedin Jemal

    Full Text Available BACKGROUND: The success of the "war on cancer" initiated in 1971 continues to be debated, with trends in cancer mortality variably presented as evidence of progress or failure. We examined temporal trends in death rates from all-cancer and the 19 most common cancers in the United States from 1970-2006. METHODOLOGY/PRINCIPAL FINDINGS: We analyzed trends in age-standardized death rates (per 100,000 for all cancers combined, the four most common cancers, and 15 other sites from 1970-2006 in the United States using joinpoint regression model. The age-standardized death rate for all-cancers combined in men increased from 249.3 in 1970 to 279.8 in 1990, and then decreased to 221.1 in 2006, yielding a net decline of 21% and 11% from the 1990 and 1970 rates, respectively. Similarly, the all-cancer death rate in women increased from 163.0 in 1970 to 175.3 in 1991 and then decreased to 153.7 in 2006, a net decline of 12% and 6% from the 1991 and 1970 rates, respectively. These decreases since 1990/91 translate to preventing of 561,400 cancer deaths in men and 205,700 deaths in women. The decrease in death rates from all-cancers involved all ages and racial/ethnic groups. Death rates decreased for 15 of the 19 cancer sites, including the four major cancers, with lung, colorectum and prostate cancers in men and breast and colorectum cancers in women. CONCLUSIONS/SIGNIFICANCE: Progress in reducing cancer death rates is evident whether measured against baseline rates in 1970 or in 1990. The downturn in cancer death rates since 1990 result mostly from reductions in tobacco use, increased screening allowing early detection of several cancers, and modest to large improvements in treatment for specific cancers. Continued and increased investment in cancer prevention and control, access to high quality health care, and research could accelerate this progress.

  4. Decreased tuberculosis incidence and declining clustered case rates, Madrid.

    Science.gov (United States)

    Iñigo, Jesús; Arce, Araceli; Palenque, Elia; García de Viedma, Darío; Chaves, Fernando

    2008-10-01

    To determine effect of recent tuberculosis transmission rates on incidence rates, we conducted 2 prospective population-based molecular epidemiologic studies in Madrid during 1997-1999 (4% immigrants) and 2002-2004 (14.9% immigrants). Case rates decreased in association with declining clustered case rates among Spanish-born persons. New strains were introduced through immigration.

  5. Do Declining Discount Rates lead to Time Inconsistent Economic Advice?

    DEFF Research Database (Denmark)

    Hansen, Anders Chr.

    2006-01-01

    This paper addresses the risk of time inconsistency in economic appraisals related to the use of hyperbolic discounting (declining discount rates) instead of exponential discounting (constant discount rate). Many economists are uneasy about the prospects of potential time inconsistency. The paper...

  6. Diversification rates have declined in the Malagasy herpetofauna.

    Science.gov (United States)

    Scantlebury, Daniel P

    2013-09-07

    The evolutionary origins of Madagascar's biodiversity remain mysterious despite the fact that relative to land area, there is no other place with consistently high levels of species richness and endemism across a range of taxonomic levels. Most efforts to explain diversification on the island have focused on geographical models of speciation, but recent studies have begun to address the island's accumulation of species through time, although with conflicting results. Prevailing hypotheses for diversification on the island involve either constant diversification rates or scenarios where rates decline through time. Using relative-time-calibrated phylogenies for seven endemic vertebrate clades and a model-fitting framework, I find evidence that diversification rates have declined through time on Madagascar. I show that diversification rates have clearly declined throughout the history of each clade, and models invoking diversity-dependent reductions to diversification rates best explain the diversification histories for each clade. These results are consistent with the ecological theory of adaptive radiation, and, coupled with ancillary observations about ecomorphological and life-history evolution, strongly suggest that adaptive radiation was an important formative process for one of the most species-rich regions on the Earth. These results cast the Malagasy biota in a new light and provide macroevolutionary justification for conservation initiatives.

  7. Rates of decline in Alzheimer disease decrease with age.

    Directory of Open Access Journals (Sweden)

    Dominic Holland

    Full Text Available Age is the strongest risk factor for sporadic Alzheimer disease (AD, yet the effects of age on rates of clinical decline and brain atrophy in AD have been largely unexplored. Here, we examined longitudinal rates of change as a function of baseline age for measures of clinical decline and structural MRI-based regional brain atrophy, in cohorts of AD, mild cognitive impairment (MCI, and cognitively healthy (HC individuals aged 65 to 90 years (total n = 723. The effect of age was modeled using mixed effects linear regression. There was pronounced reduction in rates of clinical decline and atrophy with age for AD and MCI individuals, whereas HCs showed increased rates of clinical decline and atrophy with age. This resulted in convergence in rates of change for HCs and patients with advancing age for several measures. Baseline cerebrospinal fluid densities of AD-relevant proteins, Aβ(1-42, tau, and phospho-tau(181p (ptau, showed a similar pattern of convergence with advanced age across cohorts, particularly for ptau. In contrast, baseline clinical measures did not differ by age, indicating uniformity of clinical severity at baseline. These results imply that the phenotypic expression of AD is relatively mild in individuals older than approximately 85 years, and this may affect the ability to distinguish AD from normal aging in the very old. Our findings show that inclusion of older individuals in clinical trials will substantially reduce the power to detect disease-modifying therapeutic effects, leading to dramatic increases in required clinical trial sample sizes with age of study sample.

  8. Duplicate publication rate decline in Korean medical journals.

    Science.gov (United States)

    Kim, Soo Young; Bae, Chong-Woo; Hahm, Chang Kok; Cho, Hye Min

    2014-02-01

    The purpose of this study was to examine trends in duplicate publication in Korean medical articles indexed in the KoreaMed database from 2004 to 2009, before and after a campaign against scientific misconduct launched by the Korean Association of Medical Journal Editors in 2006. The study covered period from 2007 to 2012; and 5% of the articles indexed in KoreaMed were retrieved by random sampling. Three authors reviewed full texts of the retrieved articles. The pattern of duplicate publication, such as copy, salami slicing (fragmentation), and aggregation (imalas), was also determined. Before the launching ethics campaign, the national duplication rate in medical journals was relatively high: 5.9% in 2004, 6.0% in 2005, and 7.2% in 2006. However, duplication rate steadily declined to 4.5% in 2007, 2.8% in 2008, and 1.2 % in 2009. Of all duplicated articles, 53.4% were classified as copies, 27.8% as salami slicing, and 18.8% as aggregation (imalas). The decline in duplicate publication rate took place as a result of nationwide campaigns and monitoring by KoreaMed and KoreaMed Synapse, starting from 2006.

  9. Are infant mortality rate declines exponential? The general pattern of 20th century infant mortality rate decline

    Directory of Open Access Journals (Sweden)

    Opuni Marjorie

    2009-08-01

    Full Text Available Abstract Background Time trends in infant mortality for the 20th century show a curvilinear pattern that most demographers have assumed to be approximately exponential. Virtually all cross-country comparisons and time series analyses of infant mortality have studied the logarithm of infant mortality to account for the curvilinear time trend. However, there is no evidence that the log transform is the best fit for infant mortality time trends. Methods We use maximum likelihood methods to determine the best transformation to fit time trends in infant mortality reduction in the 20th century and to assess the importance of the proper transformation in identifying the relationship between infant mortality and gross domestic product (GDP per capita. We apply the Box Cox transform to infant mortality rate (IMR time series from 18 countries to identify the best fitting value of lambda for each country and for the pooled sample. For each country, we test the value of λ against the null that λ = 0 (logarithmic model and against the null that λ = 1 (linear model. We then demonstrate the importance of selecting the proper transformation by comparing regressions of ln(IMR on same year GDP per capita against Box Cox transformed models. Results Based on chi-squared test statistics, infant mortality decline is best described as an exponential decline only for the United States. For the remaining 17 countries we study, IMR decline is neither best modelled as logarithmic nor as a linear process. Imposing a logarithmic transform on IMR can lead to bias in fitting the relationship between IMR and GDP per capita. Conclusion The assumption that IMR declines are exponential is enshrined in the Preston curve and in nearly all cross-country as well as time series analyses of IMR data since Preston's 1975 paper, but this assumption is seldom correct. Statistical analyses of IMR trends should assess the robustness of findings to transformations other than the log

  10. Impact of Declining Proposal Success Rates on Scientific Productivity

    CERN Document Server

    Cushman, Priscilla; Kouveliotou, Chryssa; Lowenthal, James; Peterson, Bradley; Stassun, Keivan G; von Hippel, Ted

    2015-01-01

    Over the last decade proposal success rates in the fundamental sciences have dropped significantly. Astronomy and related fields funded by NASA and NSF are no exception. Data across agencies show that this is not principally the result of a decline in proposal merit (the proportion of proposals receiving high rankings is largely unchanged), nor of a shift in proposer demographics (seniority, gender, and institutional affiliation have all remained unchanged), nor of an increase (beyond inflation) in the average requested funding per proposal, nor of an increase in the number of proposals per investigator in any one year. Rather, the statistics are consistent with a scenario in which agency budgets for competed research are flat or decreasing in inflation-adjusted dollars, the overall population of investigators has grown, and a larger proportion of these investigators are resubmitting meritorious but unfunded proposals. This White Paper presents statistics which support this conclusion, as well as recent resea...

  11. Resting heart rate, heart rate variability and functional decline in old age

    DEFF Research Database (Denmark)

    Ogliari, Giulia; Mahinrad, Simin; Stott, David J;

    2015-01-01

    BACKGROUND: Heart rate and heart rate variability, markers of cardiac autonomic function, have been linked with cardiovascular disease. We investigated whether heart rate and heart rate variability are associated with functional status in older adults, independent of cardiovascular disease. METHODS......: We obtained data from the Prospective Study of Pravastatin in the Elderly at Risk (PROSPER). A total of 5042 participants were included in the present study, and mean followup was 3.2 years. Heart rate and heart rate variability were derived from baseline 10-second electrocardiograms. Heart rate...... heart rate and lower heart rate variability were associated with worse functional status and with higher risk of future functional decline in older adults...

  12. Downward Spirals, Boiled Frogs, and Catastrophes: Examining the Rate of School Decline

    Science.gov (United States)

    Hochbein, Craig

    2012-01-01

    The purpose of this study is to determine the validity of common assumptions about the rate at which school decline manifests. From a population of 981 elementary schools in the state of Virginia, the author uses three operational definitions of school decline to identify samples of declining schools: Absolute (n = 217), Relational (n = 510), and…

  13. Downward Spirals, Boiled Frogs, and Catastrophes: Examining the Rate of School Decline

    Science.gov (United States)

    Hochbein, Craig

    2012-01-01

    The purpose of this study is to determine the validity of common assumptions about the rate at which school decline manifests. From a population of 981 elementary schools in the state of Virginia, the author uses three operational definitions of school decline to identify samples of declining schools: Absolute (n = 217), Relational (n = 510), and…

  14. Medicare Readmission Rates Showed Meaningful Decline in 2012

    Data.gov (United States)

    U.S. Department of Health & Human Services — From 2007 through 2011, the national 30-day, all-cause, hospital readmission rate averaged 19 percent. During calendar year 2012, the readmission rate averaged 18.4...

  15. DUI Rates Decline for U.S. Drivers

    Science.gov (United States)

    ... 28 million Americans were still driving under the influence of alcohol in 2014, according to the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) report. "Although it is heartening ...

  16. The rate of cognitive decline in Parkinson disease

    DEFF Research Database (Denmark)

    Aarsland, Dag; Andersen, Kjeld; Larsen, Jan Petter

    2004-01-01

    To measure the rate and predictors of change on the Mini-Mental State Examination in patients with Parkinson disease (PD) and to compare that change with the Mini-Mental State Examination changes of patients with Alzheimer disease and nondemented subjects.......To measure the rate and predictors of change on the Mini-Mental State Examination in patients with Parkinson disease (PD) and to compare that change with the Mini-Mental State Examination changes of patients with Alzheimer disease and nondemented subjects....

  17. Sustainability and Counteracting Factors to Profit Rate Decline

    DEFF Research Database (Denmark)

    Ougaard, Morten

    2014-01-01

    This paper discusses sustainability implications of barriers to growth as specified in the theory of the long-term falling rate of profit but focusing on the counteracting factors (CFs) specified by Marx. These depend much on political processes and are important in state theory for understanding...... policies of national and international institutions. Fourteen partly overlapping factors are identified and grouped in five categories: increased pressure on labor, geographical expansion, resource efficiency, technological progress, and destruction or devaluation of capital. It is suggested...... which implies a destruction of capital that will counteract the falling rate of profit. This will require sustained political intervention....

  18. The rate of change in declining steroid hormones: a new parameter of healthy aging in men?

    Science.gov (United States)

    Walther, Andreas; Philipp, Michel; Lozza, Niclà; Ehlert, Ulrike

    2016-09-20

    Research on healthy aging in men has increasingly focused on age-related hormonal changes. Testosterone (T) decline is primarily investigated, while age-related changes in other sex steroids (dehydroepiandrosterone [DHEA], estradiol [E2], progesterone [P]) are mostly neglected. An integrated hormone parameter reflecting aging processes in men has yet to be identified. 271 self-reporting healthy men between 40 and 75 provided both psychometric data and saliva samples for hormone analysis. Correlation analysis between age and sex steroids revealed negative associations for the four sex steroids (T, DHEA, E2, and P). Principal component analysis including ten salivary analytes identified a principal component mainly unifying the variance of the four sex steroid hormones. Subsequent principal component analysis including the four sex steroids extracted the principal component of declining steroid hormones (DSH). Moderation analysis of the association between age and DSH revealed significant moderation effects for psychosocial factors such as depression, chronic stress and perceived general health. In conclusion, these results provide further evidence that sex steroids decline in aging men and that the integrated hormone parameter DSH and its rate of change can be used as biomarkers for healthy aging in men. Furthermore, the negative association of age and DSH is moderated by psychosocial factors.

  19. Group differences in measures of voice production and revised values of maximum airflow declination rate.

    Science.gov (United States)

    Perkell, J S; Hillman, R E; Holmberg, E B

    1994-08-01

    In previous reports, aerodynamic and acoustic measures of voice production were presented for groups of normal male and female speakers [Holmberg et al., J. Acoust. Soc. Am. 84, 511-529 (1988); J. Voice 3, 294-305 (1989)] that were used as norms in studies of voice disorders [Hillman et al., J. Speech Hear. Res. 32, 373-392 (1989); J. Voice 4, 52-63 (1990)]. Several of the measures were extracted from glottal airflow waveforms that were derived by inverse filtering a high-time-resolution oral airflow signal. Recently, the methods have been updated and a new study of additional subjects has been conducted. This report presents previous (1988) and current (1993) group mean values of sound pressure level, fundamental frequency, maximum airflow declination rate, ac flow, peak flow, minimum flow, ac-dc ratio, inferred subglottal air pressure, average flow, and glottal resistance. Statistical tests indicate overall group differences and differences for values of several individual parameters between the 1988 and 1993 studies. Some inter-study differences in parameter values may be due to sampling effects and minor methodological differences; however, a comparative test of 1988 and 1993 inverse filtering algorithms shows that some lower 1988 values of maximum flow declination rate were due at least in part to excessive low-pass filtering in the 1988 algorithm. The observed differences should have had a negligible influence on the conclusions of our studies of voice disorders.

  20. Fertility rates and future population trends: will Europe's birth rate recover or continue to decline?

    Science.gov (United States)

    Lutz, Wolfgang

    2006-02-01

    Europe has long completed its demographic transition from high birth and death rates to low birth and death rates. But the demographic transition paradigm that has been very useful for explaining global demographic trends during the 20th century and that still has strong predictive power when it comes to projecting future trends in countries that still have high fertility, has nothing to say about the future of fertility in Europe. The currently popular notion of a 'second demographic transition' is a useful way to describe a bundle of behavioural and normative changes that recently happened in Europe, but it has no predictive power. The social sciences have not yet come up with a useful theory to predict the future fertility level of post-demographic transition societies. We even do not know whether the trend will be up or down. Given the lack of a predictive theory, this paper will try to do two things: (i) Summarize different substantive arguments that would either suggest the assumption of a recovery of fertility rates in Europe or alternatively, imply further declines. (ii) Convert this discussion of the uncertainty of future fertility trends into probabilistic population projections for Europe, thus highlighting the implications of alternative fertility levels over the coming years. We will also discuss trade-offs between fertility and immigration, and the phenomenon that Europe now has entered a period of negative momentum of population growth.

  1. Hypertension and nephrotoxicity in the rate of decline in kidney function in diabetic nephropathy.

    Science.gov (United States)

    Aubia, J; Hojman, L; Chine, M; Lloveras, J; Masramon, J; Llorach, I; Cuevas, X; Puig, J M

    1987-01-01

    Serum creatinine levels were determined prospectively every 2 to 3 months in 40 patients with diabetic nephropathy for a global observation period of 864 months. The monthly creatinine increasing rate was significantly lower in normotensive periods, mean arterial pressure (MAP) less than 115 mmHg, when compared with hypertensive periods, MAP greater than 125 mmHg. No significant difference was shown in periods with borderline hypertension (MAP between 115-124 mmHg). The mean creatinine increases were of 0.036 mg/dl/month, 0.3 mg/dl/month and 0.046 mg/dl/month respectively. Normotension was associated with a slowing down of the rate of decline in renal function in this group of moderate kidney failure with an initial mean serum creatinine of 2.26 mg/dl. The exposure of patients to nephrotoxics (aminoglycosides, and possibly anesthesia) significantly accelerated the decline in renal function: 0.39 mg/dl/month and 0.17 mg/dl/month respectively according to the concomitance or not of toxics and hypertension. The reported protective effect of diabetes against aminoglycosides nephrotoxicity in experimental conditions was not reflected in our clinical results. On the contrary, we suggest a possible enhanced sensibility of the diabetic patient with diabetic nephropathy to aminoglycosides leading to an acceleration of the progression of renal failure.

  2. What's behind the Good News: The Decline in Teen Pregnancy Rates during the 1990s.

    Science.gov (United States)

    Flanigan, Christine

    Noting that rates of teen pregnancies and births have declined over the past decade, this analysis examined how much of the progress is due to fewer teens having sex and how much to lower rates of pregnancy among sexually active teens. The analysis drew on data from the federal government's National Survey of Family Growth (NSFG), a large,…

  3. Declines in stillbirth and neonatal mortality rates in Europe between 2004 and 2010

    DEFF Research Database (Denmark)

    Zeitlin, Jennifer; Mortensen, Laust; Cuttini, Marina

    2016-01-01

    and neonatal deaths by gestational age (GA) were collected using a common protocol by the Euro-Peristat project in 2004 and 2010. We analysed stillbirths at ≥28 weeks GA in 22 countries and live births ≥24 weeks GA for neonatal mortality in 18 countries. Per cent changes over time were assessed by calculating....... Conclusions: Stillbirths and neonatal deaths declined at all gestational ages in countries with both high and low levels of mortality in 2004. These results raise questions about how low-mortality countries achieve continued declines and highlight the importance of improving care across the GA spectrum.......Background: Stillbirth and neonatal mortality rates declined in Europe between 2004 and 2010. We hypothesised that declines might be greater for countries with higher mortality in 2004 and disproportionally affect very preterm infants at highest risk. Methods: Data about live births, stillbirths...

  4. Linking Changes in Contraceptive Use to Declines in Teen Pregnancy Rates

    OpenAIRE

    Jennifer Manlove; Quentin Karpilow; Kate Welti; Adam Thomas

    2015-01-01

    Using a unique microsimulation tool, Teen FamilyScape, the present study explores how changes in the mix of contraceptive methods used by teens contributed to the decline in the U.S. teen pregnancy rate between 2002 and 2010. Results indicate that changes in contraceptive use contributed to approximately half of the decline in the teen pregnancy rate during this time period (48%) and that a little more than half of this “contraceptive effect” was due to an increase in teen condom use (58%). T...

  5. Speciation rates decline through time in individual-based models of speciation and extinction.

    Science.gov (United States)

    Wang, Shaopeng; Chen, Anping; Fang, Jingyun; Pacala, Stephen W

    2013-09-01

    A well-documented pattern in the fossil record is a long-term decline in the origination rate of new taxa after diversity rebounds from a mass extinction. The mechanisms for this pattern remain elusive. In this article, we investigate the macroevolutionary predictions of an individual-based birth-death model (BDI model) where speciation and extinction rates emerge from population dynamics. We start with the simplest neutral model in which every individual has the same per capita rates of birth, death, and speciation. Although the prediction of the simplest neutral model agrees qualitatively with the fossil pattern, the predicted decline in per-species speciation rates is too fast to explain the long-term trend in fossil data. We thus consider models with variation among species in per capita rates of speciation and a suite of alternative assumptions about the heritability of speciation rate. The results show that interspecific variation in per capita speciation rate can induce differences among species in their ability to resist extinction because a low speciation rate confers a small but important demographic advantage. As a consequence, the model predicts an appropriately slow temporal decline in speciation rates, which provides a mechanistic explanation for the fossil pattern.

  6. The effect of education and occupational complexity on rate of cognitive decline in Alzheimer's patients.

    Science.gov (United States)

    Andel, Ross; Vigen, Cheryl; Mack, Wendy J; Clark, Linda J; Gatz, Margaret

    2006-01-01

    We explored the effect of education and occupational complexity on the rate of cognitive decline (as measured by the Mini-Mental State Examination) in 171 patients with a confirmed Alzheimer's disease (AD) diagnosis. Complexity was measured as substantive complexity of work and complexity of work with data, people, and things. Average lifetime occupational complexity was calculated based on years at each occupation. Participants were followed for an average of 2.5 years and 3.7 visits. In multivariate mixed-effects models, high education, high substantive complexity, and high complexity of work with data and people predicted faster rates of cognitive decline, controlling for age, gender, native language, dementia severity, and entry into the analyses at initial versus follow-up testing. These results provide support for the concept of cognitive reserve according to which greater reserve may postpone clinical onset of AD but also accelerate cognitive decline after the onset.

  7. Decline in Clostridium difficile-associated disease rates in Singapore public hospitals, 2006 to 2008

    Directory of Open Access Journals (Sweden)

    Krishnan Prabha

    2011-03-01

    Full Text Available Abstract Background Clostridium difficile is the major cause of pseudomembranous colitis associated with antibiotic use, and the spread of the hypervirulent epidemic ribotype 027/NAP-1 strain across hospitals worldwide has re-focused attention on this nosocomial pathogen. The overall incidence and trend of C. difficile-associated disease (CDAD in Singapore is unknown, and a surveillance program to determine these via formal laboratory-based reporting was established. Findings Laboratory and pharmacy data were collated from one tertiary and two secondary hospitals on a quarterly basis between 2006 and 2008. All hospitals tested for C. difficile using Immunocard Toxins A&B (Meridian Bioscience Inc., Cincinnati, OH during this period. Duplicate positive C. difficile results within a 14-day period were removed. The CDAD results were compared with trends in hospital-based prescription of major classes of antibiotics. Overall CDAD incidence-density decreased from 5.16 (95%CI: 4.73 - 5.62 cases per 10,000 inpatient-days in 2006 to 2.99 (95%CI: 2.67 to 3.33 cases per 10,000 inpatient-days in 2008 (p C. difficile testing increased significantly (p Conclusions Our results demonstrate a real decline of CDAD rates in three large local hospitals. The cause is unclear and is not associated with improved infection control measures or reduction in antibiotic prescription. Lack of C. difficile stool cultures as part of routine testing precluded determination of the decline of a major clone as a potential explanation. For more accurate epidemiological trending of CDAD and early detection of epidemic clones, data collection will have to be expanded and resources set in place for reference laboratory culture and typing.

  8. Pattern and Rate of Cognitive Decline in Cerebral Small Vessel Disease: A Prospective Study.

    Directory of Open Access Journals (Sweden)

    Andrew J Lawrence

    Full Text Available Cognitive impairment, predominantly affecting processing speed and executive function, is an important consequence of cerebral small vessel disease (SVD. To date, few longitudinal studies of cognition in SVD have been conducted. We determined the pattern and rate of cognitive decline in SVD and used the results to determine sample size calculations for clinical trials of interventions reducing cognitive decline.121 patients with MRI confirmed lacunar stroke and leukoaraiosis were enrolled into the prospective St George's Cognition And Neuroimaging in Stroke (SCANS study. Patients attended one baseline and three annual cognitive assessments providing 36 month follow-up data. Neuropsychological assessment comprised a battery of tests assessing working memory, long-term (episodic memory, processing speed and executive function. We calculated annualized change in cognition for the 98 patients who completed at least two time-points.Task performance was heterogeneous, but significant cognitive decline was found for the executive function index (p<0.007. Working memory and processing speed decreased numerically, but not significantly. The executive function composite score would require the smallest samples sizes for a treatment trial with an aim of halting decline, but this would still require over 2,000 patients per arm to detect a 30% difference with power of 0.8 over a three year follow-up.The pattern of cognitive decline seen in SVD over three years is consistent with the pattern of impairments at baseline. Rates of decline were slow and sample sizes would need to be large for clinical trials aimed at halting decline beyond initial diagnosis using cognitive scores as an outcome measure. This emphasizes the importance of more sensitive surrogate markers in this disease.

  9. Decline in 51Cr-labelled EDTA measured glomerular filtration rate following lung transplantation

    DEFF Research Database (Denmark)

    Hornum, Mads; Burton, Christopher M; Iversen, Martin

    2007-01-01

    BACKGROUND: The nephrotoxity of calcineurin inhibitors in lung-transplanted patients is well described, but previous studies have estimated rather than directly measured glomerular filtration rate (GFR). This study describes the decline of measured GFR in a large cohort of lung-transplanted patie...

  10. Prehistorical and historical declines in Caribbean coral reef accretion rates driven by loss of parrotfish

    Science.gov (United States)

    Cramer, Katie L.; O'Dea, Aaron; Clark, Tara R.; Zhao, Jian-Xin; Norris, Richard D.

    2017-01-01

    Caribbean coral reefs have transformed into algal-dominated habitats over recent decades, but the mechanisms of change are unresolved due to a lack of quantitative ecological data before large-scale human impacts. To understand the role of reduced herbivory in recent coral declines, we produce a high-resolution 3,000 year record of reef accretion rate and herbivore (parrotfish and urchin) abundance from the analysis of sediments and fish, coral and urchin subfossils within cores from Caribbean Panama. At each site, declines in accretion rates and parrotfish abundance were initiated in the prehistorical or historical period. Statistical tests of direct cause and effect relationships using convergent cross mapping reveal that accretion rates are driven by parrotfish abundance (but not vice versa) but are not affected by total urchin abundance. These results confirm the critical role of parrotfish in maintaining coral-dominated reef habitat and the urgent need for restoration of parrotfish populations to enable reef persistence.

  11. Declining differences in response rates with antidepressants versus placebo: a modest proposal for another contributing cause.

    Science.gov (United States)

    Preskorn, Sheldon H

    2013-05-01

    This column discusses declining differences in response rates between sequentially introduced selective serotonin reuptake inhibitors (SSRI) and placebo. Although discussions of this phenomenon in the literature have largely focused on increasing placebo response rates, the author proposes that another factor may be responsible. That factor is an order effect, meaning that response rates have been declining as a function of the number of SSRIs on the market when the next SSRI is in development. The rationale is that the pool of potential clinical trial participants likely to respond to a drug with this mechanism of action (MOA) becomes progressively smaller with the introduction of each new agent with the same MOA, because many patients will already have been treat- ed and responded to an earlier member of the class. This phenomenon is not limited to the SSRIs but generalizes to any class of treatments that shares the same MOA.

  12. Ecological regime shift drives declining growth rates of sea turtles throughout the West Atlantic

    Science.gov (United States)

    Bjorndal, Karen A.; Bolten, Alan B.; Chaloupka, Milani; Saba, Vincent S.; Bellini, Cláudio; Marcovaldi, Maria A.G.; Santos, Armando J.B.; Bortolon, Luis Felipe Wurdig; Meylan, Anne B.; Meylan, Peter A.; Gray, Jennifer; Hardy, Robert; Brost, Beth; Bresette, Michael; Gorham, Jonathan C.; Connett, Stephen; Crouchley, Barbara Van Sciver; Dawson, Mike; Hayes, Deborah; Diez, Carlos E.; van Dam, Robert P.; Willis, Sue; Nava, Mabel; Hart, Kristen M.; Cherkiss, Michael S.; Crowder, Andrew; Pollock, Clayton; Hillis-Starr, Zandy; Muñoz Tenería, Fernando A.; Herrera-Pavón, Roberto; Labrada-Martagón, Vanessa; Lorences, Armando; Negrete-Philippe, Ana; Lamont, Margaret M.; Foley, Allen M.; Bailey, Rhonda; Carthy, Raymond R.; Scarpino, Russell; McMichael, Erin; Provancha, Jane A.; Brooks, Annabelle; Jardim, Adriana; López-Mendilaharsu, Milagros; González-Paredes, Daniel; Estrades, Andrés; Fallabrino, Alejandro; Martínez-Souza, Gustavo; Vélez-Rubio, Gabriela M.; Boulon, Ralf H.; Collazo, Jaime; Wershoven, Robert; Hernández, Vicente Guzmán; Stringell, Thomas B.; Sanghera, Amdeep; Richardson, Peter B.; Broderick, Annette C.; Phillips, Quinton; Calosso, Marta C.; Claydon, John A.B.; Metz, Tasha L.; Gordon, Amanda L.; Landry, Andre M.; Shaver, Donna J.; Blumenthal, Janice; Collyer, Lucy; Godley, Brendan J.; McGowan, Andrew; Witt, Matthew J.; Campbell, Cathi L.; Lagueux, Cynthia J.; Bethel, Thomas L.; Kenyon, Lory

    2017-01-01

    Somatic growth is an integrated, individual-based response to environmental conditions, especially in ectotherms. Growth dynamics of large, mobile animals are particularly useful as bio-indicators of environmental change at regional scales. We assembled growth rate data from throughout the West Atlantic for green turtles, Chelonia mydas, which are long-lived, highly migratory, primarily herbivorous mega-consumers that may migrate over hundreds to thousands of kilometers. Our dataset, the largest ever compiled for sea turtles, has 9690 growth increments from 30 sites from Bermuda to Uruguay from 1973 to 2015. Using generalized additive mixed models, we evaluated covariates that could affect growth rates; body size, diet, and year have significant effects on growth. Growth increases in early years until 1999, then declines by 26% to 2015. The temporal (year) effect is of particular interest because two carnivorous species of sea turtles – hawksbills, Eretmochelys imbricata, and loggerheads, Caretta caretta – exhibited similar significant declines in growth rates starting in 1997 in the West Atlantic, based on previous studies. These synchronous declines in productivity among three sea turtle species across a trophic spectrum provide strong evidence that an ecological regime shift (ERS) in the Atlantic is driving growth dynamics. The ERS resulted from a synergy of the 1997/1998 El Niño Southern Oscillation (ENSO) – the strongest on record – combined with an unprecedented warming rate over the last two to three decades. Further support is provided by the strong correlations between annualized mean growth rates of green turtles and both sea surface temperatures (SST) in the West Atlantic for years of declining growth rates (r = -0.94) and the Multivariate ENSO Index (MEI) for all years (r = 0.74). Granger-causality analysis also supports the latter finding. We discuss multiple stressors that could reinforce and prolong the effect of the ERS. This study

  13. Citation rate and perceived subject bias in the amphibian-decline literature.

    Science.gov (United States)

    Ohmer, Michel E; Bishop, Phillip J

    2011-02-01

    As a result of global declines in amphibian populations, interest in the conservation of amphibians has grown. This growth has been fueled partially by the recent discovery of other potential causes of declines, including chytridiomycosis (the amphibian chytrid, an infectious disease) and climate change. It has been proposed that researchers have shifted their focus to these novel stressors and that other threats to amphibians, such as habitat loss, are not being studied in proportion to their potential effects. We tested the validity of this proposal by reviewing the literature on amphibian declines, categorizing the primary topic of articles within this literature (e.g., habitat loss or UV-B radiation) and comparing citation rates among articles on these topics and impact factors of journals in which the articles were published. From 1990 to 2009, the proportion of papers on habitat loss remained fairly constant, and although the number of papers on chytridiomycosis increased after the disease was described in 1998, the number of published papers on amphibian declines also increased. Nevertheless, papers on chytridiomycosis were more highly cited than papers not on chytridiomycosis and were published in journals with higher impact factors on average, which may indicate this research topic is more popular in the literature. Our results were not consistent with a shift in the research agenda on amphibians. We believe the perception of such a shift has been supported by the higher citation rates of papers on chytridiomycosis.

  14. Declining orangutan encounter rates from Wallace to the present suggest the species was once more abundant.

    Directory of Open Access Journals (Sweden)

    Erik Meijaard

    Full Text Available BACKGROUND: Bornean orangutans (Pongo pygmaeus currently occur at low densities and seeing a wild one is a rare event. Compared to present low encounter rates of orangutans, it is striking how many orangutan each day historic collectors like Alfred Russel Wallace were able to shoot continuously over weeks or even months. Does that indicate that some 150 years ago encounter rates with orangutans, or their densities, were higher than now? METHODOLOGY/PRINCIPAL FINDINGS: We test this hypothesis by quantifying encounter rates obtained from hunting accounts, museum collections, and recent field studies, and analysing whether there is a declining trend over time. Logistic regression analyses of our data support such a decline on Borneo between the mid-19th century and the present. Even when controlled for variation in the size of survey and hunting teams and the durations of expeditions, mean daily encounter rates appear to have declined about 6-fold in areas with little or no forest disturbance. CONCLUSIONS/SIGNIFICANCE: This finding has potential consequences for our understanding of orangutans, because it suggests that Bornean orangutans once occurred at higher densities. We explore potential explanations-habitat loss and degradation, hunting, and disease-and conclude that hunting fits the observed patterns best. This suggests that hunting has been underestimated as a key causal factor of orangutan density and distribution, and that species population declines have been more severe than previously estimated based on habitat loss only. Our findings may require us to rethink the biology of orangutans, with much of our ecological understanding possibly being based on field studies of animals living at lower densities than they did historically. Our approach of quantifying species encounter rates from historic data demonstrates that this method can yield valuable information about the ecology and population density of species in the past, providing new

  15. The Reddening-Free Decline Rate Versus Luminosity Relationship for Type Ia Supernovae

    CERN Document Server

    Phillips, M M; Suntzeff, N B; Schommer, R A; Hamuy, M; Maza, J

    1999-01-01

    We develop a method for estimating the host galaxy dust extinction for type Ia supernovae based on an observational coincidence first noted by Lira (1995), who found that the B-V evolution during the period from 30-90 days after V maximum is remarkably similar for all events, regardless of light curve shape. This fact is used to calibrate the dependence of the B(max)-V(max) and V(max)-I(max) colors on the light curve decline rate parameter delta-m15, which can, in turn, be used to separately estimate the host galaxy extinction. Using these methods to eliminate the effects of reddening, we reexamine the functional form of the decline rate versus luminosity relationship and provide an updated estimate of the Hubble constant of Ho = 63.3 +- 2.2(internal) +- 3.5(external) km/s/Mpc.

  16. Phosphoproteomics analysis of postmortem porcine muscle with pH decline rate and time difference

    DEFF Research Database (Denmark)

    Huang, Honggang; Larsen, Martin R; Karlsson, Anders H

    2012-01-01

    The aim of this study was to characterize the protein phosphorylation in postmortem (PM) muscle and reveal the change during meat quality development. The gel-based phosphoproteomic analysis of PM porcine muscle was performed in three pig groups with different pH decline rates from PM 1h to 24 h...... the reverse case. The phosphorylation level of 12 bands in sarcoplasmic fraction and 3 bands in myofibrillar fraction were significantly affected by the synergy effects of pH and time (pproteins were identified. The phosphorylation patterns of pyruvate kinase, triosephosphate isomerase-1......, tropomyosin and myosin regulatory light chain 2 showed to be related to PM muscle pH decline rate and time. Our work sheds light on the potential role of protein phosphorylation on regulation of meat quality development....

  17. Fines stabilizing agent reduces production decline rates in steam injected wells

    Energy Technology Data Exchange (ETDEWEB)

    Castillo de Castillo, Milagros; Fernandez Andrades, Jarvi [PDVSA - Petroleos de Venezuela S.A., Caracas (Venezuela); Navarro Cornejo, Willian; Curtis, James [BJ Services do Brasil Ltda., RJ (Brazil)

    2004-07-01

    The Bachaquero Lago heavy oil field, located in Lake Maracaibo, Venezuela, with an area of 9800 ha, in which more than 1800 wells have been drilled. The Lagunillas formation in this field is a mature, clastic, unconsolidated sandstone of Miocene age with good permeability. Clays are present, in laminated form or dispersed within the productive sandstones. Heavy oil, less than 12 deg API, is produced by cyclic steam injection. Wells are completed with cased-hole gravel packs to prevent sand and fines production. Rapid production decline rates are typically observed after the steam injection cycles, due to fines migration and plugging of the reservoir and gravel pack. This paper describes the methodology used to treat the wells with a fines stabilizing agent during the steam injection cycles in order to successfully reduce the subsequent production decline rate. Results from a multi-well pilot project are presented and analyzed. (author)

  18. The declining uptake rate of atmospheric CO2 by land and ocean sinks

    Directory of Open Access Journals (Sweden)

    M. R. Raupach

    2014-07-01

    Full Text Available Through 1959–2012, an airborne fraction (AF of 0.44 of total anthropogenic CO2 emissions remained in the atmosphere, with the rest being taken up by land and ocean CO2 sinks. Understanding of this uptake is critical because it greatly alleviates the emissions reductions required for climate mitigation, and also reduces the risks and damages that adaptation has to embrace. An observable quantity that reflects sink properties more directly than the AF is the CO2 sink rate (kS, the combined land–ocean CO2 sink flux per unit excess atmospheric CO2 above preindustrial levels. Here we show from observations that kS declined over 1959–2012 by a factor of about 1 / 3, implying that CO2 sinks increased more slowly than excess CO2. Using a carbon–climate model, we attribute the decline in kS to four mechanisms: slower-than-exponential CO2 emissions growth (~ 35% of the trend, volcanic eruptions (~ 25%, sink responses to climate change (~ 20%, and nonlinear responses to increasing CO2, mainly oceanic (~ 20%. The first of these mechanisms is associated purely with the trajectory of extrinsic forcing, and the last two with intrinsic, feedback responses of sink processes to changes in climate and atmospheric CO2. Our results suggest that the effects of these intrinsic, nonlinear responses are already detectable in the global carbon cycle. Although continuing future decreases in kS will occur under all plausible CO2 emission scenarios, the rate of decline varies between scenarios in non-intuitive ways because extrinsic and intrinsic mechanisms respond in opposite ways to changes in emissions: extrinsic mechanisms cause kS to decline more strongly with increasing mitigation, while intrinsic mechanisms cause kS to decline more strongly under high-emission, low-mitigation scenarios as the carbon–climate system is perturbed further from a near-linear regime.

  19. Aquaporin 5 polymorphisms and rate of lung function decline in chronic obstructive pulmonary disease.

    Directory of Open Access Journals (Sweden)

    Nadia N Hansel

    Full Text Available RATIONALE: Aquaporin-5 (AQP5 can cause mucus overproduction and lower lung function. Genetic variants in the AQP5 gene might be associated with rate of lung function decline in chronic obstructive pulmonary disease (COPD. METHODS: Five single nucleotide polymorphisms (SNPs in AQP5 were genotyped in 429 European American individuals with COPD randomly selected from the NHLBI Lung Health Study. Mean annual decline in FEV(1 % predicted, assessed over five years, was calculated as a linear regression slope, adjusting for potential covariates and stratified by smoking status. Constructs containing the wildtype allele and risk allele of the coding SNP N228K were generated using site-directed mutagenesis, and transfected into HBE-16 (human bronchial epithelial cell line. AQP5 abundance and localization were assessed by immunoblots and confocal immunofluorescence under control, shear stress and cigarette smoke extract (CSE 10% exposed conditions to test for differential expression or localization. RESULTS: Among continuous smokers, three of the five SNPs tested showed significant associations (0.02>P>0.004 with rate of lung function decline; no associations were observed among the group of intermittent or former smokers. Haplotype tests revealed multiple association signals (0.012>P>0.0008 consistent with the single-SNP results. In HBE16 cells, shear stress and CSE led to a decrease in AQP5 abundance in the wild-type, but not in the N228K AQP5 plasmid. CONCLUSIONS: Polymorphisms in AQP5 were associated with rate of lung function decline in continuous smokers with COPD. A missense mutation modulates AQP-5 expression in response to cigarette smoke extract and shear stress. These results suggest that AQP5 may be an important candidate gene for COPD.

  20. Loneliness and the rate of motor decline in old age: the rush memory and aging project, a community-based cohort study

    Directory of Open Access Journals (Sweden)

    Arnold Steven E

    2010-10-01

    Full Text Available Abstract Background Being alone, as measured by less frequent social interactions, has been reported to be associated with a more rapid rate of motor decline in older persons. We tested the hypothesis that feeling alone is associated with the rate of motor decline in community-dwelling older persons. Methods At baseline, loneliness was assessed with a 5-item scale in 985 persons without dementia participating in the Rush Memory and Aging Project, a longitudinal community-based cohort study. Annual detailed assessment of 9 measures of muscle strength and 9 motor performances were summarized in a composite measure of global motor function. Results Linear mixed-effects models which controlled for age, sex and education, showed that the level of loneliness at baseline was associated with the rate of motor decline (Estimate, -0.016; S.E. 0.006, p = 0.005. For each 1-point higher level of loneliness at baseline, motor decline was 40% more rapid; this effect was similar to the rate of motor decline observed in an average participant 4 years older at baseline. Furthermore, this amount of motor decline per year was associated with about a 50% increased risk of death. When terms for both feeling alone (loneliness and being alone were considered together in a single model, both were relatively independent predictors of motor decline. The association between loneliness and motor decline persisted even after controlling for depressive symptoms, cognition, physical and cognitive activities, chronic conditions, as well as baseline disability or a history of stroke or Parkinson's disease. Conclusions Among community-dwelling older persons, both feeling alone and being alone are associated with more rapid motor decline, underscoring the importance of psychosocial factors and motor decline in old age.

  1. Linking Changes in Contraceptive Use to Declines in Teen Pregnancy Rates

    Directory of Open Access Journals (Sweden)

    Jennifer Manlove

    2015-12-01

    Full Text Available Using a unique microsimulation tool, Teen FamilyScape, the present study explores how changes in the mix of contraceptive methods used by teens contributed to the decline in the U.S. teen pregnancy rate between 2002 and 2010. Results indicate that changes in contraceptive use contributed to approximately half of the decline in the teen pregnancy rate during this time period (48% and that a little more than half of this “contraceptive effect” was due to an increase in teen condom use (58%. The remaining share of the contraceptive effect can be attributed to an increase in the use of more effective hormonal (pill, patch, ring and long-acting reversible contraceptive (LARC/injectable methods (Intrauterine Devices (IUD, implant and injectable. Results from an additional counterfactual analysis suggest that the contraceptive effect was driven by the fact that the percentage of teens using no birth control fell during the study time period, rather than by the fact that some teens switched from less effective methods (condoms to more effective hormonal and LARC/injectable methods. However, very high typical use failure rates for teen condom users suggest the need for a two-pronged approach for continuing reductions in teen pregnancy for sexually active teens: first, targeting the youth most at risk of not using contraception and helping them choose contraception, and second, increasing the effectiveness of method use among existing contraceptors.

  2. Increasing metabolic rate despite declining body weight in an adult parasitoid wasp.

    Science.gov (United States)

    Casas, Jérôme; Body, Mélanie; Gutzwiller, Florence; Giron, David; Lazzari, Claudio R; Pincebourde, Sylvain; Richard, Romain; Llandres, Ana L

    2015-08-01

    Metabolic rate is a positive function of body weight, a rule valid for most organisms and the basis of several theories of metabolic ecology. For adult insects, however, the diversity of relationships between body mass and respiration remains unexplained. The aim of this study is to relate the respiratory metabolism of a parasitoid with body weight and foraging activity. We compared the metabolic rate of groups of starving and host-fed females of the parasitoid Eupelmus vuilleti recorded with respirometry for 7days, corresponding to the mean lifetime of starving females and over half of the lifetime of foraging females. The dynamics of carbohydrate, lipid and protein in the body of foraging females were quantified with biochemical techniques. Body mass and all body nutrients declined sharply from the first day onwards. By contrast, the CO2 produced and the O2 consumed increased steadily. Starving females showed the opposite trend, identifying foraging as the reason for the respiration increase of feeding females. Two complementary physiological processes explain the unexpected relationship between increasing metabolic rate and declining body weight. First, host hemolymph is a highly unbalanced food, and the excess nutrients (protein and carbohydrate) need to be voided, partially through excretion and partially through respiration. Second, a foraging young female produces eggs at an increasing rate during the first half of its lifetime, a process that also increases respiration. We posit that the time-varying metabolic rate contributions of the feeding and reproductive processes supplements the contribution of the structural mass and lead to the observed trend. We extend our explanations to other insect groups and discuss the potential for unification using Dynamic Energy Budget theory.

  3. Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer’s Disease and Vascular Dementia: a Retrospective Study

    OpenAIRE

    Pilon, Marie-Hélène; Poulin, Stéphane; Fortin, Marie-Pierre; Houde, Michèle; Verret, Louis; Bouchard, Rémi W.; Laforce, Robert

    2016-01-01

    Few studies have explored the rate of cognitive decline and caregiver burden within the context of a specialized memory clinic. When this was done, the focus was largely on functional decline related to Alzheimer’s disease (AD). Our goal was to compare the longitudinal decline of AD patients to those with Vascular Dementia (VaD) on Mini-Mental State Examination (MMSE). We further explored the differential impact on caregiver burden. We retrospectively studied 237 charts from patients seen at ...

  4. A remote sensing-assisted risk rating study to predict oak decline and recovery in the Missouri Ozark Highlands, USA

    Science.gov (United States)

    Cuizhen Wang; Hong S. He; John M. Kabrick

    2008-01-01

    Forests in the Ozark Highlands underwent widespread oak decline affected by severe droughts in 1999-2000. In this study, the differential normalized difference water index was calculated to detect crown dieback. A multi-factor risk rating system was built to map risk levels of stands. As a quick response to drought, decline in 2000 mostly occurred in stands at low to...

  5. Extinction under a behavioral microscope: isolating the sources of decline in operant response rate.

    Science.gov (United States)

    Cheung, Timothy H C; Neisewander, Janet L; Sanabria, Federico

    2012-05-01

    Extinction performance is often used to assess underlying psychological processes without the interference of reinforcement. For example, in the extinction/reinstatement paradigm, motivation to seek drug is assessed by measuring responding elicited by drug-associated cues without drug reinforcement. However, extinction performance is governed by several psychological processes that involve motivation, memory, learning, and motoric functions. These processes are confounded when overall response rate is used to measure performance. Based on evidence that operant responding occurs in bouts, this paper proposes an analytic procedure that separates extinction performance into several behavioral components: (1-3) the baseline bout initiation rate, within-bout response rate, and bout length at the onset of extinction; (4-6) their rates of decay during extinction; (7) the time between extinction onset and the decline of responding; (8) the asymptotic response rate at the end of extinction; (9) the refractory period after each response. Data that illustrate the goodness of fit of this analytic model are presented. This paper also describes procedures to isolate behavioral components contributing to extinction performance and make inferences about experimental effects on these components. This microscopic behavioral analysis allows the mapping of different psychological processes to distinct behavioral components implicated in extinction performance, which may further our understanding of the psychological effects of neurobiological treatments.

  6. Declining rates of hepatocellular carcinoma in urban Shanghai: incidence trends in 1976-2005.

    Science.gov (United States)

    Gao, Shan; Yang, Wan-Shui; Bray, Freddie; Va, Puthiery; Zhang, Wei; Gao, Jing; Xiang, Yong-Bing

    2012-01-01

    In China, hepatocellular carcinoma (HCC) incidence rates in several registry catchment populations are amongst the highest worldwide. The incidence rates in urban Shanghai were analyzed between 1976 and 2005 to describe and interpret the time trends. Age-specific and age-standardized rates were calculated and graphically presented. An age-period-cohort model was fitted to assess the effects of age at diagnosis, calendar period, and birth cohort on the changing HCC incidence rates. In total, 35,241 and 13,931 men and women were diagnosed with HCC during 1976-2005 in urban Shanghai. The age-standardized incidence rates in urban Shanghai were 33.9 per 10(5) among men and 11.4 per 10(5) among women in 1976-1980, but decreased in both sexes to 25.8 per 10(5) and 8.5 per 10(5), respectively by 2001-2005. Accelerating rates in birth cohorts born in the early-1930s and decelerating rates circa 1945 were observed in both sexes, with further accelerations noted in the late-1950s (in women) and early-1960s (in men). Given the parameterization, increases in risk of HCC were seen in successive male and female generations between 1900 and 1935, followed by a further increase among successive cohorts born around 1960, with a reduction in risk in the most recent generations. The incidence rates of HCC in urban Shanghai from 1976 to 2005 have declined in both sexes, with the complex but similar patterns observed in successive generations suggestive of a shared changing prevalence in risk factors in men and women, with a role possibly for HBV interventions reducing risk of HCC in cohorts born after 1960.

  7. Nonlinear decline-rate dependence and intrinsic variation of typeIa supernova luminosities

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Lifan; Strovink, Mark; Conley, Alexander; Goldhaber,Gerson; Kowalski, Marek; Perlmutter, Saul; Siegrist, James

    2005-12-14

    Published B and V fluxes from nearby Type Ia supernova are fitted to light-curve templates with 4-6 adjustable parameters. Separately, B magnitudes from the same sample are fitted to a linear dependence on B-V color within a post-maximum time window prescribed by the CMAGIC method. These fits yield two independent SN magnitude estimates B{sub max} and B{sub BV}. Their difference varies systematically with decline rate {Delta}m{sub 15} in a form that is compatible with a bilinear but not a linear dependence; a nonlinear form likely describes the decline-rate dependence of B{sub max} itself. A Hubble fit to the average of B{sub max} and B{sub BV} requires a systematic correction for observed B-V color that can be described by a linear coefficient R = 2.59 {+-} 0.24, well below the coefficient R{sub B} {approx} 4.1 commonly used to characterize the effects of Milky Way dust. At 99.9% confidence the data reject a simple model in which no color correction is required for SNe that are clustered at the blue end of their observed color distribution. After systematic corrections are performed, B{sub max} and B{sub BV} exhibit mutual rms intrinsic variation equal to 0.074 {+-} 0.019 mag, of which at least an equal share likely belongs to B{sub BV}. SN magnitudes measured using maximum-luminosity or cmagic methods show comparable rms deviations of order {approx}0.14 mag from the Hubble line. The same fit also establishes a 95% confidence upper limit of 486 km s{sup -1} on the rms peculiar velocity of nearby SNe relative to the Hubble flow.

  8. SNPs associated with cerebrospinal fluid phospho-tau levels influence rate of decline in Alzheimer's disease.

    Directory of Open Access Journals (Sweden)

    Carlos Cruchaga

    2010-09-01

    Full Text Available Alzheimer's Disease (AD is a complex and multifactorial disease. While large genome-wide association studies have had some success in identifying novel genetic risk factors for AD, case-control studies are less likely to uncover genetic factors that influence progression of disease. An alternative approach to identifying genetic risk for AD is the use of quantitative traits or endophenotypes. The use of endophenotypes has proven to be an effective strategy, implicating genetic risk factors in several diseases, including anemia, osteoporosis and heart disease. In this study we identify a genetic factor associated with the rate of decline in AD patients and present a methodology for identification of other such factors. We have used an established biomarker for AD, cerebrospinal fluid (CSF tau phosphorylated at threonine 181 (ptau(181 levels as an endophenotype for AD, identifying a SNP, rs1868402, in the gene encoding the regulatory sub-unit of protein phosphatase B, associated with CSF ptau(181 levels in two independent CSF series (P(combined = 1.17 x 10(-05. We show no association of rs1868402 with risk for AD or age at onset, but detected a very significant association with rate of progression of disease that is consistent in two independent series (P(combined = 1.17 x 10(-05. Our analyses suggest that genetic variants associated with CSF ptau(181 levels may have a greater impact on rate of progression, while genetic variants such as APOE4, that are associated with CSF Aβ(42 levels influence risk and onset but not the rate of progression. Our results also suggest that drugs that inhibit or decrease tau phosphorylation may slow cognitive decline in individuals with very mild dementia or delay the appearance of memory problems in elderly individuals with low CSF Aβ(42 levels. Finally, we believe genome-wide association studies of CSF tau/ptau(181 levels should identify novel genetic variants which will likely influence rate of progression of

  9. Speed versus endurance tradeoff in plants: Leaves with higher photosynthetic rates show stronger seasonal declines

    Science.gov (United States)

    Zhang, Yong-Jiang; Sack, Lawren; Cao, Kun-Fang; Wei, Xue-Mei; Li, Nan

    2017-01-01

    We tested for a tradeoff across species between plant maximum photosynthetic rate and the ability to maintain photosynthesis under adverse conditions in the unfavorable season. Such a trade-off would be consistent with the observed trade-off between maximum speed and endurance in athletes and some animals that has been explained by cost-benefit theory. This trend would have importance for the general understanding of leaf design, and would simplify models of annual leaf carbon relations. We tested for such a trade-off using a database analysis across vascular plants and using an experimental approach for 29 cycad species, representing an ancient plant lineage with diversified evergreen leaves. In both tests, a higher photosynthetic rate per mass or per area in the favorable season was associated with a stronger absolute or percent decline in the unfavorable season. We resolved a possible mechanism based on biomechanics and nitrogen allocation; cycads with high leaf toughness (leaf mass per area) and higher investment in leaf construction than in physiological function (C/N ratio) tended to have lower warm season photosynthesis but less depression in the cool season. We propose that this trade-off, consistent with cost-benefit theory, represents a significant physio-phenological constraint on the diversity and seasonal dynamics of photosynthetic rate. PMID:28186201

  10. Hungarian Population Discourses in the Twentieth Century: The Problem of Declining Birth Rates

    Directory of Open Access Journals (Sweden)

    Ildikó Szántó

    2016-01-01

    Full Text Available Falling birth rates had already been recorded as early as the late-eighteenth century in south-western Hungary in the Ormánság. Population loss from low birth rate remained one of the main topics writers and sociologists focused on in the twentieth century. The issue of Hungarian population decline was highlighted among the social ills in the interwar period, which was one of several subjects that divided intellectuals into ‘populists’ and ‘urbanites’. Following the impact of the low birth rate figures in the 1960s, the populists’ views of the 1930s resurfaced in public discourse in the 1960s and 1970s and up to the present day. The concern about the increasing trend of single-child families in rural settlements as well as in urban areas appeared in the various works of Hungarian writers and journalists throughout the previous century. The present paper intends to focus on the intellectual background to the public debates on the population issue, outlining the accounts of the interwar ‘village explorers’ briefly, and the way they are related to the pre-Second World War populist movement. Finally the reappearance of the debates between populists and non-populists of the 1970s is discussed, a debate that is still continuing.

  11. Rate of change in kidney function and the risk of death: the case for incorporating the rate of kidney function decline into the CKD staging system.

    Science.gov (United States)

    Al-Aly, Ziyad; Cepeda, Oscar

    2011-01-01

    Chronic kidney disease (CKD) is associated with increased risk of death. A wave of recent studies used longitudinal data to examine the effect of the rate of decline of kidney function on the risk of death. The results from these studies show that there is an independent and graded association between the rate of kidney function decline and the risk of death. There is a need to incorporate the rate of decline in the definition of CKD. This redefinition of CKD will transform a static definition into a dynamic one that more accurately describes the disease state in an individual patient.

  12. Rate of cognitive decline in relation to sex after 60 years-of-age: a systematic review.

    Science.gov (United States)

    Ferreira, Leandro; Ferreira Santos-Galduróz, Ruth; Ferri, Cleusa Pinheiro; Fernandes Galduróz, José Carlos

    2014-01-01

    Some studies have shown differences in specific cognitive ability domains between the sexes at 60 years-of-age. However is important to analyze whether the rate of cognitive decline is also similar between the sexes after this age. The present study examined previously published literature to investigate whether cognitive decline is distinct between men and women after the age of 60 years. A systematic review was carried out with the PubMed, LILACS and PsycINFO databases (2001-2011) using the following search terms: aging, aged, cognitive function, mild cognitive impairment, mental health and cognition. We analyzed longitudinal research that used neuropsychological tests for evaluating cognitive function, showed results separated by sex and that excluded participants with dementia. Elderly women showed better performance in tests of episodic memory, whereas elderly men had a better visuospatial ability. Only one study detected distinct rates of cognitive decline in specific tests between the sexes. Despite differences observed in some domains, most of the studies showed that this rate is similar between the sexes until the age of 80 years. It is unclear whether sex influences the rate of cognitive decline after the age of 80 years. The present review observed that sex does not determine the rate of cognitive decline between 60 and 80 years-of-age. The contextual and cultural factors that involve men and women might determine a distinct decline between them, rather than sex alone.

  13. [The prolonged maintenance of a high birth rate in the province of Cadiz: the recent beginning of the secular decline].

    Science.gov (United States)

    Martin Ruiz, J F

    1982-02-01

    This article describes and analyzes the stages of the demographic transition in Cadiz, a representative province in 1 of the most pronatalist regions of Spain. The prolonged maintenance of birth rates much higher than the Spanish average occurred in a province with a low overall level of development, high illiteracy rates, and very unequal division of income and wealth. The data, from the national statistical institute, are of relatively low quality prior to 1960 or 1970. The high fertility of Cadiz cannot be explained by nuptiality, since the nuptiality rate was lower than the national average from 1911-60. The average age at marriage for woman was slightly higher than the national average through 1970; although declining, it was still a relatively high 24.4 years in 1970-75. The rate of illegitimacy however was about twice the national average until midcentury, and only since about 1970 has declined to the insignificant level of 1.8% in Cadiz. The crude birth rate in 1971-75 was 24.0/1000, almost 5 points above the national average. The crude birth rate however does not exactly measure natality; a higher than average rate of abortions and the fact that births are not counted as live until the infant has survived for 24 hours suggest an even higher level of fertility. Until about 1965, birth rates in Cadiz were as or almost as high as in the 19th century. Beginning in 1965, the rate began an incipient though irreversible process of decline which occurred despite the increasing nuptiality rate and declining age at marriage. The average annual birth rates were 33/1000 in the 1st 3rd of the century, with a slight decline around World War I, and 27/1000 from 1936-65, with declines caused by the Civil War and difficult postwar years. A sustained fertility rate of 27/1000 from 1957-66 was associated with strong nuptiality and a decline of the illegitimacy rate from 9.0% in 1951-55 to 3.4% in 1961-65. The decline of the birth rate to 23/1000 in 1975 indicated the

  14. Informant-Reported Cognitive Decline and Activity Engagement across Four Years in a Community Sample.

    Science.gov (United States)

    Hosking, Diane E; Jiang, Da; Sargent-Cox, Kerry A; Anstey, Kaarin J

    2017-01-01

    Subtle age-related cognitive decline may be associated with the capacity to remain engaged in mental, physical, and social activities. Informant reports of cognitive decline potentially provide additional information to psychometric tests on change in everyday cognitive function relevant to activity engagement. To investigate relations between decline in everyday cognitive function as assessed by informant report and activity engagement in community-dwelling older adults. A sample of cognitively normal older adults was drawn from the 2 latest waves of the PATH Through Life Study (n = 1,391; mean age 74.5 ± 1.5, 48.4% female). PATH is a 16-year longitudinal cohort study set in the Canberra/Queanbeyan district, Australia. Assessments were carried out at baseline, and at 3 subsequent time-points 4 years apart. At wave-4, the IQCODE, an informant measure of 4-year cognitive decline was provided by a spouse, family member, or friend of each participant. Activity engagement was assessed by the abbreviated RIASEC Mental Activity List, self-reported frequency and duration of physical activity (Whitehall Questionnaire) and the Lubben Social Network Scale that assessed interaction with family/friends. Participants provided demographic information, self-reported health status (SF-12), and responses to the Goldberg Depression Scale. The Symbol Digit Modalities Test (SDMT) and California Verbal Learning Test (CVLT) were used to measure objective 4-year cognitive change. Those with MMSE score of ≤27 were excluded. IQCODE score predicted disengagement from mental activities over 4 years in cognitively healthy adults (β = -0.056, standard error [SE] = 0.019, p = 0.004). This association was robust to covariate control and change on the SDMT which was also significantly related to mental activity disengagement. In models adjusted for change scores on the SDMT and the CVLT, the IQCODE was associated with less physical (β = -0.692, SE = 0.24, p = 0.004) and social engagement (

  15. Rapid population decline in red knots : fitness consequences of decreased refuelling rates and late arrival in Delaware Bay

    NARCIS (Netherlands)

    Baker, AJ; Gonzalez, PM; Piersma, T; Niles, LJ; do Nascimento, IDS; Atkinson, PW; Clark, NA; Minton, CDT; Peck, MK; Aarts, G

    2004-01-01

    Most populations of migrant shorebirds around the world are in serious decline, suggesting that vital condition-dependent rates such as fecundity and annual survival are being affected globally. A striking example is the red knot (Calidris canutus rufa) population wintering in Tierra del Fuego, whic

  16. PSYCHOSOCIAL GROUP INTERVENTION AND THE RATE OF DECLINE OF IMMUNOLOGICAL PARAMETERS IN ASYMPTOMATIC HIV-INFECTED HOMOSEXUAL MEN

    NARCIS (Netherlands)

    MULDER, CL; ANTONI, MH; EMMELKAMP, PMG; VEUGELERS, PJ; SANDFORT, TGM; VANDEVIJVER, FAJR; DEVRIES, MJ

    1995-01-01

    The aim of the study was to determine changes in the rate of decline of immunological parameters after psychosocial group intervention. Subjects were 26 asymptomatic HIV-infected homosexual men who participated in a cognitive-behavioral group therapy (CBT; n = 14), or an experiential group therapy p

  17. The Rate of Source Memory Decline across the Adult Life Span

    Science.gov (United States)

    Cansino, Selene; Estrada-Manilla, Cinthya; Hernandez-Ramos, Evelia; Martinez-Galindo, Joyce Graciela; Torres-Trejo, Frine; Gomez-Fernandez, Tania; Ayala-Hernandez, Mariana; Osorio, David; Cedillo-Tinoco, Melisa; Garces-Flores, Lissete; Gomez-Melgarejo, Sandra; Beltran-Palacios, Karla; Guadalupe Garcia-Lazaro, Haydee; Garcia-Gutierrez, Fabiola; Cadena-Arenas, Yadira; Fernandez-Apan, Luisa; Bartschi, Andrea; Resendiz-Vera, Julieta; Rodriguez-Ortiz, Maria Dolores

    2013-01-01

    Previous studies have suggested that the ability to remember contextual information related to specific episodic experiences declines with advancing age; however, the exact moment in the adult life span when this deficit begins is still controversial. Source memory for spatial information was tested in a life span sample of 1,500 adults between…

  18. The Rate of Source Memory Decline across the Adult Life Span

    Science.gov (United States)

    Cansino, Selene; Estrada-Manilla, Cinthya; Hernandez-Ramos, Evelia; Martinez-Galindo, Joyce Graciela; Torres-Trejo, Frine; Gomez-Fernandez, Tania; Ayala-Hernandez, Mariana; Osorio, David; Cedillo-Tinoco, Melisa; Garces-Flores, Lissete; Gomez-Melgarejo, Sandra; Beltran-Palacios, Karla; Guadalupe Garcia-Lazaro, Haydee; Garcia-Gutierrez, Fabiola; Cadena-Arenas, Yadira; Fernandez-Apan, Luisa; Bartschi, Andrea; Resendiz-Vera, Julieta; Rodriguez-Ortiz, Maria Dolores

    2013-01-01

    Previous studies have suggested that the ability to remember contextual information related to specific episodic experiences declines with advancing age; however, the exact moment in the adult life span when this deficit begins is still controversial. Source memory for spatial information was tested in a life span sample of 1,500 adults between…

  19. High prevalence rate of pituitary incidentaloma: is it associated with the age-related decline of the sex hormones levels?

    Science.gov (United States)

    Kastelan, Darko; Korsic, Mirko

    2007-01-01

    Incidental pituitary adenoma is the common finding during brain imaging. According to multistep model of pituitary tumourigenesis genetic alterations provide the initiating event that transforms cells while hormones play a role in promoting cell proliferation. Development of pituitary adenoma in a case of excessive hypophysiotrophic hormones production or reduced feedback suppression by target gland hormones emphasizes the importance of hormonal stimulation in pituitary tumourigenesis. Pituitary hyperplasia has been reported in pregnancy, hypothyroidism and conditions such as CRH or GHRH hypersecretion. Moreover, recent study reported one case of gonadotroph macroadenoma and two cases of gonadotroph cells hyperplasia in patients with Klinefelter syndrome probably due to protracted stimulation of gonadotroph cells because of lack of androgen feedback. Significant changes of the hypothalamic-pituitary-gonadal axis occurred with aging. In females, after menopause, estradiol level decreases by 35-fold and estrone level by 20-fold that results in increased gonadotropins levels. Similarly, FSH, but not LH, level is increased with advancing age in men, too, although the age-related difference in the level is less in comparison with women. Regarding these data, we hypothesised that high prevalence rate of pituitary incidentaloma in the elderly is associated with age-related decline in sex hormones levels and subsequent lack of feedback suppression leading to permanent gonadotrophs stimulation which is the crucial step in the pituitary tumour development. According to previously mentioned multistep model of pituitary tumourigenesis, incidentaloma will develop only in persons with already present intrinsic pituitary cell defects. However, further studies have to answer the questions of whether the incidence of pituitary tumours is more frequent in elderly, whether women with late onset menopause or those taking long-term hormone replacement therapy have lower rate of

  20. Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

    Science.gov (United States)

    Pilon, Marie-Hélène; Poulin, Stéphane; Fortin, Marie-Pierre; Houde, Michèle; Verret, Louis; Bouchard, Rémi W; Laforce, Robert

    2016-03-11

    Few studies have explored the rate of cognitive decline and caregiver burden within the context of a specialized memory clinic. When this was done, the focus was largely on functional decline related to Alzheimer's disease (AD). Our goal was to compare the longitudinal decline of AD patients to those with Vascular Dementia (VaD) on Mini-Mental State Examination (MMSE). We further explored the differential impact on caregiver burden. We retrospectively studied 237 charts from patients seen at our Memory Clinic between 2006 and 2012. The data was collected over 17 years. Cohorts were formed by excluding conditions other than AD and VaD, and including patients who had been assessed at least twice with the MMSE (AD: n = 83; mean age: 67.7 yo; VaD: n = 32; mean age: 73.3yo). A small group of 36 caregivers was surveyed by phone to explore caregiver burden. Results indicated that the natural history of MMSE changes in AD patients differed significantly from that of patients with VaD (F = 10.41, pcaregivers and its impact was rated as 'severe' in 50% of cases. Altogether, this study provides further insight into the natural history of cognitive decline in AD and VaD. Future studies should explore the progression of dementing disorders in larger cohorts using prospective methodological designs.

  1. Innovative Rates Program. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1982-06-21

    Title II of the Energy Conservation and Production Act (ECPA) as amended by the Public Utility Regulatory Policies Act (PURPA) provided financial assistance to state utility regulatory commissions, nonregulated electric utilities, and the Tennessee Valley Authority through the Innovative Rates Program. The financial assistance was to be used to plan or carry out electric utility regulatory rate reform initiatives relating to innovative rate structures that encourage conservation of energy, electric utility efficiency and reduced costs, and equitable rates to consumers. The Federal and local objectives of the project are described. Activities planned and accomplishments are summarized for the following: project management, data collection, utility bill evaluation, billing enclosure/mailing evaluation, media program evaluation, display evaluation, rate study sessions evaluation, speakers bureau evaluation, and individual customer contacts. A timetable/milestone chart and financial information are included. (MHR)

  2. Physical Performance, Balance, Mobility, and Muscle Strength Decline at Different Rates in Elderly People

    OpenAIRE

    Nakano, Márcia Mariko; Otonari, Thais Satie; Takara, Kelly Sayuri; Carmo, Carolina M; Tanaka, Clarice

    2014-01-01

    [Purpose] The aim of this study was to verify the decline in functionality of elderly people. [Subjects and Methods] The study subjects comprised 152 individuals (96 women; 56 men) divided into 3 groups: G1 (60 to 69 years, n=53); G2 (70 to 79 years, n=65); and G3 (80 years or older, n=34). Physical performance, balance, mobility, and muscle strength were assessed using Short Physical Performance Battery (SPPB), Berg Balance Scale (BERG), Timed Up and Go (TUG) test, and leg press test, respec...

  3. Rapid population decline in red knots: fitness consequences of decreased refuelling rates and late arrival in Delaware Bay

    OpenAIRE

    Baker, AJ; Gonzalez, PM; Piersma, T; Niles, LJ; do Nascimento, IDS; Atkinson, PW; Clark, NA; Minton, CDT; Peck, MK; Aarts, G.

    2004-01-01

    Most populations of migrant shorebirds around the world are in serious decline, suggesting that vital condition-dependent rates such as fecundity and annual survival are being affected globally. A striking example is the red knot (Calidris canutus rufa) population wintering in Tierra del Fuego, which undertakes marathon 30,000 km hemispheric migrations annually. In spring, migrant birds forage voraciously on horseshoe crab eggs in Delaware Bay in the eastern USA before departing to breed in A...

  4. Depressed pacemaker activity of sinoatrial node myocytes contributes to the age-dependent decline in maximum heart rate

    Science.gov (United States)

    Larson, Eric D.; St. Clair, Joshua R.; Sumner, Whitney A.; Bannister, Roger A.; Proenza, Cathy

    2013-01-01

    An inexorable decline in maximum heart rate (mHR) progressively limits human aerobic capacity with advancing age. This decrease in mHR results from an age-dependent reduction in “intrinsic heart rate” (iHR), which is measured during autonomic blockade. The reduced iHR indicates, by definition, that pacemaker function of the sinoatrial node is compromised during aging. However, little is known about the properties of pacemaker myocytes in the aged sinoatrial node. Here, we show that depressed excitability of individual sinoatrial node myocytes (SAMs) contributes to reductions in heart rate with advancing age. We found that age-dependent declines in mHR and iHR in ECG recordings from mice were paralleled by declines in spontaneous action potential (AP) firing rates (FRs) in patch-clamp recordings from acutely isolated SAMs. The slower FR of aged SAMs resulted from changes in the AP waveform that were limited to hyperpolarization of the maximum diastolic potential and slowing of the early part of the diastolic depolarization. These AP waveform changes were associated with cellular hypertrophy, reduced current densities for L- and T-type Ca2+ currents and the “funny current” (If), and a hyperpolarizing shift in the voltage dependence of If. The age-dependent reduction in sinoatrial node function was not associated with changes in β-adrenergic responsiveness, which was preserved during aging for heart rate, SAM FR, L- and T-type Ca2+ currents, and If. Our results indicate that depressed excitability of individual SAMs due to altered ion channel activity contributes to the decline in mHR, and thus aerobic capacity, during normal aging. PMID:24128759

  5. The rate of growth in scientific publication and the decline in coverage provided by Science Citation Index.

    Science.gov (United States)

    Larsen, Peder Olesen; von Ins, Markus

    2010-09-01

    The growth rate of scientific publication has been studied from 1907 to 2007 using available data from a number of literature databases, including Science Citation Index (SCI) and Social Sciences Citation Index (SSCI). Traditional scientific publishing, that is publication in peer-reviewed journals, is still increasing although there are big differences between fields. There are no indications that the growth rate has decreased in the last 50 years. At the same time publication using new channels, for example conference proceedings, open archives and home pages, is growing fast. The growth rate for SCI up to 2007 is smaller than for comparable databases. This means that SCI was covering a decreasing part of the traditional scientific literature. There are also clear indications that the coverage by SCI is especially low in some of the scientific areas with the highest growth rate, including computer science and engineering sciences. The role of conference proceedings, open access archives and publications published on the net is increasing, especially in scientific fields with high growth rates, but this has only partially been reflected in the databases. The new publication channels challenge the use of the big databases in measurements of scientific productivity or output and of the growth rate of science. Because of the declining coverage and this challenge it is problematic that SCI has been used and is used as the dominant source for science indicators based on publication and citation numbers. The limited data available for social sciences show that the growth rate in SSCI was remarkably low and indicate that the coverage by SSCI was declining over time. National Science Indicators from Thomson Reuters is based solely on SCI, SSCI and Arts and Humanities Citation Index (AHCI). Therefore the declining coverage of the citation databases problematizes the use of this source.

  6. Linking concurrent self-reports and retrospective proxy reports about the last year of life: a prevailing picture of life satisfaction decline.

    Science.gov (United States)

    Infurna, Frank J; Gerstorf, Denis; Ram, Nilam; Schupp, Jürgen; Sprangers, Mirjam A G; Wagner, Gert G

    2014-09-01

    We examined the extent to which retrospective proxy reports of well-being mirror participant self-reports at 12-24 months before death and how proxy reports of well-being change over the last year of life. We also explored the role of sociodemographic, cognitive, and health factors of both participants and proxies in moderating such associations. We used retrospective proxy ratings obtained in the German Socio-Economic Panel Study (N = 164; age at death = 19-99 years). Results revealed moderate agreement between self- and proxy reports (r = .42), but proxies, on average, overestimated participants' life satisfaction by two thirds of a scale point on a 0-10 scale (or 0.4 SD). Discrepancies were particularly pronounced when proxies themselves reported low life satisfaction. Over the last year of life, participants were viewed to have experienced declines in life satisfaction (-0.54 SD). Declines were stronger for ill participants and proxies who reported low life satisfaction. Results qualify theoretical expectations and empirical results based on self-report data that are typically available 1 or 2 years before death. We discuss that retrospective proxy reports in panel surveys can be used as a hypothesis-generating tool to gather insights into late life. © The Author 2013. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  7. Embryos in the fast lane: high-temperature heart rates of turtles decline after hatching.

    Directory of Open Access Journals (Sweden)

    Wei-Guo Du

    Full Text Available In ectotherms such as turtles, the relationship between cardiovascular function and temperature may be subject to different selective pressures in different life-history stages. Because embryos benefit by developing as rapidly as possible, and can "afford" to expend energy to do so (because they have access to the yolk for nutrition, they benefit from rapid heart (and thus, developmental rates. In contrast, hatchlings do not have a guaranteed food supply, and maximal growth rates may not enhance fitness--and so, we might expect a lower heart rate, especially at high temperatures where metabolic costs are greatest. Our data on two species of emydid turtles, Chrysemys picta, and Graptemys pseudogeographica kohnii, support these predictions. Heart rates of embryos and hatchlings were similar at low temperatures, but heart rates at higher temperatures were much greater before than after hatching.

  8. Tubular markers do not predict the decline in glomerular filtration rate in type 1 diabetic patients with overt nephropathy

    DEFF Research Database (Denmark)

    Nielsen, Stine E; Andersen, Steen; Zdunek, Dietmar

    2011-01-01

    Recent studies have shown that both glomerular and tubulointerstitial damage are important factors in the pathophysiology and progression of diabetic nephropathy. To examine whether markers of tubular damage are useful in monitoring the progression of disease, we measured urinary levels...... associated with a faster decline in GFR, but not after adjustment for known promoters of progression. Urinary LFABP was not related to decline in GFR. Losartan treatment (100 mg/day) reduced urinary KIM-1 by 43% over a 12-month period. Thus, urine biomarker measurements in patients with type 1 diabetic...... of neutrophil gelatinase-associated lipocalin (NGAL), liver-fatty acid-binding protein (LFABP), and kidney injury molecule-1 (KIM-1) in a 3-year intervention study of 63 type 1 diabetic patients with kidney disease. The baseline mean glomerular filtration rate (GFR) was 87 ml/min per 1.73 m(2) and urinary...

  9. Hospital Admission Patterns in Children with CAH: Admission Rates and Adrenal Crises Decline with Age

    Directory of Open Access Journals (Sweden)

    R. Louise Rushworth

    2016-01-01

    Full Text Available Objective. To examine patterns of hospitalisation for acute medical conditions in children with congenital adrenal hyperplasia (CAH. Design. A retrospective study of hospitalisation using administrative data. Setting. All hospitals in NSW, Australia. Patients. All patients admitted with CAH and a random sample of admissions in patients aged 0 to 18 years without adrenal insufficiency (AI. Main Outcome Measures. Admissions and comorbidities by age and sex. Results. Of 573 admissions for medical problems in CAH children, 286 (49.9% were in males, and 236 (41.2% had a principal diagnosis of CAH or had an adrenal crisis (AC. 37 (6.5% ACs were recorded. An infection was found in 43.5% (n=249 of the CAH patient admissions and 51.7% (n=1613 of the non-AI group, p<0.001. Children aged up to one year had the highest number of admissions (n=149 and six ACs (four in males. There were 21 ACs recorded for children aged 1–5 years. Older CAH children had fewer admissions and fewer ACs. No in-hospital deaths were recorded. Conclusions. Admission for medical problems in CAH children declines with age. An AC was recorded in 6.5% of the admissions, with the majority of ACs occurring in the 1 to 5 years age group and there were no deaths.

  10. Effects of population based screening for Chlamydia infections in the Netherlands limited by declining participation rates.

    Directory of Open Access Journals (Sweden)

    Boris V Schmid

    Full Text Available BACKGROUND: A large trial to investigate the effectiveness of population based screening for chlamydia infections was conducted in the Netherlands in 2008-2012. The trial was register based and consisted of four rounds of screening of women and men in the age groups 16-29 years in three regions in the Netherlands. Data were collected on participation rates and positivity rates per round. A modeling study was conducted to project screening effects for various screening strategies into the future. METHODS AND FINDINGS: We used a stochastic network simulation model incorporating partnership formation and dissolution, aging and a sexual life course perspective. Trends in baseline rates of chlamydia testing and treatment were used to describe the epidemiological situation before the start of the screening program. Data on participation rates was used to describe screening uptake in rural and urban areas. Simulations were used to project the effectiveness of screening on chlamydia prevalence for a time period of 10 years. In addition, we tested alternative screening strategies, such as including only women, targeting different age groups, and biennial screening. Screening reduced prevalence by about 1% in the first two screening rounds and leveled off after that. Extrapolating observed participation rates into the future indicated very low participation in the long run. Alternative strategies only marginally changed the effectiveness of screening. Higher participation rates as originally foreseen in the program would have succeeded in reducing chlamydia prevalence to very low levels in the long run. CONCLUSIONS: Decreasing participation rates over time profoundly impact the effectiveness of population based screening for chlamydia infections. Using data from several consecutive rounds of screening in a simulation model enabled us to assess the future effectiveness of screening on prevalence. If participation rates cannot be kept at a sufficient level

  11. Why has the continuous decline in German suicide rates stopped in 2007?

    Directory of Open Access Journals (Sweden)

    Ulrich Hegerl

    Full Text Available BACKGROUND: Whereas German suicide rates had a clear decreasing tendency between 1991 and 2006, they increased from 2007 to 2010. Deeper analyses of suicide data might help to understand better this change. The aim of this study was to analyze 1 whether recent trends can be related to changes in specific suicide methods and diverge by gender and age; 2 whether the decrease of suicide rates before 2007 as well as the increase from 2007 to 2010 are driven by the same suicide method. METHODS: Analyses were based on suicide data from the Federal Statistical Office of Germany. For 1998-2010, 136.583 suicide cases of men and women with known age and suicide method could be identified. These data were analyzed by joinpoint regression analysis, allowing identification of the best fitting point in time ("joinpoint" at which the suicide rate significantly changes in magnitude or direction. RESULTS: The national downward trend between 1998 and 2007 was mainly due to corresponding changes in self-poisoning by other means than drugs (e.g., pesticides (annual percentage change (APC ≤ -4.33, drowning (APC ≤ -2.73, hanging (APC ≤ -2.69 and suicides by firearms (APC ≤ -1.46 in both genders. Regarding the overall increase of age-adjusted suicide rates in Germany 2007-2010, mainly the increase of self-poisoning (e.g., by drugs and "being overrun" (APC ≥ 1.50 contributed to this trend. LIMITATIONS: The true suicide rates might have been underestimated because of errors in the official death certificates. CONCLUSIONS: Increase in suicide rates in Germany since 2007 went along with corresponding changes for "being overrun" and "self-poisoning". Copycat suicides following the railway suicide of the goalkeeper Robert Enke partly contributed to the results. Thus, prevention of Werther effects and limitation of the availability of high pack sizes for drugs are of special relevance for the reversal of this trend.

  12. Poor semen quality may contribute to recent decline in fertility rates

    DEFF Research Database (Denmark)

    Jensen, Tina Kold; Carlsen, Elisabeth; Jørgensen, Niels

    2002-01-01

    to changing social structures alone or is a reduced fecundity in the population also a factor? To address this we have focused on trends in teenage pregnancies (which to a large extent are unplanned). During the period in question fertility rates among 15-19 year old Danish women have been falling...... may not be attributable to social factors, changes in conception practices or diminished sexual activity alone. It seems reasonable also to consider widespread poor semen quality among men as a potential contributing factor to low fertility rates among teenagers. Due to the concern caused by the low...

  13. Europe-wide fertility trends since the 1990s: Turning the corner from declining first birth rates

    Directory of Open Access Journals (Sweden)

    Marion Burkimsher

    2015-03-01

    Full Text Available Background: In the period 1995-2002 there was a change in trajectory from decline to rise in first birth fertility rates across Europe. Objective: A number of previous studies have looked at the demographic causes of the transition. This study evaluates their conclusions by analysing a comprehensive set of indicators for fifteen countries with data in the Human Fertility Database. Methods: Comparisons are made between the four years before and after the fertility trough, to discover what changed between these two periods. Results: In the period before the trough, peak age-specific fertility rates were falling; these tended to stabilise after the year of minimum fertility. The width of the fertility curve, however, was already widening in the 1990s, and this trend continued. The transition from fall to rise in TFR1 occurred when the increase in the width of the curve more than compensated for any further falls in peak rates; this explanation is valid for countries in both Eastern and Western Europe. The increasing width of the fertility curve was caused by two factors: the decline in young (pre-modal fertility slowed, whilst the rise in older (post-modal fertility accelerated. For some countries, a rise in underlying cohort rates also contributed to the rise in period rates. The likelihood of childless women entering motherhood also rose in some but not all countries. Conclusions: During the 1990s, women were postponing first births across Europe. A rebound took place for several reasons, with the overarching driver being the strong rise in late fertility. Comments: In some countries the steep rise in late fertility had an unexpected and paradoxical effect on postponement rates (defined as the year-on-year increase in mean age at first birth. Recuperation at post-modal ages of postponed first births caused an acceleration in 'postponement' rates, as defined by this metric.

  14. Rapid population decline in red knots: fitness consequences of decreased refuelling rates and late arrival in Delaware Bay.

    Science.gov (United States)

    Baker, Allan J; González, Patricia M; Piersma, Theunis; Niles, Lawrence J; do Nascimento, Inês de Lima Serrano; Atkinson, Philip W; Clark, Nigel A; Minton, Clive D T; Peck, Mark K; Aarts, Geert

    2004-04-22

    Most populations of migrant shorebirds around the world are in serious decline, suggesting that vital condition-dependent rates such as fecundity and annual survival are being affected globally. A striking example is the red knot (Calidris canutus rufa) population wintering in Tierra del Fuego, which undertakes marathon 30,000 km hemispheric migrations annually. In spring, migrant birds forage voraciously on horseshoe crab eggs in Delaware Bay in the eastern USA before departing to breed in Arctic polar deserts. From 1997 to 2002 an increasing proportion of knots failed to reach threshold departure masses of 180-200 g, possibly because of later arrival in the Bay and food shortage from concurrent over-harvesting of crabs. Reduced nutrient storage, especially in late-arriving birds, possibly combined with reduced sizes of intestine and liver during refuelling, had severe fitness consequences for adult survival and recruitment of young in 2000-2002. From 1997 to 2002 known survivors in Delaware Bay were heavier at initial capture than birds never seen again, annual survival of adults decreased by 37% between May 2000 and May 2001, and the number of second-year birds in wintering flocks declined by 47%. Population size in Tierra del Fuego declined alarmingly from 51,000 to 27,000 in 2000-2002, seriously threatening the viability of this subspecies. Demographic modelling predicts imminent endangerment and an increased risk of extinction of the subspecies without urgent risk-averse management.

  15. Global declines in oceanic nitrification rates as a consequence of ocean acidification

    Science.gov (United States)

    Beman, J. Michael; Chow, Cheryl-Emiliane; King, Andrew L.; Feng, Yuanyuan; Fuhrman, Jed A.; Andersson, Andreas; Bates, Nicholas R.; Popp, Brian N.; Hutchins, David A.

    2011-01-01

    Ocean acidification produced by dissolution of anthropogenic carbon dioxide (CO2) emissions in seawater has profound consequences for marine ecology and biogeochemistry. The oceans have absorbed one-third of CO2 emissions over the past two centuries, altering ocean chemistry, reducing seawater pH, and affecting marine animals and phytoplankton in multiple ways. Microbially mediated ocean biogeochemical processes will be pivotal in determining how the earth system responds to global environmental change; however, how they may be altered by ocean acidification is largely unknown. We show here that microbial nitrification rates decreased in every instance when pH was experimentally reduced (by 0.05–0.14) at multiple locations in the Atlantic and Pacific Oceans. Nitrification is a central process in the nitrogen cycle that produces both the greenhouse gas nitrous oxide and oxidized forms of nitrogen used by phytoplankton and other microorganisms in the sea; at the Bermuda Atlantic Time Series and Hawaii Ocean Time-series sites, experimental acidification decreased ammonia oxidation rates by 38% and 36%. Ammonia oxidation rates were also strongly and inversely correlated with pH along a gradient produced in the oligotrophic Sargasso Sea (r2 = 0.87, P ocean acidification could reduce nitrification rates by 3–44% within the next few decades, affecting oceanic nitrous oxide production, reducing supplies of oxidized nitrogen in the upper layers of the ocean, and fundamentally altering nitrogen cycling in the sea. PMID:21173255

  16. Global declines in oceanic nitrification rates as a consequence of ocean acidification.

    Science.gov (United States)

    Beman, J Michael; Chow, Cheryl-Emiliane; King, Andrew L; Feng, Yuanyuan; Fuhrman, Jed A; Andersson, Andreas; Bates, Nicholas R; Popp, Brian N; Hutchins, David A

    2011-01-01

    Ocean acidification produced by dissolution of anthropogenic carbon dioxide (CO(2)) emissions in seawater has profound consequences for marine ecology and biogeochemistry. The oceans have absorbed one-third of CO(2) emissions over the past two centuries, altering ocean chemistry, reducing seawater pH, and affecting marine animals and phytoplankton in multiple ways. Microbially mediated ocean biogeochemical processes will be pivotal in determining how the earth system responds to global environmental change; however, how they may be altered by ocean acidification is largely unknown. We show here that microbial nitrification rates decreased in every instance when pH was experimentally reduced (by 0.05-0.14) at multiple locations in the Atlantic and Pacific Oceans. Nitrification is a central process in the nitrogen cycle that produces both the greenhouse gas nitrous oxide and oxidized forms of nitrogen used by phytoplankton and other microorganisms in the sea; at the Bermuda Atlantic Time Series and Hawaii Ocean Time-series sites, experimental acidification decreased ammonia oxidation rates by 38% and 36%. Ammonia oxidation rates were also strongly and inversely correlated with pH along a gradient produced in the oligotrophic Sargasso Sea (r(2) = 0.87, P ocean acidification could reduce nitrification rates by 3-44% within the next few decades, affecting oceanic nitrous oxide production, reducing supplies of oxidized nitrogen in the upper layers of the ocean, and fundamentally altering nitrogen cycling in the sea.

  17. Basal metabolic rate declines during long-distance migratory flight in great knots

    NARCIS (Netherlands)

    Battley, PF; Dekinga, A; Dietz, MW; Piersma, T; Tang, SX; Hulsman, K; Battley, Phil F.; Tang, Sixian

    2001-01-01

    Great Knots (Calidris tenuirostris) make one of the longest migratory flights in the avian world, flying almost 5500 km from Australia to China during northward migration. We measured basal metabolic rate (BMR) and body composition in birds before and after this flight and found that BMR decreased 4

  18. Obesity in kidney transplant recipients: association with decline in glomerular filtration rate.

    Science.gov (United States)

    Moreira, Thaís Rodrigues; Bassani, Tayron; de Souza, Gizele; Manfro, Roberto Ceratti; Gonçalves, Luiz Felipe Santos

    2013-10-01

    In this study we aimed to evaluate the influence of obesity in kidney and patient survival and graft function. Retrospective cohort study of kidney transplant recipients performed between 2001 and 2009. The body mass index was calculated at time of transplantation, one and five years after. The main outcomes studied were incidence of delayed graft function, new onset diabetes after transplantation, patient and graft survival, and glomerular filtration rate. The prevalence of obesity and overweight patients were 10.7% and 26.8% respectively, with an increase to 16.9% and 32.5% one year after transplantation. Underweight and obese recipients presented a higher incidence of early graft loss. The incidence of new onset diabetes after transplantation was significantly higher at one and five years in overweight or obese recipients at baseline. Overweight and obese recipients presented significantly lower estimated glomerular filtration rate at five years posttransplantation (p = 0.002). In the Kaplan-Meier analyses no statistically significant differences in patients or grafts survivals were observed. Obese patients have a higher rate of early graft failure and a higher new onset diabetes after transplantation incidence. Also, the finding of decreased glomerular filtration rate is worrisome and perhaps longer follow-up will reveal more graft failures and patients deaths in the group of obese recipients.

  19. Rapid decline in glomerular filtration rate during the first weeks following heart transplantation

    DEFF Research Database (Denmark)

    Hornum, M; Andersen, Mads Jønsson; Gustafsson, F

    2011-01-01

    We hypothesized that a decrease in renal function is seen immediately after heart transplantation (HTX) with little recovery over time. Twelve consecutive patients had their glomerular filtration rate (GFR) measured using (51)Cr-ethylenediaminetetraacetic acid (EDTA) measured GFR (mGFR) before tr...

  20. Declining first-marriage rates in England and Wales: a change in timing or a rejection of marriage?

    Science.gov (United States)

    Eldridge, S; Kiernan, K

    1985-11-01

    Two different methods devised by Ryder and by Le Bras and Roussel are used "to assess how far the changes in first-marriage rates in England and Wales arise from a shift to marrying at later ages or from a decline in the popularity of formal marriage. The two methods yield consistent results, and indicate that the majority of young people...will continue to marry but that during the 1970s many were postponing marriage. The pattern of cohabitation and prevailing attitudes to marriage are compatible with such a finding. Recent marriage patterns in England and Wales are found to differ from those in France and Sweden." (summary in FRE)

  1. Where are the Sunday babies? II. Declining weekend birth rates in Switzerland

    Science.gov (United States)

    Lerchl, Alexander; Reinhard, Sarah C.

    2008-02-01

    Birth dates from almost 3 million babies born between 1969 and 2005 in Switzerland were analyzed for the weekday of birth. As in other countries but with unprecedented amplitude, a very marked non-random distribution was discovered with decreasing numbers of births on weekends, reaching -17.9% in 2005. While most of this weekend births avoidance rate is due to fewer births on Sundays (up to -21.7%), the downward trend is primarily a consequence of decreasing births on Saturdays (up to -14.5%). For 2005, these percentages mean that 3,728 fewer babies are born during weekends than could be expected from equal distribution. Most interestingly and surprisingly, weekend birth-avoiding rates are significantly correlated with birth numbers ( r = 0.86), i.e. the lower the birth number per year, the lower the number of weekend births. The increasing avoidance of births during weekends is discussed as being a consequence of increasing numbers of caesarean sections and elective labor induction, which in Switzerland reach 29.2 and 20.5%, respectively, in 2004. This hypothesis is supported by the observation that both primary and secondary caesarean sections are significantly correlated with weekend birth avoidance rates. It is therefore likely that financial aspects of hospitals are a factor determining the avoidance of weekend births by increasing the numbers of caesarean sections.

  2. Supply Chain Coordination under Stock- and Price-Dependent Selling Rates under Declining Market

    Directory of Open Access Journals (Sweden)

    Subrata Saha

    2012-01-01

    Full Text Available We explore coordination issues of a two-echelon supply chain, consisting of a distributor and a retailer. The effect of revenue-sharing contract mechanism is examined under stock-time-price-sensitive demand rate. First, we investigate relationships between distributor and retailer under noncooperative distributor-Stackelberg games. Then we establish analytically that revenue sharing contact is able to coordinate the system and leads to the win-win outcomes. Finally, numerical examples are presented to compare results between the different models.

  3. Rapid decline in glomerular filtration rate during the first weeks following heart transplantation

    DEFF Research Database (Denmark)

    Hornum, M; Andersen, M; Gustafsson, F

    2011-01-01

    We hypothesized that a decrease in renal function is seen immediately after heart transplantation (HTX) with little recovery over time. Twelve consecutive patients had their glomerular filtration rate (GFR) measured using (51)Cr-ethylenediaminetetraacetic acid (EDTA) measured GFR (mGFR) before...... transplantation and at 1, 2, 3, and 26 weeks after transplantation. The mGFR decreased by 28% and 24% during the first 3 and 26 weeks, respectively, with mean blood cyclosporine concentration as an independent risk factor for the decrease in mGFR. The identification of cyclosporine A (CsA) as the most important...

  4. Age-related decline in the rate of force development scaling factor.

    Science.gov (United States)

    Bellumori, Maria; Jaric, Slobodan; Knight, Christopher A

    2013-10-01

    Physical quickness is less in older adults with implications for fall prevention, movement initiation, and activities of daily living. The purpose was to compare control of rapid contractions in young and older adults within two diverse muscle groups: powerful elbow extensors (EE) and dexterous index finger abductors (IFA). Most-rapid force pulses to a variety of levels were recorded and peak force and rate of force development (RFD) were analyzed with linear regression. The resulting slope represents the dependent variable of interest, the RFD-scaling factor (RFD-SF). RFD-SF of EE and IFA strongly correlated both overall (r = .87, p < .01) and separately in young (r = .60, p < .05) and older (r = .77, p < .01) adults. RFD-SF values were different between muscle groups (F1,28 = 19.1, p < .001) and also less in elderly (F1,28 = 32.6, p < .001). We conclude that RFD-SF provides a sensitive assessment of muscle quickness that can be used to evaluate neuromuscular function in aging humans.

  5. EMG and heart rate responses decline within 5 days of daily whole-body vibration training with squatting.

    Directory of Open Access Journals (Sweden)

    André Rosenberger

    Full Text Available In this study, we examined the acute effects of a 5-day daily whole-body vibration (WBV training on electromyography (EMG responses of the m. rectus femoris and m. gastrocnemius lateralis, heart rate (HR, continuously recorded, and blood lactate levels. The purpose of the study was to investigate the adaptation of muscle activity, heart rate and blood lactate levels during 5 days of daily training. Two groups of healthy male subjects performed either squat exercises with vibration at 20 Hz on a side alternating platform (SE+V, n = 20, age  = 31.9±7.5 yrs., height  = 178.8±6.2 cm, body mass  = 79.2±11.4 kg or squat exercises alone (SE, n = 21, age  = 28.4±7.3 years, height  = 178.9±7.4 cm, body mass  = 77.2±9.7 kg. On training day 1, EMG amplitudes of the m. rectus femoris were significantly higher (P<0.05 during SE+V than during SE. However, this difference was no longer statistically significant on training days 3 and 5. The heart rate (HR response was significantly higher (P<0.05 during SE+V than during SE on all training days, but showed a constant decline throughout the training days. On training day 1, blood lactate increased significantly more after SE+V than after SE (P<0.05. On the following training days, this difference became much smaller but remained significantly different. The specific physiological responses to WBV were largest on the initial training day and most of them declined during subsequent training days, showing a rapid neuromuscular and cardiovascular adaptation to the vibration stimulus.

  6. Catch reconstructions reveal that global marine fisheries catches are higher than reported and declining.

    Science.gov (United States)

    Pauly, Daniel; Zeller, Dirk

    2016-01-01

    Fisheries data assembled by the Food and Agriculture Organization (FAO) suggest that global marine fisheries catches increased to 86 million tonnes in 1996, then slightly declined. Here, using a decade-long multinational 'catch reconstruction' project covering the Exclusive Economic Zones of the world's maritime countries and the High Seas from 1950 to 2010, and accounting for all fisheries, we identify catch trajectories differing considerably from the national data submitted to the FAO. We suggest that catch actually peaked at 130 million tonnes, and has been declining much more strongly since. This decline in reconstructed catches reflects declines in industrial catches and to a smaller extent declining discards, despite industrial fishing having expanded from industrialized countries to the waters of developing countries. The differing trajectories documented here suggest a need for improved monitoring of all fisheries, including often neglected small-scale fisheries, and illegal and other problematic fisheries, as well as discarded bycatch.

  7. Addressing Groundwater Declines with Precision Agriculture: An Economic Comparison of Monitoring Methods for Variable-Rate Irrigation

    Directory of Open Access Journals (Sweden)

    Grant H. West

    2017-01-01

    Full Text Available Irrigated row-crop agriculture is contributing to declining groundwater in areas such as the Mississippi Delta region of eastern Arkansas. There is a need to move toward sustainable levels of groundwater withdrawal. Recent improvements in remote monitoring technologies such as wireless soil moisture sensors and unmanned aerial vehicles offer the potential for farmers to effectively practice site-specific variable-rate irrigation management for the purpose of applying water more efficiently, reducing pumping costs, and retaining groundwater. Soil moisture sensors and unmanned aerial vehicles are compared here in terms of their net returns per acre-foot and cost-effectiveness of aquifer retention. Soil moisture sensors ($9.09 per acre-foot offer slightly more net returns to producers than unmanned aerial vehicles ($7.69 per acre-foot, though costs associated with unmanned aerial vehicles continue to drop as more manufacturers enter the market and regulations become clear.

  8. Diversity of Decline-Rate-Corrected Type 1a Supernova Rise times:One Mode or Two?

    Energy Technology Data Exchange (ETDEWEB)

    Strovink, Mark

    2007-05-01

    B-band light-curve rise times for eight unusually well-observed nearby Type Ia supernova (SNe) are fitted by a newly developed template-building algorithm, using light-curve functions that are smooth, flexible, and free of potential bias from externally derived templates and other prior assumptions. From the available literature, photometric BVRI data collected over many months, including the earliest points, are reconciled, combined, and fitted to a unique time of explosion for each SN. On average, after they are corrected for light-curve decline rate, three SNe rise in 18.81 {+-} 0.36 days, while five SNe rise in 16.64 {+-} 0.21 days. If all eight SNe are sampled from a single parent population (a hypothesis not favored by statistical tests), the rms intrinsic scatter of the decline-rate-corrected SN rise time is 0.96{sub -0.25}{sup +0.52} days--a first measurement of this dispersion. The corresponding global mean rise time is 17.44 {+-} 0.39 days, where the uncertainty is dominated by intrinsic variance. This value is {approx}2 days shorter than two published averages that nominally are twice as precise, though also based on small samples. When comparing high-z to low-z SN luminosities for determining cosmological parameters, bias can be introduced by use of a light-curve template with an unrealistic rise time. If the period over which light curves are sampled depends on z in a manner typical of current search and measurement strategies, a two-day discrepancy in template rise time can bias the luminosity comparison by {approx}0.03 magnitudes.

  9. Possible long-term decline in impact rates. 2. Lunar impact-melt data regarding impact history

    Science.gov (United States)

    Hartmann, William K.; Quantin, Cathy; Mangold, Nicolas

    2007-01-01

    Crater counts at lunar landing sites with measured ages establish a steep decline in cratering rate during the period ˜3.8 to ˜3.1 Gyr ago. Most models of the time dependence suggest a roughly constant impact rate (within factor ˜2) after about 3 Gyr ago, but are based on sparse data. Recent dating of impact melts from lunar meteorites, and Apollo glass spherules, clarifies impact rates from ˜3.2 to ˜2 Gyr ago or less. Taken together, these data suggest a decline with roughly 700 Myr half-life around 3 Gyr ago, and a slower decline after that, dropping by a factor ˜3 from about ˜2.3 Gyr ago until the present. Planetary cratering involved several phases with different time behaviors: (1) rapid sweep-up of most primordial planetesimals into planets in the first hundred Myr, (2) possible later effects of giant planet migration with enhanced cratering, (3) longer term sweep-up of leftover planetesimals, and finally (4) the present long-term "leakage" of asteroids from reservoirs such as the main asteroid belt and Kuiper belt. In addition, at any given point on the Moon, a pattern of "spikes" (sharp maxima of relatively narrow time width) will appear in the production rate of smaller craters (≲500 m?), not only from secondary debris from large primary lunar impacts at various distances from the point in question, but also from asteroid breakups dotted through Solar System history. The pattern of spikes varies according to type of sample being measured (i.e., glass spherules vs impact melts). For example, several data sets show an impact rate spike ˜470 Myr ago associated with the asteroid belt collision that produced the L chondrites (see Section 3.6 below). Such spikes should be less prominent in the production record of craters of D≳ few km. These phenomena affect estimates of planetary surfaces ages from crater counts, as discussed in a companion paper [Quantin, C., Mangold, N., Hartmann, W.K., Allemand, P., 2007. Icarus 186, 1-10]. Fewer impact melts and

  10. Prognostic Significance of Left Ventricular Mass Index and Renal Function Decline Rate in Chronic Kidney Disease G3 and G4

    Science.gov (United States)

    Huang, Jiun-Chi; Chen, Szu-Chia; Tsai, Yi-Chun; Kuo, I-Ching; Chiu, Yi-Wen; Chang, Jer-Ming; Hwang, Shang-Jyh; Chen, Hung-Chun

    2017-01-01

    The effect of left ventricular mass index (LVMI) and estimated glomerular filtration rate (eGFR) decline rate on outcome prediction in patients with chronic kidney disease (CKD) remains unclear. We included 306 CKD G3 and G4 patients with LVMI assessed through echocardiography. Rapid decline in renal function was defined as the eGFR slope <−3 mL/min/1.73 m2/year. Patients were stratified into four groups using sex-specific median values of LVMI and rapid eGFR decline. The composite outcome was progression to maintenance dialysis or death. 32 patients had the composite outcome during a median follow-up of 2.7 years. In multivariate Cox analysis, compared with patients with non-rapid eGFR decline and lower LVMI, those with non-rapid eGFR decline and higher LVMI (hazard ratio [HR]: 5.908, 95% confidence interval [CI] = 1.304–26.780), rapid eGFR decline and lower LVMI (HR: 12.737, 95% CI = 2.297–70.636), and rapid eGFR decline and higher LVMI (HR: 15.249, 95% CI = 3.365–69.097) had an increased risk of progression to adverse outcomes. LVMI and eGFR decline synergistically effect the prognostic implications in CKD G3 and G4 patients. PMID:28195182

  11. Low and declining attack rates of imported typhoid fever in the Netherlands 1997-2014, in spite of a restricted vaccination policy.

    Science.gov (United States)

    Suryapranata, F S T; Prins, M; Sonder, G J B

    2016-12-01

    Typhoid fever mainly occurs in (sub) tropical regions where sanitary conditions remain poor. In other regions it occurs mainly among returning travelers or their direct contacts. The aim of this study was to evaluate the current Dutch guidelines for typhoid vaccination. Crude annual attack rates (AR) per 100,000 Dutch travelers were calculated during the period 1997 to 2014 by dividing the number of typhoid fever cases by the estimated total number of travelers to a specific country or region. Regions of exposure and possible risk factors were evaluated. During the study period 607 cases of typhoid fever were reported. Most cases were imported from Asia (60%). Almost half of the cases were ethnically related to typhoid risk regions and 37% were cases visiting friends and relatives. The overall ARs for travelers to all regions declined significantly. Countries with the highest ARs were India (29 per 100,000), Indonesia (8 per 100,000), and Morocco (10 per 100,000). There was a significant decline in ARs among travelers to popular travel destinations such as Morocco, Turkey, and Indonesia. ARs among travelers to intermediate-risk areas according to the Dutch guidelines such as Latin America or Sub-Saharan Africa remained very low, despite the restricted vaccination policy for these areas compared to many other guidelines. The overall AR of typhoid fever among travelers returning to the Netherlands is very low and has declined in the past 20 years. The Dutch vaccination policy not to vaccinate short-term travelers to Latin-America, Sub-Saharan Africa, Thailand and Malaysia seems to be justified, because the ARs for these destinations remain very low. These results suggest that further restriction of the Dutch vaccination policy is justified.

  12. Effect of pharmacotherapy on rate of decline of lung function in chronic obstructive pulmonary disease: results from the TORCH study

    DEFF Research Database (Denmark)

    Celli, Bartolomé R; Thomas, Nicola E; Anderson, Julie A

    2008-01-01

    RATIONALE: Chronic obstructive pulmonary disease (COPD) is characterized by an accelerated decline in lung function. No drug has been shown conclusively to reduce this decline. OBJECTIVES: In a post hoc analysis of the Toward a Revolution in COPD Health (TORCH) study, we investigated the effects...

  13. Assessment of Lifespan Functioning Attainment (ALFA) scale: A quantitative interview for self-reported current and functional decline in schizophrenia.

    Science.gov (United States)

    Joseph, Jamie; Kremen, William S; Glatt, Stephen J; Franz, Carol E; Chandler, Sharon D; Liu, Xiaohua; Johnson, Barbara K; Tsuang, Ming T; Twamley, Elizabeth W

    2015-06-01

    Schizophrenia has been characterized as a disorder with poor outcomes across various functional domains, especially social and occupational functioning. Although these outcomes have been investigated based on patients' current functioning, few studies have considered the assessment of functional outcomes across the lifespan in schizophrenia. We developed a novel and brief scale of adulthood lifespan functioning, the Assessment of Lifespan Functioning Attainment (ALFA). We assessed current functioning and percentage of pre- and post-psychosis onset engagement for five functional domains including paid employment, living independently, romantic partnerships, close friendships, and recreational engagement with others. Pre-to post-psychosis functional decline was observed for all domains, with paid employment having the greatest decline (d = 2.68) and living independently having the least decline (d = .59). Our exploratory factor analysis suggests that a single factor accounted for the most variance in Pre-Psychosis Functioning in ALFA domains. Two factors explain the majority of variance in Post-Psychosis Functioning and Pre-to-Post Psychosis Decline: a sociability factor (close friendships and recreational engagement with others) and an independence factor (paid employment, living independently, romantic relationships). To our knowledge, this is the first study to report on a self-reported quantitative assessment of adult lifespan functioning in schizophrenia. The ALFA scale may be a useful tool for future research on functional outcomes in schizophrenia.

  14. Gel-based phosphoproteomics analysis of sarcoplasmic proteins in postmortem porcine muscle with pH decline rate and time differences

    DEFF Research Database (Denmark)

    Huang, Honggang; Larsen, Martin Røssel; Karlsson, Anders H

    2011-01-01

    Meat quality development is highly influenced by the pH decline caused by the postmortem (PM) glycolysis. Protein phosphorylation is an important mechanism in regulating the activity of glycometabolic enzymes. Here, a gel-based phosphoproteomic study was performed to analyze the protein...... phosphorylation in sarcoplasmic proteins from three groups of pigs with different pH decline rates from PM 1 to 24¿h. Globally, the fast pH decline group had the highest phosphorylation level at PM 1¿h, but lowest at 24¿h, whereas the slow pH decline group showed the reverse case. The same pattern was also...... observed in most individual bands in 1-DE. The protein phosphorylation levels of 12 bands were significantly affected by the synergy effects of pH and time (p...

  15. Local Recurrence in Women With Stage I Breast Cancer: Declining Rates Over Time in a Large, Population-Based Cohort

    Energy Technology Data Exchange (ETDEWEB)

    Canavan, Joycelin, E-mail: canavanjoycelin@gmail.com [Radiation Therapy Program and Breast Cancer Outcomes Unit, British Columbia Cancer Agency, Vancouver Island Centre, University of British Columbia, Victoria, British Columbia (Canada); Truong, Pauline T.; Smith, Sally L. [Radiation Therapy Program and Breast Cancer Outcomes Unit, British Columbia Cancer Agency, Vancouver Island Centre, University of British Columbia, Victoria, British Columbia (Canada); Lu, Linghong; Lesperance, Mary [Department of Mathematics and Statistics, University of Victoria, British Columbia (Canada); Olivotto, Ivo A. [Department of Radiation Oncology, Tom Baker Cancer Centre, University of Calgary (Canada)

    2014-01-01

    increased. These changes contributed to the observed declining LR rates among patients treated with breast-conserving therapy.

  16. Declines in oil-rates of stranded birds in the North Sea highlight spatial patterns in reductions of chronic oil pollution.

    Science.gov (United States)

    Camphuysen, Kees C J

    2010-08-01

    Strandings of oiled seabirds are used to signal the problem of chronic oil pollution. Species-specific oil rates reflect the risk for marine birds to become oiled at sea. High oil rates were characteristic for seabirds common in areas with frequent oil spills; low oil rates for birds wintering away from the busiest shipping lanes. Declining trends in oil-rates were found, reflecting a reduction in the amount of oil intentionally discharged over the past 50years. Spatial patterns in the risk to become oiled could be identified, when the winter distribution patterns of the affected birds were incorporated in the analysis. Declines in oil rates were most pronounced in coastal birds. These trends were consistent with tendencies to police nearshore waters more effectively than offshore waters. While levels of chronic oil pollution are much reduced, future emphasis should be to reduce chronic oiling more effectively in offshore waters.

  17. Fertility decline in Paraguay.

    Science.gov (United States)

    Ishida, Kanako; Stupp, Paul; Melian, Mercedes

    2009-09-01

    Recent reproductive health surveys show that the fertility rate in Paraguay decreased precipitously from 4.3 lifetime births per woman in 1995-98 to 2.9 births in 2001-04. In this study, we establish data consistency between the 1998 and 2004 surveys by comparing a series of cohort-specific period rates and use the Bongaarts framework of proximate determinants of fertility to demonstrate that an increase in the contraceptive prevalence rate (CPR) between 1998 and 2004 fully accounts for the fertility decline. Decomposition of rates shows that changes in group-specific CPRs explain a greater proportion of the change in the overall CPR than do changes in population composition by educational attainment, urban residence, region, and language spoken at home. Finally, we show that younger cohorts of women in 2004 reported ideal completed fertility desires of less than 2.9 births, suggesting that the fertility rate is likely to continue to decrease.

  18. Final Report - The Decline and Fall of the Superconducting Super Collider

    Energy Technology Data Exchange (ETDEWEB)

    RIORDAN, MICHAEL

    2011-11-29

    In October 1993 the US Congress terminated the Superconducting Super Collider — at the time the largest pure-science project ever attempted, with a total cost estimated to exceed $10 billion. It was a stunning loss for the US highenergy physics community, which until that moment had perched for decades at the pinnacle of American science. Ever since 1993, this once-dominant scientific community has been in gradual decline. With the 2010 startup of research on the CERN Large Hadron Collider and the 2011 shutdown of the Fermilab Tevatron, world leadership in elementary-particle physics has crossed the Atlantic and returned to Europe.

  19. Declination Calculator

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Declination is calculated using the current International Geomagnetic Reference Field (IGRF) model. Declination is calculated using the current World Magnetic Model...

  20. Higher baseline serum uric acid is associated with poorer cognition but not rates of cognitive decline in women.

    Science.gov (United States)

    Vannorsdall, Tracy D; Kueider, Alexandra M; Carlson, Michelle C; Schretlen, David J

    2014-12-01

    Serum uric acid is a powerful antioxidant that may have neuroprotective properties. While some studies have found that greater serum uric acid is associated with better cognition in older adults, it is also associated with numerous vascular risk factors that increase risk for dementia. Women may also be particularly vulnerable to the vascular effects of elevated uric acid. We previously found that mildly elevated serum uric acid is a biomarker of cognitive dysfunction in older adults, and that this likely is mediated by cerebral ischemic burden. Here we examine both cross-sectional and longitudinal associations between serum uric acid and declines in cognition and functioning in 423 cognitively healthy community-dwelling older women in the Women's Health and Aging Study (WHAS II). We hypothesized that higher serum uric acid would be associated with poorer concurrent functioning and greater declines over 9 years. In linear regression analyses, higher baseline serum uric acid was associated with poorer working memory, with a trend toward slower manual speed and dexterity before and after adjusting for baseline serum uric acid, demographic and health/cardiovascular variables. However, there were no associations for global cognitive functioning, learning/memory, sequencing, verbal fluency, or visuoconstruction. Mixed effects models also revealed no association with subsequent cognitive declines. Future research should examine changes in serum uric acid at earlier periods in the lifespan and their relationships with later cognitive declines. Copyright © 2014 Elsevier Inc. All rights reserved.

  1. Subjective Cognitive Decline in Older Adults: An Overview of Self-Report Measures Used Across 19 International Research Studies

    Science.gov (United States)

    Rabin, Laura A.; Smart, Colette M.; Crane, Paul K.; Amariglio, Rebecca E.; Berman, Lorin M.; Boada, Mercè; Buckley, Rachel F.; Chételat, Gaël; Dubois, Bruno; Ellis, Kathryn A.; Gifford, Katherine A.; Jefferson, Angela L.; Jessen, Frank; Katz, Mindy J.; Lipton, Richard B.; Luck, Tobias; Maruff, Paul; Mielke, Michelle M.; Molinuevo, José Luis; Naeem, Farnia; Perrotin, Audrey; Petersen, Ronald C.; Rami, Lorena; Reisberg, Barry; Rentz, Dorene M.; Riedel-Heller, Steffi G.; Risacher, Shannon L.; Rodriguez, Octavio; Sachdev, Perminder S.; Saykin, Andrew J.; Slavin, Melissa J.; Snitz, Beth E.; Sperling, Reisa A.; Tandetnik, Caroline; van der Flier, Wiesje M.; Wagner, Michael; Wolfsgruber, Steffen; Sikkes, Sietske A.M.

    2015-01-01

    Research increasingly suggests that subjective cognitive decline (SCD) in older adults, in the absence of objective cognitive dysfunction or depression, may be a harbinger of non-normative cognitive decline and eventual progression to dementia. Little is known, however, about the key features of self-report measures currently used to assess SCD. The Subjective Cognitive Decline Initiative (SCD-I) Working Group is an international consortium established to develop a conceptual framework and research criteria for SCD (Jessen et al., 2014, Alzheimers Dement 10, 844–852). In the current study we systematically compared cognitive self-report items used by 19 SCD-I Working Group studies, representing 8 countries and 5 languages. We identified 34 self-report measures comprising 640 cognitive self-report items. There was little overlap among measures—approximately 75% of measures were used by only one study. Wide variation existed in response options and item content. Items pertaining to the memory domain predominated, accounting for about 60% of items surveyed, followed by executive function and attention, with 16% and 11% of the items, respectively. Items relating to memory for the names of people and the placement of common objects were represented on the greatest percentage of measures (56% each). Working group members reported that instrument selection decisions were often based on practical considerations beyond the study of SCD specifically, such as availability and brevity of measures. Results document the heterogeneity of approaches across studies to the emerging construct of SCD. We offer preliminary recommendations for instrument selection and future research directions including identifying items and measure formats associated with important clinical outcomes. PMID:26402085

  2. Changing sources and environmental factors reduce the rates of decline of organochlorine pesticides in the Arctic atmosphere

    Directory of Open Access Journals (Sweden)

    S. Becker

    2012-05-01

    Full Text Available An extensive database of organochlorine (OC pesticide concentrations measured at the Norwegian Arctic monitoring station at Ny-Ålesund, Svalbard, was analysed to assess longer-term trends in the Arctic atmosphere. Dynamic Harmonic Regression (DHR is employed to investigate the seasonal and cyclical behaviour of chlordanes, DDTs and hexachlorobenzene (HCB, and to isolate underlying inter-annual trends. Although a simple comparison of annual mean concentrations (1994–2005 suggest a decline for all of the OCs investigated, the longer-term trends identified by DHR only show a significant decline for p,p'-DDT. Indeed, HCB shows an increase from 2003–2005. This is thought to be due to changes in source types and the presence of impurities in current use pesticides, together with retreating sea ice affecting air-water exchange. Changes in source types were revealed by using isomeric ratios for the chlordanes and DDTs. Declining trends in ratios of trans-chlordane/cis-chlordane (TC/CC indicate a shift from primary sources, to more "weathered" secondary sources, whereas an increasing trend in o,p'-DDT/p,p'-DDT ratios indicate a shift from use of technical DDT to dicofol. Continued monitoring of these OC pesticides is required to fully understand the influence of a changing climate on the behaviour and environmental cycling of these chemicals in the Arctic as well as possible impacts from "new" sources.

  3. Baseline characteristics, analysis plan and report on feasibility for the Prevention Of Decline in Cognition After Stroke Trial (PODCAST).

    Science.gov (United States)

    Scutt, Polly; Blackburn, Dan; Krishnan, Kailash; Ballard, Clive; Burns, Alistair; Ford, Gary A; Mant, Jonathan; Passmore, Peter; Pocock, Stuart; Reckless, John; Sprigg, Nikola; Stewart, Rob; Wardlaw, Joanna M; Bath, Philip M

    2015-11-07

    A common complication after stroke is development of cognitive impairment and dementia. However, effective strategies for reducing the risk of developing these problems remain undefined. Potential strategies include intensive lowering of blood pressure (BP) and/or lipids. This paper summarises the baseline characteristics, statistical analysis plan and feasibility of a randomised control trial of blood pressure and lipid lowering in patients post-stroke with the primary objective of reducing cognitive impairment and dementia. The Prevention Of Decline in Cognition After Stroke Trial (PODCAST) was a multi-centre prospective randomised open-label blinded-endpoint controlled partial-factorial internal pilot trial running in secondary and primary care. Participants without dementia were enrolled 3-7 months post ischaemic stroke or spontaneous intracerebral haemorrhage, and randomised to intensive versus guideline BP lowering (target systolic BP <125 mmHg versus <140 mmHg); patients with ischaemic stroke were also randomised to intensive or guideline lipid lowering (target LDL cholesterol <1.4 mmol/L versus <3 mmol/L). The primary outcome was the Addenbrooke's Cognitive Examination-Revised; a key secondary outcome was to assess feasibility of performing a large trial of one or both interventions. Data are number (%) or mean (standard deviation). The trial was planned to last for 8 years with follow-up between 1 and 8 years. The plan for reporting the main results is included as Additional file 2. 83 patients (of a planned 600) were recruited from 19 UK sites between 7 October 2010 and 31 January 2014. Delays, due to difficulties in the provision of excess treatment costs and to complexity of follow-up, led to few centres taking part and a much lower recruitment rate than planned. Patient characteristics at baseline were: age 74 (SD 7) years, male 64 (77 %), index stroke ischaemic 77 (93 %), stroke onset to randomisation 4.5 [SD 1.3] months, Addenbrooke's Cognitive

  4. Do bonding and bridging social capital affect self-rated health, depressive mood and cognitive decline in older Japanese? A prospective cohort study.

    Science.gov (United States)

    Murayama, Hiroshi; Nishi, Mariko; Matsuo, Eri; Nofuji, Yu; Shimizu, Yumiko; Taniguchi, Yu; Fujiwara, Yoshinori; Shinkai, Shoji

    2013-12-01

    Little is known regarding the longitudinal effects of bonding and bridging social capital on health. This study examined the longitudinal associations of bonding and bridging social capital with self-rated health, depressive mood, and cognitive decline in community-dwelling older Japanese. Data analyzed in this study were from the 2010 (baseline) and 2012 (follow-up) Hatoyama Cohort Study. Bonding social capital was assessed by individual perception of homogeneity of the neighborhood (the level of homogeneity among neighbors) and of networks (the amount of homogeneous personal networks) in relation to age, gender, and socioeconomic status. Bridging social capital was assessed by individual perception of heterogeneity of networks (the amount of heterogeneous personal networks) in relation to age, gender, and socioeconomic status. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated to evaluate the effects of baseline social capital on poor health outcome at follow-up by logistic regression analysis. In total, 681 people completed baseline and follow-up surveys. The mean age of participants was 71.8 ± 5.1 years, and 57.9% were male. After adjusting for sociodemographics, lifestyle factors, comorbidity, functional capacity, baseline score of each outcome, and other bonding/bridging social capital, stronger perceived neighborhood homogeneity was inversely associated with poor self-rated health (OR = 0.55, 95% CI = 0.30-1.00) and depressive mood assessed by the Geriatric Depression Scale (OR = 0.58, 95% CI = 0.34-0.99). When participants who reported a depressive mood at baseline were excluded, stronger perceived heterogeneous network was inversely associated with depressive mood (OR = 0.40, 95% CI = 0.19-0.87). Neither bonding nor bridging social capital was significantly associated with cognitive decline assessed by the Mini-Mental State Examination. In conclusion, bonding and bridging social capital affect health in different ways, but they both have

  5. Declining rates of health problems associated with crack smoking during the expansion of crack pipe distribution in Vancouver, Canada.

    Science.gov (United States)

    Prangnell, Amy; Dong, Huiru; Daly, Patricia; Milloy, M J; Kerr, Thomas; Hayashi, Kanna

    2017-02-03

    Crack cocaine smoking is associated with an array of negative health consequences, including cuts and burns from unsafe pipes, and infectious diseases such as HIV. Despite the well-established and researched harm reduction programs for injection drug users, little is known regarding the potential for harm reduction programs targeting crack smoking to reduce health problems from crack smoking. In the wake of recent crack pipe distribution services expansion, we utilized data from long running cohort studies to estimate the impact of crack pipe distribution services on the rates of health problems associated with crack smoking in Vancouver, Canada. Data were derived from two prospective cohort studies of community-recruited people who inject drugs in Vancouver between December 2005 and November 2014. We employed multivariable generalized estimating equations to examine the relationship between crack pipe acquisition sources and self-reported health problems associated with crack smoking (e.g., cut fingers/sores, coughing blood) among people reported smoking crack. Among 1718 eligible participants, proportions of those obtaining crack pipes only through health service points have significantly increased from 7.2% in 2005 to 62.3% in 2014 (p pipes only through other sources (e.g., on the street, self-made), those acquiring pipes through health service points only were significantly less likely to report health problems from smoking crack (adjusted odds ratio: 0.82; 95% confidence interval: 0.73-0.93). These findings suggest that the expansion of crack pipe distribution services has likely served to reduce health problems from smoking crack in this setting. They provide evidence supporting crack pipe distribution programs as a harm reduction service for crack smokers.

  6. Knock-in reporter mice demonstrate that DNA repair by non-homologous end joining declines with age.

    Directory of Open Access Journals (Sweden)

    Amita Vaidya

    2014-07-01

    Full Text Available Accumulation of genome rearrangements is a characteristic of aged tissues. Since genome rearrangements result from faulty repair of DNA double strand breaks (DSBs, we hypothesized that DNA DSB repair becomes less efficient with age. The Non-Homologous End Joining (NHEJ pathway repairs a majority of DSBs in vertebrates. To examine age-associated changes in NHEJ, we have generated an R26NHEJ mouse model in which a GFP-based NHEJ reporter cassette is knocked-in to the ROSA26 locus. In this model, NHEJ repair of DSBs generated by the site-specific endonuclease, I-SceI, reconstitutes a functional GFP gene. In this system NHEJ efficiency can be compared across tissues of the same mouse and in mice of different age. Using R26NHEJ mice, we found that NHEJ efficiency was higher in the skin, lung, and kidney fibroblasts, and lower in the heart fibroblasts and brain astrocytes. Furthermore, we observed that NHEJ efficiency declined with age. In the 24-month old animals compared to the 5-month old animals, NHEJ efficiency declined 1.8 to 3.8-fold, depending on the tissue, with the strongest decline observed in the skin fibroblasts. The sequence analysis of 300 independent NHEJ repair events showed that, regardless of age, mice utilize microhomology sequences at a significantly higher frequency than expected by chance. Furthermore, the frequency of microhomology-mediated end joining (MMEJ events increased in the heart and lung fibroblasts of old mice, suggesting that NHEJ becomes more mutagenic with age. In summary, our study provides a versatile mouse model for the analysis of NHEJ in a wide range of tissues and demonstrates that DNA repair by NHEJ declines with age in mice, which could provide a mechanism for age-related genomic instability and increased cancer incidence with age.

  7. Knock-In Reporter Mice Demonstrate that DNA Repair by Non-homologous End Joining Declines with Age

    Science.gov (United States)

    Vaidya, Amita; Mao, Zhiyong; Tian, Xiao; Spencer, Brianna; Seluanov, Andrei; Gorbunova, Vera

    2014-01-01

    Accumulation of genome rearrangements is a characteristic of aged tissues. Since genome rearrangements result from faulty repair of DNA double strand breaks (DSBs), we hypothesized that DNA DSB repair becomes less efficient with age. The Non-Homologous End Joining (NHEJ) pathway repairs a majority of DSBs in vertebrates. To examine age-associated changes in NHEJ, we have generated an R26NHEJ mouse model in which a GFP-based NHEJ reporter cassette is knocked-in to the ROSA26 locus. In this model, NHEJ repair of DSBs generated by the site-specific endonuclease, I-SceI, reconstitutes a functional GFP gene. In this system NHEJ efficiency can be compared across tissues of the same mouse and in mice of different age. Using R26NHEJ mice, we found that NHEJ efficiency was higher in the skin, lung, and kidney fibroblasts, and lower in the heart fibroblasts and brain astrocytes. Furthermore, we observed that NHEJ efficiency declined with age. In the 24-month old animals compared to the 5-month old animals, NHEJ efficiency declined 1.8 to 3.8-fold, depending on the tissue, with the strongest decline observed in the skin fibroblasts. The sequence analysis of 300 independent NHEJ repair events showed that, regardless of age, mice utilize microhomology sequences at a significantly higher frequency than expected by chance. Furthermore, the frequency of microhomology-mediated end joining (MMEJ) events increased in the heart and lung fibroblasts of old mice, suggesting that NHEJ becomes more mutagenic with age. In summary, our study provides a versatile mouse model for the analysis of NHEJ in a wide range of tissues and demonstrates that DNA repair by NHEJ declines with age in mice, which could provide a mechanism for age-related genomic instability and increased cancer incidence with age. PMID:25033455

  8. Forecasting the declining rate of chronic hepatitis-B carrier status at a Taiwanese university: twenty years after implementation of an universal HBV vaccination program in Taiwan.

    Science.gov (United States)

    Su, Fu-Hsiung; Huang, Hsiao-Yun; Chang, Hong-Jer; Jeng, Jin-Ju; Liu, Yi-Hui; Chen, Chih-Dao

    2007-01-01

    Prior to the introduction of universal hepatitis B virus (HBV) vaccination in Taiwan in 1984, 15-20% of the general population were chronic HBV carriers. We forecasted and quantified the declining HBV carrier rate 20 years subsequent to the implementation of universal HBV vaccination in Taiwan. At a Taiwanese university, 28,763 freshmen tested for serum HBsAg level were divided into ten age cohorts by date of birth, from July 1976 to June 1986 inclusive. Comparisons of HBsAg carrier rates according to gender were examined with the Z test. Regression methods and a time series model were applied to our sample to forecast trends in changes to the HBsAg carrier rate for the next five years. Regression analysis demonstrated a trend toward declining HBsAg-positive carrier rates. The HBsAg carrier rate for male students decreased from 16.8% (for those born between July 1976 and June 1977) to 2.2% (for those born between July 1985 and June 1986). The carrier rate for their female counterparts over the same period declined from 12.2% to 2.4%. The HBsAg carrier rate for male participants was significantly greater than that of their female counterparts for certain years during the test period. The results of time series analysis suggests the HBsAg carrier status rate will approach zero for students born after July 1987 (expected to enrol in the university in 2006). Our data demonstrate that in order for the HBV carrier rate to approximate zero, universal vaccination programs need to continue for at least 21 years.

  9. Metabolically Derived Human Ventilation Rates: A Revised Approach Based Upon Oxygen Consumption Rates (Final Report, 2009)

    Science.gov (United States)

    EPA announced the availability of the final report, Metabolically Derived Human Ventilation Rates: A Revised Approach Based Upon Oxygen Consumption Rates. This report provides a revised approach for calculating an individual's ventilation rate directly from their oxygen c...

  10. 47 CFR 65.600 - Rate of return reports.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Rate of return reports. 65.600 Section 65.600... OF RETURN PRESCRIPTION PROCEDURES AND METHODOLOGIES Rate of Return Reports § 65.600 Rate of return...) months after the end of each calendar year, an annual rate of return monitoring report which shall be...

  11. Getting a piece of the pie? The economic boom of the 1990s and declining teen birth rates in the United States.

    Science.gov (United States)

    Colen, Cynthia G; Geronimus, Arline T; Phipps, Maureen G

    2006-09-01

    In the United States, the 1990s was a decade of dramatic economic growth as well as a period characterized by substantial declines in teenage childbearing. This study examines whether falling teen fertility rates during the 1990s were responsive to expanding employment opportunities and whether the implementation of the Personal Responsibility and Work Opportunities Act (PRWORA), increasing rates of incarceration, or restrictive abortion policies may have affected this association. Fixed-effects Poisson regression models were estimated to assess the relationship between age-specific birth rates and state-specific unemployment rates from 1990 to 1999 for Black and White females aged 10-29. Falling unemployment rates in the 1990s were associated with decreased childbearing among African-American women aged 15-24, but were largely unrelated to declines in fertility for Whites. For 18-19 year-old African-Americans, the group for whom teen childbearing is most normative, our model accounted for 85% of the decrease in rates of first births. Young Black women, especially older teens, may have adjusted their reproductive behavior to take advantage of expanded labor market opportunities.

  12. Late acceleration of glomerular filtration rate decline is a risk for hemodialysis catheter use in patients with established nephrology chronic kidney disease care.

    Science.gov (United States)

    Chin, Andrew I; Nguyen, Tuan A; Dinesh, Kumar P; Morfin, José A

    2015-07-01

    Chronic kidney disease (CKD) patients with established nephrology care have a high rate of tunneled dialysis catheters (TDC) as first vascular access when transitioning to hemodialysis (HD). We sought to identify factors associated with this problem. Patients who started HD and had prior CKD care within our renal clinic were categorized according to access type at incident HD. Clinical factors, all estimated glomerular filtration rates (eGFR), renal clinic attendance records, hospital admissions in the 6 months preceding HD start, and patient participation in predialysis education course were analyzed. Three hundred thirty-eight patients initiated HD, 107 received pre-HD CKD care within our clinics. Seventy patients started with a TDC. All groups started HD at similar eGFR values. The trajectory of eGFR decline in the 6 months prior to HD start was significantly more rapid in the TDC group. Patients in the TDC group had more acute health events in the prior 6 months. Multivariate modeling showed that failure to attend a predialysis education course and having a more rapid rate of eGFR decline in the 6 months prior to dialysis initiation were both associated with TDC use. Patients with CKD nephrology care who initiated HD with a TDC as first vascular access had a more rapid rate of decline in eGFR in the months preceding dialysis start and were less likely to have attended our predialysis education course. This appears to correspond with the observed increased number of emergency and hospital visits in the 6 months prior to end-stage renal disease.

  13. Rate of decline of forced vital capacity predicts future arterial hypertension: the Coronary Artery Risk Development in Young Adults Study.

    Science.gov (United States)

    Jacobs, David R; Yatsuya, Hiroshi; Hearst, Mary O; Thyagarajan, Bharat; Kalhan, Ravi; Rosenberg, Sharon; Smith, Lewis J; Barr, R Graham; Duprez, Daniel A

    2012-02-01

    Lung function studies in middle-aged subjects predict cardiovascular disease mortality. We studied whether greater loss of forced vital capacity (FVC) early in life predicted incident hypertension. The sample was 3205 black and white men and women in the Coronary Artery Risk Development in Young Adults Study examined between 1985 and 1986 (Coronary Artery Risk Development in Young Adults year 0, ages 18-30 years) and 2005-2006 and who were not hypertensive by year 10. FVC was assessed at years 0, 2, 5, 10, and 20. Proportional hazard ratios and linear regression models predicted incident hypertension at years 15 or 20 (n=508) from the change in FVC (FVC at year 10 - peak FVC, where peak FVC was estimated as the maximum across years 0, 2, 5, and 10). Covariates included demographics, center, systolic blood pressure, FVC maximum, smoking, physical activity, asthma, and body mass index. Unadjusted cumulative incident hypertension was 25% in the lowest FVC loss quartile (Q1; median loss: 370 mL) compared with 12% cumulative incident hypertension in those who achieved peak FVC at year 10 (Q4). Minimally adjusted hazard ratio for Q1 versus Q4 was 2.21 (95% CI: 1.73-2.83), and this association remained significant in the fully adjusted model (1.37; 95% CI: 1.05-1.80). Decline in FVC from average age at peak (29.4 years) to 35 years old predicted incident hypertension between average ages 35 and 45 years. The findings may represent a common pathway that may link low normal FVC to cardiovascular disease morbidity and mortality.

  14. 32 CFR 635.33 - Crime rate reporting.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true Crime rate reporting. 635.33 Section 635.33... CRIMINAL INVESTIGATIONS LAW ENFORCEMENT REPORTING Army Quarterly Trends and Analysis Report § 635.33 Crime rate reporting. (a) The USACRC is the Army's collection point and analytic center for all...

  15. Decline in estimated glomerular filtration rate and subsequent risk of end-stage renal disease and mortality

    NARCIS (Netherlands)

    Coresh, J.; Turin, T.C.; Matsushita, K.; Sang, Y.; Ballew, S.H.; Appel, L.J.; Arima, H.; Chadban, S.J.; Cirillo, M.; Djurdjev, O.; Green, J.A.; Heine, G.H.; Inker, L.A.; Irie, F.; Ishani, A.; Ix, J.H.; Kovesdy, C.P.; Marks, A.; Ohkubo, T.; Shalev, V.; Shankar, A.; Wen, C.P.; Jong, P.E. de; Iseki, K.; Stengel, B.; Gansevoort, R.T.; Levey, A.S.; Wetzels, J.F.M.

    2014-01-01

    IMPORTANCE: The established chronic kidney disease (CKD) progression end point of end-stage renal disease (ESRD) or a doubling of serum creatinine concentration (corresponding to a change in estimated glomerular filtration rate [GFR] of -57% or greater) is a late event. OBJECTIVE: To characterize th

  16. Decline in estimated glomerular filtration rate and subsequent risk of end-stage renal disease and mortality

    NARCIS (Netherlands)

    Coresh, Josef; Turin, Tanvir Chowdhury; Matsushita, Kunihiro; Sang, Yingying; Ballew, Shoshana H.; Appel, Lawrence J.; Arima, Hisatomi; Chadban, Steven J.; Cirillo, Massimo; Djurdjev, Ognjenka; Green, Jamie A.; Heine, Gunnar H.; Inker, Lesley A.; Irie, Fujiko; Ishani, Areef; Ix, Joachim H.; Kovesdy, Csaba P.; Marks, Angharad; Ohkubo, Takayoshi; Shalev, Varda; Shankar, Anoop; Wen, Chi Pang; de Jong, Paul E.; Iseki, Kunitoshi; Stengel, Benedicte; Gansevoort, Ron T.; Levey, Andrew S.

    2014-01-01

    IMPORTANCE: The established chronic kidney disease (CKD) progression end point of end-stage renal disease (ESRD) or a doubling of serum creatinine concentration (corresponding to a change in estimated glomerular filtration rate [GFR] of −57% or greater) is a late event. OBJECTIVE: To characterize th

  17. Distribution of Effort-Reward Imbalance in Denmark and Its Prospective Association With a Decline in Self-Rated Health

    NARCIS (Netherlands)

    Rugulies, Reiner; Aust, Birgit; Siegrist, Johannes; von dem Knesebeck, Olaf; Bultmann, Ute; Bjorner, Jakob B.; Burr, Hermann

    2009-01-01

    Objective: To analyze the distribution of effort-reward imbalance (ERI) and to investigate its impact on self-rated health in a representative sample of the Danish workforce. Methods: We studied 4977 employees who responded to a questionnaire in 2000, of which 3470 responded to a follow-up survey in

  18. Health Insurance In China: After Declining In The 1990s, Coverage Rates Rebounded To Near-Universal Levels By 2011.

    Science.gov (United States)

    Li, Yanping; Malik, Vasanti; Hu, Frank B

    2017-08-01

    We analyzed trends in rates of health insurance coverage in China in the period 1991-2011 and the association of health insurance with hypertension and diabetes based on data from eight waves of the China Health and Nutrition Survey. The rate of coverage fell from 32.3 percent in 1991 to 21.9 percent in 2000, rebounding to 49.7 percent in 2006 and then rapidly climbing to 94.7 percent in 2011. Our study indicated that neither the prevalence of diabetes nor that of hypertension was significantly associated with health insurance coverage. When patients were aware of their condition or disease, those with insurance had a significantly higher likelihood of treatment for diabetes and hypertension, compared to those without insurance. We observed an association between health insurance coverage and seeking preventive care and receiving medical treatment when patients were aware of their condition or disease. Project HOPE—The People-to-People Health Foundation, Inc.

  19. [The decline of fertility in Western Europe. II. Which fertility rate would be desirable in France? (author's transl)].

    Science.gov (United States)

    Calot, G

    1977-01-01

    A way to try and assess the significance of such or such level in long term fertility is to work out population projections based on a variety of assumptions and to compare their different implications. The age pyramids of France until 2100 that derive from four contrasted evolutions of fertility are studied in the present article: completed fertility in birth cohorts ranging from 1.4 to 2.6 children per woman. While some demographic parameters are not much sensitive to the assumption made for the fertility level (e.g. percent of economically active people in total population), others are closely related to fertility (such as total number of inhabitants, percent of younger people or of older people in total population, annual rate of entry into economically active population). In France, where population density is much lower than in most neighbouring countries, a fertility level that would lay at -- or a little higher than -- replacement (i.e. 2.1 children per woman) can be considered as a desirable target.

  20. Federal Prevailing Rate Advisory Committee (FPRAC) Annual Reports

    Data.gov (United States)

    Office of Personnel Management — Annual reports of the Federal Prevailing Rate Advisory Committee (FPRAC), which studies the prevailing (market) rate system for wages and other matters pertinent to...

  1. ROBUST DECLINE CURVE ANALYSIS

    Directory of Open Access Journals (Sweden)

    Sutawanir Darwis

    2012-05-01

    Full Text Available Empirical decline curve analysis of oil production data gives reasonable answer in hyperbolic type curves situations; however the methodology has limitations in fitting real historical production data in present of unusual observations due to the effect of the treatment to the well in order to increase production capacity. The development ofrobust least squares offers new possibilities in better fitting production data using declinecurve analysis by down weighting the unusual observations. This paper proposes a robustleast squares fitting lmRobMM approach to estimate the decline rate of daily production data and compares the results with reservoir simulation results. For case study, we usethe oil production data at TBA Field West Java. The results demonstrated that theapproach is suitable for decline curve fitting and offers a new insight in decline curve analysis in the present of unusual observations.

  2. Declines in tobacco brand recognition and ever-smoking rates among young children following restrictions on tobacco advertisements in Hong Kong.

    Science.gov (United States)

    Fielding, R; Chee, Y Y; Choi, K M; Chu, T K; Kato, K; Lam, S K; Sin, K L; Tang, K T; Wong, H M; Wong, K M

    2004-03-01

    We compared the recognition of tobacco brands and ever-smoking rates in young children before (1991) and after (2001) the implementation of cigarette advertising restrictions in Hong Kong and identified continuing sources of tobacco promotion exposure. A cross-sectional survey of 824 primary school children aged from 8 to 11 (Primary classes 3-4) living in two Hong Kong districts was carried out using self-completed questionnaires examining smoking behaviour and recognition of names and logos from 18 tobacco, food, drink and other brands common in Hong Kong. Ever-smoking prevalence in 2001 was 3.8 per cent (1991, 7.8 per cent). Tobacco brand recognition rates ranged from 5.3 per cent (Viceroy name) to 72.8 per cent (Viceroy logo). Compared with 1991, in 2001 never-smoker children recognized fewer tobacco brand names and logos: Marlboro logo recognition rate fell by 55.3 per cent. Similar declines were also seen in ever-smoker children, with recognition of the Marlboro logo decreasing 48 per cent. Recognition rates declined amongst both boys and girls. Children from non-smoking families constituted 51 per cent (426) of the sample, whereas 34.5 per cent (284), 8.5 per cent (70), 1.7 per cent (14) and 4.4 per cent (36) of the children had one, two, three or more than three smoking family members at home, respectively. Tobacco brand recognition rates and ever-smoking prevalence were significantly higher among children with smoking family members compared with those without. Among 12 possible sources of exposure to cigarette brand names and logos, retail stalls (75.5 per cent; 622), indirect advertisements (71.5 per cent; 589) and magazines (65.3 per cent; 538) were ranked the most common. Advertising restrictions in Hong Kong have effectively decreased primary-age children's recognition of tobacco branding. However, these children remain vulnerable to branding, mostly through exposure from family smokers, point-of-sale tobacco advertisement and occasional promotions

  3. An elevation of resting metabolic rate with declining health in nonagenarians may be associated with decreased muscle mass and function in women and men, respectively.

    Science.gov (United States)

    Kim, Sangkyu; Welsh, David A; Ravussin, Eric; Welsch, Michael A; Cherry, Katie E; Myers, Leann; Jazwinski, S Michal

    2014-06-01

    Previously, we showed that FI34, a frailty index based on 34 health and function ability variables, is heritable and a reliable phenotypic indicator of healthy aging. We have now examined the relationship between major components of energy expenditure and the FI34 in participants of the Louisiana Healthy Aging Study. Resting metabolic rate was associated with FI34, even after adjustment for fat-free mass, fat mass, age, sex, thyroid hormones, and insulin-like growth factor 1 levels, in multiple regression analyses. In contrast, there was no association between total daily energy expenditure and FI34. Circulating creatine phosphokinase, a clinical marker of muscle damage, was also significantly associated with FI34. However, these associations of resting metabolic rate with FI34 were restricted to the oldest old (≥90 years) and absent in younger age groups. In oldest old men, the association of FI34 with creatine phosphokinase persisted, whereas in the oldest old women, only the association with resting metabolic rate pertained with the appearance of an effect of body size and composition. These results point toward an increasing metabolic burden for the maintenance of homeodynamics as health declines in nonagenarians, and this has implications for contraction of metabolic reserve that may potentially accelerate the path to disability. © The Author 2013. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  4. Participation bias in postal surveys among older adults: the role played by self-reported health, physical functional decline and frailty.

    Science.gov (United States)

    Barreto, Philipe de Souto

    2012-01-01

    Postal survey is a simple and efficient way to collect information in large study samples. The purpose of this study was to find out differences between older adults who responded to a postal survey on health outcomes and those who did not, and to examine the importance of frailty, physical functional decline and poor self-reported health in determining non-response. We mailed out a questionnaire on general health twice at a year's interval to 1000 individuals ≥60 years, and members of the medical insurance scheme of the French national education system. At Year1, 535 persons responded to the questionnaire (65% women, 70.9 ± 8.4 years). A year later (Year2), we obtained 384 responses (63.3% women, 70.5 ± 7.8 years). Compared to respondents, non-respondents at Year2 were more frequently categorized as frail, reported more often to be in bad health, and had more physical functional declines. Frailty, physical functional decline and poor self-reported health increased the likelihood of not responding to Year2 questionnaire, with poor self-reported health weakening the association of physical functional decline and non-response. Respondents of this postal survey are fitter and healthier than non-respondents. This participation bias precludes the generalization of postal surveys results.

  5. Well production decline

    Energy Technology Data Exchange (ETDEWEB)

    Cvetkovic, Branimir

    2008-12-15

    Effective rate-time analysis during a declining production in an oil or gas wells is an important tool for establishing a successful management. The reasons behind the production decline include reservoir, fracture and well conditions. A well's decline rate is transient, signifying that the pressure wave propagates freely from the wellbore, leading to depletion when the outer boundary for the well is reached and to the wave propagation coming to a halt. This thesis studies the transient decline, with emphasis on a horizontal well with fracture wellbore responses. It also deals with the depletion decline, investigating the wellbore pressure responses for a vertical well producing under variable rate conditions of Arps decline. The well decline model solutions are analytical, and the modelling itself is carried out in two steps. The first step involves modelling the transient well responses of a multi fractured horizontal well. These responses originate from an infinitive reservoir and are considered as full-time rate-time responses. Multi-fractured horizontal well rate-time responses represent the solutions to a diffusion equation with varying boundary conditions and different fracture options (i.e., with or without fracture, a variety of fracture orientations, various fracture lengths, etc). The transient model calculates individual fracture rates, productivity indexes and an equivalent wellbore radius for the multi-fractured well. For the transient decline of a fractured-horizontal well model, well data is matched and the reservoir diagnosis and production prognosis are improved through the individual fracture production, with a model screening ability, and novel model features that can handle wellbore conditions changing from rate-to-pressure. Screening analyses can generate valuable information for fracture diagnosis in addition to a well and fracture production prognosis. Further model runs are carried out to match the real well data. The model solution is

  6. Variations in band reporting rate and implications for kill rate in Greater Snow Geese

    Directory of Open Access Journals (Sweden)

    Guillaume Souchay

    2014-06-01

    Full Text Available We assessed spatial and temporal variation in reporting probability of banded Greater Snow Geese (Chen caerulescens atlantica shot by hunters in eastern North America and evaluated potential residual biases in kill rate estimation. Adult Greater Snow Geese were marked with reward (value: US$10, $20, $30, $50, and $100 and standard bands ($0, control in the Canadian Arctic from 2003 to 2005. We used a spatially explicit multinomial model based on 200 direct recoveries from 4256 banded geese to estimate reporting rate and harvest rate. We found that reporting rate for standard bands varied over time whereas harvest rate was higher in Canada than in the U.S. The reporting probability increased from 0.40 ± 0.11 in the first year of the study to 0.82 ± 0.14 and 0.84 ± 0.13 the second and third years, respectively. Overall, these reporting rates are higher than two previous estimates for this population, which leads to lower estimates of kill rate. However, the large annual differences in reporting rates found in this study lead to uncertainty in the estimation of kill rate. We suggest that the increase in reporting rate in the last two year of the study may be due to the dissemination of information among hunters regarding the presence of reward bands on birds, resulting in increased reporting rate for all bands. This raises issues about the need to adequately inform the public in such large-scale studies to avoid undesirable temporal trends over the course of the study.

  7. Addressing the Declining Productivity of Higher Education Using Cost-Effectiveness Analysis. Stretching the Higher Education Dollar. Special Report 2

    Science.gov (United States)

    Harris, Douglas N.

    2013-01-01

    Higher education productivity, as measured by academic degrees granted by American colleges and universities, is declining. Since the early 1990s, real expenditures on higher education have grown by more than 25 percent, now amounting to 2.9 percent of US gross domestic product (GDP)--greater than the percentage of GDP spent on higher education in…

  8. Addressing the Declining Productivity of Higher Education Using Cost-Effectiveness Analysis. Stretching the Higher Education Dollar. Special Report 2

    Science.gov (United States)

    Harris, Douglas N.

    2013-01-01

    Higher education productivity, as measured by academic degrees granted by American colleges and universities, is declining. Since the early 1990s, real expenditures on higher education have grown by more than 25 percent, now amounting to 2.9 percent of US gross domestic product (GDP)--greater than the percentage of GDP spent on higher education in…

  9. Multi-unit Providers Survey. For-profits report decline in acute-care hospitals ... newcomers to top 10.

    Science.gov (United States)

    Bellandi, D; Kirchheimer, B

    1999-05-24

    For-profit hospital systems cleaned house last year. After years of adding hospitals, investor-owned operators shed facilities in 1998, recording the first decline in the number of acute-care hospitals they've owned or managed since 1991, according to our 23rd annual Multi-unit Providers Survey.

  10. Testing the impact of local alcohol licencing policies on reported crime rates in England

    Science.gov (United States)

    De Vocht, F; Heron, J; Campbell, R; Egan, M; Mooney, J D; Angus, C; Brennan, A; Hickman, M

    2017-01-01

    Background Excessive alcohol use contributes to public nuisance, antisocial behaviour, and domestic, interpersonal and sexual violence. We test whether licencing policies aimed at restricting its spatial and/or temporal availability, including cumulative impact zones, are associated with reductions in alcohol-related crime. Methods Reported crimes at English lower tier local authority (LTLA) level were used to calculate the rates of reported crimes including alcohol-attributable rates of sexual offences and violence against a person, and public order offences. Financial fraud was included as a control crime not directly associated with alcohol abuse. Each area was classified as to its cumulative licensing policy intensity for 2009–2015 and categorised as ‘passive’, low, medium or high. Crime rates adjusted for area deprivation, outlet density, alcohol-related hospital admissions and population size at baseline were analysed using hierarchical (log-rate) growth modelling. Results 284 of 326 LTLAs could be linked and had complete data. From 2009 to 2013 alcohol-related violent and sexual crimes and public order offences rates declined faster in areas with more ‘intense’ policies (about 1.2, 0.10 and 1.7 per 1000 people compared with 0.6, 0.01 and 1.0 per 1000 people in ‘passive’ areas, respectively). Post-2013, the recorded rates increased again. No trends were observed for financial fraud. Conclusions Local areas in England with more intense alcohol licensing policies had a stronger decline in rates of violent crimes, sexual crimes and public order offences in the period up to 2013 of the order of 4–6% greater compared with areas where these policies were not in place, but not thereafter. PMID:27514936

  11. On the rate of decline of persistent organic contaminants in lake trout (Salvelinus namaycush) from the Great Lakes, 1970-2003.

    Science.gov (United States)

    Carlson, Daniel L; De Vault, David S; Swackhamer, Deborah L

    2010-03-15

    Thirty-four years of data from the Great Lakes Fish Monitoring Program (GLFMP) show significant changes in the behavior of most contaminants in lake trout over time consistent with changes in contaminant inputs following regulation and remediation. Polybrominated diphenyl ethers (PBDEs) show positive apparent first-order rate constants falling to near zero. Dieldrin shows relatively unchanging half-lives of around 10 years except in Lake Superior (approximately 25 years). Mirex, consistently detected only in Lake Ontario fish, shows a slow decrease until the 1990s, when remediation of a source site occurred, after which half-lives are 2-3 years. Half-lives of oxychlordane, polychlorinated biphenyls (PCBs), and dichloro-diphenyl-trichlorethane (DDT) and its metabolites were typically 3-6 years until the mid 1980s; since then, the newest data confirm half-lives are usually around 15-30 years. For PCBs, an increasing half-life is found in other media as well. Changes in food web structure, fishery dynamics, and climate undoubtedly affect concentrations but cannot explain observed long-term trends across several media. Concentrations of legacy contaminants in the Great Lakes are likely to continue to decline only slowly and pose a health concern for decades without identifying and containing remaining sources.

  12. Intermediate volume on computed tomography imaging defines a fibrotic compartment that predicts glomerular filtration rate decline in autosomal dominant polycystic kidney disease patients.

    Science.gov (United States)

    Caroli, Anna; Antiga, Luca; Conti, Sara; Sonzogni, Aurelio; Fasolini, Giorgio; Ondei, Patrizia; Perico, Norberto; Remuzzi, Giuseppe; Remuzzi, Andrea

    2011-08-01

    Total kidney and cyst volumes have been used to quantify disease progression in autosomal dominant polycystic kidney disease (ADPKD), but a causal relationship with progression to renal failure has not been demonstrated. Advanced image processing recently allowed to quantify extracystic tissue, and to identify an additional tissue component named "intermediate," appearing hypoenhanced on contrast-enhanced computed tomography (CT). The aim of this study is to provide a histological characterization of intermediate volume, investigate its relation with renal function, and provide preliminary evidence of its role in long-term prediction of functional loss. Three ADPKD patients underwent contrast-enhanced CT scans before nephrectomy. Histological samples of intermediate volume were drawn from the excised kidneys, and stained with hematoxylin and eosin and with saturated picrosirius solution for histological analysis. Intermediate volume showed major structural changes, characterized by tubular dilation and atrophy, microcysts, inflammatory cell infiltrate, vascular sclerosis, and extended peritubular interstitial fibrosis. A significant correlation (r = -0.69, P < 0.001) between relative intermediate volume and baseline renal function was found in 21 ADPKD patients. Long-term prediction of renal functional loss was investigated in an independent cohort of 13 ADPKD patients, followed for 3 to 8 years. Intermediate volume, but not total kidney or cyst volume, significantly correlated with glomerular filtration rate decline (r = -0.79, P < 0.005). These findings suggest that intermediate volume may represent a suitable surrogate marker of ADPKD progression and a novel therapeutic target.

  13. Long-term data reveal a population decline of the tropical lizard Anolis apletophallus, and a negative affect of el nino years on population growth rate.

    Directory of Open Access Journals (Sweden)

    Jessica Stapley

    Full Text Available Climate change threatens biodiversity worldwide, however predicting how particular species will respond is difficult because climate varies spatially, complex factors regulate population abundance, and species vary in their susceptibility to climate change. Studies need to incorporate these factors with long-term data in order to link climate change to population abundance. We used 40 years of lizard abundance data and local climate data from Barro Colorado Island to ask how climate, total lizard abundance and cohort-specific abundance have changed over time, and how total and cohort-specific abundance relate to climate variables including those predicted to make the species vulnerable to climate change (i.e. temperatures exceeding preferred body temperature. We documented a decrease in lizard abundance over the last 40 years, and changes in the local climate. Population growth rate was related to the previous years' southern oscillation index; increasing following cooler-wetter, la niña years, decreasing following warmer-drier, el nino years. Within-year recruitment was negatively related to rainfall and minimum temperature. This study simultaneously identified climatic factors driving long-term population fluctuations and climate variables influencing short-term annual recruitment, both of which may be contributing to the population decline and influence the population's future persistence.

  14. Triglyceride levels are closely associated with mild declines in estimated glomerular filtration rates in middle-aged and elderly Chinese with normal serum lipid levels.

    Directory of Open Access Journals (Sweden)

    Xinguo Hou

    Full Text Available OBJECTIVE: To investigate the relationship between lipid profiles [including total cholesterol (TC, triglyceride (TG, low-density lipoprotein cholesterol (LDL-C and high-density lipoprotein cholesterol (HDL-C] and a mild decline in the estimated glomerular filtration rate (eGFR in subjects with normal serum lipid levels. DESIGN AND METHODS: In this study, we included 2647 participants who were ≥ 40 years old and had normal serum lipid levels. The Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI equation was used to estimate the GFR. A mildly reduced eGFR was defined as 60-90 mL/min/1.73 m(2. First, multiple linear regression analysis was used to estimate the association of lipid profiles with the eGFR. Then, the levels of each lipid component were divided into four groups, using the 25th, 50th and 75th percentiles as cut-off points. Finally, multiple logistic regression analysis was used to investigate the association of different lipid components with the risk of mildly reduced eGFR. RESULTS: In the group with a mildly reduced eGFR, TG and LDL-C levels were significantly increased, but HDL-C levels were significantly decreased. After adjusting for age, gender, body mass index (BMI, systolic blood pressure (SBP, glycated hemoglobin (HbA1c, smoking and drinking, only TC and TG were independently related to the eGFR. Additionally, only TG showed a linear relationship with an increased risk of a mildly reduced eGFR, with the highest quartile group (TG: 108-150 mg/dl [1.22-1.70 mmol/L] having a significantly increased risk after adjusting for the above factors. CONCLUSIONS: Triglyceride levels are closely associated with a mildly reduced eGFR in subjects with normal serum lipid levels. Dyslipidemia with lower TG levels could be used as new diagnostic criteria for subjects with mildly reduced renal function.

  15. Simple Moving Average: A Method of Reporting Evolving Complication Rates.

    Science.gov (United States)

    Harmsen, Samuel M; Chang, Yu-Hui H; Hattrup, Steven J

    2016-09-01

    Surgeons often cite published complication rates when discussing surgery with patients. However, these rates may not truly represent current results or an individual surgeon's experience with a given procedure. This study proposes a novel method to more accurately report current complication trends that may better represent the patient's potential experience: simple moving average. Reverse shoulder arthroplasty (RSA) is an increasingly popular and rapidly evolving procedure with highly variable reported complication rates. The authors used an RSA model to test and evaluate the usefulness of simple moving average. This study reviewed 297 consecutive RSA procedures performed by a single surgeon and noted complications in 50 patients (16.8%). Simple moving average for total complications as well as minor, major, acute, and chronic complications was then calculated using various lag intervals. These findings showed trends toward fewer total, major, and chronic complications over time, and these trends were represented best with a lag of 75 patients. Average follow-up within this lag was 26.2 months. Rates for total complications decreased from 17.3% to 8% at the most recent simple moving average. The authors' traditional complication rate with RSA (16.8%) is consistent with reported rates. However, the use of simple moving average shows that this complication rate decreased over time, with current trends (8%) markedly lower, giving the senior author a more accurate picture of his evolving complication trends with RSA. Compared with traditional methods, simple moving average can be used to better reflect current trends in complication rates associated with a surgical procedure and may better represent the patient's potential experience. [Orthopedics.2016; 39(5):e869-e876.].

  16. High Reported Spontaneous Stuttering Recovery Rates: Fact or Fiction?

    Science.gov (United States)

    Ramig, Peter R.

    1993-01-01

    Contact after 6 to 8 years with families of 21 children who were diagnosed as stuttering but did not receive fluency intervention services found that almost all subjects still had a stuttering problem. Results dispute the high spontaneous recovery rates reported in the literature and support the value of early intervention. (Author/DB)

  17. Effects of Cougar Predation and Nutrition on Mule Deer Population Declines in the Intermountain Province of the Columbia Basin, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Wielgus, Robert B.; Shipley, Lisa

    2002-07-01

    indices. Predation rates and population growth rates of deer will be determined using radio telemetry. Changes in cougar functional (kills/unit time), aggregative (cougars/unit area), numerical (offspring/cougar), and total (predation rate) responses on deer will also be monitored using radio telemetry. The experiment will be conducted and completed over a period of 5 years. Results will be used to determine the cause and try to halt the mule deer population declines. Results will also guide deer mitigation and management in the IM and throughout the North American West.

  18. Effects of Cougar Predation and Nutrition on Mule Deer Population Declines in the IM Province of the Columbia Basin, Annual Report 2002-2003.

    Energy Technology Data Exchange (ETDEWEB)

    Wielgus, Robert; Shipley, Lisa; Myers, Woodrow

    2003-09-01

    Construction of the Grand Coulee and Chief Joseph dams has resulted in inundation and loss of 29,125 total habitat units for mule deer and irrigation agriculture in many parts the Intermountain Province (IM) of the Columbia Basin. Mule deer in the Shrub-Steppe are ranked high priority target species for mitigation and management and are declining in most portions of the sub basins of the IM. Reasons for the decline are unknown but believed to be related to habitat changes resulting from dams and irrigation agriculture. White-tailed deer are believed to be increasing throughout the basin because of habitat changes brought about by the dams and irrigation agriculture. Recent research (1997-2000) in the NE IM and adjacent Canadian portions of the Columbia Basin (conducted by this author and funded by the Columbia Basin Fish & Wildlife Compensation Program B.C.), suggest that the increasing white-tailed deer populations (because of dams and irrigation agriculture) are resulting in increased predation by cougars on mule deer (apparent competition or alternate prey hypothesis). The apparent competition hypothesis predicts that as alternate prey (white-tailed deer) densities increase, so do densities of predators, resulting in increased incidental predation on sympatric native prey (mule deer). Apparent competition can result in population declines and even extirpation of native prey in some cases. Such a phenomenon may account for declines of mule deer in the IM and throughout arid and semi-arid West where irrigation agriculture is practiced. We will test the apparent competition hypothesis by conducting a controlled, replicated 'press' experiment in at least 2 treatment and 2 control areas of the IM sub basins by reducing densities of white-tailed deer and observing any changes in cougar predation on mule deer. Deer densities will be monitored by WADFW personnel using annual aerial surveys and/or other trend indices. Predation rates and population growth rates

  19. A Flat Photoionization Rate at 2Decline of Cosmic Star Formation Beyond z~3

    CERN Document Server

    Faucher-Giguere, C -A; Hernquist, L; Zaldarriaga, M

    2008-01-01

    We investigate the implications of our measurement of the Lyman-alpha forest opacity at redshifts 2~3. Our measurement argues against a star formation rate density declining beyond z~3, in contrast with existing state-of-the-art determinations of the cosmic star formation history from direct galaxy counts. Stellar emission from galaxies therefore likely reionized the Universe.

  20. Association between apolipoprotein E ε4 and the rate of cognitive decline in community-dwelling elderly individuals with and without dementia

    NARCIS (Netherlands)

    Jonker, C.; Schmand, B.; Lindeboom, J.; Havekes, L.M.; Launer, L.J.

    1998-01-01

    Objective: To determine whether the apolipoprotein E ε4 allele (apoE ε4) is associated with cognitive decline in individuals with and without dementia, we conducted a 4-year longitudinal study of subjects with a range of cognitive function Setting: At baseline, respondents (n = 511) were randomly

  1. Assessing heart rate variability from real-world Holter reports.

    Science.gov (United States)

    Stein, Phyllis K

    2002-09-01

    Real world clinical Holter reports are often difficult to interpret from a heart rate variability (HRV) perspective. In many cases HRV software is absent. Step-by-step HRV assessment from clinical Holter reports includes: making sure that there is enough usable data, assessing maximum and minimum heart rates, assessing circadian HRV from hourly average heart rates, and assessing HRV from the histogram of R-R intervals and from the plot of R-R intervals or heart rate vs. time. If HRV data are available, time domain HRV is easiest to understand and less sensitive to scanning errors. SDNN (the standard deviation of all N-N intervals in ms) and SDANN (the standard deviation of the 5-min average of N-N intervals in ms) are easily interpreted. SDNN < 70 ms post-MI is a cut point for increased mortality risk. Two times ln SDANN is a good surrogate for ln ultra low frequency power and can be compared with published cut points. SDNNIDX (the average of the standard deviations of N-N intervals for each 5-min in ms) < 30 ms is associated with increased risk in patients with congestive heart failure. RMSSD (the root mean square of successive N-N interval difference in ms) < 17.5 ms has also been associated with increased risk post-myocardial infarction. Frequency domain HRV values are often not comparable to published data. However, graphical power spectral plots can provide additional information about whether the HRV pattern is normal and can also identify some patients with obstructive sleep apnea.

  2. Increased cognitive problem reporting after information about chemotherapy-induced cognitive decline: The moderating role of stigma consciousness.

    Science.gov (United States)

    Jacobs, W; Das, E; Schagen, S B

    2017-01-01

    Information about treatment side effects can increase their occurrence; breast cancer (BC) patients showed increased cognitive problem reporting (CPR) and decreased memory performance after information about cognitive side effects. The current study extends previous research on adverse information effects (AIE) by investigating (a) risk factors, (b) underlying mechanisms and (c) an intervention to reduce AIE. In an online experiment, 175 female BC patients were randomly assigned to one of three conditions. In the two experimental groups, patients were informed about the possible occurrence of cognitive problems after chemotherapy with (intervention group) or without (experimental group) reassuring information that 'there are still patients who score well on memory tests'. In the control group, no reference to chemotherapy-related cognitive problems was made. Main dependent measure was CPR. Four moderating and five mediating processes were examined. CPR increased with higher levels of stigma consciousness in the two experimental groups, but not in the no-information control group. Merely informing patients about cognitive side effects may increase their occurrence, especially among individuals vulnerable to patient stereotypes. Adding reassuring information is not sufficient to reduce AIE.

  3. Rapid cognitive decline in Alzheimer's disease. Consensus paper.

    Science.gov (United States)

    Soto, M E; Andrieu, S; Arbus, C; Ceccaldi, M; Couratier, P; Dantoine, T; Dartigues, J-F; Gillette-Guyonnet, S; Nourhashemi, F; Ousset, P-J; Poncet, M; Portet, F; Touchon, J; Vellas, B

    2008-12-01

    The rate of cognitive decline in Alzheimer's disease (AD) varies considerably between individuals, with some subjects showing substantial deterioration and others showing little or no change over the course of the disease. These wide variations support the relatively new concept of Rapid Cognitive Decline (RCD). Patients with an accelerated rate of cognitive decline have showed to present a worse evolution in terms of mortality, loss of autonomy and institutionalisation. The conclusions from RCD studies conducted in the past years remain very heterogeneous and sometimes contradictory. This is possibly due to methodological differences, mainly the different "a priori" definitions of RCD used to identify rapid decliners. Consequently of this, there is considerable variation in reported frequency of patients with RCD which may vary from 9.5% to 54%. The lack of both consensus definition and consensual clinical assessment tools is one of the major barriers for establishing an appropriated management of rapid decliners in clinical practice. Presently, management of rapid decliners in AD remains to be a challenge waiting to better know predictive factors of a RCD. To date no specific guidelines exist to follow-up or to treat patients with this condition. This consensus paper proposes the loss of 3 points or greater in Mini-Mental State Examination (MMSE) during six months as an empirical definition of rapid cognitive decline to be used in routine medical practice and to be relevant for clinical-decision making in patients with mild to moderately-severe AD.

  4. Declining trends in conception rates in recent birth cohorts of native Danish women: a possible role of deteriorating male reproductive health

    DEFF Research Database (Denmark)

    Jensen, Tina Kold; Sobotka, Thomás; Hansen, Martin A.

    2008-01-01

    Recent findings of poor semen quality among at least 20% of normal young men in Denmark prompted us to use unique Danish registers on births and induced abortions to evaluate a possible effect of the poor male fecundity on pregnancy rates among their presumed partners - the younger cohorts of women...... of relatively young couples in the later cohorts. Furthermore, the lower rates of induced abortion among the younger birth cohorts, often viewed as a success of health education programs, may not be fully explained by improved use of contraception. It seems more likely that decreased fecundity because....... We have analysed data from the Danish birth and abortion registries as well as the Danish registry for assisted reproduction (ART) and defined a total natural conception rate (TNCR), which is equal to fertility rate plus induced abortion rate minus ART conception rate. A unique personal...

  5. Declining trends in conception rates in recent birth cohorts of native Danish women: a possible role of deteriorating male reproductive health

    DEFF Research Database (Denmark)

    Jensen, T.K.; Sobotka, T.; Hansen, Marc Allan

    2008-01-01

    Recent findings of poor semen quality among at least 20% of normal young men in Denmark prompted us to use unique Danish registers on births and induced abortions to evaluate a possible effect of the poor male fecundity on pregnancy rates among their presumed partners--the younger cohorts of women...... of relatively young couples in the later cohorts. Furthermore, the lower rates of induced abortion among the younger birth cohorts, often viewed as a success of health education programs, may not be fully explained by improved use of contraception. It seems more likely that decreased fecundity because....... We have analysed data from the Danish birth and abortion registries as well as the Danish registry for assisted reproduction (ART) and defined a total natural conception rate (TNCR), which is equal to fertility rate plus induced abortion rate minus ART conception rate. A unique personal...

  6. Abiotic degradation rates for carbon tetrachloride and chloroform: Final report.

    Energy Technology Data Exchange (ETDEWEB)

    Amonette, James E.; Jeffers, Peter M.; Qafoku, Odeta; Russell, Colleen K.; Humphrys, Daniel R.; Wietsma, Thomas W.; Truex, Michael J.

    2012-12-01

    This report documents the objectives, technical approach, and progress made through FY 2012 on a project initiated in FY 2006 to help address uncertainties related to the rates of hydrolysis in groundwater for carbon tetrachloride (CT) and chloroform (CF). The project also sought to explore the possible effects of contact with minerals and sediment (i.e., heterogeneous hydrolysis) on these rates. We conducted 114 hydrolysis rate experiments in sealed vessels across a temperature range of 20-93 °C for periods as long as 6 years, and used the Arrhenius equation to estimate activation energies and calculate half-lives for typical Hanford groundwater conditions (temperature of 16 °C and pH of 7.75). We calculated a half-life of 630 years for hydrolysis for CT under these conditions and found that CT hydrolysis was unaffected by contact with sterilized, oxidized minerals or Hanford sediment within the sensitivity of our experiments. In contrast to CT, hydrolysis of CF was generally slower and very sensitive to pH due to the presence of both neutral and base-catalyzed hydrolysis pathways. We calculated a half-life of 3400 years for hydrolysis of CF in homogeneous solution at 16 °C and pH 7.75. Experiments in suspensions of Hanford sediment or smectite, the dominant clay mineral in Hanford sediment, equilibrated to an initial pH of 7.2, yielded calculated half-lives of 1700 years and 190 years, respectively, at 16 °C. Experiments with three other mineral phases at the same pH (muscovite mica, albite feldspar, and kaolinite) showed no change from the homogeneous solution results (i.e., a half-life of 3400 years). The strong influence of Hanford sediment on CF hydrolysis was attributed to the presence of smectite and its ability to adsorb protons, thereby buffering the solution pH at a higher level than would otherwise occur. The project also determined liquid-vapor partition coefficients for CT under the temperatures and pressures encountered in the sealed vessels that

  7. Identifying functional decline: a methodological challenge

    Directory of Open Access Journals (Sweden)

    Grimmer K

    2013-08-01

    Full Text Available Karen Grimmer, Kate Beaton, Kevan Hendry International Centre for Allied Health Evidence, University of South Australia, Adelaide, SA, Australia Background: Functional decline (FD in older people has commonly been measured in the hospital setting with instruments which have been validated on decrease over time in capacity to undertake basic activities of daily living (ADL. In a nonhospitalized sample of older people (independently community dwelling, but potentially on the cusp of FD, it is possible that other measures could be used to predict decline. Early, accurate, and efficient identification of older community-dwelling people who are on the cusp of FD can assist in identifying appropriate interventions to slow the rate of decline. Methods: This paper reports on associations between four outcome measures which have been associated with FD (instrumental ADLs [IADLs], quality of life, hospitalizations and falls. The sample was older individuals who were discharged from one large metropolitan emergency department (ED during 2011–2012, without an inpatient admission. Results: Of 597 individuals aged 65+ who provided baseline information, 148 subjects provided four outcome measures at both 1 and 3 months follow up. Overall, approximately 24% demonstrated decreased IADL scores over the 3 months, with domains of home activities, laundry, shopping, and getting places declining the most. Over this time, 18% fell often, and 11% were consistently hospitalized. Between 1 and 3 months follow up, 41% declined in mental component scores, and 50% declined in physical component scores. Low mental and physical component quality of life scores were associated with downstream increased falls and hospitalizations, and decreased quality of life and IADLs. However, change in the four outcome measures was largely independent in factor analysis. Conclusion: Measuring the four outcome measures over 3 months post-discharge from an ED presentation, showed that

  8. On the edge of death: Rates of decline and lower thresholds of biochemical condition in food-deprived fish larvae and juveniles

    DEFF Research Database (Denmark)

    Meyer, Stefan; Caldarone, E.M.; Chicharo, M.A.

    2012-01-01

    (degree-days, Dd). The 10th percentile of sRD successfully approximated the lowest, life-stage-specific biochemical condition (the edge of death). Temperature could explain 59% of the variability in time to death whereas DW had no effect. Species and life-stage-specific differences in starvation...... parameters suggest selective adaptation to food deprivation. Previously published, interspecific functions predicting the relationship between growth rate and sRD in feeding fish larvae do not apply to individuals experiencing prolonged food deprivation. Starvation rate, edge of death, and time to death...

  9. A succinct rating scale for radiology report quality

    Directory of Open Access Journals (Sweden)

    Chengwu Yang

    2014-12-01

    Full Text Available Context: Poorly written radiology reports are common among residents and are a significant challenge for radiology education. While training may improve report quality, a professionally developed reliable and valid scale to measure report quality does not exist. Objectives: To develop a measurement tool for report quality, the quality of report scale, with rigorous validation through empirical data. Methods: A research team of an experienced psychometrician and six senior radiologists conducted qualitative and quantitative studies. Five items were identified for the quality of report scale, each measuring a distinct aspect of report quality. Two dedicated training sessions were designed and implemented to help residents generate high-quality reports. In a blinded fashion, the quality of report scale was applied to 804 randomly selected reports issued before (n = 403 and after (n = 401 training. Full-scale psychometrical assessments were implemented onto the quality of report scale’s item- and scale-scores from the reports. The quality of report scale scores were correlated with report professionalism and attendings’ preference and were compared pre-/post-training. Results: The quality of report scale showed sound psychometrical properties, with high validity and reliability. Reports with higher quality of report scale score were more professional and preferable by attendings. Training improved the quality of report scale score, empirically validating the quality of report scale further. Conclusion: While succinct and practitioner friendly, the quality of report scale is a reliable and valid measure of radiology report quality and has the potential to be easily adapted to other fields such as pathology, where similar training would be beneficial.

  10. Smoking Rates Still High in Some Racial Groups, CDC Reports

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_160256.html Smoking Rates Still High in Some Racial Groups, CDC ... lot of progress in getting Americans to stop smoking, some groups still have high smoking rates, a ...

  11. A succinct rating scale for radiology report quality

    OpenAIRE

    Chengwu Yang; Kasales, Claudia J; Tao Ouyang; Peterson, Christine M; Nabeel I Sarwani; Rafel Tappouni; Michael Bruno

    2014-01-01

    Context: Poorly written radiology reports are common among residents and are a significant challenge for radiology education. While training may improve report quality, a professionally developed reliable and valid scale to measure report quality does not exist. Objectives: To develop a measurement tool for report quality, the quality of report scale, with rigorous validation through empirical data. Methods: A research team of an experienced psychometrician and six senior radiologists conduct...

  12. Reduction in Clostridium difficile infection rates after mandatory hospital public reporting: findings from a longitudinal cohort study in Canada.

    Science.gov (United States)

    Daneman, Nick; Stukel, Therese A; Ma, Xiaomu; Vermeulen, Marian; Guttmann, Astrid

    2012-01-01

    The role of public reporting in improving hospital quality of care is controversial. Reporting of hospital-acquired infection rates has been introduced in multiple health care systems, but its relationship to infection rates has been understudied. Our objective was to determine whether mandatory public reporting by hospitals is associated with a reduction in hospital rates of Clostridium difficile infection. We conducted a longitudinal, population-based cohort study in Ontario (Canada's largest province) between April 1, 2002, and March 31, 2010. We included all patients (>1 y old) admitted to 180 acute care hospitals. Using Poisson regression, we developed a model to predict hospital- and age-specific monthly rates of C. difficile disease per 10,000 patient-days prior to introduction of public reporting on September 1, 2008. We then compared observed monthly rates of C. difficile infection in the post-intervention period with rates predicted by the pre-intervention predictive model. In the pre-intervention period there were 33,634 cases of C. difficile infection during 39,221,113 hospital days, with rates increasing from 7.01 per 10,000 patient-days in 2002 to 10.79 in 2007. In the first calendar year after the introduction of public reporting, there was a decline in observed rates of C. difficile colitis in Ontario to 8.92 cases per 10,000 patient-days, which was significantly lower than the predicted rate of 12.16 (95% CI 11.35-13.04) cases per 10,000 patient-days (ppublic reporting was associated with a 26.7% (95% CI 21.4%-31.6%) reduction in C. difficile cases, or a projected 1,970 cases averted per year (95% CI 1,476-2,500). The effect was specific to C. difficile, with rates of community-acquired gastrointestinal infections and urinary tract infections unchanged. A limitation of our study is that this observational study design cannot rule out the influence of unmeasured temporal confounders. Public reporting of hospital C. difficile rates was associated

  13. On the edge of death: Rates of decline and lower thresholds of biochemical condition in food-deprived fish larvae and juveniles

    Science.gov (United States)

    Meyer, S.; Caldarone, E. M.; Chícharo, M. A.; Clemmesen, C.; Faria, A. M.; Faulk, C.; Folkvord, A.; Holt, G. J.; Høie, H.; Kanstinger, P.; Malzahn, A.; Moran, D.; Petereit, C.; Støttrup, J. G.; Peck, M. A.

    2012-05-01

    Gaining reliable estimates of how long fish early life stages can survive without feeding and how starvation rate and time until death are influenced by body size, temperature and species is critical to understanding processes controlling mortality in the sea. The present study is an across-species analysis of starvation-induced changes in biochemical condition in early life stages of nine marine and freshwater fishes. Data were compiled on changes in body size (dry weight, DW) and biochemical condition (standardized RNA-DNA ratio, sRD) throughout the course of starvation of yolk-sac and feeding larvae and juveniles in the laboratory. In all cases, the mean biochemical condition of groups decreased exponentially with starvation time, regardless of initial condition and endogenous yolk reserves. A starvation rate for individuals was estimated from discrete 75th percentiles of sampled populations versus time (degree-days, Dd). The 10th percentile of sRD successfully approximated the lowest, life-stage-specific biochemical condition (the edge of death). Temperature could explain 59% of the variability in time to death whereas DW had no effect. Species and life-stage-specific differences in starvation parameters suggest selective adaptation to food deprivation. Previously published, interspecific functions predicting the relationship between growth rate and sRD in feeding fish larvae do not apply to individuals experiencing prolonged food deprivation. Starvation rate, edge of death, and time to death are viable proxies for the physiological processes under food deprivation of individual fish pre-recruits in the laboratory and provide useful metrics for research on the role of starvation in the sea.

  14. Clinicians' ratings and self-reports of basic symptoms.

    Science.gov (United States)

    Rubino, I Alex; Romeo, Domenico; Scarpellino, Angelo; Siracusano, Alberto

    2002-10-01

    A sample of 34 paranoid or undifferentiated schizophrenic outpatients were given the Rome Basic Disorders Scale, a self-rating questionnaire aimed to the assessment of basic symptoms, as defined by the Bonn Scale. These patients were then interviewed on the same 54 basic symptoms explored with the scale, by two independent clinicians blind to the outpatients' data. Self-ratings compared with clinicians' ratings by Student t for dependent samples yielded only one significant difference (p< .01) for the item measuring hypersensitivity to light. Present findings suggest that the Rome Basic Disorders Scale may be safely self-rated even by collaborative schizophrenic patients.

  15. Declining Enrollment--A Blessing.

    Science.gov (United States)

    Imhof, Howard E.

    This report describes how a New York school district took advantage of a decline in elementary school enrollment to restructure the district's educational program, reduce staff requirements, and eliminate double shifting at the district's junior high and high school. The district's plan involved closing one of the three elementary schools and…

  16. Study on interest rate restrictions (IRR): Belgian national report

    NARCIS (Netherlands)

    Vannerom, J.; Terryn, E.

    2010-01-01

    DG Internal Market and Services of the European Commission have commissioned us to conduct a study on interest rate restrictions in consumer credit covering unsecured and secured credit (i.e. including mortgage credit). This project aims to identify the different types of interest rate restrictions

  17. A Preliminary Report on the Anthropology Department Student Ratings Survey.

    Science.gov (United States)

    Gillmore, G. M.; Amoss, Panela

    The Department of Anthropology and the Educational Assessment Center (EAC) cooperated in a project to assess the effect of certain variables on student ratings of instruction. For this purpose, the entire teaching faculty of the department was requested by the department's Teaching Effectiveness committee to administer the EAC Student Ratings Form…

  18. Analysis of the Decline Rate of Reverse Osmosis Desalination%反渗透脱盐率下降问题分析

    Institute of Scientific and Technical Information of China (English)

    王少鹏; 李利娟

    2014-01-01

    Taking the working principle and application of reverse osmosis membrane areas as extension and on the base of the problem in the process of reverse osmosis in Henan Yuguang Co . LTD. the reverse osmosis desalting rate problem and analysis methods are discussed and the measure of abnormal avoid reverse osmosis system is put forward .%以反渗透膜的工作原理及应用领域作为引申,并结合河南豫光股份有限公司的反渗透运行过程中出现的情况,引出反渗透脱盐率下降问题的原因及分析方法,并提出避免反渗透系统异常的建议。

  19. 47 CFR 1.795 - Reports regarding interstate rates of return.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Reports regarding interstate rates of return. 1... Requests § 1.795 Reports regarding interstate rates of return. Carriers shall file reports regarding interstate rates of return on FCC Form 492 as required by part 65 of this chapter. Services and...

  20. 47 CFR 1.787 - Reports of proposed changes in depreciation rates.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Reports of proposed changes in depreciation... Reports and Requests § 1.787 Reports of proposed changes in depreciation rates. Carriers shall file reports regarding proposed changes in depreciation rates as required by part 43 of this chapter....

  1. International Crime Rates. Bureau of Justice Statistics Special Report.

    Science.gov (United States)

    Kalish, Carol B.

    This study compared crime rates of the United States with those of other countries for whom statistics were available: European countries, Canada, Australia, and New Zealand. Statistics were provided by the United Nations for homicide, rape, robbery, burglary, and theft; the International Police Organization (Interpol) for homicide, rape, robbery,…

  2. 2011年以来经济增长速度下降的性质与稳中求进之策%The Nature of Economic Growth Rate Decline since 2011 and Strategies for Promotion While Maintaining Economic Stability

    Institute of Scientific and Technical Information of China (English)

    朱必祥

    2012-01-01

    本文认为2011年以来中国GDP增长速度的下降性质是新一轮经济周期性的,此次经济周期既是国际金融危机外部冲击和总需求下降的影响,更是内部经济结构变化所致。内部结构性变化表现在:一是人口结构老年化加快和劳动力供给出现相对的和结构性的短缺;二是居民收入分配结构的变化导致消费需求不足;三是东南沿海地区产业结构升级困难,中西部地区尚未形成转移产业增长极。稳中求进之策是短期内依靠宏观经济政策刺激需求防止GDP增速下滑过大过快,尤其是扩大政府财政对农民和农村的公共物品供给,长期之计是需要制度创新与结构调整。%This paper holds that the nature of Chinese GDP growth rate decline since 2011 is a new business cyclical decline. Causes of this business cycle include both the external impacts of international financial crises and domestic aggregate demand decline, especially changes in the internal economic structure. The internal structural changes concern three aspects : ( 1 ) the constant quickening of demographic aging and relative and structural labor supply shortage; (2) consumer demand insufficiency caused by structural changes in people's income distribution; (3) difficuhy in upgrading industrial structure in Southeast littoral and lack of transferred industrial growth poie in Central and West China. Strategies for promotion while maintaining economic stability are short - term macroeconomic policies to stimulate aggregate demand and to prevent fast and widespread GDP decline, especially through expanding supplies to farmers and rural public goods by governmental revenue. Long - term strategies require institutional innovation and industrial structure adjustments.

  3. How China Survives a Global Economic Decline

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Dark clouds are looming over the global economy. The Euro zone may only manage a paltry 1.5 percent growth next year. Meanwhile in the United States, labor, residential and consumer markets have all experienced a decline in growth. With rising fuel prices, a growing debt burden and a negative savings rate, the United States also is poised for further decline in consumption.

  4. Teacher Ratings of Three School Psychology Report Recommendation Styles

    Science.gov (United States)

    Mallin, Barry; Beimcik, Jaga; Hopfner, Lisa

    2012-01-01

    Educators are primary consumers of information provided in school psychology reports. There is disagreement in the literature as to whether teachers prefer briefer recommendations as compared to more detailed and specific recommendations. Specific recommendations can been seen as prescriptive and leading to higher requirements for accountability…

  5. Final Report: " Growth Rates of Freshly Nucleated Particles"

    Energy Technology Data Exchange (ETDEWEB)

    McMurry, Peter H; Smith, James N

    2013-03-12

    This report lists of archival journal articles that were written with support from this grant. Research objectives from the original proposal are given, along with papers that were written to meet each of those objectives. The papers are all available in the archival literature.

  6. WHIZARD rate at LCFORUM 2012. A status report

    Energy Technology Data Exchange (ETDEWEB)

    Reuter, Juergen

    2012-04-15

    This is a status report of the WHIZARD Monte Carlo multi-purpose event generator given at the LCFORUM 2012 at DESY. I review here the development of the WHIZARD generator version 2 with a special emphasis on linear collider physics. In case you use the program, please do cite the official reference(s).

  7. Teacher Ratings of Three School Psychology Report Recommendation Styles

    Science.gov (United States)

    Mallin, Barry; Beimcik, Jaga; Hopfner, Lisa

    2012-01-01

    Educators are primary consumers of information provided in school psychology reports. There is disagreement in the literature as to whether teachers prefer briefer recommendations as compared to more detailed and specific recommendations. Specific recommendations can been seen as prescriptive and leading to higher requirements for accountability…

  8. What Makes Clusters Decline?

    DEFF Research Database (Denmark)

    Østergaard, Christian Richter; Park, Eun Kyung

    2015-01-01

    Most studies on regional clusters focus on identifying factors and processes that make clusters grow. However, sometimes technologies and market conditions suddenly shift, and clusters decline. This paper analyses the process of decline of the wireless communication cluster in Denmark....... The longitudinal study on the high-tech cluster reveals that technological lock-in and exit of key firms have contributed to decline. Entrepreneurship has a positive effect on the cluster’s adaptive capabilities, while multinational companies have contradicting effects by bringing in new resources to the cluster...

  9. Decline in Tested and Self-Reported Cognitive Functioning After Prophylactic Cranial Irradiation for Lung Cancer: Pooled Secondary Analysis of Radiation Therapy Oncology Group Randomized Trials 0212 and 0214

    Energy Technology Data Exchange (ETDEWEB)

    Gondi, Vinai, E-mail: vgondi@chicagocancer.org [Central Dupage Hospital Cancer Center, Warrenville, Illinois (United States); University of Wisconsin Comprehensive Cancer Center, Madison, Wisconsin (United States); Paulus, Rebecca [Radiation Therapy Oncology Group Statistical Center, Philadelphia, Pennsylvania (United States); Bruner, Deborah W. [Nell Hodgson Woodfull School of Nursing, Emory University, Atlanta, Georgia (United States); Meyers, Christina A. [University of Texas MD Anderson Cancer Center, Houston, Texas (United States); Gore, Elizabeth M. [Medical College of Wisconsin, Milwaukee, Wisconsin (United States); Wolfson, Aaron [University of Miami School of Medicine, Miami, Florida (United States); Werner-Wasik, Maria [Thomas Jefferson University Hospital, Philadelphia, Pennsylvania (United States); Sun, Alexander Y. [Princess Margaret Hospital, Toronto, ON (Canada); Choy, Hak [University of Texas Southwestern Moncreif Cancer Center, Fort Worth, Texas (United States); Movsas, Benjamin [Henry Ford Health System, Detroit, Michigan (United States)

    2013-07-15

    Purpose: To assess the impact of prophylactic cranial irradiation (PCI) on self-reported cognitive functioning (SRCF), a functional scale on the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30). Methods and Materials: Radiation Therapy Oncology Group (RTOG) protocol 0214 randomized patients with locally advanced non-small cell lung cancer to PCI or observation; RTOG 0212 randomized patients with limited-disease small cell lung cancer to high- or standard-dose PCI. In both trials, Hopkins Verbal Learning Test (HVLT)-Recall and -Delayed Recall and SRCF were assessed at baseline (after locoregional therapy but before PCI or observation) and at 6 and 12 months. Patients developing brain relapse before follow-up evaluation were excluded. Decline was defined using the reliable change index method and correlated with receipt of PCI versus observation using logistic regression modeling. Fisher's exact test correlated decline in SRCF with HVLT decline. Results: Of the eligible patients pooled from RTOG 0212 and RTOG 0214, 410 (93%) receiving PCI and 173 (96%) undergoing observation completed baseline HVLT or EORTC QLQ-C30 testing and were included in this analysis. Prophylactic cranial irradiation was associated with a higher risk of decline in SRCF at 6 months (odds ratio 3.60, 95% confidence interval 2.34-6.37, P<.0001) and 12 months (odds ratio 3.44, 95% confidence interval 1.84-6.44, P<.0001). Decline on HVLT-Recall at 6 and 12 months was also associated with PCI (P=.002 and P=.002, respectively) but was not closely correlated with decline in SRCF at the same time points (P=.05 and P=.86, respectively). Conclusions: In lung cancer patients who do not develop brain relapse, PCI is associated with decline in HVLT-tested and self-reported cognitive functioning. Decline in HVLT and decline in SRCF are not closely correlated, suggesting that they may represent distinct elements of the cognitive spectrum.

  10. Exercise Rates Often Decline After Cancer Diagnosis

    Science.gov (United States)

    ... There need to be more exercise programs within health centers and in gyms to provide cancer patients with guidance to help ... their loved ones by joining them at the gym, on walks or in fitness classes," she ... mood and improve sleep," Heller said. The study included about 660 ...

  11. Photovoltaic module energy rating procedure. Final subcontract report

    Energy Technology Data Exchange (ETDEWEB)

    Whitaker, C.M.; Newmiller, J.D. [Endecon Engineering (United States)

    1998-01-01

    This document describes testing and computation procedures used to generate a photovoltaic Module Energy Rating (MER). The MER consists of 10 estimates of the amount of energy a single module of a particular type (make and model) will produce in one day. Module energy values are calculated for each of five different sets of weather conditions (defined by location and date) and two load types. Because reproduction of these exact testing conditions in the field or laboratory is not feasible, limited testing and modeling procedures and assumptions are specified.

  12. US Historic Declination Calculator

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This programs derives a table of secular change in magnetic declination for a specified point in the conterminous United States. It utilizes the USD polynomial and...

  13. Final Report, Photocathodes for High Repetition Rate Light Sources

    Energy Technology Data Exchange (ETDEWEB)

    Ben-Zvi, Ilan [Stony Brook University

    2014-04-20

    This proposal brought together teams at Brookhaven National Laboratory (BNL), Lawrence Berkeley National Laboratory (LBNL) and Stony Brook University (SBU) to study photocathodes for high repetition rate light sources such as Free Electron Lasers (FEL) and Energy Recovery Linacs (ERL). The work done under this grant comprises a comprehensive program on critical aspects of the production of the electron beams needed for future user facilities. Our program pioneered in situ and in operando diagnostics for alkali antimonide growth. The focus is on development of photocathodes for high repetition rate Free Electron Lasers (FELs) and Energy Recovery Linacs (ERLs), including testing SRF photoguns, both normal-conducting and superconducting. Teams from BNL, LBNL and Stony Brook University (SBU) led this research, and coordinated their work over a range of topics. The work leveraged a robust infrastructure of existing facilities and the support was used for carrying out the research at these facilities. The program concentrated in three areas: a) Physics and chemistry of alkali-antimonide cathodes b) Development and testing of a diamond amplifier for photocathodes c) Tests of both cathodes in superconducting RF photoguns and copper RF photoguns

  14. Final Report for Dynamic Models for Causal Analysis of Panel Data. Internal Politics of Growth and Decline. Part II, Chapter 2.

    Science.gov (United States)

    Hannan, Michael T.; Freeman, John

    The document, part of a series of chapters described in SO 011 759, describes a model that incorporates organizational politics and environmental dependence into a study of the effects of growth and decline on the number of school personnel. The first section describes the original model which assumes that as the number of students in a district…

  15. Algorithms for Computerized Fetal Heart Rate Diagnosis with Direct Reporting

    Directory of Open Access Journals (Sweden)

    Kazuo Maeda

    2015-06-01

    Full Text Available Aims: Since pattern classification of fetal heart rate (FHR was subjective and enlarged interobserver difference, objective FHR analysis was achieved with computerized FHR diagnosis. Methods: The computer algorithm was composed of an experts’ knowledge system, including FHR analysis and FHR score calculation, and also of an objective artificial neural network system with software. In addition, a FHR frequency spectrum was studied to detect ominous sinusoidal FHR and the loss of baseline variability related to fetal brain damage. The algorithms were installed in a central-computerized automatic FHR monitoring system, which gave the diagnosis rapidly and directly to the attending doctor. Results: Clinically perinatal mortality decreased significantly and no cerebral palsy developed after introduction of the centralized system. Conclusion: The automatic multichannel FHR monitoring system improved the monitoring, increased the objectivity of FHR diagnosis and promoted clinical results.

  16. 13 CFR 120.1060 - Confidentiality of Reports, Risk Ratings and related Confidential Information.

    Science.gov (United States)

    2010-01-01

    ... order prior to disclosure. For purposes of this regulation, “Information Provider” means any contractor... abides by them. Any disclosure of the Report, Risk Rating, or Confidential Information other than as... Confidentiality of Reports, Risk Ratings and related Confidential Information. (a) In general. Reports and other...

  17. Chinese culture and fertility decline.

    Science.gov (United States)

    Wu, C; Jia, S

    1992-01-01

    Coale has suggested that cultural factors exert a significant influence on fertility reduction; countries in the "Chinese cultural circle" would be the first to show fertility decline. In China, the view was that traditional Chinese culture contributed to increased population. This paper examines the nature of the relationship between Chinese culture and fertility. Attention was directed to a comparison of fertility rates of developing countries with strong Chinese cultural influence and of fertility within different regions of China. Discussion was followed by an explanation of the theoretical impact of Chinese culture on fertility and direct and indirect beliefs and practices that might either enhance or hinder fertility decline. Emigration to neighboring countries occurred after the Qing dynasty. Fertility after the 1950s declined markedly in Japan, Singapore, Hong Kong, South Korea, Taiwan, and mainland China: all countries within the Chinese cultural circle. Other countries within the Chinese circle which have higher fertility, yet lower fertility than other non-Chinese cultural countries, are Malaysia, Thailand, and Indonesia. Within China, regions with similar fertility patterns are identified as coastal regions, central plains, and mountainous and plateau regions. The Han ethnic group has lower fertility than that of ethnic minorities; regions with large Han populations have lower fertility. Overseas Chinese in East Asian countries also tend to have lower fertility than their host populations. Chinese culture consisted of the assimilation of other cultures over 5000 years. Fertility decline was dependent on the population's desire to limit reproduction, favorable social mechanisms, and availability of contraception: all factors related to economic development. Chinese culture affects fertility reduction by affecting reproductive views and social mechanisms directly, and indirectly through economics. Confucianism emphasizes collectivism, self

  18. Cardiovascular Prevention of Cognitive Decline

    Directory of Open Access Journals (Sweden)

    Jean-Jacques Monsuez

    2011-01-01

    Full Text Available Midlife cardiovascular risk factors, including diabetes, hypertension, dyslipemia, and an unhealthy lifestyle, have been linked to subsequent incidence, delay of onset, and progression rate of Alzheimer disease and vascular dementia. Conversely, optimal treatment of cardiovascular risk factors prevents and slows down age-related cognitive disorders. The impact of antihypertensive therapy on cognitive outcome in patients with hypertension was assessed in large trials which demonstrated a reduction in progression of MRI white matter hyperintensities, in cognitive decline and in incidence of dementia. Large-scale database correlated statin use and reduction in the incidence of dementia, mainly in patients with documented atherosclerosis, but clinical trials failed to reach similar conclusions. Whether a multitargeted intervention would substantially improve protection, quality of life, and reduce medical cost expenditures in patients with lower risk profile has not been ascertained. This would require appropriately designed trials targeting large populations and focusing on cognitive decline as a primary outcome endpoint.

  19. The effect of stress inoculation training on self-reported stress, observer's rating of stress, heart rate and gymnastics performance.

    Science.gov (United States)

    Mace, R D; Carroll, D

    1989-01-01

    Eighteen volunteer female subjects received preliminary instruction in a simple gymnastics bench sequence. They were then given a pre-intervention test on a bench at ground level. Self-reported distress, an independent observer's ratings of distress and heart rates were monitored immediately prior to performance of the sequence. Performances were also videotaped and formally scored by a qualified gymnastics judge. Subjects were then randomly assigned to a stress inoculation training group or a 'no stress management' training control group. Stress inoculation group subjects then received seven sessions of training in relaxation, imagery and making self-statements in order to develop a set of coping skills. Control group subjects also received seven training sessions during which they practised a series of coordination exercises, but no psychological stress management training was given to this group. All subjects were then re-tested on the bench sequence but this time at a height of 1.52 m. Self-reported stress, observer's ratings of distress and heart rate were recorded as before. Performance was again videotaped for scoring. The stress inoculation group reported significantly less stress prior to the test on the elevated beam than the control group. However, the groups did not differ in terms of heart rate. Further, the stress inoculation group performed reliably better than the control group on the elevated bench.

  20. Cluster Decline and Resilience

    DEFF Research Database (Denmark)

    Østergaard, Christian Richter; Park, Eun Kyung

    -2011. Our longitudinal study reveals that technological lock-in and exit of key firms have contributed to impairment of the cluster’s resilience in adapting to disruptions. Entrepreneurship has a positive effect on cluster resilience, while multinational companies have contradicting effects by bringing......Most studies on regional clusters focus on identifying factors and processes that make clusters grow. However, sometimes technologies and market conditions suddenly shift, and clusters decline. This paper analyses the process of decline of the wireless communication cluster in Denmark, 1963...

  1. Maximum likelihood methods for investigating reporting rates of rings on hunter-shot birds

    Science.gov (United States)

    Conroy, M.J.; Morgan, B.J.T.; North, P.M.

    1985-01-01

    It is well known that hunters do not report 100% of the rings that they find on shot birds. Reward studies can be used to estimate what this reporting rate is, by comparison of recoveries of rings offering a monetary reward, to ordinary rings. A reward study of American Black Ducks (Anas rubripes) is used to illustrate the design, and to motivate the development of statistical models for estimation and for testing hypotheses of temporal and geographic variation in reporting rates. The method involves indexing the data (recoveries) and parameters (reporting, harvest, and solicitation rates) by geographic and temporal strata. Estimates are obtained under unconstrained (e.g., allowing temporal variability in reporting rates) and constrained (e.g., constant reporting rates) models, and hypotheses are tested by likelihood ratio. A FORTRAN program, available from the author, is used to perform the computations.

  2. The fertility decline in Kenya.

    Science.gov (United States)

    Robinson, W C; Harbison, S F

    1995-01-01

    In Sub-Saharan Africa Kenya is a prime example of a country experiencing a rapid decline in fertility and greater contraceptive prevalence. These changes have occurred since 1980 when fertility was high at 8.0 children per woman. In 1993 the total fertility rate (TFR) was 5.4, and the growth rate declined to about 2.0%. This transition is swifter than any country in contemporary Asia or historical Europe. The likely projection for Kenya is attainment of replacement level fertility during the 2020s and a leveling of population at about 100 million persons. Fertility has declined the most in urban areas and central and eastern regions. Bongaarts' proximate determinants (TFR, total marital fertility rate, total natural marital fertility rate, and total fecundity) are reduced to the proportion of currently married women using contraception, the proportion in lactational nonfecund status, and the proportion currently married. Actual fertility change is accounted for by total fertility change of 3.0 children. Lactational infecundability accounts for 0.5 potential births, and changes in marital fertility account for 1.0 reduced births per woman. About 70% of fertility reduction is accounted for by contraception and abortion. During 1977-78 80% of fertility control was due to lactational nonfecundity, 10% to nonmarriage, and 10% to contraception. In 1993 lactational nonfecundity accounted for 50% of the reduction, nonmarriage for 20%, and abortion about 30%. Future fertility is expected to be dependent on contraceptive prevalence. Kenya has experienced the Coale paradigm of preconditions necessary for demographic transition (willing, ready, and able). High fertility in Africa is not intractable. Creating the change in attitudes that leads to readiness is linked to education, health, and exposure to modernizing media and urban lifestyles. The public sector family planning program in Kenya has created the opportunity for access and availability of contraception. The key

  3. The reporting rate of euthanasia and physician-assisted suicide: a study of the trends.

    Science.gov (United States)

    Rurup, Mette L; Buiting, Hilde M; Pasman, H Roeline W; van der Maas, Paul J; van der Heide, Agnes; Onwuteaka-Philipsen, Bregje D

    2008-12-01

    To study trends in reporting rates of euthanasia from 1990 to 2005 in relation to whether recommended or nonrecommended drugs were used, and the most important differences between reported and unreported cases in 2005. Questionnaires were sent to a sample of 6860 physicians who had reported a death in 2005 (response 78%). Previously, 3 similar studies were done at 5-year intervals. The total number of euthanasia and physician-assisted suicide cases was estimated using a "gold standard" definition: death was-according to the physician-the result of the use of drugs at the explicit request of the patient with the explicit goal of hastening death (denominator). The Euthanasia Review Committees provided the number of reported cases (numerator). The reporting rate of euthanasia and physician-assisted suicide increased from 18% in 1990, 41% in 1995, and 54% in 2001 to 80% in 2005. The reporting rate in the subgroup of euthanasia with recommended drugs (barbiturates and muscle relaxants) was 73% in 1995, 71% in 2001, and 99% in 2005. The reporting rate of euthanasia with nonrecommended drugs (eg, opioids) was below 3% in 1995, 2001, and 2005. Unreported euthanasia differed also from reported euthanasia in the fact that physicians less often labeled their act as euthanasia. Euthanasia with nonrecommended drugs is almost never reported. The total reporting rate increased because of an increase in the use of recommended drugs for euthanasia between 1995 and 2001, and an increase in the reporting rate for euthanasia with recommended drugs between 2001 and 2005.

  4. Creation and implementation of department-wide structured reports: an analysis of the impact on error rate in radiology reports.

    Science.gov (United States)

    Hawkins, C Matthew; Hall, Seth; Zhang, Bin; Towbin, Alexander J

    2014-10-01

    The purpose of this study was to evaluate and compare textual error rates and subtypes in radiology reports before and after implementation of department-wide structured reports. Randomly selected radiology reports that were generated following the implementation of department-wide structured reports were evaluated for textual errors by two radiologists. For each report, the text was compared to the corresponding audio file. Errors in each report were tabulated and classified. Error rates were compared to results from a prior study performed prior to implementation of structured reports. Calculated error rates included the average number of errors per report, average number of nongrammatical errors per report, the percentage of reports with an error, and the percentage of reports with a nongrammatical error. Identical versions of voice-recognition software were used for both studies. A total of 644 radiology reports were randomly evaluated as part of this study. There was a statistically significant reduction in the percentage of reports with nongrammatical errors (33 to 26%; p = 0.024). The likelihood of at least one missense omission error (omission errors that changed the meaning of a phrase or sentence) occurring in a report was significantly reduced from 3.5 to 1.2% (p = 0.0175). A statistically significant reduction in the likelihood of at least one comission error (retained statements from a standardized report that contradict the dictated findings or impression) occurring in a report was also observed (3.9 to 0.8%; p = 0.0007). Carefully constructed structured reports can help to reduce certain error types in radiology reports.

  5. 77 FR 2089 - Proposed Information Collection Request of the ETA 204, Experience Rating Report; Comment Request...

    Science.gov (United States)

    2012-01-13

    ... Information Collection Request of the ETA 204, Experience Rating Report; Comment Request on Extension Without... . SUPPLEMENTARY INFORMATION: I. Background: The data submitted annually on the ETA-204 report enables the... different experience rating systems. Used in conjunction with other data, the ETA-204 assists in...

  6. 47 CFR 43.43 - Reports of proposed changes in depreciation rates.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Reports of proposed changes in depreciation... Reports of proposed changes in depreciation rates. (a) Each communication common carrier with annual..., before making any changes in the depreciation rates applicable to its operated plant, file with...

  7. 75 FR 4099 - Maintenance Wage Rate Wage Recommendation and Maintenance Wage Survey; Report of Additional...

    Science.gov (United States)

    2010-01-26

    ... URBAN DEVELOPMENT Maintenance Wage Rate Wage Recommendation and Maintenance Wage Survey; Report of... adopt prevailing wage rates for maintenance laborers and mechanics, and to approve or refer to the U.S... lists the following information: Title of Proposal: Maintenance Wage Rate Wage Recommendation...

  8. 75 FR 37457 - Maintenance Wage Rate Wage Recommendation and Maintenance Wage Survey; Report of Additional...

    Science.gov (United States)

    2010-06-29

    ... URBAN DEVELOPMENT Maintenance Wage Rate Wage Recommendation and Maintenance Wage Survey; Report of... adopt prevailing wage rates for maintenance laborers and mechanics, and to approve or refer to the U.S... Lists the Following Information Title of Proposal: Maintenance Wage Rate Wage Recommendation...

  9. Decline in Health-Related Quality of Life reported by more than half of those waiting for joint replacement surgery: a prospective cohort study

    Directory of Open Access Journals (Sweden)

    Osborne Richard H

    2011-05-01

    Full Text Available Abstract Background In many healthcare systems, people with severe joint disease wait months to years for joint replacement surgery. There are little empirical data on the health consequences of this delay and it is unclear whether people with substantial morbidity at entry to the waiting list continue to deteriorate further while awaiting surgery. This study investigated changes in Health-Related Quality of Life (HRQoL, health status and psychological distress among people waiting for total hip (THR and knee replacement (TKR surgery at a major metropolitan Australian public hospital. Methods 134 patients completed questionnaires including the Assessment of Quality of Life (AQoL instrument, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC and Kessler Psychological Distress Scale after entering an orthopaedic waiting list (baseline and before surgery (preadmission. To quantify potential decline in wellbeing, we calculated the proportion of people experiencing clinically important deterioration using published guidelines and compared HRQoL and psychological distress outcomes with population norms. Results Most participants (69% waited ≥6 months for surgery (median 286 days, IQR 169-375 days. Despite poor physical and psychological wellbeing at baseline, there was an overall deterioration in HRQoL during the waiting period (mean AQoL change -0.04, 95%CI -0.08 to -0.01, with 53% of participants experiencing decline in HRQoL (≥0.04 AQoL units. HRQoL prior to surgery remained substantially lower than Australian population norms (mean sample AQoL 0.37, 95%CI 0.33 to 0.42 vs mean population AQoL 0.83, 95%CI 0.82 to 0.84. Twenty-five per cent of participants showed decline in health status (≥9.6 WOMAC units over the waiting period and prevalence of high psychological distress remained high at preadmission (RR 3.5, 95%CI 2.8 to 4.5. Most participants considered their pain (84%, fatigue (76%, quality of life (73% and confidence

  10. Prevalence of Hunger Declines in Rural Households.

    Science.gov (United States)

    Nord, Mark; Winicki, F. Joshua

    2000-01-01

    The prevalence of hunger in rural households declined slightly from 1995 to 1998, and food insecurity rates stayed constant. Food insecurity was almost three times as prevalent among rural Blacks as among rural Whites. For rural Hispanics, the rate was about twice that of Whites. Food insecurity was higher in single-parent families than in any…

  11. Self-reported eating rate aligns with laboratory measured eating rate but not with free-living meals.

    Science.gov (United States)

    Petty, Amanda J; Melanson, Kathleen J; Greene, Geoffrey W

    2013-04-01

    Methodological differences may be responsible for variable results from eating rate (ER) studies. It is unknown whether self-reported, lab-measured, and free-living ER's align. This study was the first to explore relationships among self-reported, laboratory-measured and free-living ER's. We investigated this relationship in 60 randomly selected male and female college students who were stratified by self-reported eating rate (SRER) (Slow, Medium, and Fast) from 1110 on-line survey respondents. Test day; subjects ate a prescribed breakfast (∼400kcal) at home, recording meal duration (MD); 4h later they individually ate an ad libitum laboratory pasta lunch at their own (natural) pace; remainder of the day they recorded free-living intake and MD. As expected the three self-reported ER categories aligned with lab ER (Fast=83.9±5.5, Medium=63.1±5.2, Slow=53.0±5.4kcals/min). In all ER categories at all meals, men ate faster than women (Men=80.6±30.7kcals/min: Women=52.0±21.6kcals/min). A difference in lab measured ER by SRER F=(2, 58)=7.677, post hoc Tukey analysis found fast differed from medium and slow. The three free-living meal ER's did not align with self-report categories. Findings suggest various methods of measuring ER may yield differing results, at least in this population, but results support the use of SRER as a valid measure. Copyright © 2012 Elsevier Ltd. All rights reserved.

  12. Decline in breast cancer mortality

    DEFF Research Database (Denmark)

    Njor, Sisse Helle; Schwartz, Walter; Blichert-Toft, Mogens

    2015-01-01

    OBJECTIVES: When estimating the decline in breast cancer mortality attributable to screening, the challenge is to provide valid comparison groups and to distinguish the screening effect from other effects. In Funen, Denmark, multidisciplinary breast cancer management teams started before screening...... was introduced; both activities came later in the rest of Denmark. Because Denmark had national protocols for breast cancer treatment, but hardly any opportunistic screening, Funen formed a "natural experiment", providing valid comparison groups and enabling the separation of the effect of screening from other...... factors. METHODS: Using Poisson regression we compared the observed breast cancer mortality rate in Funen after implementation of screening with the expected rate without screening. The latter was estimated from breast cancer mortality in the rest of Denmark controlled for historical differences between...

  13. Medication Error Reporting Rate and its Barriers and Facilitators among Nurses

    Directory of Open Access Journals (Sweden)

    Snor Bayazidi

    2012-11-01

    Full Text Available Introduction: Medication errors are among the most prevalent medical errors leading to morbidity and mortality. Effective prevention of this type of errors depends on the presence of a well-organized reporting system. The purpose of this study was to explore medication error reporting rate and its barriers and facilitators among nurses in teaching hospitals of Urmia University of Medical Sciences (Iran.Methods: In a descriptive study in 2011, 733 nurses working in Urmia teaching hospitals were included. Data was collected using a questionnaire based on Haddon matrix. The questionnaire consisted of three items about medication error reporting rate, eight items on barriers of reporting, and seven items on facilitators of reporting. The collected data was analyzed by descriptive statistics in SPSS14.Results:The rate of reporting medication errors among nurses was far less than medication errors they had made. Nurses perceived that the most important barriers of reporting medication errors were blaming individuals instead of the system, consequences of reporting errors, and fear of reprimand and punishment. Some facilitating factors were also determined. Conclusion: Overall, the rate of medication errors was found to be much more than what had been reported by nurses. Therefore, it is suggested to train nurses and hospital administrators on facilitators and barriers of error reporting in order to enhance patient safety.

  14. Does a "Level I Evidence" rating imply high quality of reporting in orthopaedic randomised controlled trials?

    OpenAIRE

    Sierevelt Inger N; Krips Rover; Struijs Peter AA; Poolman Rudolf W; Lutz Kristina H; Bhandari Mohit

    2006-01-01

    Abstract Background The Levels of Evidence Rating System is widely believed to categorize studies by quality, with Level I studies representing the highest quality evidence. We aimed to determine the reporting quality of Randomised Controlled Trials (RCTs) published in the most frequently cited general orthopaedic journals. Methods Two assessors identified orthopaedic journals that reported a level of evidence rating in their abstracts from January 2003 to December 2004 by searching the instr...

  15. Influence of regulatory measures on the rate of spontaneous adverse drug reaction reporting in Italy.

    Science.gov (United States)

    Motola, Domenico; Vargiu, Antonio; Leone, Roberto; Conforti, Anita; Moretti, Ugo; Vaccheri, Alberto; Velo, Giampaolo; Montanaro, Nicola

    2008-01-01

    The reporting of adverse drug reactions (ADRs) is the mainstay of post-marketing surveillance systems. Under-reporting and selective reporting are considered the main limitations of a spontaneous reporting-based pharmacovigilance system. However, excessive reporting induced by external events may also impair signal detection by increasing the noise level. The aim of this study was to examine the influence of regulatory measures and other external factors on the rate of ADR reporting in Italy, focusing on four situations occurring in the last 10 years: ACE inhibitor-induced cough; HMG-CoA reductase inhibitors ('statins') and rhabdomyolysis; nimesulide and hepatic toxicity; and cyclo-oxygenase (COX)-2 selective inhibitors ('coxibs') and increase in cardiovascular risk. The study was based on data from spontaneous reporting in six Italian regions collected from January 1995 to December 2005. We analysed a 10-year period as a reasonable time interval around the four situations of interest, highlighting the influence of regulatory measures on the rate of ADR reporting (number of reports per million inhabitants). Chi-squared tests were used to assess the statistical significance of any changes in ADR reporting. Drug sales data were also studied to examine possible changes in drug use. Sales data were expressed as daily defined dose per 1000 inhabitants per day. ACE inhibitors: a 5-fold increase in the reporting rate of ACE inhibitor-induced cough was observed in 1998 and 1999 following a restriction on reimbursement for angiotensin receptor blockers introduced in 1998 and removed at the end of 1999. Statins: after the withdrawal of cerivastatin in 2001, the ADR reporting rate increased more than 4-fold, with musculoskeletal ADRs representing about 60% of all the ADRs reported in that year, and progressively decreased in the following years. Nimesulide: an increase in hepatic ADR reporting was observed after withdrawal of the drug from the Finnish and Spanish markets in

  16. A functional polymorphism in the promoter region of microRNA-146a is associated with the risk of Alzheimer disease and the rate of cognitive decline in patients.

    Directory of Open Access Journals (Sweden)

    Lili Cui

    Full Text Available miR146a is well known for its regulatory role in the immune response and inflammation. Recent studies have demonstrated the links between miR146a and Alzheimer disease (AD and suggested that miR146a may be involved in neuroinflammation and the metabolism of amyloid-β (Aβ, which are critical events in AD pathology. Although genetic studies have focused on the association between the miR146a gene and susceptibility to several diseases, no association study of miR146a variability with AD has been conducted. In this report, we performed a case-control association study to analyze the genotype and allele distributions of the miR146a, rs2910464 and rs57095329 polymorphisms in a Chinese population consisting of 292 AD cases and 300 healthy controls. We found a significant difference in the genotypes and allele frequencies of rs57095329 between the AD cases and the controls (p = 0.0147 and p = 0.0184, respectively, where the AA genotype of rs57095329 was associated with an increased risk of AD as well the cognitive decline in AD patients. Additionally, the AA genotype of rs57095329 exhibited significantly higher miR146a expression than the GG+GA genotypes of rs2910164 in the peripheral blood cells (PBMCs of healthy individuals and had a stronger effect on the production of IL-6 and IL-1β when the cells were stimulated with LPS. Our data provide preliminary evidence that the rs57095329 polymorphism in the miR146a promoter is involved in the genetic susceptibility to AD, and this risk AA genotype may increase the expression of miR146a and influence certain proinflammatory cytokines, thus playing a role in the pathogenesis of AD.

  17. Energy policy act transportation study: Interim report on natural gas flows and rates

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-11-17

    This report, Energy Policy Act Transportation Study: Interim Report on Natural Gas Flows and Rates, is the second in a series mandated by Title XIII, Section 1340, ``Establishment of Data Base and Study of Transportation Rates,`` of the Energy Policy Act of 1992 (P.L. 102--486). The first report Energy Policy Act Transportation Study: Availability of Data and Studies, was submitted to Congress in October 1993; it summarized data and studies that could be used to address the impact of legislative and regulatory actions on natural gas transportation rates and flow patterns. The current report presents an interim analysis of natural gas transportation rates and distribution patterns for the period from 1988 through 1994. A third and final report addressing the transportation rates and flows through 1997 is due to Congress in October 2000. This analysis relies on currently available data; no new data collection effort was undertaken. The need for the collection of additional data on transportation rates will be further addressed after this report, in consultation with the Congress, industry representatives, and in other public forums.

  18. Atrial Fibrillation, Cognitive Decline And Dementia

    Science.gov (United States)

    Alonso, Alvaro; Arenas de Larriva, Antonio P.

    2016-01-01

    Atrial fibrillation (AF) is a common cardiac arrhythmia. Growing evidence supports a role for AF as a risk factor for cognitive decline and dementia. In this review, we summarize epidemiologic observations linking AF with cognitive outcomes, describe potential mechanisms, and explore the impact of AF treatments on cognitive decline and dementia. Community-based, observational studies show a consistent higher rate of cognitive decline and risk of dementia in persons with AF. These associations are partly due to the increased risk of clinical stroke in AF, but other mechanisms, including incidence of silent cerebral infarcts, microbleeds, and cerebral hypoperfusion, are likely additional contributors. Adequate oral anticoagulation and improved management of the overall cardiovascular risk profile in persons with AF offer the promise of reducing the impact of AF on cognitive decline and dementia. PMID:27547248

  19. Predicting Ratings of Counselor Trainee Empathy with Self-Report Anxiety Measures and Skin Conductance.

    Science.gov (United States)

    Bowman, James T.; Giesen, J. Martin

    1982-01-01

    Investigated the degree of relationship between clients' and judges' ratings of counselor trainee (N=29) empathy and self-report anxiety and skin conductance measures. Results indicated the usefulness of anxiety measures to predict counselor empathy is predicated on the criterion for rating counselor empathy. (RC)

  20. Linking questionnaire reports and observer ratings of young couples’ hostility and support

    Science.gov (United States)

    Lorenz, Frederick O.; Melby, Janet N.; Conger, Rand D.; Surjadi, Florenzia F.

    2012-01-01

    Past studies have correlated observer ratings with questionnaire self- and partner-reports of behaviors in close relationships. However, few studies have actually proposed and tested longitudinal models that link observer ratings to past behaviors and to questionnaire self- and partner-reports of behaviors during an observational task. Using data from a panel of 324 young couples, we demonstrate that (1) observer ratings of hostility and support are significantly related to couple reports of the same behavior in the relationship two years earlier, and (2) respondent and partner questionnaire reports of hostility and support during the observational task converge with observer ratings of the same behavior even after controlling for earlier self- and partner-reports. These findings demonstrate that observer reports based on brief discussion tasks reflect the tenor of the relationship over a relatively long period of time. They also demonstrate that couple reports of hostile interactions reflect observable behaviors beyond that attributed to earlier self- and partner-reports. Consistent with previous research, effect sizes are larger for hostility than support but there are few differences between men and women. PMID:22662768

  1. Student Loans: Default Rates Need To Be Computed More Appropriately. Report to Congressional Requesters.

    Science.gov (United States)

    Hembra, Richard L.

    This report examines how the Department of Education calculates the default rate for two federal student loan programs--the Federal Family Education Loan program (FFELP) and the William D. Ford Federal Direct Loan Program (FDLP). The report focuses on three questions regarding these programs: (1) whether there has been an increase in the number of…

  2. Global pollinator declines: trends, impacts and drivers.

    Science.gov (United States)

    Potts, Simon G; Biesmeijer, Jacobus C; Kremen, Claire; Neumann, Peter; Schweiger, Oliver; Kunin, William E

    2010-06-01

    Pollinators are a key component of global biodiversity, providing vital ecosystem services to crops and wild plants. There is clear evidence of recent declines in both wild and domesticated pollinators, and parallel declines in the plants that rely upon them. Here we describe the nature and extent of reported declines, and review the potential drivers of pollinator loss, including habitat loss and fragmentation, agrochemicals, pathogens, alien species, climate change and the interactions between them. Pollinator declines can result in loss of pollination services which have important negative ecological and economic impacts that could significantly affect the maintenance of wild plant diversity, wider ecosystem stability, crop production, food security and human welfare. Copyright (c) 2010 Elsevier Ltd. All rights reserved.

  3. Drivers and moderators of business decline

    Directory of Open Access Journals (Sweden)

    Marius Pretorius

    2010-12-01

    Full Text Available Purpose: Reports of business failure elicit various reactions, while research in this domain often appears to be limited by a lack of access to information about failure and by the negativity that surrounds it. Those who have experienced failure do not readily talk about it, or they disappear from the radar screen of researchers. Yet failure is preceded by decline which, when focused on strategically, can reduce eventual failures if early action is taken. The main purpose of this study is to develop a conceptual framework or typology of the drivers and moderators of business decline. Design/methodology/approach: After applying the "grounded theory" approach to the academic literature on decline and failure, a conceptual framework for the variables that drive and moderate business decline is proposed. Findings: The study proposes that decline has three core drivers, three peripheral drivers and four moderators. The core drivers identified are: resource munificence; leadership as origin; and causality (strategic versus operational origin of decline. The three peripheral drivers are: unique preconditions; continuous decisions impact; and extremes dichotomy. The study describes four moderators of the drivers: life cycle stage; stakeholder perspective; quantitative versus qualitative nature of signs and causes; and finally the age and size effects. Research limitations/implications: The proposed conceptual framework is based on literature only, although it has found support during discussions with practitioners. It is proposed to readers of this journal for scrutiny and validation. Practical implications: Strategists need to understand what drives decline in order to act timeously; practitioners who have an insight into the moderators with their impacts could make better decisions in response to decline in organisations and possibly avoid business failure. Originality/Value: Understanding business decline is still a huge theoretical challenge, which

  4. The potential effects of meditation on age-related cognitive decline: a systematic review.

    Science.gov (United States)

    Gard, Tim; Hölzel, Britta K; Lazar, Sara W

    2014-01-01

    With a rapidly aging society it becomes increasingly important to counter normal age-related decline in cognitive functioning. Growing evidence suggests that cognitive training programs may have the potential to counteract this decline. On the basis of a growing body of research that shows that meditation has positive effects on cognition in younger and middle-aged adults, meditation may be able to offset normal age-related cognitive decline or even enhance cognitive function in older adults. In this paper, we review studies investigating the effects of meditation on age-related cognitive decline. We searched the Web of Science (1900 to present), PsycINFO (1597 to present), MEDLINE (1950 to present), and CABI (1910 to present) to identify original studies investigating the effects of meditation on cognition and cognitive decline in the context of aging. Twelve studies were included in the review, six of which were randomized controlled trials. Studies involved a wide variety of meditation techniques and reported preliminary positive effects on attention, memory, executive function, processing speed, and general cognition. However, most studies had a high risk of bias and small sample sizes. Reported dropout rates were low and compliance rates high. We conclude that meditation interventions for older adults are feasible, and preliminary evidence suggests that meditation can offset age-related cognitive decline.

  5. Mangrove forest decline

    DEFF Research Database (Denmark)

    Malik, Abdul; Mertz, Ole; Fensholt, Rasmus

    2017-01-01

    Mangrove forests in the tropics and subtropics grow in saline sediments in coastal and estuarine environments. Preservation of mangrove forests is important for many reasons, including the prevention of coastal erosion and seawater intrusion; the provision of spawning, nursery, and feeding grounds...... and severe mangrove loss with serious consequences. The mangrove forests of the Takalar District, South Sulawesi, are studied here as a case area that has suffered from degradation and declining spatial extent during recent decades. On the basis of a post-classification comparison of change detection from...... satellite imagery and a survey of households, we provide an estimate of the mangrove change in the Takalar District during 1979–2011 and the consequences of those changes. Mangrove forest areas were reduced by 66.05 % (3344 hectares) during the 33-year period of analysis, and the biggest annual negative...

  6. Rating and Classification of Incident Reporting in Radiology in a Large Academic Medical Center.

    Science.gov (United States)

    Mansouri, Mohammad; Aran, Shima; Shaqdan, Khalid W; Abujudeh, Hani H

    2016-01-01

    The purpose of this article is to provide a rate of safety incident report of adverse events in a large academic radiology department and to share the various types that may occur. This is a Health Insurance Portability and Accountability Act compliant, institutional review board-approved study. Consent requirement was waived. All incident reports from April 2006-September 2012 were retrieved. Events were further classified as follows: diagnostic test orders, identity document or documentation or consent, safety or security or conduct, service coordination, surgery or procedure, line or tube, fall, medication or intravenous safety, employee general incident, environment or equipment, adverse drug reaction (ADR), skin or tissue, and diagnosis or treatment. Overall rates and subclassification rates were calculated. There were 10,224 incident reports and 4,324,208 radiology examinations (rate = 0.23%). The highest rates of the incident reports were due to diagnostic test orders (34.3%; 3509/10,224), followed by service coordination (12.2%; 1248/10,224) and ADR (10.3%; 1052/4,324,208). The rate of incident reporting was highest in inpatient (0.30%; 2949/970,622), followed by emergency radiology (0.22%; 1500/672,958) and outpatient (0.18%; 4957/2,680,628). Approximately 48.5% (4947/10,202) of incidents had no patient harm and did not affect the patient, followed by no patient harm, but did affect the patient (35.2%, 3589/10,202), temporary or minor patient harm (15.5%, 1584/10,202), permanent or major patient harm (0.6%, 62/10,202), and patient death (0.2%, 20/10,202). Within an academic radiology department, the rate of incident reports was only 0.23%, usually did not harm the patient, and occurred at higher rates in inpatients. The most common incident type was in the category of diagnostic test orders, followed by service coordination, and ADRs.

  7. Mobility decline in old age

    DEFF Research Database (Denmark)

    Rantakokko, Merja; Mänty, Minna Regina; Rantanen, Taina

    2013-01-01

    Mobility is important for community independence. With increasing age, underlying pathologies, genetic vulnerabilities, physiological and sensory impairments, and environmental barriers increase the risk for mobility decline. Understanding how mobility declines is paramount to finding ways to pro...... to promote mobility in old age.......Mobility is important for community independence. With increasing age, underlying pathologies, genetic vulnerabilities, physiological and sensory impairments, and environmental barriers increase the risk for mobility decline. Understanding how mobility declines is paramount to finding ways...

  8. The importance of rating scales in measuring patient-reported outcomes

    Directory of Open Access Journals (Sweden)

    Khadka Jyoti

    2012-07-01

    Full Text Available Abstract Background A critical component that influences the measurement properties of a patient-reported outcome (PRO instrument is the rating scale. Yet, there is a lack of general consensus regarding optimal rating scale format, including aspects of question structure, the number and the labels of response categories. This study aims to explore the characteristics of rating scales that function well and those that do not, and thereby develop guidelines for formulating rating scales. Methods Seventeen existing PROs designed to measure vision-related quality of life dimensions were mailed for self-administration, in sets of 10, to patients who were on a waiting list for cataract extraction. These PROs included questions with ratings of difficulty, frequency, severity, and global ratings. Using Rasch analysis, performance of rating scales were assessed by examining hierarchical ordering (indicating categories are distinct from each other and follow a logical transition from lower to higher value, evenness (indicating relative utilization of categories, and range (indicating coverage of the attribute by the rating scale. Results The rating scales with complicated question format, a large number of response categories, or unlabelled categories, tended to be dysfunctional. Rating scales with five or fewer response categories tended to be functional. Most of the rating scales measuring difficulty performed well. The rating scales measuring frequency and severity demonstrated hierarchical ordering but the categories lacked even utilization. Conclusion Developers of PRO instruments should use a simple question format, fewer (four to five and labelled response categories.

  9. Clinical pearls: factors affecting reported contraceptive efficacy rates in clinical studies.

    Science.gov (United States)

    Burkman, Ronald T

    2002-01-01

    Current combination oral contraceptives (OCs) are among the most popular, safe, and effective methods of reversible contraception. There are, however, many factors that can affect contraceptive failure rates as reported in clinical trials, including subject characteristics, factors related to study methodology and data analysis, and publication biases. The variability of these factors among clinical trials makes meaningful comparisons of contraceptive efficacy data across studies difficult, if not misleading or erroneous. It is even more difficult to reconcile the differences between clinical trial efficacy rates and everyday use rates; for instance, the National Survey of Family Growth reported that the rate of OC failure is close to 8% in the United States, which is higher than rates reported in clinical trials. Thus, it is important for the clinician to consider the many factors that can influence reporting of contraceptive failure rates in clinical trials and be aware of the limitations in differentiating OCs on the basis of contraceptive efficacy derived from clinical trial data. Furthermore, clinical trial data may not accurately predict contraceptive efficacy in everyday use.

  10. Concussion history and reporting rates in elite Irish rugby union players.

    Science.gov (United States)

    Fraas, Michael R; Coughlan, Garrett F; Hart, Emily C; McCarthy, Conor

    2014-08-01

    To determine the self-reported, seasonal rates of concussion and the reporting practices among Irish rugby union players. Descriptive epidemiology study. The study was conducted at the training grounds of four professional Irish rugby union clubs. One hundred seventy-two players (24.97 ± 4.11 years of age, 13.49 ± 5.79 years playing experience) gave consent to participate. Number of concussions reported during the 2010-2011 season, reasons for not reporting, and positions of concussed players. Forty-five percent of players reported at least one concussion during the 2010-2011 season, but only 46.6% of these presented to medical staff. The reasons for not reporting their concussions included, not thinking the injury was serious enough, and not wanting to be removed from the game. The relative proportion of concussions was higher for backs than forwards; however, the severity of injury was greater for forwards. Scrum-halves (12.0%) and flankers (10.9%) accounted for the majority of concussions reported. The self-reported rate of concussion in elite rugby union players in Ireland is higher than reported in other countries or other sports. Many concussions remain unreported and, therefore, unmanaged. However, recent changes in concussion management guidelines by the International Rugby Board may impact future reporting practices of players. Copyright © 2013 Elsevier Ltd. All rights reserved.

  11. Abrupt Decline in Tuberculosis among Foreign-Born Persons in the United States.

    Science.gov (United States)

    Baker, Brian J; Winston, Carla A; Liu, Yecai; France, Anne Marie; Cain, Kevin P

    2016-01-01

    While the number of reported tuberculosis (TB) cases in the United States has declined over the past two decades, TB morbidity among foreign-born persons has remained persistently elevated. A recent unexpected decline in reported TB cases among foreign-born persons beginning in 2007 provided an opportunity to examine contributing factors and inform future TB control strategies. We investigated the relative influence of three factors on the decline: 1) changes in the size of the foreign-born population through immigration and emigration, 2) changes in distribution of country of origin among foreign-born persons, and 3) changes in the TB case rates among foreign-born subpopulations. Using data from the U.S. National Tuberculosis Surveillance System and the American Community Survey, we examined TB case counts, TB case rates, and population estimates, stratified by years since U.S. entry and country of origin. Regression modeling was used to assess statistically significant changes in trend. Among foreign-born recent entrants (China were almost exclusively (95.5%-100%) the result of decreases in TB case rates. Among foreign-born non-recent entrants (≥3 years since U.S. entry), we found an 8.9% decline (-443 cases) that resulted entirely (100%) from a decrease in the TB case rate. Both recent and non-recent entrants contributed to the decline in TB cases; factors contributing to the decline among recent entrants varied by country of origin. Strategies that impact both recent and non-recent entrants (e.g., investment in overseas TB control) as well as those that focus on non-recent entrants (e.g., expanded targeted testing of high-risk subgroups among non-recent entrants) will be necessary to achieve further declines in TB morbidity among foreign-born persons.

  12. Protocol for Project FACT: A randomised controlled trial on the effect of a walking program and vitamin B supplementation on the rate of cognitive decline and psychosocial wellbeing in older adults with mild cognitive impairment

    NARCIS (Netherlands)

    Uffelen, J.G.Z. van; Hopman-Rock, M.; Chin A Paw, M.J.M.; Mechelen, W. van

    2005-01-01

    Background: the prevalence of individuals with cognitive decline is increasing since the number of elderly adults is growing considerably. The literature provides promising results on the beneficial effect of exercise and vitamin supplementation on cognitive function both in cognitively healthy as

  13. Protocol for Project FACT: A randomised controlled trial on the effect of a walking program and vitamin B supplementation on the rate of cognitive decline and psychosocial wellbeing in older adults with mild cognitive impairment

    NARCIS (Netherlands)

    Uffelen, J.G.Z. van; Hopman-Rock, M.; Chin A Paw, M.J.M.; Mechelen, W. van

    2005-01-01

    Background: the prevalence of individuals with cognitive decline is increasing since the number of elderly adults is growing considerably. The literature provides promising results on the beneficial effect of exercise and vitamin supplementation on cognitive function both in cognitively healthy as w

  14. Protocol for project FACT: a randomised controlled trial on the effect of a walking program and vitamin B supplementation on the rate of cognitive decline and psychosocial wellbeing in older adults with mild cognitive impairment [ISRCTN19227688

    NARCIS (Netherlands)

    Uffelen, van J.G.Z.; Hopman-Rock, M.; Chin A Paw, M.J.M.; Mechelen, van W.

    2005-01-01

    ABSTRACT: BACKGROUND: The prevalence of individuals with cognitive decline is increasing since the number of elderly adults is growing considerably. The literature provides promising results on the beneficial effect of exercise and vitamin supplementation on cognitive function both in cognitively he

  15. Declines in fatal crashes of older drivers: changes in crash risk and survivability.

    Science.gov (United States)

    Cheung, Ivan; McCartt, Anne T

    2011-05-01

    Previous research has found that older driver fatal crash involvement rates per licensed driver declined substantially in the United States during 1997-2006 and declined much faster than the rate for middle-age drivers. The current study examined whether the larger-than-expected decline for older drivers extended to nonfatal crashes and whether the decline in fatal crash risk reflects lower likelihood of crashing or an improvement in survivability of the crashes that occur. Trends in the rates of passenger vehicle crash involvements per 100,000 licensed drivers for drivers 70 and older (older drivers) were compared with trends for drivers ages 35-54 (middle-age drivers). Fatal crash information was obtained from the Fatality Analysis Reporting System for years 1997-2008, and nonfatal crash information was obtained from 13 states with good reporting information for years 1997-2005. Analysis of covariance models compared trends in annual crash rates for older drivers relative to rates for middle-age drivers. Differences in crash survivability were measured in terms of the odds of fatality given a crash each year, and the historical trends for older versus middle-age drivers were compared. Fatal crash involvement rates declined for older and middle-age drivers during 1997-2008 (1997-2005 for the 13 state subsample), but the decline for drivers 70 and older far exceeded the decline for drivers ages 35-54 (37 versus 23 percent, nationally; 22 versus 1 percent, 13 states). Nonfatal injury crash involvement rates showed similarly larger-than-expected declines for older drivers in the 13 state subsample, but the differences were smaller and not statistically significant (27 percent reduction for older drivers versus 16 percent for middle-age drivers). Property-damage-only crash involvement rates declined for older drivers (10 percent) but increased for middle-age drivers (1 percent). In 1997, older drivers were 3.5 times more likely than middle-age drivers to die in police-reported

  16. Periodontitis and Cognitive Decline in Alzheimer's Disease.

    Science.gov (United States)

    Ide, Mark; Harris, Marina; Stevens, Annette; Sussams, Rebecca; Hopkins, Viv; Culliford, David; Fuller, James; Ibbett, Paul; Raybould, Rachel; Thomas, Rhodri; Puenter, Ursula; Teeling, Jessica; Perry, V Hugh; Holmes, Clive

    2016-01-01

    Periodontitis is common in the elderly and may become more common in Alzheimer's disease because of a reduced ability to take care of oral hygiene as the disease progresses. Elevated antibodies to periodontal bacteria are associated with an increased systemic pro-inflammatory state. Elsewhere raised serum pro-inflammatory cytokines have been associated with an increased rate of cognitive decline in Alzheimer's disease. We hypothesized that periodontitis would be associated with increased dementia severity and a more rapid cognitive decline in Alzheimer's disease. We aimed to determine if periodontitis in Alzheimer's disease is associated with both increased dementia severity and cognitive decline, and an increased systemic pro inflammatory state. In a six month observational cohort study 60 community dwelling participants with mild to moderate Alzheimer's Disease were cognitively assessed and a blood sample taken for systemic inflammatory markers. Dental health was assessed by a dental hygienist, blind to cognitive outcomes. All assessments were repeated at six months. The presence of periodontitis at baseline was not related to baseline cognitive state but was associated with a six fold increase in the rate of cognitive decline as assessed by the ADAS-cog over a six month follow up period. Periodontitis at baseline was associated with a relative increase in the pro-inflammatory state over the six month follow up period. Our data showed that periodontitis is associated with an increase in cognitive decline in Alzheimer's Disease, independent to baseline cognitive state, which may be mediated through effects on systemic inflammation.

  17. Periodontitis and Cognitive Decline in Alzheimer's Disease.

    Directory of Open Access Journals (Sweden)

    Mark Ide

    Full Text Available Periodontitis is common in the elderly and may become more common in Alzheimer's disease because of a reduced ability to take care of oral hygiene as the disease progresses. Elevated antibodies to periodontal bacteria are associated with an increased systemic pro-inflammatory state. Elsewhere raised serum pro-inflammatory cytokines have been associated with an increased rate of cognitive decline in Alzheimer's disease. We hypothesized that periodontitis would be associated with increased dementia severity and a more rapid cognitive decline in Alzheimer's disease. We aimed to determine if periodontitis in Alzheimer's disease is associated with both increased dementia severity and cognitive decline, and an increased systemic pro inflammatory state. In a six month observational cohort study 60 community dwelling participants with mild to moderate Alzheimer's Disease were cognitively assessed and a blood sample taken for systemic inflammatory markers. Dental health was assessed by a dental hygienist, blind to cognitive outcomes. All assessments were repeated at six months. The presence of periodontitis at baseline was not related to baseline cognitive state but was associated with a six fold increase in the rate of cognitive decline as assessed by the ADAS-cog over a six month follow up period. Periodontitis at baseline was associated with a relative increase in the pro-inflammatory state over the six month follow up period. Our data showed that periodontitis is associated with an increase in cognitive decline in Alzheimer's Disease, independent to baseline cognitive state, which may be mediated through effects on systemic inflammation.

  18. Does a "Level I Evidence" rating imply high quality of reporting in orthopaedic randomised controlled trials?

    Directory of Open Access Journals (Sweden)

    Sierevelt Inger N

    2006-09-01

    Full Text Available Abstract Background The Levels of Evidence Rating System is widely believed to categorize studies by quality, with Level I studies representing the highest quality evidence. We aimed to determine the reporting quality of Randomised Controlled Trials (RCTs published in the most frequently cited general orthopaedic journals. Methods Two assessors identified orthopaedic journals that reported a level of evidence rating in their abstracts from January 2003 to December 2004 by searching the instructions for authors of the highest impact general orthopaedic journals. Based upon a priori eligibility criteria, two assessors hand searched all issues of the eligible journal from 2003–2004 for RCTs. The assessors extracted the demographic information and the evidence rating from each included RCT and scored the quality of reporting using the reporting quality assessment tool, which was developed by the Cochrane Bone, Joint and Muscle Trauma Group. Scores were conducted in duplicate, and we reached a consensus for any disagreements. We examined the correlation between the level of evidence rating and the Cochrane reporting quality score. Results We found that only the Journal of Bone and Joint Surgery – American Volume (JBJS-A used a level of evidence rating from 2003 to 2004. We identified 938 publications in the JBJS-A from January 2003 to December 2004. Of these publications, 32 (3.4% were RCTs that fit the inclusion criteria. The 32 RCTs included a total of 3543 patients, with sample sizes ranging from 17 to 514 patients. Despite being labelled as the highest level of evidence (Level 1 and Level II evidence, these studies had low Cochrane reporting quality scores among individual methodological safeguards. The Cochrane reporting quality scores did not differ significantly between Level I and Level II studies. Correlations varied from 0.0 to 0.2 across the 12 items of the Cochrane reporting quality assessment tool (p > 0.05. Among items closely

  19. Relationship between changes of body mass index (BMI) and cognitive decline in Parkinson's disease (PD).

    Science.gov (United States)

    Kim, Hyun Jung; Oh, Eung Seok; Lee, Ji Hee; Moon, Jung Soo; Oh, Ji Eun; Shin, Jong Wook; Lee, Kyung Jae; Baek, In Chul; Jeong, Seong-Hae; Song, Hee-Jung; Sohn, Eun Hee; Lee, Ae Young

    2012-01-01

    Decreased BMI has been reported that it may be associated with cognitive decline in the elderly. Weight loss is common in patients with PD. However, studies comparing cognitive changes according to BMI changes in PD have not been done yet. We performed this study to know a relationship between BMI changes and the rate of cognitive decline in PD. PD patients were recruited retrospectively. The patients (n=104) were divided into two groups according to BMI changes during initial 6 months of follow-up: decreased (n=52) vs. stable BMI groups (n=52). Cognitive functions were repeated until 36 months of follow-up using the Korean version of the Mini-Mental State Examination (K-MMSE) and the modified Mini-Mental State (3MS) test. We calculated the rate of cognitive decline (K-MMSE and 3MS score changes/month) and compared it between the two groups. The decreased BMI group showed lower level of cognitive function than that of stable BMI group, especially at the 36th month of follow-up (p<0.05). In addition, the rate of cognitive decline was also significantly faster in the decreased BMI group, particularly at the 36th month of follow-up (p<0.05). This study suggests that decreased BMI during initial 6 months of follow-up in PD might be a useful indicator for future risk of dementia and let clinicians predict faster rate of cognitive decline in patients with PD.

  20. Predicting changes in reported notifiable disease rates for New Zealand using a SIR modelling approach

    Science.gov (United States)

    McBride, Graham; Slaney, David; Tait, Andrew

    2013-04-01

    The New Zealand health system has defined as 'notifiable' over 50 diseases. Of these campylobacteriosis is the most commonly reported comprising 41% of all notifications in 2011 (presently about 150 illness cases per 100,000 population per annum). Furthermore, the incidence of this mild illness, which is potentially waterborne, is under-reported by at least an order-of-magnitude. Increased downstream pathogen loads and/or disease incidence have been found to be associated with increased rainfall, particularly in agricultural landscapes. Therefore, given the predominance of agricultural land uses in New Zealand, transmission and exposure to its agent (thermotolerant Campylobacter bacteria) may be affected by changing rainfall and temperature patterns associated with climate change. Reporting rates for other potentially water-borne zoonoses are also noticeable (for example, the reported rate for cryptosporidiosis for 2011 was 14 per 100,000 population). The distribution of Cryptosporidium oocysts in the environment may be influenced by climate change because it has often been implicated in drinking-water contamination, and heavy rainfall events have been found to be associated with increased pathogen loads in rivers and disease incidence. Given this background, which may also be applicable to other countries with agriculturally-dominated landscapes, a New Zealand study was initiated to develop a decision-support system for the projected effects of climate change on a selected suite of environmentally-transmitted pathogens, including Campylobacter and Cryptosporodium oocysts. Herein we report on the manner in which a linear SIR (Susceptible-Ill-Recovered) model previously developed for campylobacteriosis can be extended to cryptosporidiosis, applied to changes in pathogen contact rate and hence reported illness, and coupled to climate change projections associated with different greenhouse gas emission scenarios. The resulting SIR model outputs provided projected

  1. Decline in drug overdose deaths after state policy changes - Florida, 2010-2012.

    Science.gov (United States)

    Johnson, Hal; Paulozzi, Leonard; Porucznik, Christina; Mack, Karin; Herter, Blake

    2014-07-04

    During 2003-2009, the number of deaths caused by drug overdose in Florida increased 61.0%, from 1,804 to 2,905, with especially large increases in deaths caused by the opioid pain reliever oxycodone and the benzodiazepine alprazolam. In response, Florida implemented various laws and enforcement actions as part of a comprehensive effort to reverse the trend. This report describes changes in overdose deaths for prescription and illicit drugs and changes in the prescribing of drugs frequently associated with these deaths in Florida after these policy changes. During 2010-2012, the number of drug overdose deaths decreased 16.7%, from 3,201 to 2,666, and the deaths per 100,000 persons decreased 17.7%, from 17.0 to 14.0. Death rates for prescription drugs overall decreased 23.2%, from 14.5 to 11.1 per 100,000 persons. The decline in the overdose deaths from oxycodone (52.1%) exceeded the decline for other opioid pain relievers, and the decline in deaths for alprazolam (35.6%) exceeded the decline for other benzodiazepines. Similar declines occurred in prescribing rates for these drugs during this period. The temporal association between the legislative and enforcement actions and the substantial declines in prescribing and overdose deaths, especially for drugs favored by pain clinics, suggests that the initiatives in Florida reduced prescription drug overdose fatalities.

  2. Factors affecting Yukon teen pregnancy decline in the mid and late 1990s.

    Science.gov (United States)

    Wackett, Jeff

    2002-11-01

    Teen pregnancy has declined throughout North America in the 1990s. In Yukon Territory, Canada, teen pregnancy in the late 1990s was almost 40% lower than in the early 1990s. This rate of decline is significantly greater than most recently reported national rates of teen pregnancy decline in Canada and United States. Identifying possible causes of the Yukon decline may help policy makers and program managers plan and implement teen pregnancy prevention strategies. Data on Yukon teen pregnancy prevention initiatives were collected through numerous discussions and interviews with Yukon service providers, teens, and the general public between 1994 and 2001. Analysis of data demonstrates that multiple new initiatives spanning many sectors were implemented in the mid and late 1990s that could have contributed to the decline in Yukon teen pregnancy. A multi-dimensional approach to teen pregnancy prevention that included researching and evaluating family planning programs and policies before, during, and after implementation, increasing access to longer-acting hormonal contraceptives, providing continuing family planning medical education to health care providers and other youth service providers, subsidization of contraceptives, delivery of innovative family planning mass media campaigns, and delivery of ongoing sexual health education programs may have significantly contributed to the decline in Yukon teen pregnancy. Collaboration among service providers across many service sectors (clinical, public health, education, First Nations, government communication and policy, grassroots) facilitated coordination of the multi-dimensional approach.

  3. Abrupt Decline in Tuberculosis among Foreign-Born Persons in the United States.

    Directory of Open Access Journals (Sweden)

    Brian J Baker

    Full Text Available While the number of reported tuberculosis (TB cases in the United States has declined over the past two decades, TB morbidity among foreign-born persons has remained persistently elevated. A recent unexpected decline in reported TB cases among foreign-born persons beginning in 2007 provided an opportunity to examine contributing factors and inform future TB control strategies. We investigated the relative influence of three factors on the decline: 1 changes in the size of the foreign-born population through immigration and emigration, 2 changes in distribution of country of origin among foreign-born persons, and 3 changes in the TB case rates among foreign-born subpopulations. Using data from the U.S. National Tuberculosis Surveillance System and the American Community Survey, we examined TB case counts, TB case rates, and population estimates, stratified by years since U.S. entry and country of origin. Regression modeling was used to assess statistically significant changes in trend. Among foreign-born recent entrants (<3 years since U.S. entry, we found a 39.5% decline (-1,013 cases beginning in 2007 (P<0.05 compared to 2000-2007 and ending in 2011 (P<0.05 compared to 2011-2014. Among recent entrants from Mexico, 80.7% of the decline was attributable to a decrease in population, while the declines among recent entrants from the Philippines, India, Vietnam, and China were almost exclusively (95.5%-100% the result of decreases in TB case rates. Among foreign-born non-recent entrants (≥3 years since U.S. entry, we found an 8.9% decline (-443 cases that resulted entirely (100% from a decrease in the TB case rate. Both recent and non-recent entrants contributed to the decline in TB cases; factors contributing to the decline among recent entrants varied by country of origin. Strategies that impact both recent and non-recent entrants (e.g., investment in overseas TB control as well as those that focus on non-recent entrants (e.g., expanded targeted

  4. Student Writing: Strategies to Reverse Ongoing Decline

    Science.gov (United States)

    Carter, Michael J.; Harper, Heather

    2013-01-01

    This article reports on the decline in writing ability skills in secondary and higher education students. The author discusses changes that have affected student writing skills over the recent decades and offers recommendations for improving these skills, such as: implementing intensive freshman writing courses; adjusting existing course…

  5. Predictive value of self-reported and observer-rated defense style in depression treatment.

    NARCIS (Netherlands)

    Van, H.L.; Dekker, J.J.M.; Peen, J.; Abraham, R.E.; Schoevers, R.

    2009-01-01

    This study explored the predictive value of observer-rated and self-reported defensive functioning on the outcome of psychotherapy for the treatment of depression. Defense styles were measured according to the Developmental Profile (DP) and the Defense Style Questionnaire (DSQ) in 81 moderately seve

  6. Technical Adequacy of the Disruptive Behavior Rating Scale-2nd Edition--Self-Report

    Science.gov (United States)

    Erford, Bradley T.; Miller, Emily M.; Isbister, Katherine

    2015-01-01

    This study provides preliminary analysis of the Disruptive Behavior Rating Scale-2nd Edition--Self-Report, which was designed to screen individuals aged 10 years and older for anxiety and behavior symptoms. Score reliability and internal and external facets of validity were good for a screening-level test.

  7. [Metaanalysis to estimate the expected drop out-rates reported in clinical trials on cataract surgery].

    Science.gov (United States)

    Knippschild, S; Hirsch, J; Krummenauer, F

    2014-02-01

    A realistic sample size calculation is crucial to achieve significant results in clinical trials. As an expected drop out-rate has to be included in the sample size calculation, current practice consists in the presumption of drop out-rates published in previous similar investigations. This approach may, however, result in severely over- or under-estimated sample sizes. Therefore this meta-analysis sought to aggregate the drop out-rates from published clinical trial reports on cataract surgery to derive a quantitative suggestion for the planning of future clinical trials. The data collection was a complete review of all prospective and retrospective studies in five journals of the years 2002-2012; trial-wise recall rates of subjects at follow-up 3, 6, 12, and 24 months after recruitment were documented. The primary endpoint of the meta-analysis was the reported drop out-rates after 6 months. 95 % confidence intervals were calculated for each trial, respectively; a median drop out-rate was estimated including its 95 % confidence interval. The drop-out-rate estimates were furthermore stratified by design characteristics of the reported studies. For randomised clinical trials on cataract surgery, the median drop out-rate increased during the follow-up period of 24 months from 4 % at three months to 17 % at 24 months after recruitment; for the six-month drop out-rate a median drop-out rate of 3 % (95 % CI 0 %; 14 %) was estimated. Drop out-rates in sample size calculations for clinical trials on cataract surgery were found to be over-estimated in general, ending up in the calculation of overly large patient numbers and thereby in both ethical and economic consequences. For randomised clinical trials on cataract surgery the median drop out-rate can be expected to be 5 % during a six-month follow-up and may rise up to 15 % during a 12-month trial period. Georg Thieme Verlag KG Stuttgart · New York.

  8. Biomarkers of cognitive decline in Parkinson's disease.

    Science.gov (United States)

    Lin, Chin-Hsien; Wu, Ruey-Meei

    2015-05-01

    Cognitive impairment is a frequent and devastating non-motor symptom of Parkinson's disease (PD). Impaired cognition has a major impact on either quality of life or mortality in patients with PD. Notably, the rate of cognitive decline and pattern of early cognitive deficits in PD are highly variable between individuals. Given that the underlying mechanisms of cognitive decline or dementia associated with PD remain unclear, there is currently no mechanism-based treatment available. Identification of biological markers, including neuroimaging, biofluids and common genetic variants, that account for the heterogeneity of PD related cognitive decline could provide important insights into the pathological processes that underlie cognitive impairment in PD. These combined biomarker approaches will enable early diagnosis and provide indicators of cognitive progression in PD patients. This review summarizes recent advances in the development of biomarkers for cognitive impairments in PD.

  9. Is human fecundity declining?

    DEFF Research Database (Denmark)

    Skakkebæk, Niels E.; Jørgensen, Niels; Main, Katharina M.

    2006-01-01

    Summary The decreasing trends in fertility rates in many industrialized countries are now so dramatic that they deserve much more scientific attention. Although social and behavioural factors undoubtedly play a major role for these trends, it seems premature, and not based on solid information, t...... and molecular biologists. This research effort can hardly be carried out without major support from governments and granting agencies making it possible to fund collaborative projects within novel research networks of scientists....

  10. Family planning programs and fertility decline.

    Science.gov (United States)

    Cuca, R

    1980-01-01

    A recently completed World Bank statistical study of family planning in 63 developing countries indicated that countries which experienced a large decline in birth rates between 1960-1977 were more likely to have a family planning program, an official population policy aimed at decreasing the birth rate, and a relatively high level of development than countries which experienced smaller or no decline in birth rates. The 65 countries represented 95% of the population of the developing world. Birth rate declines of 10% or more between 1960-1977 were experienced by: 1) 10 of the 26 countries which had a family planning program and a policy aimed at reducing the birth rate; 2) 6 of the 19 countries which had a family planning program but lacked clearly defined population objectives; and 3) 2 of the 18 countries without any population policy or program. Furthermore, the implementation of a family planning program and the adoption of a population policy were directly related to the development level of the country. This finding suggested that countries need to reach a certain level of development before they have the capacity to develop population programs and policies. When a country is sufficiently advanced to collect population data, awareness of population problems increases and they are more likely to adopt a population policy. In addition, government efficiency increases as development proceeds and governments must have a certain level of efficiency before they can implement effective programs.

  11. Risks of rapid decline renal function in patients with type 2 diabetes

    Institute of Scientific and Technical Information of China (English)

    Yi-Jing; Sheen; Wayne; HH; Sheu

    2014-01-01

    Progressive rising population of diabetes and related nephropathy, namely, diabetic kidney disease and associated end stage renal disease has become a major global public health issue. Results of observational studies indicate that most diabetic kidney disease progresses over decades; however, certain diabetes patients display a rapid decline in renal function, which may lead to renal failure within months. Although the definition of rapid renal function decline remained speculative, in general,it is defined by the decrease of estimated glomerular filtration rate(e GFR) in absolute rate of loss or percent change. Based on the Kidney Disease: Improving Global Outcomes 2012 clinical practice guidelines, a rapid decline in renal function is defined as a sustained declinein e GFR of > 5 m L/min per 1.73 m2 per year. It has been reported that potential factors contributing to a rapid decline in renal function include ethnic/genetic and demographic causes, smoking habits, increased glycated hemoglobin levels, obesity, albuminuria, anemia, low serum magnesium levels, high serum phosphate levels, vitamin D deficiency, elevated systolic blood pressure, pulse pressure, brachial-ankle pulse wave velocity values, retinopathy, and cardiac autonomic neuropathy. This article reviews current literatures in this area and provides insight on the early detection of diabetic subjects who are at risk of a rapid decline in renal function in order to develop a more aggressive approach to renal and cardiovascular protection.

  12. The relations between personality traits and psychopathy as measured by ratings and self-report

    Directory of Open Access Journals (Sweden)

    Kujačić Daliborka

    2015-01-01

    Full Text Available The objective of this study was to examine the relations between psychopathy - as assessed by ratings (PCL-R and by self-report (SRP3 - on one side, and The Five-Factor personality Model - expanded to include the traits Amorality and Disintegration - on the other. Both methods examined four traits of psychopathy: interpersonal, affective, lifestyle and antisocial characteristics. Data were collected on a sample of 112 male convicts. The results show the absence of congruence between the two methods - self-report and rating - in case of interpersonal and affective psychopathic dispositions. This incongruence is also reflected in their relations with personality traits. The self-report measures and the ratings of Lifestyle and Antisocial tendencies are related to amorality, aggressiveness, schizotypy, Neuroticism and impulsivity. However, the ratings of affective and interpersonal style are related to the integrated, organized, and emotionally stable aspects of personality. The results are interpreted in the light of differences between the methods of assessment and in the light of the essential characteristics of the psychopathic phenomena.

  13. Reporting success rates in the treatment of vestibular schwannomas: are we accounting for the natural history?

    Science.gov (United States)

    Miller, Timothy; Lau, Tsz; Vasan, Rohit; Danner, Christopher; Youssef, A Samy; van Loveren, Harry; Agazzi, Siviero

    2014-06-01

    Stereotactic radiosurgery is generally accepted as one of the best treatment options for vestibular schwannomas. We question whether growth control is an accurate measure of success in vestibular schwannoma treatment. We aim to clarify the success rate of stereotactic radiosurgery and adjust the reported results to the benign natural history of untreated tumors. All articles were taken from a PubMed search of the English literature from the years 2000-2011. Inclusion criteria were articles containing the number of patients treated, radiation technique, average tumor size, follow-up time, and percentage of tumors growing during follow-up. Data were extracted from 19 articles. Success rates were adjusted using published data that 17% to 30% of vestibular schwannomas grow. The average reported success rate for stereotactic radiosurgery across all articles was 95.5%. When considering 17% or 30% natural growth without intervention, the adjusted success rates became 78.2% and 86.9% respectively. These rates were obtained by applying the natural history growth percentages to any tumors not reported to be growing before radiosurgical intervention. Success in the treatment of vestibular schwannomas with stereotactic radiosurgery is often defined as lack of further growth. Recent data on the natural growth history of vestibular schwannomas raise the question of whether this is the best definition of success. We have identified a lack of continuity regarding the reporting of success and emphasize the importance of the clarification of the success of radiosurgery to make informed decisions regarding the best treatment options for vestibular schwannoma.

  14. Voluntarily Reported Immunization Registry Data: Reliability and Feasibility to Predict Immunization Rates, San Diego, California, 2013.

    Science.gov (United States)

    Madewell, Zachary J; Wester, Robert B; Wang, Wendy W; Smith, Tyler C; Peddecord, K Michael; Morris, Jessica; DeGuzman, Heidi; Sawyer, Mark H; McDonald, Eric C

    Accurate data on immunization coverage levels are essential to public health program planning. Reliability of coverage estimates derived from immunization information systems (IISs) in states where immunization reporting by medical providers is not mandated by the state may be compromised by low rates of participation. To overcome this problem, data on coverage rates are often acquired through random-digit-dial telephone surveys, which require substantial time and resources. This project tested both the reliability of voluntarily reported IIS data and the feasibility of using these data to estimate regional immunization rates. We matched telephone survey records for 553 patients aged 19-35 months obtained in 2013 to 430 records in the San Diego County IIS. We assessed concordance between survey data and IIS data using κ to measure the degree of nonrandom agreement. We used multivariable logistic regression models to investigate differences among demographic variables between the 2 data sets. These models were used to construct weights that enabled us to predict immunization rates in areas where reporting is not mandated. We found moderate agreement between the telephone survey and the IIS for the diphtheria, tetanus, and acellular pertussis (κ = 0.49), pneumococcal conjugate (κ = 0.49), and Haemophilus influenzae type b (κ = 0.46) vaccines; fair agreement for the varicella (κ = 0.39), polio (κ = 0.39), and measles, mumps, and rubella (κ = 0.35) vaccines; and slight agreement for the hepatitis B vaccine (κ = 0.17). Consistency in factors predicting immunization coverage levels in a telephone survey and IIS data confirmed the feasibility of using voluntarily reported IIS data to assess immunization rates in children aged 19-35 months.

  15. Development of the self-report version of the Zanarini Rating Scale for Borderline Personality Disorder.

    Science.gov (United States)

    Zanarini, Mary C; Weingeroff, Jolie L; Frankenburg, Frances R; Fitzmaurice, Garrett M

    2015-11-01

    The purpose of this study was to assess the psychometric properties of the self-report version of the Zanarini Rating Scale for Borderline Personality Disorder (ZAN-BPD). The measure covers a 1-week time frame, and each of the nine criteria for BPD is rated on a five-point anchored rating scale of 0-4. Seventy-five subjects meeting DSM-IV criteria for BPD were recruited from the community. The convergent validity of the interview and self-report versions of the ZAN-BPD was found to be high (with a median value of 0.70). In terms of reliability, the internal consistency of the nine criteria scores of the ZAN-BPD was found to be good (Cronbach's alpha = 0.84). In addition, 13 of 14 intraclass correlations for same-day test-retest reliability were in the excellent range (> 0.75). Finally, the sensitivity of both versions of the ZAN-BPD to change was assessed 7-10 days after they were first administered and found to be adequate (e.g. r = 0.66 for total score of ZAN-BPD). Taken together, the results of this study suggest that the self-report ZAN-BPD is a promising self-report scale for the assessment of change in the severity of borderline psychopathology over time.

  16. Is human fecundity declining?

    DEFF Research Database (Denmark)

    Skakkebaek, Niels E; Jørgensen, Niels; Main, Katharina M

    2006-01-01

    Summary The decreasing trends in fertility rates in many industrialized countries are now so dramatic that they deserve much more scientific attention. Although social and behavioural factors undoubtedly play a major role for these trends, it seems premature, and not based on solid information......, to conclude that these trends can be ascribed to social and behavioural changes alone. There is evidence to suspect that changing lifestyle and increasing environmental exposures, e.g. to endocrine disrupters, are behind the trends in occurrence of male reproductive health problems, including testis cancer...

  17. Canton Fair: Decline, but Optimistic

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    @@ The Canton Fair, long regarded as an important weather vane for China's foreign trade, this year faced bitter, cold winds. Trade volume of main "export products such as machines and light industrial products all saw a decline, although the degree of decline differed in different sectors. The total trade volume in this Canton Fair dropped 16.9% below the previous one.

  18. Pilot States Program report: Home energy ratings systems and energy-efficient mortgages

    Energy Technology Data Exchange (ETDEWEB)

    Farhar, B.

    2000-04-04

    This report covers the accomplishments of the home energy ratings systems/energy-efficient mortgages (HERS/EEMs) pilot states from 1993 through 1998, including such indicators as funding, ratings and EEMs achieved, active raters, and training and marketing activities. A brief description of each HERS program's evolution is included, as well as their directors' views of the programs' future prospects. Finally, an analysis is provided of successful HERS program characteristics and factors that appear to contribute to HERS program success.

  19. Self-report and observer ratings of personality functioning: a study of the OPD system.

    Science.gov (United States)

    Dinger, Ulrike; Schauenburg, Henning; Hörz, Susanne; Rentrop, Michael; Komo-Lang, Miriam; Klinkerfuß, Mathias; Köhling, Johanna; Grande, Tilman; Ehrenthal, Johannes C

    2014-01-01

    Recent considerations around DSM-5 criteria of personality disorders (PDs) demand new concepts of assessing levels of personality functioning. Of special interest are multiperspective approaches accounting for clinicians' as well as patients' points of view. The study investigates observer-rated and self-assessed levels of personality functioning measured by the level of structural integration as defined by the Operationalized Psychodynamic Diagnosis System (OPD). Both perspectives were positively related. The combination of both measures was most efficient in discriminating among 3 diagnostic groups of varying degrees of personality dysfunction. Future studies should take into account expert ratings as well as self-report data.

  20. Guaranteed Student Loans: Eliminating Interest Rate Floors Could Generate Substantial Savings. Report to the Honorable George D. Mitchell, U.S. Senate.

    Science.gov (United States)

    General Accounting Office, Washington, DC. Div. of Human Resources.

    A study was done of how interest rate floors on certain guaranteed student loans affect the federal government's and students' costs when rates on short-term government securities decline. The study developed cost comparisons using fixed and variable loan interest rates. For comparison Department of Education projections of loan volumes for fiscal…

  1. Reduction in Surgical Wound Infection Rates Associated with Reporting Data to Surgeons

    Directory of Open Access Journals (Sweden)

    GD Taylor

    1994-01-01

    Full Text Available Several studies have shown that wound infection (surgical site infection [ ssi ] rates fall when surgeons are provided with data on their performance. Since 1987, the authors have been performing concurrent surveillance of surgical patients and confidentially reporting surgeon-specific ssi rates to individual surgeons and their clinical directors, and providing surgeons with the mean rates of their peers. The program has been gradually refined and expanded. Data are now collected on wound infection risk and report risk adjusted rates compared with the mean for hospitals in the United States National Nosocomial Infections Surveillance (nnis data bank. Since inception through to December 1993, ssi rates have fallen 68% in clean contaminated general surgery cases (relative risk [rr] 0.36, 95% ci 0.2 to 0.6, P=0.0001, 64% in clean plastic surgery cases (rr 0.35, 95% ci 0.06 to 1.8, 72% in caesarean section cases (rr 0.23, 95% ci 0.03 to 1.96 and 42% in clean cardiovascular surgery cases (rr 0.59, 95% ci 0.34 to 1.0. In clean orthopedic surgery the ssi rate remained stable from 1987 through 1992. In 1993 a marked increase was experienced. Reasons for this are being explored. Overall there was a 32% decrease in ssi rate between the index year and 1993 or, in percentage terms, 2.8% to 1.9% (rr 0.65, 95% ci 0.51 to 0.86, P=0.002. ssi surveillance should become standard in Canadian hospitals interested in improving the quality of surgical care and reducing the clinical impact and cost associated with nosocomial infection.

  2. Energy Policy Act transportation rate study: Interim report on coal transportation

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-10-01

    The primary purpose of this report is to examine changes in domestic coal distribution and railroad coal transportation rates since enactment of the Clean Air Act Amendments of 1990 (CAAA90). From 1988 through 1993, the demand for low-sulfur coal increased, as a the 1995 deadline for compliance with Phase 1 of CAAA90 approached. The shift toward low-sulfur coal came sooner than had been generally expected because many electric utilities switched early from high-sulfur coal to ``compliance`` (very low-sulfur) coal. They did so to accumulate emissions allowances that could be used to meet the stricter Phase 2 requirements. Thus, the demand for compliance coal increased the most. The report describes coal distribution and sulfur content, railroad coal transportation and transportation rates, and electric utility contract coal transportation trends from 1979 to 1993 including national trends, regional comparisons, distribution patterns and regional profiles. 14 figs., 76 tabs.

  3. The VAGUS insight into psychosis scale--self-report and clinician-rated versions.

    Science.gov (United States)

    Gerretsen, Philip; Remington, Gary; Borlido, Carol; Quilty, Lena; Hassan, Sabrina; Polsinelli, Gina; Teo, Celine; Mar, Wanna; Simon, Regina; Menon, Mahesh; Pothier, David D; Nakajima, Shinichiro; Caravaggio, Fernando; Mamo, David C; Rajji, Tarek K; Mulsant, Benoit H; Deluca, Vincenzo; Ganguli, Rohan; Pollock, Bruce G; Graff-Guerrero, Ariel

    2014-12-30

    The aim of this study was to develop self-report and clinician-rated versions of an insight scale that would be easy to administer, sensitive to small changes, and inclusive of the core dimensions of clinical insight into psychosis. Ten-item self-report (VAGUS-SR) and five-item clinician-rated (VAGUS-CR) scales were designed to measure the dimensions of insight into psychosis and evaluated in 215 and 140 participants, respectively (www.vagusonline.com). Tests of reliability and validity were performed. Both the VAGUS-SR and VAGUS-CR showed good internal consistency and reliability. They demonstrated good convergent and discriminant validity. Both versions were strongly correlated with one another and with the Schedule for the Assessment of Insight and Birchwood Insight Scale. Exploratory factor analyses identified three possible latent components of insight. The VAGUS-CR and VAGUS-SR are valid, reliable and easy to administer. They are build on previous insight scales with separate clinician-rated and self-report versions. The VAGUS-SR exhibited a multidimensional factor structure. Using a 10-point Likert scale for each item, the VAGUS has the capacity to detect small, temporally sensitive changes in insight, which is essential for intervention studies with neurostimulation or rapidly acting medications.

  4. The VAGUS insight into psychosis scale – Self-report & clinician-rated versions

    Science.gov (United States)

    Gerretsen, Philip; Remington, Gary; Borlido, Carol; Quilty, Lena; Hassan, Sabrina; Polsinelli, Gina; Teo, Celine; Mar, Wanna; Simon, Regina; Menon, Mahesh; Pothier, David D.; Nakajima, Shinichiro; Caravaggio, Fernando; Mamo, David C.; Rajji, Tarek K.; Mulsant, Benoit H.; Deluca, Vincenzo; Ganguli, Rohan; Pollock, Bruce G.; Graff-Guerrero, Ariel

    2015-01-01

    The aim of this study was to develop self-report and clinician-rated versions of an insight scale that would be easy to administer, sensitive to small changes, and inclusive of the core dimensions of clinical insight into psychosis. Ten-item self-report (VAGUS-SR) and five-item clinician-rated (VAGUS-CR) scales were designed to measure the dimensions of insight into psychosis and evaluated in 215 and 140 participants, respectively (www.vagusonline.com). Tests of reliability and validity were performed. Both the VAGUS-SR and VAGUS-CR showed good internal consistency and reliability. They demonstrated good convergent and discriminant validity. Both versions were strongly correlated with one another and with the Schedule for the Assessment of Insight and Birchwood Insight Scale. Exploratory factor analyses identified three possible latent components of insight. The VAGUS-CR and VAGUS-SR are valid, reliable and easy to administer. They are build on previous insight scales with separate clinician-rated and self-report versions. The VAGUS-SR exhibited a multidimensional factor structure. Using a 10-point Likert scale for each item, the VAGUS has the capacity to detect small, temporally sensitive changes in insight, which is essential for intervention studies with neurostimulation or rapidly acting medications. PMID:25246410

  5. ELEPHANT DECLINE IN LAKE-MANYARA-NATIONAL-PARK, TANZANIA

    NARCIS (Netherlands)

    PRINS, HHT; VANDERJEUGD, HP; BEEKMAN, JH

    1994-01-01

    The population of African elephant (Loxodonta africana (Blumenbach)) in Lake Manyara National Park, northern Tanzania, declined from about 500 individuals in 1984, to about 150 in 1988 due to poaching (mortality rate about 60% p.a.). In 1991 the population had declined further to about 60 individual

  6. Reporting of exercise attendance rates for people with chronic obstructive pulmonary disease: a systematic review.

    Science.gov (United States)

    Williams, Marie T; Lewis, Lucy K; McKeough, Zoe; Holland, Anne E; Lee, Annemarie; McNamara, Renae; Phillips, Anna; Wiles, Louise; Knapman, Leona; Wootton, Sally; Milross, Maree; Effing, Tanja

    2014-01-01

    While recommendations for the duration, frequency, mode and intensity of exercise programmes for people with chronic obstructive pulmonary disease (COPD) are specified in consensus statements, criteria for exercise session attendance are less clear. The review questions were: (i) how commonly are a priori criteria and attendance rates reported for people with COPD participating in exercise programmes and (ii) what is the strength of association between attendance and improvements in functional exercise capacity. Database searches identified primary studies of people with COPD participating in exercise or pulmonary rehabilitation programmes of at least 2 weeks duration. Primary outcomes were a priori criteria for attendance, reports of attendance at supervised exercise sessions and mean improvements in functional exercise assessments. Data extraction processes were confirmed prospectively (>80% agreement). Variants of exercise attendance data were described. Linear associations between attendance and improvements in exercise outcomes were explored (Pearson r, P exercise data before and after the intervention, there was little to no relationship between improvements in functional exercise capacity and training volume (prescribed r = -0.03, P = 0.88; attended r = -0.24, P = 0.18). Reporting of exercise programme attendance rates is low and of variable quality for people with COPD. Consistent and explicit reporting of exercise attendance in people with COPD will enable calculation of dose-response relationships and determine the value of a priori exercise attendance criteria.

  7. Public reporting of hospital infection rates: ranking the states on credibility and user friendliness.

    Science.gov (United States)

    Amini, Ava; Birnbaum, David W; Black, Bernard; Hyman, David A

    2013-01-01

    Health-care associated infections ("HAIs") kill about 100,000 people annually; most are preventable, but many hospitals have not aggressively addressed the problem. In response, twenty-five states and the U.S. Department of Health and Human Services require public reporting of hospital infection rates for at least some types of infections, and other states and private entities are implementing such reporting. The websites and related reports vary widely in ease of access, ease of use, usefulness of information, timeliness of updates, and credibility. We report on work in progress, in which we assess the quality and suitability of different state websites and reports for different target audiences (ordinary consumers; physicians, and infection control professionals) and the extent to which they meet best practices for online communication, including Stanford's "Fogg" Guidelines for Web Credibility and user-friendliness metrics developed by other researchers. We find wide variation in quality, and substantial correlation between measures of website credibility and user-friendliness. We identify ways to improve usability, usefulness, and tailoring for information to different target audiences. Our analysis suggests that the "one website (and report format) fits all users" model may not work well in delivering complex, technical information to users with widely varying needs and sophistication.

  8. Recovery Act: Energy Efficiency of Data Networks through Rate Adaptation (EEDNRA) - Final Technical Report

    Energy Technology Data Exchange (ETDEWEB)

    Matthew Andrews; Spyridon Antonakopoulos; Steve Fortune; Andrea Francini; Lisa Zhang

    2011-07-12

    This Concept Definition Study focused on developing a scientific understanding of methods to reduce energy consumption in data networks using rate adaptation. Rate adaptation is a collection of techniques that reduce energy consumption when traffic is light, and only require full energy when traffic is at full provisioned capacity. Rate adaptation is a very promising technique for saving energy: modern data networks are typically operated at average rates well below capacity, but network equipment has not yet been designed to incorporate rate adaptation. The Study concerns packet-switching equipment, routers and switches; such equipment forms the backbone of the modern Internet. The focus of the study is on algorithms and protocols that can be implemented in software or firmware to exploit hardware power-control mechanisms. Hardware power-control mechanisms are widely used in the computer industry, and are beginning to be available for networking equipment as well. Network equipment has different performance requirements than computer equipment because of the very fast rate of packet arrival; hence novel power-control algorithms are required for networking. This study resulted in five published papers, one internal report, and two patent applications, documented below. The specific technical accomplishments are the following: • A model for the power consumption of switching equipment used in service-provider telecommunication networks as a function of operating state, and measured power-consumption values for typical current equipment. • An algorithm for use in a router that adapts packet processing rate and hence power consumption to traffic load while maintaining performance guarantees on delay and throughput. • An algorithm that performs network-wide traffic routing with the objective of minimizing energy consumption, assuming that routers have less-than-ideal rate adaptivity. • An estimate of the potential energy savings in service-provider networks

  9. Fast renal decline to end-stage renal disease

    DEFF Research Database (Denmark)

    Krolewski, Andrzej S.; Skupien, Jan; Rossing, Peter

    2017-01-01

    A new model of diabetic nephropathy in type 1 diabetes emerged from our studies of Joslin Clinic patients. The dominant feature is progressive renal decline, not albuminuria. This decline is a unidirectional process commencing while patients have normal renal function and, in the majority, progre...... for markers predictive of the rate of renal decline yield findings that may make detection of fast decliners feasible. Identifying such patients will be the foundation for developing effective individualized methods to prevent or delay onset of ESRD in diabetes....... progression as rate of eGFR declines > 5 ml/min/year, a value exceeded by 80% of patients in Joslin's type 1 diabetes ESRD cohort. The extraordinary range of slopes within the rapid progression category prompted us to partition it into “very fast,” “fast” and “moderate” decline. We showed, for the first time......, that very fast and fast decline from normal eGFR to ESRD within 2 to 10 years constitutes 50% of the Joslin cohort. In this review we present data about frequency of fast decliners in both diabetes types, survey some mechanisms underlying fast renal decline, discuss methods of identifying patients at risk...

  10. Personality in adulthood: a six-year longitudinal study of self-reports and spouse ratings on the NEO Personality Inventory.

    Science.gov (United States)

    Costa, P T; McCrae, R R

    1988-05-01

    Previous longitudinal studies of personality in adulthood have been limited in the range of traits examined, have chiefly made use of self-reports, and have frequently included only men. In this study, self-reports (N = 983) and spouse ratings (N = 167) were gathered on the NEO Personality Inventory (Costa & McCrae, 1985b), which measures all five of the major dimensions of normal personality. Cross-sectional and longitudinal analyses on data from men and women aged 21 to 96 years showed evidence of small declines in Activity, Positive Emotions, and openness to Actions that might be attributed to maturation, but none of these effects was replicated in sequential analyses. The 20 other scales examined showed no consistent pattern of maturational effects. In contrast, retest stability was quite high for all five dimensions in self-reports and for the three dimensions measured at both times in spouse ratings. Comparable levels of stability were seen for men and women and for younger and older subjects. The data support the position that personality is stable after age 30.

  11. Nuclear medicine incident reporting in Australia: control charts and notification rates inform quality improvement.

    Science.gov (United States)

    Larcos, G; Collins, L T; Georgiou, A; Westbrook, J I

    2015-06-01

    Australia has a statutory incident reporting system for radiopharmaceutical maladministrations, but additional research into registry data is required for the purpose of quality improvement in nuclear medicine. We (i) used control charts to identify factors contributing to special cause variation (indicating higher than expected rates) in maladministrations and (ii) evaluated the impact of heterogeneous notification criteria and extent of underreporting among jurisdictions and individual facilities, respectively. Anonymised summaries of Australian Radiation Incident Register reports permitted calculation of national monthly maladministration notification rates for 2007-2012 and preparation of control charts. Multivariate logistic regression assessed the association of population, insurance and regulatory characteristics with maladministration notifications in each Australian State and Territory. Maladministration notification rates from two facilities with familiarity of notification processes and commitment to radiation protection were compared with those elsewhere. Special cause variation occurred in only 3 months, but contributed to 21% of all incidents (42 of 197 patients), mainly because of 'clusters' of maladministrations (n = 24) arising from errors in bulk radiopharmaceutical dispensing. Maladministration notification rates varied significantly between jurisdictions (0 to 12.2 maladministrations per 100 000 procedures (P < 0.05)) and individual facilities (31.7 vs 5.8 per 100 000; χ(2) = 40; 1 degree of freedom, P < 0.001). Unexpected increases in maladministration notifications predominantly relate to incident 'clusters' affecting multiple patients. The bulk preparation of radiopharmaceuticals is a vulnerable process and merits additional safeguards. Maladministration notification rates in Australia are heterogeneous. Adopting uniform maladministration notification criteria among States and Territories and methods to overcome underreporting are

  12. Cognitive decline affects diabetic women

    Directory of Open Access Journals (Sweden)

    Perzyński Adam

    2016-12-01

    Full Text Available Introduction: DM provokes peripheral complications and changes in central nervous system. Central changes in the course of diabetes mellitus (DM include changes in brain tissue structure, electrophysiological abnormalities but also disturbances in neurotransmission leading to cognitive decline.

  13. Migratory diversity predicts population declines in birds.

    Science.gov (United States)

    Gilroy, James J; Gill, Jennifer A; Butchart, Stuart H M; Jones, Victoria R; Franco, Aldina M A

    2016-03-01

    Declines in migratory species are a pressing concern worldwide, but the mechanisms underpinning these declines are not fully understood. We hypothesised that species with greater within-population variability in migratory movements and destinations, here termed 'migratory diversity', might be more resilient to environmental change. To test this, we related map-based metrics of migratory diversity to recent population trends for 340 European breeding birds. Species that occupy larger non-breeding ranges relative to breeding, a characteristic we term 'migratory dispersion', were less likely to be declining than those with more restricted non-breeding ranges. Species with partial migration strategies (i.e. overlapping breeding and non-breeding ranges) were also less likely to be declining than full migrants or full residents, an effect that was independent of migration distance. Recent rates of advancement in Europe-wide spring arrival date were greater for partial migrants than full migrants, suggesting that migratory diversity may also help facilitate species responses to climate change. © 2016 John Wiley & Sons Ltd/CNRS.

  14. Unexpected decline in tuberculosis cases coincident with economic recession -- United States, 2009

    Directory of Open Access Journals (Sweden)

    Winston Carla A

    2011-11-01

    Full Text Available Abstract Background Since 1953, through the cooperation of state and local health departments, the U.S. Centers for Disease Control and Prevention (CDC has collected information on incident cases of tuberculosis (TB disease in the United States. In 2009, TB case rates declined -11.4%, compared to an average annual -3.8% decline since 2000. The unexpectedly large decline raised concerns that TB cases may have gone unreported. To address the unexpected decline, we examined trends from multiple sources on TB treatment initiation, medication sales, and laboratory and genotyping data on culture-positive TB. Methods We analyzed 142,174 incident TB cases reported to the U. S. National Tuberculosis Surveillance System (NTSS during January 1, 2000-December 31, 2009; TB control program data from 59 public health reporting areas; self-reported data from 50 CDC-funded public health laboratories; monthly electronic prescription claims for new TB therapy prescriptions; and complete genotyping results available for NTSS cases. Accounting for prior trends using regression and time-series analyses, we calculated the deviation between observed and expected TB cases in 2009 according to patient and clinical characteristics, and assessed at what point in time the deviation occurred. Results The overall deviation in TB cases in 2009 was -7.9%, with -994 fewer cases reported than expected (P Conclusions Our assessments show that the decline in reported TB was not an artifact of changes in surveillance methods; rather, similar declines were found through multiple data sources. While the steady decline of TB cases before 2009 suggests ongoing improvement in TB control, we were not able to identify any substantial change in TB control activities or TB transmission that would account for the abrupt decline in 2009. It is possible that other multiple causes coincident with economic recession in the United States, including decreased immigration and delayed access to

  15. 26 CFR 1.167(b)-2 - Declining balance method.

    Science.gov (United States)

    2010-04-01

    ... straight line rate (without adjustment for salvage) is 5 percent, and the declining balance rate at twice the normal straight line rate is 10 percent. The annual depreciation allowances for 1954, 1955, and...)(2) shall not exceed twice the appropriate straight line rate computed without adjustment for...

  16. Did the Decline in Social Connections Depress Americans' Happiness?

    Science.gov (United States)

    Bartolini, Stefano; Bilancini, Ennio; Pugno, Maurizio

    2013-01-01

    During the last 30 years US citizens experienced, on average, a decline in reported happiness, social connections, and confidence in institutions. We show that a remarkable portion of the decrease in happiness is predicted by the decline in social connections and confidence in institutions. We carry out our investigation in three steps. First, we…

  17. Did the Decline in Social Connections Depress Americans' Happiness?

    Science.gov (United States)

    Bartolini, Stefano; Bilancini, Ennio; Pugno, Maurizio

    2013-01-01

    During the last 30 years US citizens experienced, on average, a decline in reported happiness, social connections, and confidence in institutions. We show that a remarkable portion of the decrease in happiness is predicted by the decline in social connections and confidence in institutions. We carry out our investigation in three steps. First, we…

  18. Extraspinal incidental findings on routine MRI of lumbar spine: Prevalence and reporting Rates in 1278 patients

    Energy Technology Data Exchange (ETDEWEB)

    Tuncel, Sedat Alpaslan; Cagli, Bekir; Tekatas, Aslan; Kirici, Yadigar Mehmet; Unlu, Ercument; Genchellac, Haken [Trakya University Faculty of Medicine, Balkan Campus, Edirne (Turkmenistan)

    2015-08-15

    The aim of the present study was to determine the prevalence and reporting rate of incidental findings (IF) in adult outpatients undergoing lumbar magnetic resonance imaging (MRI). Re-evaluation of a total of 1278 lumbar MRI images (collected from patients with a mean age of 50.5 years, range 16-91 years) captured between August 2010-August 2011 was done by a neuroradiologist and a musculoskeletal radiologist. IFs were classified according to organ or system (liver, gallbladder, kidney, bladder, uterus, ovary, lymph node, intestine and aorta). The rate of reporting of a range of IF was examined. The outcome of each patient's treatment was evaluated based on review of hospital records and by telephone interviews. A total of 253 IFs were found in 241 patients (18.8% of 1278). Among these, clinically significant IFs (n = 34) included: 2 renal masses (0.15%), 2 aortic aneurysms (0.15%), 2 cases of hydronephrosis (0.15%), 11 adrenal masses (0.86%), 7 lymphadenopathies (0.55%), 6 cases of endometrial or cervical thickening (0.47%), 1 liver hemangioma (0.08%), 1 pelvic fluid (0.08%) and 2 ovarian dermoid cysts (0.15%). Overall, 28% (71/253) of IFs were included in the clinical reports, while clinically significant findings were reported in 41% (14/34) of cases. Extraspinal IFs are commonly detected during a routine lumbar MRI, and many of these findings are not clinically significant. However, IFs including clinically important findings are occasionally omitted from formal radiological reports.

  19. [Concentration or decline in Puebla?].

    Science.gov (United States)

    Cabrera Becerra, V

    1993-04-01

    Some doubts have been expressed over whether the slowing pace of urbanization suggested by the 1990 census of Mexico was an accurate reflection of changing conditions, or whether it resulted from some intentional or unintended bias. Comparison of data from succeeding censuses indicates that the growth rate of the city of Puebla declined from 6.32% in 1980 to 2.63% in 1990. This work argues that, in Puebla, a trend to deconcentration of the population within the city of Puebla during the 1980s was accompanied by rapid growth in smaller and medium sized nearby cities, resulting in increased overall concentration in Puebla's metropolitan area. The absolute population of the city of Puebla increased from 772,908 in 1980 to 1,007,170 in 1990. The central area of the state of Puebla, which surrounds the city, increased its share of the state population from 51.67% in 1980 to 52.21% in 1990. The number of places with over 5000 inhabitants in the area surrounding the city of Puebla increased from 27 in 1980 to 39 in 1990. Construction of the Puebla-Atlixco highway will undoubtedly attract growth to the area southwest of Puebla. Small cities to the east of Puebla have shown significant growth although their region remains strongly rural. The same process of deconcentration of population in Puebla and concentration in its surrounding metropolitan regions can probably also be detected in patterns of investment of public funds. The trend is likely to continue through the 1990s.

  20. Final Report: "Collaborative Project. Understanding the Chemical Processes That Affect Growth Rates of Freshly Nucleated Particles"

    Energy Technology Data Exchange (ETDEWEB)

    Smith, James N. [NCAR, Boulder, CO (United States); McMurry, Peter H. [NCAR, Boulder, CO (United States)

    2015-11-12

    This final technical report describes our research activities that have, as the ultimate goal, the development of a model that explains growth rates of freshly nucleated particles. The research activities, which combine field observations with laboratory experiments, explore the relationship between concentrations of gas-phase species that contribute to growth and the rates at which those species are taken up. We also describe measurements of the chemical composition of freshly nucleated particles in a variety of locales, as well as properties (especially hygroscopicity) that influence their effects on climate. Our measurements include a self-organized, DOE-ARM funded project at the Southern Great Plains site, the New Particle Formation Study (NPFS), which took place during spring 2013. NPFS data are available to the research community on the ARM data archive, providing a unique suite observations of trace gas and aerosols that are associated with the formation and growth of atmospheric aerosol particles.

  1. Is the current decline in malaria burden in sub-Saharan Africa due to a decrease in vector population?

    DEFF Research Database (Denmark)

    Meyrowitsch, Dan Wolf; Pedersen, Erling Møller; Alifrangis, Michael

    2011-01-01

    ABSTRACT: BACKGROUND: In sub-Saharan Africa (SSA), malaria caused by Plasmodium falciparum has historically been a major contributor to morbidity and mortality. Recent reports indicate a pronounced decline in infection and disease rates which are commonly ascribed to large-scale bed net programme...

  2. The Soviet economic decline : historical and republican data

    OpenAIRE

    Easterly, William; Fischer, Stanley; DEC

    1994-01-01

    Soviet growth for 1960-89 was the worst in the world, after controlling for investment and human capital. And relative performance worsens over time. The authors explain the declining Soviet growth rate from 1950 to 1987 by the declining marginal product of capital. The rate of total factor productivity growth is roughly constant over that period. Although the Soviet slowdown has conventionally been attributed to extensive growth (rising capital-to-output ratios), extensive growth is also a f...

  3. The Soviet Economic Decline: Historical and Republican Data

    OpenAIRE

    William Easterly; Stanley Fischer

    1994-01-01

    Soviet growth over 1960-89 was the worst in the world after we control for investment and human capital; the relative performance worsens over time. The declining Soviet growth rate over 1950-87 is explained by the declining marginal product of capital; the rate of TFP growth is roughly constant over that period. While the Soviet slowdown has conventionally been attributed to extensive growth (rising capital to output ratios), extensive growth is also a feature of market-oriented economies li...

  4. Depth perception: the need to report ocean biogeochemical rates as functions of temperature, not depth.

    Science.gov (United States)

    Brewer, Peter G; Peltzer, Edward T

    2017-09-13

    For over 50 years, ocean scientists have oddly represented ocean oxygen consumption rates as a function of depth but not temperature in most biogeochemical models. This unique tradition or tactic inhibits useful discussion of climate change impacts, where specific and fundamental temperature-dependent terms are required. Tracer-based determinations of oxygen consumption rates in the deep sea are nearly universally reported as a function of depth in spite of their well-known microbial basis. In recent work, we have shown that a carefully determined profile of oxygen consumption rates in the Sargasso Sea can be well represented by a classical Arrhenius function with an activation energy of 86.5 kJ mol(-1), leading to a Q10 of 3.63. This indicates that for 2°C warming, we will have a 29% increase in ocean oxygen consumption rates, and for 3°C warming, a 47% increase, potentially leading to large-scale ocean hypoxia should a sufficient amount of organic matter be available to microbes. Here, we show that the same principles apply to a worldwide collation of tracer-based oxygen consumption rate data and that some 95% of ocean oxygen consumption is driven by temperature, not depth, and thus will have a strong climate dependence. The Arrhenius/Eyring equations are no simple panacea and they require a non-equilibrium steady state to exist. Where transient events are in progress, this stricture is not obeyed and we show one such possible example.This article is part of the themed issue 'Ocean ventilation and deoxygenation in a warming world'. © 2017 The Author(s).

  5. Geriatric conditions in acutely hospitalized older patients: prevalence and one-year survival and functional decline.

    Directory of Open Access Journals (Sweden)

    Bianca M Buurman

    Full Text Available BACKGROUND: To study the prevalence of eighteen geriatric conditions in older patients at admission, their reporting rate in discharge summaries and the impact of these conditions on mortality and functional decline one year after admission. METHOD: A prospective multicenter cohort study conducted between 2006 and 2008 in two tertiary university teaching hospitals and one regional teaching hospital in the Netherlands. Patients of 65 years and older, acutely admitted and hospitalized for at least 48 hours, were invited to participate. Eighteen geriatric conditions were assessed at hospital admission, and outcomes (mortality, functional decline were assessed one year after admission. RESULTS: 639 patients were included, with a mean age of 78 years. IADL impairment (83%, polypharmacy (61%, mobility difficulty (59%, high levels of primary caregiver burden (53%, and malnutrition (52% were most prevalent. Except for polypharmacy and cognitive impairment, the reporting rate of the geriatric conditions in discharge summaries was less than 50%. One year after admission, 35% had died and 33% suffered from functional decline. A high Charlson comorbidity index score, presence of malnutrition, high fall risk, presence of delirium and premorbid IADL impairment were associated with mortality and overall poor outcome (mortality or functional decline. Obesity lowered the risk for mortality. CONCLUSION: Geriatric conditions were highly prevalent and associated with poor health outcomes after admission. Early recognition of these conditions in acutely hospitalized older patients and improving the handover to the general practitioner could lead to better health outcomes and reduce the burden of hospital admission for older patients.

  6. Predictive value of self-reported and observer-rated defense style in depression treatment.

    Science.gov (United States)

    Van Henricus, L; Dekker, Jack; Peen, Jaap; Abraham, Robert E; Schoevers, Robert

    2009-01-01

    This study explored the predictive value of observer-rated and self-reported defensive functioning on the outcome of psychotherapy for the treatment of depression. Defense styles were measured according to the Developmental Profile (DP) and the Defense Style Questionnaire (DSQ) in 81 moderately severely depressed patients. All patients were treated with Short-term Psychodynamic Supportive Psychotherapy (SPSP). At baseline, women appeared to have a more mature level of overall defensive functioning. A lower level of defensive function was found in patients with recurrent depressions. We also found a rather modest relationship between self-reported and observer-rated defense. Remitted patients had a more mature overall defensive functioning on the DP and the DSQ. In particular, patients with a symbiotic defense style (giving up, apathetic withdrawal) were at risk for poor outcome. This exploratory study provides further evidence of the relevance of defense styles for depression. It suggests a differential predictive value of separate defense levels, which may help to tailor psychotherapeutic strategies.

  7. Automatic Reporting of Creatinine-Based Estimated Glomerular Filtration Rate in Children: Is this Feasible?

    Directory of Open Access Journals (Sweden)

    Andrew Lunn

    2016-07-01

    Full Text Available Creatinine, although widely used as a biomarker to measure renal function, has long been known as an insensitive marker of renal impairment. Patients with reduced renal function can have a creatinine level within the normal range, with a rapid rise when renal function is significantly reduced. As of 1976, the correlation between height, the reciprocal of creatinine, and measured glomerular filtration rate (GFR in children has been described. It has been used to derive a simple formula for estimated glomerular filtration rate (eGFR that could be used at the bedside as a more sensitive method of identifying children with renal impairment. Formulae based on this association, with modifications over time as creatinine assay methods have changed, are still widely used clinically at the bedside and in research studies to assess the degree of renal impairment in children. Adult practice has moved in many countries to computer-generated results that report eGFR alongside creatinine results using more complex, but potentially more accurate estimates of GFR, which are independent of height. This permits early identification of patients with chronic kidney disease. This review assesses the feasibility of automated reporting of eGFR and the advantages and disadvantages of this in children.

  8. State Variation in Rates of Adolescent Pregnancy and Childbearing. Final Report [and] Executive Summary.

    Science.gov (United States)

    Moore, Kristin A.; Blumenthal, Connie; Sugland, Barbara W.; Hyatt, Byoung-gi; Snyder, Nancy O.; Morrison, Donna Ruane

    Recent declines in funding for contraceptive services have led to questions regarding the role of contraceptive services and social policy in shaping adolescent reproductive behavior. This 2-year study examined the impact of state-level policies on adolescent pregnancy and fertility. Data were obtained from a variety of sources, including the…

  9. Changes in Everyday and Digital Health Technology Use among Seniors in Declining Health.

    Science.gov (United States)

    Levine, David M; Lipsitz, Stuart R; Linder, Jeffrey A

    2017-06-12

    US seniors' digital health and everyday technology use when their health declines are unknown. Longitudinal cohort using the National Health and Aging Trends Study, a nationally-representative, annually-administered sample of community-dwelling Medicare beneficiaries (n=4037). We used difference-in-differences to assess the adjusted difference (AD) in technology use from 2011-2014 between those with and without health declines. Health decline measures included new-onset dementia; new-onset depression; decreases in activities of daily living (ADLs), short physical performance battery (SPPB), grip strength, and self-reported health; relocation to nursing facility; increased hospitalizations; and new-onset comorbidity. Digital health included use of the Internet to research health conditions, contact clinicians, fill prescriptions, and address insurance matters. Between 2011-2014, seniors experiencing health decline used various digital health technologies at low absolute rates (range: 1%-20%). Between 2011-2014, use of everyday technology decreased significantly among seniors with new-onset dementia (from 73% to 51%; AD, -26%), decreased ADLs (from 76% to 67%; AD, -10%), decreased SPPB (from 88% to 86%; AD, -3%), and relocation to a nursing facility (from 49% to 22%; AD, -31%) compared to seniors without comparable decline (all pdigital health decreased significantly among seniors with new-onset probable dementia (from 9% to 4%; AD, -6%) and decreased SPPB (from 24% to 25%; AD -4%; all phealth decline a senior experiences predicts technology use, which may allow better targeting of digital health to specific seniors. Seniors with new dementia, relocation to a nursing home, and declining physical performance seem especially poor candidates for technology interventions.

  10. Bibliography on Decline and Retrenchment.

    Science.gov (United States)

    National Center for Higher Education Management Systems, Boulder, CO.

    A bibliography on decline and retrenchment in higher education is presented that includes publications from the fields of higher education, the organization sciences, and public administration. The objective is to make available the reference tools that have been useful in conducting the National Center for Higher Education Management Systems'…

  11. Strong families and declining fertility

    NARCIS (Netherlands)

    Hilevych, Yuliya

    2016-01-01

    This dissertation focuses on the role of family and social relationships in individuals’ reproductive careers during the fertility decline in Soviet Ukraine from around 1950 to 1975. These three decades after the Second World War signified the end of the First Demographic Transition in Ukraine

  12. Declining Efficiency in the Economy

    DEFF Research Database (Denmark)

    Nørgaard, Jørgen

    1995-01-01

    The paper discusses the concept of resource efficiency in the economy as a whole. This implies some unfoldings of the simple definition of efficiency as human satisfaction over throughput of resources. It is suggested, that the efficiency of the economic systems is declining in the countries...

  13. French Wines on the Decline?:

    DEFF Research Database (Denmark)

    Steiner, Bodo

    2004-01-01

    French wines, differentiated by geographic origin, served for many decades as a basis for the French success in the British wine market. However in the early 1990s, market share began to decline. This article explores the values that market participants placed on labelling information on French...

  14. Decline in male circumcision in South Korea

    Directory of Open Access Journals (Sweden)

    Kim DaiSik

    2012-12-01

    Full Text Available Abstract Background To investigate the changing circumcision rate in South Korea in the last decade and to propose underlying causes for this change, in the context of the present fluctuating world-wide trends in circumcision. Methods From 2009 to 2011, 3,296 South Korean males (or their parents aged 0–64 years were asked about their circumcision status, their age at circumcision, and their information level regarding circumcision. We employed non-probability sampling considering the sensitive questions on the study theme. Results Currently the age-standardized circumcision rate for South Korean males aged 14–29 is found to be 75.8%. In an earlier study performed in 2002, the rate for the same age group was 86.3%. Of particular interest, males aged 14–16 show a circumcision rate of 56.4%, while the same age group 10 years ago displayed a much higher percentage, at 88.4%. In addition, the extraordinarily high circumcision rate of 95.2% found 10 years ago for the 17–19 age group is now reduced to 74.4%. Interestingly, of the circumcised males, the percentage circumcised in the last decade was only 25.2%; i.e., the majority of the currently circumcised males had undergone the operation prior to 2002, indicating that the actual change in the last decade is far greater. Consistent with this conjecture, the 2002 survey showed that the majority of circumcised males (75.7% had undergone the operation in the decade prior to that point. Focusing on the flagship age group of 14–16, this drop suggests that, considering the population structure of Korean males, approximately one million fewer circumcision operations have been performed in the last decade relative to the case of non-decline. This decline is strongly correlated with the information available through internet, newspapers, lectures, books, and television: within the circumcised population, both the patients and their parents had less prior knowledge regarding circumcision, other than

  15. Suicide Rates in Greece: Comparing Mortality Data with Police Reporting Statistics and Investigating Recent Trends

    Directory of Open Access Journals (Sweden)

    Alexandra Tragaki

    2017-04-01

    Full Text Available This paper analyzes recent suicide trends in Greece. It relies on two separate databases, vital statistics and police records, the latter never having been explored before. Those datasets present a different picture about the suicide rates and trends, confirming the crucial importance of data reliability and consistency in time trend analysis. Frequencies and ratios were calculated and compared using paired sample t-tests. Overtime trend changes were detected applying segment regression analysis on both data collections. Our findings suggest that there are important differences between vital and police statistics on suicides. At national level, over the period 1990–2013, vital statistics reported an average of 7 percent more suicides, annually. Differences were more pronounced among women and younger ages. Both datasets confirm a change in total suicide trends during recent recession, but police data analysis supports that increases are less impressive than vital statistics claim.

  16. Farmer's lung is now in decline.

    LENUS (Irish Health Repository)

    Arya, A

    2012-02-03

    Farmer\\'s lung incidence in Ireland was constant until 1996, even though hay making methods were revolutionised in late 1980\\'s. We undertook this study to find out the incidence of farmer\\'s lung in Ireland from 1982-2002 and its correlation with rainfall and the effect of changing farm practices. The primary cases of farmer\\'s lung were identified from Hospital in Patients Enquiry (HIPE) unit of the national Economic & Social Research Institute (ESRI) Dublin. Rainfall data were obtained from Met Eireann whereas population, hay production and silage production were obtained from the Central Statistics Office, Dublin. As the farming population is in decline, we used the annual working unit (AWU), which reflects the true population at risk. An AWU is the equivalent of 1800 hours per farm worker per year. The incidence rates were constant from 1982-1996, but from 1997-2002 a marked decline was observed. There was strong positive correlation with hay production (r = 0.81) and strong negative correlation with silage production (r = -0.82). This study indicates that the incidence of farmer\\'s lung is now in decline.

  17. Self-Reported HIV and HCV Screening Rates and Serostatus Among Substance Abuse Treatment Patients.

    Science.gov (United States)

    Hernández, Diana; Feaster, Daniel J; Gooden, Lauren; Douaihy, Antoine; Mandler, Raul; Erickson, Sarah J; Kyle, Tiffany; Haynes, Louise; Schwartz, Robert; Das, Moupali; Metsch, Lisa

    2016-01-01

    Substance users are at increased risk for HIV and HCV infection. Still, many substance use treatment programs (SUTP) fail to offer HIV/HCV testing. The present secondary analysis of screening data from a multi-site randomized trial of rapid HIV testing examines self-reported HIV/HCV testing patterns and serostatus of 2473 SUTP patients in 12 community-based sites that had not previously offered on-site testing. Results indicate that most respondents screened for the randomized trial tested more than a year prior to intake for HIV (52 %) and HCV (38 %). Prevalence rates were 3.6 and 30 % for HIV and HCV, respectively. The majority of participants that were HIV (52.2 %) and HCV-positive (40.5 %) reported having been diagnosed within the last 1-5 years. Multivariable logistic regression showed that members of high-risk groups were more likely to have tested. Bundled HIV/HCV testing and linkage to care issues are recommended for expanding testing in community-based SUTP settings.

  18. Air pollution and forest decline in central Europe

    Energy Technology Data Exchange (ETDEWEB)

    Kandler, O.; Innes, J.L. [University of Munich, Munich (Germany). Institute of Botany

    1995-12-31

    The term `Waldsterben` was introduced in the early 1980s to describe the progressive death of forests that was believed to be occurring in Central Europe as a result of air pollution. Subsequent surveys and investigations have failed to confirm that forests are dying or are even declining over large areas of Central Europe. Foliar injury by air pollutants, together with mortality, has occurred, but is generally restricted to specific locations in the Czech Republic and in eastern Germany. Where foliar damage has been recorded, it can often be attributed to high concentrations of sulphur dioxide, often acting in combination with other stresses (e.g. frost or insects). Outside areas affected by local sources of pollution, there is little, if any, evidence that the crown condition of trees has been adversely affected by pollution over large areas. Instead, climate appears to have a major effect on the crown condition and growth of trees. Measurements and surveys have revealed a very different picture to that forecasted in the mid-1980s. Growth rates of trees and stands in Central Europe are currently higher than have been recorded at any time in the past. Although declines in individual species in specific areas have been recorded, past records indicate that these do not represent a new phenomenon. Consequently, the terms `Waldsterben` (forest deaths) and `neuartige Waldschaden` (novel type of forest damages) should not be used in the context of the phenomenon reported in Central Europe in the 1980s. Instead different problems should be described separately and the term forest decline used only when there is clear evidence of a general deterioration in the condition of all tree species within a forest.

  19. Air pollution and forest decline in Central Europe.

    Science.gov (United States)

    Kandler, O; Innes, J L

    1995-01-01

    The term 'Waldsterben' was introduced in the early 1980s to describe the progressive death of forests that was believed to be occurring in Central Europe as a result of air pollution. Subsequent surveys and investigations have failed to confirm that forests are dying or are even declining over large areas of Central Europe, defined here as consisting of Germany, Switzerland, southeastern France (Alsace), the Czech Republic, northern Italy and Austria. Foliar injury by air pollutants, together with mortality, has occurred, but is generally restricted to specific locations in the Czech Republic and in eastern Germany, such as the Fichtelgebirge. Where foliar damage has been recorded, it can often be attributed to high concentrations of sulphur dioxide, often acting in combination with other stresses (e.g. frost or insects). Outside areas affected by local sources of pollution, there is little, if any, evidence that the crown condition of trees has been adversely affected by pollution over large areas. Instead, climate appears to have a major effect on the crown condition and growth of trees. Measurements and surveys have revealed a very different picture to that forecasted in the mid-1980s. Growth rates of trees and stands in Central Europe are currently higher than have been recorded at any time in the past; the reasons for this are uncertain, although increases in forest area have not substantially contributed to the observed trends. Although declines in individual species in specific areas have been recorded, past records indicate that these do not represent a new phenomenon. Consequently, the terms 'Waldsterben' (forest deaths) and 'neuartige Waldschäden' (novel type of forest damages) should not be used in the context of the phenomenon reported in Central Europe in the 1980s. Instead, different problems should be described separately and the term forest decline used only when there is clear evidence of a general deterioration in the condition of all tree

  20. Differentiated decline in Danish outskirt areas

    DEFF Research Database (Denmark)

    Laursen, Lea Louise Holst; Andersson, Lasse

    2011-01-01

    The latest figures show that minor Danish villages and rural areas through the last 20 years have suffered from depopulation and economical decline, and it is a development that seems to accelerate. The negative consequences of this development are low house prizes, a higher unemployment rate tha...... life by rethinking existing structures into new landscape based spaces. This paper argues that a process oriented approach in landscape urbanism (Waldheim 2006, Corner 1999) and cultural planning (Evans 2001, Bianchini 1993) is useful when operating in smaller Danish communities....

  1. Analyses of the rate of decline in stimulated c-peptide 12 months after diagnosis in children with newly diag-nosed type 1 diabetes. results from the Hvidoere study group on childhood diabetes

    DEFF Research Database (Denmark)

    Andersen, Marie Louise Max; Porksen, S.; Nielsen, L.B.

    2010-01-01

    Objectives: Direct measurement of C-peptide has been recommended to provide the most appropriate primary outcome in trials evaluating the efficacy of therapies to preserve beta-cell function. The aim of the present study was to quantitatively characterize the natural history of disease progression...... as assessed by stimulated C-peptide the first 12 months after diagnosis in children with new onset T1D in two independent cohorts collected over a time interval of 6 years. Furthermore the purpose was to assess whether the natural history of disease has changed over time. Materials and methods...... for both cohorts was calculated to 8.0 ± 0.7%/ month.This is in the same range as the value reported of 0.019 nmol/l/month (1982-1985) by Wallensteen corresponding to a relative change of 9.5%/month. Conclusion: Thus, the natural history of disease progression during the first 12 months after diagnosis has...

  2. Medicare Program; FY 2018 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements. Final rule.

    Science.gov (United States)

    2017-08-04

    This final rule will update the hospice wage index, payment rates, and cap amount for fiscal year (FY) 2018. Additionally, this rule includes new quality measures and provides an update on the hospice quality reporting program.

  3. Estimating the incidence reporting rates of new influenza pandemics at an early stage using travel data from the source country

    OpenAIRE

    CHONG, K. C.; Fong, H. F.; ZEE, C. Y.

    2013-01-01

    SUMMARY During the surveillance of influenza pandemics, underreported data are a public health challenge that complicates the understanding of pandemic threats and can undermine mitigation efforts. We propose a method to estimate incidence reporting rates at early stages of new influenza pandemics using 2009 pandemic H1N1 as an example. Routine surveillance data and statistics of travellers arriving from Mexico were used. Our method incorporates changes in reporting rates such as linearly inc...

  4. Self reported rates of criminal offending and victimization in young people at-risk for psychosis.

    Science.gov (United States)

    Purcell, R; Harrigan, S; Glozier, N; Amminger, G P; Yung, A R

    2015-08-01

    A significant relationship exists between experiencing psychosis and both engaging in criminal offending and being a victim of crime. A substantial proportion of violence and offending occurs during the first episode of psychosis, but it is unclear whether such behaviour is also evident in the earlier pre-psychotic stage of illness. As part of a prospective study of young people who were seeking help for mental health problems, we enquired about participants' experiences of being charged and/or convicted of a criminal offence and being a victim of crime. This paper uses cross-sectional baseline data to compare the rates of these forensic outcomes in participants at-risk of psychosis (n=271) with those not at-risk (n=440). Univariate logistic regression showed that the at-risk for psychosis group was significantly more likely than the not at-risk participants to report having been charged by police (11.1% vs 5.9%; p=.015) and convicted by the courts (4.4% vs. 1.6%; p=0.028) with a non-violent offence, as well as to have been convicted of any criminal offence (6.3% vs. 3.0%; p=0.037). The at-risk were also more likely to report having been a victim of crime (23.7% vs 14.0%; p=.002), particularly violent victimization (16.5% vs 8.2%; p=.001). In multivariate logistic regression analyses, being at-risk for psychosis remained a significant predictor of three of the four outcome measures after controlling for other known covariates such as gender, age, substance misuse and unemployment. This is the first study to demonstrate that, relative to their non-psychotic help-seeking counterparts, young people at-risk for psychosis are at higher risk of forensic outcomes, particularly violent crime victimization.

  5. Financial Declines, Financial Behaviors, and Relationship Satisfaction during the Recession

    Directory of Open Access Journals (Sweden)

    Jeffrey P. Dew

    2013-08-01

    Full Text Available Using nationally-representative data collected during the summer of 2009 (N = 575, this study examines how reports of financial declines are associated with financial behaviors and how financial behaviors are associated with relationship satisfaction among cohabiting and married participants. Findings suggested that financial declines were only negatively associated with sound financial management behavior if participants also experienced feelings of economic pressure. Sound financial management behavior was found to be positively associated with marital satisfaction. Finally, sound financial management behavior also moderated the association between financial declines, economic pressure, and relationship satisfaction.

  6. 77 FR 72905 - Pipeline Safety: Random Drug Testing Rate; Contractor MIS Reporting; and Obtaining DAMIS Sign-In...

    Science.gov (United States)

    2012-12-06

    ... Pipeline and Hazardous Materials Safety Administration Pipeline Safety: Random Drug Testing Rate... for random drug testing, reminder for operators to report contractor MIS data, and new method for... minimum random drug testing rate for covered employees will remain at 25 percent during calendar year 2013...

  7. Completing College: A National View of Student Attainment Rates--Fall 2008 Cohort (Signature Report No. 8)

    Science.gov (United States)

    Shapiro, Doug; Dundar, Afet; Yuan, Xin; Harrell, Autumn T.; Wakhungu, Phoebe Khasiala

    2014-01-01

    This third annual report on national college completion rates offers the first look at the six-year outcomes for students who began postsecondary education in fall 2008, the cohort that entered college during the Great Recession. It looks at the various pathways students took toward degree completion, as well as the completion rates through May…

  8. Declining amphibian populations: a global phenomenon in conservation biology

    Directory of Open Access Journals (Sweden)

    Gardner, T.

    2001-01-01

    Full Text Available The majority of the recent reductions in the Earth's biodiversity can be attributed to direct human impacts on the environment. An increasing number of studies over the last decade have reported declines in amphibian populations in areas of pristine habitat. Such reports suggest the role of indirect factors and a global effect of human activities on natural systems. Declines in amphibian populations bear significant implications for the functioning of many terrestrial ecosystems, and may signify important implications for human welfare. A wide range of candidates have been proposed to explain amphibian population declines. However, it seems likely that the relevance of each factor is dependent upon the habitat type and species in question, and that complex synergistic effects between a number of environmental factors is of critical importance. Monitoring of amphibian populations to assess the extent and cause of declines is confounded by a number of ecological and methodological limitations.

  9. Photosynthetic declines are induced by Phytophthora ramorum infection and exposure to elicitins

    Science.gov (United States)

    Daniel K. Manter; Rick G. Kelsey; Joseph J. Karchesy

    2008-01-01

    Infection of compatible plants by Phytophthora spp. often leads to a decline in stomatal conductance and photosynthesis, although the mechanistic basis for such declines is not completely understood. In many cases, declines in leaf gas exchange rates have been linked to losses in water supply capacity associated with root and/or xylem. However, the...

  10. Factors affecting the decline of ventilatory function in chronic bronchitis

    Energy Technology Data Exchange (ETDEWEB)

    Campbell, A.H.; Barter, C.E.; O' Connell, J.M.; Huggins, R.

    1985-10-01

    Ninety six middle aged male patients with chronic bronchitis with relatively well preserved ventilatory function who were resident in Queensland, New South Wales, or Victoria took part in a prospective study to determine the relationship of various factors to the rate of decline of the Forced Expiratory Volume (FEV1). Thirty of the subjects withdrew, leaving 66 to be followed for four to six years. The mean rate of decline of the Forced Expiratory Volume (FEV1) was 58.6 ml/year. The subjects ventilatory responses to bronchodilator and to methacholine were significantly related to each other and to sputum eosinophilia. With a linear model for the data on 57 patients who had methacholine and skin tests the rate of decline of the FEV1 was found, after adjustment had been made for other variables, to be significantly related to state of residence, current smoking, response to bronchodilator, age, and occupational exposure to dust. Response to bronchodilator was interchangeable with response to methacholine. When data from all 66 subjects were introduced into the model, in addition to the five significant individual variables (FEV1/VC% X response to bronchodilator) was significantly related to the rate of decline of the FEV1. Of these prognostic indices, response to bronchodilator was independent of the initial FEV1, FEV/VC%, and FEV1% predicted. The difference between states, which was not explained by differences due to sampling or withdrawal of subjects, was due to a low rate of decline in Queensland.

  11. The historical decline of fertility in Eastern Europe.

    Science.gov (United States)

    Leasure, J W

    1992-01-01

    Quantitative data from the Princeton European Fertility Project were used to explain the determinants of change in attitudes which lead to use of birth control within marriage and fertility decline in terms of the growth of autonomy over one's political, personal, religious, economic, and reproductive life. The following countries, which are arranged by their chronological order of marital fertility decline, were used in the primarily quantitative analysis: Hungary, Czechoslovakia, Greece, Yugoslavia, Poland, Romania, Bulgaria, and Albania. Prior research had identified an association between a decline in the birth rate and the presence of revolutions nationalist independence movements, or democratic reform movements. The connection is that once control over one's political and economic destiny is made, there is an extension into one's reproductive behavior. Further refinement has occurred. Autonomy is grounded in reason, the natural rights of individuals, and independence of thought. Reflective of this autonomous spirit were affiliations with Congregational, Presbyterian, Quaker, Unitarian, and Universalist religions. The present analysis is historical and describes the events surrounding the decline in marital fertility. These events might have preceded, been concurrent with, or followed the decline, but the thesis remains that the growth in autonomy contributes to political changes and fertility decline. The primary measure of fertility is Ig developed by Coale, and sustained decline maps of Coale and Watkins. Crude birth rate and total fertility rate were also used. the provincial analysis was impeded by lack of long time series for some countries and boundary changes. The hypothesis is generally supported, except in the case of Yugoslavia which varies too much. Support for the thesis was stronger in some countries than in others. Sustained decline occurred by each country in different periods, e.g., in Hungary it began between 1850-60 while in Albania it began

  12. Assessment of social traits in married couples: Self-reports versus spouse ratings around the interpersonal circumplex.

    Science.gov (United States)

    Smith, Timothy W; Williams, Paula G

    2016-06-01

    Personality traits predict the quality of intimate relationships, and as a result can be useful additions to assessments of couple functioning. For traits involving social behavior, the affiliation (i.e., warmth, friendliness vs. hostility, quarrelsomeness) and control (i.e., dominance vs. deference, submissiveness) dimensions of the interpersonal circumplex (IPC) are an alternative to the 5-factor model traits of agreeableness and extraversion, given that they may provide a more specific and relevant description of social behavior in the context of couple functioning. The couple context creates an opportunity to supplement commonly used self-reports with informant ratings. Although substantial correlations between self-reports and partner ratings of personality are well-documented, differences between these assessment modalities in levels of affiliation and control have not been examined previously. The present study of 301 middle-aged and older couples addressed this issue by comparing self-reports and spouse ratings, using parallel forms of a measure of the interpersonal circumplex derived from the NEO (Neuroticism-Extraversion-Openness) PI-R (Personality Inventory-Revised). Participants reported lower trait dominance relative to spouses' ratings, and less trait hostility. For dominance, this discrepancy was evident at all levels of marital quality, but for hostility it was particularly apparent among couples reporting low marital quality. The tendency to self-report less dominance relative to ratings by spouses was stronger among women than men. These discrepancies may be important in couple assessment and intervention. (PsycINFO Database Record

  13. On the Validity of the Psychosocial Maturity Scales: Relationship to Teacher Ratings. Report No. 171.

    Science.gov (United States)

    Josselson, Ruthellen; And Others

    This study attempts to provide evidence for the criterion validity of the Psychosocial Maturity (PSM) scales. Students' scores on the nine PSM scales were related to teachers' ratings of student PSM-related behavior. All scales except Trust significantly differentiated students rated high on PSM-related traits from students not rated high. Only…

  14. Declining Efficiency in the Economy

    DEFF Research Database (Denmark)

    Nørgaard, Jørgen

    1995-01-01

    The paper discusses the concept of resource efficiency in the economy as a whole. This implies some unfoldings of the simple definition of efficiency as human satisfaction over throughput of resources. It is suggested, that the efficiency of the economic systems is declining in the countries...... with a high material standard of living. Examples are presented as are suggestions for how to improve the efficiency. These improvements, however, have a tendency to reduce the gross domestic product and hence are conflicting with the conventional political goals of growing GDP....

  15. Evaluation of Risk Minimisation Measures for Blood Components - Based on Reporting Rates of Transfusion-Transmitted Reactions (1997-2013).

    Science.gov (United States)

    Funk, Markus B; Heiden, Margarethe; Volkers, Peter; Lohmann, Annette; Keller-Stanislawski, Brigitte

    2015-07-01

    To assess the impact of safety measures, we compared reporting rates of transfusion-related reactions before and after the implementation of six measures in 1999, 2004, 2006, 2008 and 2009. Reporting rates of transfusion-transmitted bacterial infection (TTBI), viral infection (TTVI) and immune-mediated transfusion-related acute lung injury (TRALI) were calculated on the basis of confirmed annual reports and distributed blood components. The introduction of HCV NAT testing caused a significant reduction of HCV reporting rate from 1:0.6 to 1:83.16 million administered blood components (p blood components, p = 0.422). On the basis of haemovigilance data, a significant benefit could be demonstrated for four of six implemented safety measures.

  16. Estimating the incidence reporting rates of new influenza pandemics at an early stage using travel data from the source country.

    Science.gov (United States)

    Chong, K C; Fong, H F; Zee, C Y

    2014-05-01

    During the surveillance of influenza pandemics, underreported data are a public health challenge that complicates the understanding of pandemic threats and can undermine mitigation efforts. We propose a method to estimate incidence reporting rates at early stages of new influenza pandemics using 2009 pandemic H1N1 as an example. Routine surveillance data and statistics of travellers arriving from Mexico were used. Our method incorporates changes in reporting rates such as linearly increasing trends due to the enhanced surveillance. From our results, the reporting rate was estimated at 0·46% during early stages of the pandemic in Mexico. We estimated cumulative incidence in the Mexican population to be 0·7% compared to 0·003% reported by officials in Mexico at the end of April. This method could be useful in estimation of actual cases during new influenza pandemics for policy makers to better determine appropriate control measures.

  17. How few and far between? Examining the effects of probe rate on self-reported mind wandering.

    Science.gov (United States)

    Seli, Paul; Carriere, Jonathan S A; Levene, Merrick; Smilek, Daniel

    2013-01-01

    We examined whether the temporal rate at which thought probes are presented affects the likelihood that people will report periods of mind wandering. To evaluate this possibility, we had participants complete a sustained-attention task (the Metronome Response Task; MRT) during which we intermittently presented thought probes. Critically, we varied the average time between probes (i.e., probe rate) across participants, allowing us to examine the relation between probe rate and mind-wandering rate. We observed a positive relation between these variables, indicating that people are more likely to report mind wandering as the time between probes increases. We discuss the methodological implications of this finding in the context of the mind-wandering literature, and suggest that researchers include a range of probe rates in future work to provide more insight into this methodological issue.

  18. How few and far between? Examining the effects of probe rate on self-reported mind wandering

    Directory of Open Access Journals (Sweden)

    Paul eSeli

    2013-07-01

    Full Text Available We examined whether the temporal rate at which thought probes are presented affects the likelihood that people will report periods of mind wandering. To evaluate this possibility, we had participants complete a sustained-attention task (the Metronome Response Task; MRT during which we intermittently presented thought probes. Critically, we varied the average time between probes (i.e., probe rate across participants, allowing us to examine the relation between probe rate and mind-wandering rate. We observed a positive relation between these variables, indicating that people are more likely to report mind wandering as the time between probes increases. We discuss the methodological implications of this finding in the context of the mind-wandering literature, and suggest that researchers include a range of probe rates in future work to provide more insight into this methodological issue.

  19. The role of environmental factors in oak decline and mortality in the Ozark Highlands

    Science.gov (United States)

    John M. Kabrick; Daniel C. Dey; Randy G. Jensen; Michael Wallendorf

    2008-01-01

    Oak decline is a chronic problem in Missouri Ozark forests. Red oak group species are most susceptible and decline is reportedly more severe on droughty, nutrient-poor sites. However, it was not clear whether greater decline severity was caused by poor site conditions or is simply due to the greater abundance of red oak group species found on poorer sites. We conducted...

  20. Trajectory of Mobility Decline by Type of Dementia.

    Science.gov (United States)

    Tolea, Magdalena I; Morris, John C; Galvin, James E

    2016-01-01

    Cognitive and physical aspects of functionality are closely related. However, whether physical decline differs by dementia type and progression rate is debatable. To address these issues, we conducted a longitudinal study of 766 older adults whose physical performance and cognitive status were assessed annually with standard assessment tools [eg, Physical Performance Test, Clinical Dementia Rate (CDR)] for 8 years. Compared with participants who remained cognitively normal, those progressing to later-stage dementia (CDR=1) declined in their mobility by a factor of 2.82 (Pdementia (slope=-1.20, Pdementia (slope=-0.39, P=0.038) suggesting a steeper physical decline with dementia progression, particularly in those with the fastest disease progression. Although all types of dementia experienced mobility decline, those progressing to non-Alzheimer disease (AD) dementias, especially vascular dementia declined faster than those who remained normal (slope=-2.70, Pdementia patients particularly those with non-AD subtypes should be targeted for interventions to maintain or improve gait/balance and prevent functional decline and disability although AD patients may also benefit.

  1. Healthy eating and reduced risk of cognitive decline

    Science.gov (United States)

    Dehghan, Mahshid; O'Donnell, Martin; Anderson, Craig; Teo, Koon; Gao, Peggy; Sleight, Peter; Dagenais, Gilles; Probstfield, Jeffrey L.; Mente, Andrew; Yusuf, Salim

    2015-01-01

    Objective: We sought to determine the association of dietary factors and risk of cognitive decline in a population at high risk of cardiovascular disease. Methods: Baseline dietary intake and measures of the Mini-Mental State Examination were recorded in 27,860 men and women who were enrolled in 2 international parallel trials of the ONTARGET (Ongoing Telmisartan Alone and in Combination with Ramipril Global Endpoint Trial) and TRANSCEND (Telmisartan Randomised Assessment Study in ACE Intolerant Subjects with Cardiovascular Disease) studies. We measured diet quality using the modified Alternative Healthy Eating Index. Cox proportional hazards regression was used to determine the association between diet quality and risk of ≥3-point decline in Mini-Mental State Examination score, and reported as hazard ratio with 95% confidence intervals with adjustment for covariates. Results: During 56 months of follow-up, 4,699 cases of cognitive decline occurred. We observed lower risk of cognitive decline among those in the healthiest dietary quintile of modified Alternative Healthy Eating Index compared with lowest quintile (hazard ratio 0.76, 95% confidence interval 0.66–0.86, Q5 vs Q1). Lower risk of cognitive decline was consistent regardless of baseline cognitive level. Conclusion: We found that higher diet quality was associated with a reduced risk of cognitive decline. Improved diet quality represents an important potential target for reducing the global burden of cognitive decline. PMID:25948720

  2. 78 FR 71036 - Pipeline Safety: Random Drug Testing Rate; Contractor Management Information System Reporting...

    Science.gov (United States)

    2013-11-27

    ...; Contractor Management Information System Reporting; and Obtaining Drug and Alcohol Management Information... Operators to Report Contractor Management Information System (MIS) Data; and New Method for Operators to... ``user name'' and ``password'' for the Drug and Alcohol Management Information System (DAMIS)...

  3. Lobar microbleeds are associated with decline in executive functioning in older adults

    Science.gov (United States)

    Meier, Irene B.; Gu, Yian; Guzman, Vanessa A.; Wiegman, Anne F.; Schupf, Nicole; Manly, Jennifer J.; Luchsinger, José A.; Viswanathan, Anand; Martinez-Ramirez, Sergi; Greenberg, Steven M.; Mayeux, Richard; Brickman, Adam M.

    2014-01-01

    Background Normal aging is associated with decline in cognitive abilities, particularly in the domains of psychomotor speed and executive functioning. However, “aging,” per se, is not a cause of cognitive decline but rather a variable that likely captures multiple accumulating biological changes over time that collectively affect mental abilities. Recent work has focused on the role of cerebrovascular disease as one of the biological changes. In the current study, we examined whether lobar microbleeds, magnetic resonance imaging (MRI) signal voids due to hemosiderin deposits secondary to cerebral amyloid angiopathy, are associated with cognitive decline in normal aging. Previous studies that reported a relationship between the presence of lobar microbleeds and decreased cognitive abilities have been primarily cross-sectional. Here, we used a retrospective longitudinal design to examine whether the presence of lobar microbleeds is associated with the rate of cognitive decline among non-demented older adults. Methods Participants came from an ongoing longitudinal community-based aging study, in which subjects are evaluated at 18-24 month intervals and received a full medical, neurological, and neuropsychological examination at each of the follow-up visits. Gradient echo MRI scans were available on 197 non-demented participants (mean age: 84.15+/-5.02 years). Microbleeds were rated visually on horizontal view and divided into subcortical (basal ganglia, cerebellum) and lobar (frontal, temporal, parietal, occipital lobe) regions, and confirmed with coronal and sagittal view to exclude artifacts. Cognition was assessed with a neuropsychological battery, providing summary scores for memory, language, executive, and visuospatial abilities calculated through exploratory and confirmatory factor analyses. Using general estimating equations (GEE), we compared cognition cross-sectionally between individuals with 2 or more (n=11) and fewer than 2 (n=186) lobar microbleeds

  4. Declining Rate of Infection with Maternal Human Immunodeficiency ...

    African Journals Online (AJOL)

    AJRH Managing Editor

    l'infection chez les femmes qui ont subi l'analyse pendant l'accouchement suite à ... L'incidence du VIH et des taux de séroconversion pendant la grossesse chez les femmes qui ..... Adolescents, and Pregnant Women in Health-Care. Settings.

  5. Age-related declines and disease-associated variation in immune cell telomere length in a wild mammal.

    Directory of Open Access Journals (Sweden)

    Christopher Beirne

    Full Text Available Immunosenescence, the deterioration of immune system capability with age, may play a key role in mediating age-related declines in whole-organism performance, but the mechanisms that underpin immunosenescence are poorly understood. Biomedical research on humans and laboratory models has documented age and disease related declines in the telomere lengths of leukocytes ('immune cells', stimulating interest their having a potentially general role in the emergence of immunosenescent phenotypes. However, it is unknown whether such observations generalise to the immune cell populations of wild vertebrates living under ecologically realistic conditions. Here we examine longitudinal changes in the mean telomere lengths of immune cells in wild European badgers (Meles meles. Our findings provide the first evidence of within-individual age-related declines in immune cell telomere lengths in a wild vertebrate. That the rate of age-related decline in telomere length appears to be steeper within individuals than at the overall population level raises the possibility that individuals with short immune cell telomeres and/or higher rates of immune cell telomere attrition may be selectively lost from this population. We also report evidence suggestive of associations between immune cell telomere length and bovine tuberculosis infection status, with individuals detected at the most advanced stage of infection tending to have shorter immune cell telomeres than disease positive individuals. While male European badgers are larger and show higher rates of annual mortality than females, we found no evidence of a sex difference in either mean telomere length or the average rate of within-individual telomere attrition with age. Our findings lend support to the view that age-related declines in the telomere lengths of immune cells may provide one potentially general mechanism underpinning age-related declines in immunocompetence in natural populations.

  6. Intraguild predation and native lady beetle decline.

    Directory of Open Access Journals (Sweden)

    Mary M Gardiner

    Full Text Available Coccinellid communities across North America have experienced significant changes in recent decades, with declines in several native species reported. One potential mechanism for these declines is interference competition via intraguild predation; specifically, increased predation of native coccinellid eggs and larvae following the introduction of exotic coccinellids. Our previous studies have shown that agricultural fields in Michigan support a higher diversity and abundance of exotic coccinellids than similar fields in Iowa, and that the landscape surrounding agricultural fields across the north central U.S. influences the abundance and activity of coccinellid species. The goal of this study was to quantify the amount of egg predation experienced by a native coccinellid within Michigan and Iowa soybean fields and explore the influence of local and large-scale landscape structure. Using the native lady beetle Coleomegilla maculata as a model, we found that sentinel egg masses were subject to intense predation within both Michigan and Iowa soybean fields, with 60.7% of egg masses attacked and 43.0% of available eggs consumed within 48 h. In Michigan, the exotic coccinellids Coccinella septempunctata and Harmonia axyridis were the most abundant predators found in soybean fields whereas in Iowa, native species including C. maculata, Hippodamia parenthesis and the soft-winged flower beetle Collops nigriceps dominated the predator community. Predator abundance was greater in soybean fields within diverse landscapes, yet variation in predator numbers did not influence the intensity of egg predation observed. In contrast, the strongest predictor of native coccinellid egg predation was the composition of edge habitats bordering specific fields. Field sites surrounded by semi-natural habitats including forests, restored prairies, old fields, and pasturelands experienced greater egg predation than fields surrounded by other croplands. This study shows

  7. A Summary of Fault Recurrence and Strain Rates in the Vicinity of the Hanford Site--Topical Report

    Energy Technology Data Exchange (ETDEWEB)

    Bjornstad, Bruce N.; Winsor, Kelsey; Unwin, Stephen D.

    2012-08-01

    This document is one in a series of topical reports compiled by the Pacific Northwest National Laboratory to summarize technical information on selected topics important to the performance of a probabilistic seismic hazard analysis of the Hanford Site. The purpose of this report is to summarize available data and analyses relevant to fault recurrence and strain rates within the Yakima Fold Belt. Strain rates have met with contention in the expert community and may have a significant potential for impact on the seismic hazard estimate at the Hanford Site. This report identifies the alternative conceptual models relevant to this technical issue and the arguments and data that support those models. It provides a brief description of the technical issue and principal uncertainties; a general overview on the nature of the technical issue, along with alternative conceptual models, supporting arguments and information, and uncertainties; and finally, suggests some prospective approaches to reducing uncertainties about earthquake recurrence rates for the Yakima Fold Belt.

  8. The ratification status of ILO conventions related to occupational safety and health and its relationship with reported occupational fatality rates.

    Science.gov (United States)

    Wilson, Donald J; Takahashi, Ken; Sakuragi, Sonoko; Yoshino, Masako; Hoshuyama, Tsutomu; Imai, Teppei; Takala, Jukka

    2007-01-01

    The aim of this study was to assess the relationship between the ratification status of occupational safety and health (OSH)-related ILO conventions and reported occupational fatality rates of ILO member countries, while controlling for possible confounding factors. ILO member states were divided into 4 levels of income status, based on the gross national income per capita. Seventeen conventions designated as OSH-related were examined. Reported country occupational fatality rates were compared according to the ratification status of these 17 conventions and multiple regression analyses were conducted to assess the relationship between the fatality rates, ratification status, income level and length of ILO membership. Fatality rates were inversely and significantly related to income levels. In general, non-ratifying countries had higher work-related fatality rates than ratifying countries. A statistical model for identifying predictors of fatal injury rates showed that a larger number of conventions ratified was significantly associated with lower fatality rates. The fact that non-ratifying countries generally have higher fatality rates than ratifying ones supports the notion that all countries should promote ratification of ILO conventions aimed at improving OSH conditions.

  9. Can Occupational Therapy Slow Alzheimer's Decline?

    Science.gov (United States)

    ... news/fullstory_162135.html Can Occupational Therapy Slow Alzheimer's Decline? Patients, caregivers may reap some benefits, but ... slow down the physical decline that comes with Alzheimer's disease, a new clinical trial suggests. The study ...

  10. Who fears and who welcomes population decline?

    Directory of Open Access Journals (Sweden)

    Hendrik P. Van Dalen

    2011-08-01

    Full Text Available European countries are experiencing population decline and the tacit assumption in most analyses is that the decline may have detrimental welfare effects. In this paper we use a survey among the population in the Netherlands to discover whether population decline is always met with fear. A number of results stand out: population size preferences differ by geographic proximity: at a global level the majority of respondents favors a (global population decline, but closer to home one supports a stationary population. Population decline is clearly not always met with fear: 31 percent would like the population to decline at the national level and they generally perceive decline to be accompanied by immaterial welfare gains (improvement environment as well as material welfare losses (tax increases, economic stagnation. In addition to these driving forces it appears that the attitude towards immigrants is a very strong determinant at all geographical levels: immigrants seem to be a stronger fear factor than population decline.

  11. Classroom Test Report: Compressed Speech Tapes--An Effective Teaching Tool for Increasing Rate and Comprehension.

    Science.gov (United States)

    Berg, Jerry

    Compressed speech tapes--recordings of a voice reading a selection at the normal rate of approximately 150 words per minute that are speeded up to as much as 400 words a minute--can be used successfully with students to provide practice in improving reading rate and comprehension. In a field test conducted with 23 high school juniors and seniors…

  12. Rates of solubilization and biodegradation of PAH compounds in porous media. [Quarterly report

    Energy Technology Data Exchange (ETDEWEB)

    Luthy, R.G.

    1991-11-01

    Microbial degradation of hydrophobic organic compounds in soils and aquifer media is dependent on rates of desorption of these compounds from solids and rates of solubilization from residual nonaqueous phase liquids (NAPLs). The couples processes involving microbial degradation and hydrophobic compound availability are not well understood. The proposed research effort explores certain physicochemical phenomena that may have a significant affect on the rate of microbial degradation of hydrophobic organic compounds in porous media. The investigation will examine rates of biomineralization of polycyclic aromatic hydrocarbon (PAH) compounds that are leached from a residual saturation of coal tar. Batch and continuously-stirred reactor studies will be used to measure solute equilibrium concentrations and rates of solubilization of PAH compounds from coal tar imbided into microporous silica media. These rates will be compared with rates of mineralization of {sup 14}C-labeled compounds in similar systems inoculated with a culture of PAH degrading microorganisms. Column experiments will also be conducted to assess the rates of solubilization and mass transfer coefficients from coal tar entrapped in a sandy aquifer material by capillary forces.

  13. Declining Sunshine for Phoenix Lander

    Science.gov (United States)

    2008-01-01

    The yellow line on this graphic indicates the number of hours of sunlight each sol, or Martian day, at the Phoenix landing site's far-northern latitude, beginning with the entire Martian day (about 24 hours and 40 minutes) for the first 90 sols, then declining to no sunlight by about sol 300. The blue tick mark indicates that on Sol 124 (Sept. 29, 2008), the sun is above the horizon for about 20 hours. The brown vertical bar represents the period from Nov. 18 to Dec. 24, 2008, around the 'solar conjunction,' when the sun is close to the line between Mars and Earth, affecting communications. The green vertical rectangle represents the period from February to November 2009 when the Phoenix lander is expected to be encased in carbon-dioxide ice.

  14. Visit-to-visit variability of blood pressure and renal function decline in patients with diabetic chronic kidney disease.

    Science.gov (United States)

    Yokota, Kei; Fukuda, Masamichi; Matsui, Yoshio; Kario, Kazuomi; Kimura, Kenjiro

    2014-05-01

    The authors previously reported that the visit-to-visit variability of blood pressure is correlated with renal function decline in nondiabetic chronic kidney disease. Little is known about the association between visit-to-visit variability and renal function decline in patients with diabetic chronic kidney disease. The authors retrospectively studied 69 patients with diabetic chronic kidney disease stage 3a, 3b, or 4. The standard deviation and coefficient of variation of blood pressure in 12 consecutive visits were defined as visit-to-visit variability of blood pressure. The median observation period was 32 months. In univariate correlation, the standard deviation and coefficient of variation of blood pressure were not significantly associated with the slope of estimated glomerular filtration rate. There was no significant association between the visit-to-visit variability of blood pressure and renal function decline in patients with diabetic chronic kidney disease, in contrast with our previous study of nondiabetic patients with chronic kidney disease.

  15. Energy-efficient mortgages and home energy rating systems: A report on the nation`s progress

    Energy Technology Data Exchange (ETDEWEB)

    Farhar, B.C.; Eckert, J.

    1993-09-01

    This report summarizes progress throughout the nation in establishing voluntary programs linking home energy rating systems (HERS) and energy-efficient mortgages (EEMs). These programs use methods for rating the energy efficiency of new and existing homes and predicting energy cost savings so lenders can factor in energy cost savings when underwriting mortgages. The programs also encourage lenders to finance cost-effective energy-efficiency improvements to existing homes with low-interest mortgages or other instruments. The money saved on utility bills over the long term can more than offset the cost of such energy-efficiency improvements. The National Collaborative on HERS and EEMs recommended that this report be prepared.

  16. Declining caries trends: are we satisfied?

    NARCIS (Netherlands)

    M.D. Lagerweij; C. van Loveren

    2015-01-01

    WHO data suggest that all over the world the prevalence of caries has declined at the end of the previous and in the first decade of the present century. This decline started wherever the use of effective fluoride toothpaste became commonplace. Even though the decline is considerable with a 90 % red

  17. Declining caries trends: are we satisfied?

    NARCIS (Netherlands)

    Lagerweij, M.D.; van Loveren, C.

    2015-01-01

    WHO data suggest that all over the world the prevalence of caries has declined at the end of the previous and in the first decade of the present century. This decline started wherever the use of effective fluoride toothpaste became commonplace. Even though the decline is considerable with a 90 %

  18. Associations between Peer Nominations, Teacher Ratings, Self-Reports, and Observations of Malicious and Disruptive Behavior

    Science.gov (United States)

    Henry, David B.

    2006-01-01

    This study evaluates the validity of two aggression scales for predicting observations of malicious or disruptive behavior at school. Subgroups of a sample of 1,560 children (age 8.6 plus or minus 1.5 years) were assessed using (a) peer nominations of aggression, (b) teacher reports on the Teacher Report Form (TRF) of the Child Behavior Checklist…

  19. Declining numbers of pancreas transplantations but significant improvements in outcome.

    Science.gov (United States)

    Gruessner, A C; Gruessner, R W G

    2014-01-01

    In the United States, over the past 8 years, the number of pancreas transplantations has steadily declined. This decline comes as a surprise, because patient and graft outcomes have substantially improved during the same period of time. Patient survival rates at 1 year in all 3 recipient categories are >96%; graft survival rates are 82%-89%. Changes in immunosuppressive therapy have had a positive impact on outcome, as have better pancreas donor and recipient selection criteria and refined post-transplantation patient care. Although different factors may have contributed to the declining pancreas transplantation numbers, a more effective process of publicly promoting and widely communicating the improved results of pancreas transplantation is warranted.

  20. The cause of global amphibian declines: a developmental endocrinologist's perspective.

    Science.gov (United States)

    Hayes, T B; Falso, P; Gallipeau, S; Stice, M

    2010-03-15

    Greater than 70% of the world's amphibian species are in decline. We propose that there is probably not a single cause for global amphibian declines and present a three-tiered hierarchical approach that addresses interactions among and between ultimate and proximate factors that contribute to amphibian declines. There are two immediate (proximate) causes of amphibian declines: death and decreased recruitment (reproductive failure). Although much attention has focused on death, few studies have addressed factors that contribute to declines as a result of failed recruitment. Further, a great deal of attention has focused on the role of pathogens in inducing diseases that cause death, but we suggest that pathogen success is profoundly affected by four other ultimate factors: atmospheric change, environmental pollutants, habitat modification and invasive species. Environmental pollutants arise as likely important factors in amphibian declines because they have realized potential to affect recruitment. Further, many studies have documented immunosuppressive effects of pesticides, suggesting a role for environmental contaminants in increased pathogen virulence and disease rates. Increased attention to recruitment and ultimate factors that interact with pathogens is important in addressing this global crisis.

  1. Deployment and use of mobile phone technology for real-time reporting of fever cases and malaria treatment failure in areas of declining malaria transmission in Muheza district north-eastern Tanzania.

    Science.gov (United States)

    Francis, Filbert; Ishengoma, Deus S; Mmbando, Bruno P; Rutta, Acleus S M; Malecela, Mwelecele N; Mayala, Benjamin; Lemnge, Martha M; Michael, Edwin

    2017-08-01

    Early detection of febrile illnesses at community level is essential for improved malaria case management and control. Currently, mobile phone-based technology has been commonly used to collect and transfer health information and services in different settings. This study assessed the applicability of mobile phone-based technology in real-time reporting of fever cases and management of malaria by village health workers (VHWs) in north-eastern Tanzania. The community mobile phone-based disease surveillance and treatment for malaria (ComDSTM) platform, combined with mobile phones and web applications, was developed and implemented in three villages and one dispensary in Muheza district from November 2013 to October 2014. A baseline census was conducted in May 2013. The data were uploaded on a web-based database and updated during follow-up home visits by VHWs. Active and passive case detection (ACD, PCD) of febrile cases were done by VHWs and cases found positive by malaria rapid diagnostic test (RDT) were given the first dose of artemether-lumefantrine (AL) at the dispensary. Each patient was visited at home by VHWs daily for the first 3 days to supervise intake of anti-malarial and on day 7 to monitor the recovery process. The data were captured and transmitted to the database using mobile phones. The baseline population in the three villages was 2934 in 678 households. A total of 1907 febrile cases were recorded by VHWs and 1828 (95.9%) were captured using mobile phones. At the dispensary, 1778 (93.2%) febrile cases were registered and of these, 84.2% were captured through PCD. Positivity rates were 48.2 and 45.8% by RDT and microscopy, respectively. Nine cases had treatment failure reported on day 7 post-treatment and adherence to treatment was 98%. One patient with severe febrile illness was referred to Muheza district hospital. The study showed that mobile phone-based technology can be successfully used by VHWs in surveillance and timely reporting of fever

  2. Dynamics of shigellosis epidemics: estimating individual-level transmission and reporting rates from national epidemiologic data sets.

    Science.gov (United States)

    Joh, Richard I; Hoekstra, Robert M; Barzilay, Ezra J; Bowen, Anna; Mintz, Eric D; Weiss, Howard; Weitz, Joshua S

    2013-10-15

    Shigellosis, a diarrheal disease, is endemic worldwide and is responsible for approximately 15,000 laboratory-confirmed cases in the United States every year. However, patients with shigellosis often do not seek medical care. To estimate the burden of shigellosis, we extended time-series susceptible-infected-recovered models to infer epidemiologic parameters from underreported case data. We applied the time-series susceptible-infected-recovered-based inference schemes to analyze the largest surveillance data set of Shigella sonnei in the United States from 1967 to 2007 with county-level resolution. The dynamics of shigellosis transmission show strong annual and multiyear cycles, as well as seasonality. By using the schemes, we inferred individual-level parameters of shigellosis infection, including seasonal transmissibilities and basic reproductive number (R0). In addition, this study provides quantitative estimates of the reporting rate, suggesting that the shigellosis burden in the United States may be more than 10 times the number of laboratory-confirmed cases. Although the estimated reporting rate is generally under 20%, and R0 is generally under 1.5, there is a strong negative correlation between estimates of the reporting rate and R0. Such negative correlations are likely to pose identifiability problems in underreported diseases. We discuss complementary approaches that might further disentangle the true reporting rate and R0.

  3. Medicare Program; FY 2017 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements. Final rule.

    Science.gov (United States)

    2016-08-05

    This final rule will update the hospice wage index, payment rates, and cap amount for fiscal year (FY) 2017. In addition, this rule changes the hospice quality reporting program, including adopting new quality measures. Finally, this final rule includes information regarding the Medicare Care Choices Model (MCCM).

  4. Agreement Rates between Parent and Self-Report on Past ADHD Symptoms in an Adult Clinical Sample

    Science.gov (United States)

    Dias, Gabriela; Mattos, Paulo; Coutinho, Gabriel; Segenreich, Daniel; Saboya, Eloisa; Ayrao, Vanessa

    2008-01-01

    Objective: To investigate agreement rates between parent and self-report on childhood symptoms of ADHD. Method: Sixty-eight self-referred treatment-naive adults (33 men, 35 women) were interviewed with a modified version of the Kiddie Schedule for Affective Disorders and Schizophrenia-Epidemiological Version (K-SADS-E) and asked about past ADHD…

  5. Agreement Rates between Parent and Self-Report on Past ADHD Symptoms in an Adult Clinical Sample

    Science.gov (United States)

    Dias, Gabriela; Mattos, Paulo; Coutinho, Gabriel; Segenreich, Daniel; Saboya, Eloisa; Ayrao, Vanessa

    2008-01-01

    Objective: To investigate agreement rates between parent and self-report on childhood symptoms of ADHD. Method: Sixty-eight self-referred treatment-naive adults (33 men, 35 women) were interviewed with a modified version of the Kiddie Schedule for Affective Disorders and Schizophrenia-Epidemiological Version (K-SADS-E) and asked about past ADHD…

  6. Cure rate study of isothermally aged Sylgard 182, (an addendum). Progress report, October--December 1975

    Energy Technology Data Exchange (ETDEWEB)

    Clink, G.L.

    1975-01-01

    Isothermal aging of freshly prepared Sylgard 182 at 21/sup 0/C has been completed. Chemical analysis through NMR procedures, and hardness determinations through Shore durometer measurements are reported.

  7. Self and informant report ratings of psychopathology in genetic generalized epilepsy.

    Science.gov (United States)

    Loughman, Amy; Bowden, Stephen C; D'Souza, Wendyl J

    2017-02-01

    The psychological sequelae of genetic generalized epilepsies (GGE) is of growing research interest, with up to a third of all adults with GGE experiencing significant psychiatric comorbidity according to a recent systematic review. A number of unexplored questions remain. Firstly, there is insufficient evidence to determine relative prevalence of psychopathology between GGE syndromes. Secondly, the degree to which self-report and informant-report questionnaires accord in adults with epilepsy is unknown. Finally, while epilepsy severity is one likely predictor of worse psychopathology in GGE, evidence regarding other possible contributing factors such as epilepsy duration and antiepileptic drugs (AEDs) has been equivocal. The potential impact of subclinical epileptiform discharges remains unexplored. Self-report psychopathology symptoms across six DSM-Oriented Subscales were prospectively measured in 60 adults with GGE, with informant-report provided for a subset of 47. We assessed the burden of symptoms from both self- and informant-report, and the relationship between clinical epilepsy variables and self-reported symptoms. Results showed elevated symptoms in almost half of the sample overall. Depression and anxiety were the most commonly reported types of symptoms. There was a trend towards greater symptoms endorsement by self-report, and relatively modest interrater agreement. Symptoms of ADHD were significantly positively associated with number of AEDs currently prescribed. Other psychopathology symptoms were not significantly predicted by epilepsy duration, seizure-free duration or total duration of epileptiform discharges over a 24-hour period. The high prevalence of psychological needs suggests that routine screening of psychopathology and provision of psychoeducation may be essential to improving patient care and outcomes. Further investigation is required to better understand predictive and causal factors for psychopathology in GGE. Copyright © 2016

  8. Functional network integrity presages cognitive decline in preclinical Alzheimer disease.

    Science.gov (United States)

    Buckley, Rachel F; Schultz, Aaron P; Hedden, Trey; Papp, Kathryn V; Hanseeuw, Bernard J; Marshall, Gad; Sepulcre, Jorge; Smith, Emily E; Rentz, Dorene M; Johnson, Keith A; Sperling, Reisa A; Chhatwal, Jasmeer P

    2017-07-04

    To examine the utility of resting-state functional connectivity MRI (rs-fcMRI) measurements of network integrity as a predictor of future cognitive decline in preclinical Alzheimer disease (AD). A total of 237 clinically normal older adults (aged 63-90 years, Clinical Dementia Rating 0) underwent baseline β-amyloid (Aβ) imaging with Pittsburgh compound B PET and structural and rs-fcMRI. We identified 7 networks for analysis, including 4 cognitive networks (default, salience, dorsal attention, and frontoparietal control) and 3 noncognitive networks (primary visual, extrastriate visual, motor). Using linear and curvilinear mixed models, we used baseline connectivity in these networks to predict longitudinal changes in preclinical Alzheimer cognitive composite (PACC) performance, both alone and interacting with Aβ burden. Median neuropsychological follow-up was 3 years. Baseline connectivity in the default, salience, and control networks predicted longitudinal PACC decline, unlike connectivity in the dorsal attention and all noncognitive networks. Default, salience, and control network connectivity was also synergistic with Aβ burden in predicting decline, with combined higher Aβ and lower connectivity predicting the steepest curvilinear decline in PACC performance. In clinically normal older adults, lower functional connectivity predicted more rapid decline in PACC scores over time, particularly when coupled with increased Aβ burden. Among examined networks, default, salience, and control networks were the strongest predictors of rate of change in PACC scores, with the inflection point of greatest decline beyond the fourth year of follow-up. These results suggest that rs-fcMRI may be a useful predictor of early, AD-related cognitive decline in clinical research settings. © 2017 American Academy of Neurology.

  9. Reporting instructions significantly impact false positive rates when reading chest radiographs

    Energy Technology Data Exchange (ETDEWEB)

    Robinson, John W.; Brennan, Patrick C.; Mello-Thoms, Claudia; Lewis, Sarah J. [The University of Sydney, Medical Image Optimisation and Perception Group, Discipline of Medical Radiation Sciences, Faculty of Health Sciences, Lidcombe, NSW (Australia)

    2016-10-15

    To determine the impact of specific reporting tasks on the performance of radiologists when reading chest radiographs. Ten experienced radiologists read a set of 40 postero-anterior (PA) chest radiographs: 21 nodule free and 19 with a proven solitary nodule. There were two reporting conditions: an unframed task (UFT) to report any abnormality and a framed task (FT) reporting only lung nodule/s. Jackknife free-response operating characteristic (JAFROC) figure of merit (FOM), specificity, location sensitivity and number of true positive (TP), false positive (FP), true negative (TN) and false negative (FN) decisions were used for analysis. JAFROC FOM for tasks showed a significant reduction in performance for framed tasks (P = 0.006) and an associated decrease in specificity (P = 0.011) but no alteration to the location sensitivity score. There was a significant increase in number of FP decisions made during framed versus unframed tasks for nodule-containing (P = 0.005) and nodule-free (P = 0.011) chest radiographs. No significant differences in TP were recorded. Radiologists report more FP decisions when given specific reporting instructions to search for nodules on chest radiographs. The relevance of clinical history supplied to radiologists is called into question and may induce a negative effect. (orig.)

  10. Particle retention in porous media: Applications to water injectivity decline

    Energy Technology Data Exchange (ETDEWEB)

    Wennberg, Kjell Erik

    1998-12-31

    This thesis studies the problem of migration and deposition of colloidal particles within porous media, theoretically and by computerized simulation. Special emphasis is put on the prediction of injectivity decline in water injection wells due to inherent particles in the injection water. The study of particle deposition within porous media requires a correct prediction of the deposition rate or filtration coefficient. A thorough review of the modeling approaches used in the past are combined with new ideas in order to arrive at an improved model for the prediction of the filtration coefficient. A new way of determining the transition time for the dominant deposition mechanism to change from internal deposition to external cake formation is proposed. From this fundamental theory, equations are given for water injectivity decline predictions. A computer program called WID for water injectivity decline predictions was developed. Using water quality, formation properties, injection rate/pressure and completion information as input, WID predicts decline in vertical and horizontal injection wells with openhole, perforated and fractured completions. The calculations agree fairly well with field data; in some cases the agreement is excellent. A poor match in a few cases indicates that more mechanisms may be responsible for injectivity decline than those presently accounted for by the simulator. The second part of the study deals with a theoretical investigation of the multi-dimensional nature of particle deposition in porous media. 112 refs., 100 figs., 9 tabs.

  11. Interlaboratory reaction rate program. 12th progress report, November 1976-October 1979

    Energy Technology Data Exchange (ETDEWEB)

    Lippincott, E.P.; McElroy, W.N.; Preston, C.C. (comps.)

    1980-09-01

    The Interlaboratory Reaction Rate UILRR) program is establishing the capability to accurately measure neutron-induced reactions and reaction rates for reactor fuels and materials development programs. The goal for the principal fission reactions, /sup 235/U, /sup 238/U and /sup 239/Pu, is an accuracy to within +- 5% at the 95% confidence level. Accurate measurement of other fission and nonfission reactions is also required, but to a lesser accuracy, between +- 5% and 10% at the 95% confidence level. A secondary program objective is improvement in knowledge of the nuclear parameters involved in the standarization of fuels and materials dosimetry measurements of neutron flux, spectra, fluence and burnup.

  12. Gross Motor Function Classification System used in adults with cerebral palsy: agreement of self-reported versus professional rating.

    Science.gov (United States)

    Jahnsen, Reidun; Aamodt, Geir; Rosenbaum, Peter

    2006-09-01

    The present study investigated the reliability of self-reported rating of Gross Motor Function Classification System (GMFCS) levels compared with professional rating, and changes in gross motor function over time, in adults with cerebral palsy. Twenty-nine females and 33 males aged between 18 years 5 months and 62 years 11 months (mean age 34y 7mo [SD 10y 6mo]) participated in the study. Participants rated their current gross motor function using the GMFCS and reported their judgement of their gross motor function at age 10 to 12 years. The project leader, a physical therapist, also classified participants' current GMFCS levels and conducted a chart review on all accessible medical records of participants' gross motor function when they were 10 to 12 years old, rating the GMFCS level accordingly. Intraclass correlation coefficients (ICC) between self-reported and professional ratings showed excellent agreement (ICC=0.93-0.95, 95% confidence interval [CI] 0.89-0.97). More than half the participants experienced a stable gross motor function from the age of 10 to 12 years to the present. Those at GMFCS Levels II and III at the age of 10 to 12 years (according to the professional rating) had significant change for the worse in gross motor function over time, with odds ratios of 9.30 (95% CI 1.2-73.0, p=0.03) and 7.00 (95% CI 1.1-43.0, p=0.04) respectively. Interview data on circumstances regarding changes in gross motor function since childhood are also reported. Changes in GMFCS level were mostly associated with physical or social environmental factors.

  13. Introducing radiology report checklists among residents: adherence rates when suggesting versus requiring their use and early experience in improving accuracy.

    Science.gov (United States)

    Powell, Daniel K; Lin, Eaton; Silberzweig, James E; Kagetsu, Nolan J

    2014-03-01

    To retrospectively compare resident adherence to checklist-style structured reporting for maxillofacial computed tomography (CT) from the emergency department (when required vs. suggested between two programs). To compare radiology resident reporting accuracy before and after introduction of the structured report and assess its ability to decrease the rate of undetected pathology. We introduced a reporting checklist for maxillofacial CT into our dictation software without specific training, requiring it at one program and suggesting it at another. We quantified usage among residents and compared reporting accuracy, before and after counting and categorizing faculty addenda. There was no significant change in resident accuracy in the first few months, with residents acting as their own controls (directly comparing performance with and without the checklist). Adherence to the checklist at program A (where it originated and was required) was 85% of reports compared to 9% of reports at program B (where it was suggested). When using program B as a secondary control, there was no significant difference in resident accuracy with or without using the checklist (comparing different residents using the checklist to those not using the checklist). Our results suggest that there is no automatic value of checklists for improving radiology resident reporting accuracy. They also suggest the importance of focused training, checklist flexibility, and a period of adjustment to a new reporting style. Mandatory checklists were readily adopted by residents but not when simply suggested. Copyright © 2014 AUR. Published by Elsevier Inc. All rights reserved.

  14. CDC Releases Report on 30-Year Low in Youth Homicide Rates

    Science.gov (United States)

    ... is one too many. Comprehensive approaches that include evidence-based prevention strategies are essential to eliminate homicide as ... to 24 years, and 28.8 for non-Hispanic black youth. The annual rate ... school-based programs that build students’ communications skills to solve ...

  15. Death rate due to horseshoe crab poisoning:summarization on Thai reports

    Institute of Scientific and Technical Information of China (English)

    Beuy Joob; Viroj Wiwanitkit

    2015-01-01

    Horseshoe crab can be poisonous and intoxication due to intake of horseshoe crab is possible. Horseshoe crab intoxication can be seen in many countries with seacoasts including Thailand. Here, the authors summarized the death rate due to horseshoe crab poisoning in Thailand.

  16. Teacher Rating of Oral Language and Literacy (TROLL): A Research-Based Tool. CIERA Report.

    Science.gov (United States)

    Dickinson, David K.; McCabe, Allyssa; Sprague, Kim

    The Teacher Rating of Oral Language and Literacy (TROLL) is an instrument that measures skills identified as critical in the New Standards for Speaking and Listening. In 5 to 10 minutes and without prior training, teachers can assess an individual child's current standing with respect to skills that research has identified as critical for literary…

  17. Fluoroquinolone-associated anaphylaxis in spontaneous adverse drug reaction reports in Germany: differences in reporting rates between individual fluoroquinolones and occurrence after first-ever use.

    Science.gov (United States)

    Sachs, Bernhardt; Riegel, Stefan; Seebeck, Jörg; Beier, Rainer; Schichler, Dagmar; Barger, Antina; Merk, Hans F; Erdmann, Stephan

    2006-01-01

    The frequency of fluoroquinolone-associated anaphylaxis has been estimated to be 1.8-23 per 10 million days of treatment based on spontaneous reports. It is unknown whether there are differences between the reporting rates of anaphylaxis with individual fluoroquinolones. According to pathophysiology, anaphylaxis may be immune mediated (anaphylactic) or not (anaphylactoid). The latter may occur after first-ever intake since no sensitisation phase is necessary. To analyse spontaneous reports of fluoroquinolone-associated anaphylaxis contained in the spontaneous adverse drug reaction database of the Federal Institute for Drugs and Medical Devices in Germany with regard to differences in reporting rates between various fluoroquinolones, the previous intake and the time to onset of the reaction. All fluoroquinolone-associated cases of anaphylaxis, anaphylactic shock, and anaphylactic/anaphylactoid reaction spontaneously reported to the Federal Institute for Drugs and Medical Devices between 1 January 1993 and 31 December 2004 were identified and assessed with regard to the correctness of the diagnosis of anaphylaxis, the causal relationship with the drug, the previous intake of fluoroquinolones and the time to onset of the reaction. In 166 of 204 cases identified, the diagnosis of anaphylaxis and a causal relationship with the drug were considered at least possible. Moxifloxacin, levofloxacin, ciprofloxacin and ofloxacin accounted for 90 (54%), 25 (15%), 21 (13%) and 16 (10%) of the 166 cases, respectively. The corresponding reporting rates per 1 million defined daily doses based on crude estimates of exposure were 3.3, 0.6, 0.2 and 0.2 for moxifloxacin, levofloxacin, ciprofloxacin and ofloxacin, respectively. The occurrence of anaphylaxis after the first dose or within the first three days was reported in 71 of 166 (43%) cases, but no information on prior exposure with this or any other fluoroquinolone was provided with these reports. In 21 of 166 (13%) cases, the

  18. Decline Curve Analysis for Production Forecast and Optimization of Liquid-Dominated Geothermal Reservoir

    Science.gov (United States)

    Hidayat, I.

    2016-09-01

    Power projects in the geothermal field has a long span of about 30 years. The power supply should be maintained at a certain value across a range of time. A geothermal field, however, has the characteristics of natural production decline with time. In a geothermal field, development of decline curve model of steam production is important for forecasting production decline in the future. This study was developed using decline curve by production data along 3 years liquid-dominated geothermal reservoir in Ulubelu field. Decline curve in geothermal field based on decline curve in petroleum industry. The decline curve was correlated by reservoir management in geothermal. The purposes of this study to get best match model decline curve and forecasting production in the future. Based on decline curve analysis by production data in Ulubelu field, the result model decline curve is exponential model. From the model, we can get the value of decline rate in the field is 9.4 %/year. Then, the formula of forecasting steam flow used exponent decline to forecast in the future. By using separated system cycle in Ulubelu field, the minimal steam flowrate towards turbine was 502018.4 ton/month. Based on formula of forecasting production and minimal steam flowrate, we can get the time make up wells to maintain steam supply for stability in generator power capacity.

  19. Forest Disturbance Across the Conterminous United States from 1985-2012: The Emerging Dominance of Forest Decline

    Science.gov (United States)

    Cohen, Warren B.; Yang, Zhiqiang; Stehman, Stephen; Schroeder, Todd; Bell, David M.; Masek, Jeffrey; Huang, Chengquan; Meigs, Garrett W.

    2015-01-01

    Evidence of shifting dominance among major forest disturbance agent classes regionally to globally has been emerging in the literature. For example, climate-related stress and secondary stressors on forests (e.g., insect and disease, fire) have dramatically increased since the turn of the century globally, while harvest rates in the western US and elsewhere have declined. For shifts to be quantified, accurate historical forest disturbance estimates are required as a baseline for examining current trends. We report annual disturbance rates (with uncertainties) in the aggregate and by major change causal agent class for the conterminous US and five geographic subregions between 1985 and 2012. Results are based on human interpretations of Landsat time series from a probability sample of 7200 plots (30 m) distributed throughout the study area. Forest disturbance information was recorded with a Landsat time series visualization and data collection tool that incorporates ancillary high-resolution data. National rates of disturbance varied between 1.5% and 4.5% of forest area per year, with trends being strongly affected by shifting dominance among specific disturbance agent influences at the regional scale. Throughout the time series, national harvest disturbance rates varied between one and two percent, and were largely a function of harvest in the more heavily forested regions of the US (Mountain West, Northeast, and Southeast). During the first part of the time series, national disturbance rates largely reflected trends in harvest disturbance. Beginning in the mid-90s, forest decline-related disturbances associated with diminishing forest health (e.g., physiological stress leading to tree canopy cover loss, increases in tree mortality above background levels), especially in the Mountain West and Lowland West regions of the US, increased dramatically. Consequently, national disturbance rates greatly increased by 2000, and remained high for much of the decade. Decline

  20. Preliminary Report on Use of Self-Ratings to Provide J-Coefficient Data.

    Science.gov (United States)

    Primoff, Ernest S.

    This report shows how Beta weights for the J-Coefficient may be easily developed without a formal validity study, and indicates how indications of ability other than tests can be used to measure the same abilities that are measured by tests. See also TM 001 163-64,166 for further information on job elements (J-Scale) procedures. (Author/DLG)

  1. How Students Rate the Quality Service Climate on Campus. National Research Report, 2012

    Science.gov (United States)

    Noel-Levitz, Inc, 2012

    2012-01-01

    How satisfied are students with the service they receive--and how important is it to them? This report documents significant strides that colleges and universities have made in recent years to improve service quality and their overall campus climate, yet also finds that campuses still have room for improvement. A few highlights: (1) While progress…

  2. How Students Rate the Quality Service Climate on Campus. National Research Report, 2011

    Science.gov (United States)

    Noel-Levitz, Inc, 2011

    2011-01-01

    How satisfied are students with the service they receive--and how important is it to them? This report documents significant strides that colleges and universities have made in recent years to improve service quality and their overall campus climate, yet also finds that campuses still have room for improvement. A few highlights: (1) While progress…

  3. Methodology for assessing the impacts of alternative rate designs on industrial energy use. Draft report

    Energy Technology Data Exchange (ETDEWEB)

    None

    1980-01-11

    A task was undertaken to develop a method for analyzing industrial user responses to alternative rate designs. The method described considers the fuel switching and conservation responses of industrial users and the impact to a hypothetical utility regarding revenue stability, annual gas demand, and seasonal fluctuations. Twenty-seven hypothetical industrial plant types have been specified. For each combustor in the plant, the fuel consumption by season, initial fuel type, fuel switching costs, conservation costs, and amount of fuel conservable is provided. The decision making takes place at the plant level and is aggregated to determine the impact to the utility. Section 2 discusses the factors affecting an industrial user's response to alternative rate designs. Section 3 describes the methodology, includes an overview of the model and an example industrial user's response to a set of fuel prices. The data describing the 27 hypothetical firms is in an appendix.

  4. Plastic surgeons’ self-reported operative infection rates at a Canadian academic hospital

    OpenAIRE

    Ng, Wendy KY; Kaur, Manraj Nirmal; Thoma, Achilleas

    2014-01-01

    The significant morbidity associated with surgical site infections, in addition to increased hospital stays and health care resource utilization, has garnered much attention, especially in the era of cost-conscious health care systems and third-party payers. Although previous studies have investigated hospital-acquired infection rates across all surgical subspecialities, none have focused specifically on plastic surgery procedures. This retrospective study examined surgical site infection dat...

  5. Heart rate variability analysis in postural orthostatic tachycardia syndrome: a case report

    Directory of Open Access Journals (Sweden)

    Raffaele Calabrò

    2006-09-01

    Full Text Available The authors present a case of 36 year old male patient with idiopathic postural orthostatic tachycardia syndrome (POTS diagnosed during head-up tilt testing. Power spectral analysis of heart rate variability (HRV during the tilt test revealed that the ratio of low and high frequency powers (LF/HF increased with the onset of orthostatic intolerance. This analysis confirmed in our patient a strong activation in sympathetic tone.

  6. The Preliminary Report on Rumen Protozoa Grazing Rate on Bacteria with a Fluorescence-Labeled Technique

    Institute of Scientific and Technical Information of China (English)

    WANG Meng-zhi; WANG Hong-rong; LI Guo-xiang; CAO Heng-chun; LU Zhan-jun

    2008-01-01

    Studies on the bacterial predation rate by rumen protozoa were carried out under laboratory conditions using a technique of fluorescence-labeled bacteria (FLB). Four Xuhuai goats were used in this experiment to obtain rumen protozoa and bacteria. Two groups were designed as follows: One group was the whole bacteria which were labeled using fluorescence through removing free bacteria from rumen fluid (WFLB); the other group was the bacteria which were labeled using fluorescence without removing free bacteria from rumen fluid (FLB). The result indicated that the bacterial predation rates of rumen Protozoa was 398.4 cells/(cell h) for the group WFLB, 230.4 cells/(cell h) for the group FLB, when the corresponding values expressed as bacteria-N, they were 2.15Pg N/(cell h) for the group WFLB, and 1.24Pg N/(cell h) for the group FLB, respectively. Extrapolating the assimilation quantity of nitrogen by ciliates on bacteria of Xuhuai goat, there were 103.2mg N/(d capita) for the group WFLB, and 59.5mg N/(d capita) for the group FLB, respectively. It was estimated that protein losses due to microbial recycling were 0.645g pro/(d capita) for the group WFLB and 0.372g pro/(d capita) for the group FLB, respectively. In addition, the fluorescence-labeled technique would be a potential assay for the determination of bacterial predation rate by rumen protozoa.

  7. Decline of the Tibetan gazelle Procapra picticaudata in Ladakh, India

    NARCIS (Netherlands)

    Bhatnagar, Y.V.; Wangchuk, R.; Mishra, C.

    2006-01-01

    The Tibetan gazelle Procapra picticaudata is endemic to the Tibetan plateau. In the Ladakh region of northern India its range declined from c. 20,000 km2 in the early 1900s to c. 1,000 km2 in the late 1980s. Here we report the results of our recent (1999¿2003) assessments of the gazelle¿s conservati

  8. Perioperative Cognitive Decline in the Aging Population

    Science.gov (United States)

    Terrando, Niccolò; Brzezinski, Marek; Degos, Vincent; Eriksson, Lars I.; Kramer, Joel H.; Leung, Jacqueline M.; Miller, Bruce L.; Seeley, William W.; Vacas, Susana; Weiner, Michael W.; Yaffe, Kristine; Young, William L.; Xie, Zhongcong; Maze, Mervyn

    2011-01-01

    Elderly patients who have an acute illness or who undergo surgery often experience cognitive decline. The pathophysiologic mechanisms that cause neurodegeneration resulting in cognitive decline, including protein deposition and neuroinflammation, also play a role in animal models of surgery-induced cognitive decline. With the aging of the population, surgical candidates of advanced age with underlying neurodegeneration are encountered more often, raising concerns that, in patients with this combination, cognitive function will precipitously decline postoperatively. This special article is based on a symposium that the University of California, San Francisco, convened to explore the contributions of surgery and anesthesia to the development of cognitive decline in the aged patient. A road map to further elucidate the mechanisms, diagnosis, risk factors, mitigation, and treatment of postoperative cognitive decline in the elderly is provided. PMID:21878601

  9. Framing violence: the effect of survey context and question framing on reported rates of partner violence

    OpenAIRE

    Regan, Katherine V.

    2008-01-01

    In this dissertation, I investigated two explanations for the variability in levels of partner violence found by large community surveys. In Study 1, I examined the effect of how questions about partner violence are introduced (question framing: conflict, violence-in-relationships, or attacks) on reports of partner violence. Although there was not a reliable effect of question framing, the pattern of findings was consistent across 3 of 4 analyses. Counter to predictions, an attacks question f...

  10. Transport and transfer rates in the waters of the continental shelf. Annual report

    Energy Technology Data Exchange (ETDEWEB)

    Biscaye, P.E.

    1980-09-01

    The goal of govern project is to understand and quantify the processes that the transport and dispersal of energy-related pollutants introduced to the waters of the continental shelf and slope. The report is divided into sections dealing with processes associated with suspended solids; processes associated with sediments sinks for radionuclides and other pollutants; and spreading of water characteristics and species in solution. (ACR)

  11. Review on Causes of Forest Decline

    Institute of Scientific and Technical Information of China (English)

    KIMMINS; J; P

    2008-01-01

    Site degradation and yield decline of forest have attracted increasing attention from forest managers and scientists. Studies conducted by researchers from a variety of disciplines and perspectives have led to a variety of competing hypotheses concerning the causes of the problem. In this paper we review evidence of such a yield decline and examine the problem and its possible way to identify the individual contributions of the many determinants of yield decline, and their interactions.

  12. WTP Waste Feed Qualification: Hydrogen Generation Rate Measurement Apparatus Testing Report

    Energy Technology Data Exchange (ETDEWEB)

    Stone, M. E. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Newell, J. D. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Smith, T. E. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Pareizs, J. M. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2016-06-01

    The generation rate of hydrogen gas in the Hanford tank waste will be measured during the qualification of the staged tank waste for processing in the Hanford Tank Waste Treatment and Immobilization Plant. Based on a review of past practices in measurement of the hydrogen generation, an apparatus to perform this measurement has been designed and tested for use during waste feed qualification. The hydrogen generation rate measurement apparatus (HGRMA) described in this document utilized a 100 milliliter sample in a continuously-purged, continuously-stirred vessel, with measurement of hydrogen concentration in the vent gas. The vessel and lid had a combined 220 milliliters of headspace. The vent gas system included a small condenser to prevent excessive evaporative losses from the sample during the test, as well as a demister and filter to prevent particle migration from the sample to the gas chromatography system. The gas chromatograph was an on line automated instrument with a large-volume sample-injection system to allow measurement of very low hydrogen concentrations. This instrument automatically sampled the vent gas from the hydrogen generation rate measurement apparatus every five minutes and performed data regression in real time. The fabrication of the hydrogen generation rate measurement apparatus was in accordance with twenty three (23) design requirements documented in the conceptual design package, as well as seven (7) required developmental activities documented in the task plan associated with this work scope. The HGRMA was initially tested for proof of concept with physical simulants, and a remote demonstration of the system was performed in the Savannah River National Laboratory Shielded Cells Mockup Facility. Final verification testing was performed using non-radioactive simulants of the Hanford tank waste. Three different simulants were tested to bound the expected rheological properties expected during waste feed qualification testing. These

  13. WTP Waste Feed Qualification: Hydrogen Generation Rate Measurement Apparatus Testing Report

    Energy Technology Data Exchange (ETDEWEB)

    Stone, M. E. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Newell, J. D. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Smith, T. E. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Pareizs, J. M. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2016-06-01

    The generation rate of hydrogen gas in the Hanford tank waste will be measured during the qualification of the staged tank waste for processing in the Hanford Tank Waste Treatment and Immobilization Plant. Based on a review of past practices in measurement of the hydrogen generation, an apparatus to perform this measurement has been designed and tested for use during waste feed qualification. The hydrogen generation rate measurement apparatus described in this document and shown in Figure 0-1 utilized a 100 milliliter sample in a continuously-purged, continuously-stirred vessel, with measurement of hydrogen concentration in the vent gas. The vessel and lid had a combined 220 milliliters of headspace. The vent gas system included a small condenser to prevent excessive evaporative losses from the sample during the test, as well as a demister and filter to prevent particle migration from the sample to the gas chromatography system. The gas chromatograph was an on line automated instrument with a large-volume sample-injection system to allow measurement of very low hydrogen concentrations. This instrument automatically sampled the vent gas from the hydrogen generation rate measurement apparatus every five minutes and performed data regression in real time. The fabrication of the hydrogen generation rate measurement apparatus was in accordance with twenty three (23) design requirements documented in the conceptual design package, as well as seven (7) required developmental activities documented in the task plan associated with this work scope. The HGRMA was initially tested for proof of concept with physical simulants and a remote demonstration of the system was performed in the Savannah River National Laboratory Shielded Cells Mockup Facility. Final verification testing was performed using non-radioactive simulants of the Hanford tank waste. Three different simulants were tested to bound the expected rheological properties expected during waste feed qualification

  14. Correlation between adherence rates measured by MEMS and self-reported questionnaires: a meta-analysis.

    Science.gov (United States)

    Shi, Lizheng; Liu, Jinan; Fonseca, Vivian; Walker, Philip; Kalsekar, Anupama; Pawaskar, Manjiri

    2010-09-13

    It is vital to understand the associations between the medication event monitoring systems (MEMS) and self-reported questionnaires (SRQs) because both are often used to measure medication adherence and can produce different results. In addition, the economic implication of using alternative measures is important as the cost of electronic monitoring devices is not covered by insurance, while self-reports are the most practical and cost-effective method in the clinical settings. This meta-analysis examined the correlations of two measurements of medication adherence: MEMS and SRQs. The literature search (1980-2009) used PubMed, OVID MEDLINE, PsycINFO (EBSCO), CINAHL (EBSCO), OVID HealthStar, EMBASE (Elsevier), and Cochrane Databases. Studies were included if the correlation coefficients [Pearson (rp) or Spearman (rs)] between adherences measured by both MEMS and SRQs were available or could be calculated from other statistics in the articles. Data were independently abstracted in duplicate with standardized protocol and abstraction form including 1) first author's name; 2) year of publication; 3) disease status of participants; 4) sample size; 5) mean age (year); 6) duration of trials (month); 7) SRQ names if available; 8) adherence (%) measured by MEMS; 9) adherence (%) measured by SRQ; 10) correlation coefficient and relative information, including p-value, 95% confidence interval (CI). A meta-analysis was conducted to pool the correlation coefficients using random-effect model. Eleven studies (N = 1,684 patients) met the inclusion criteria. The mean of adherence measured by MEMS was 74.9% (range 53.4%-92.9%), versus 84.0% by SRQ (range 68.35%-95%). The correlation between adherence measured by MEMS and SRQs ranged from 0.24 to 0.87. The pooled correlation coefficient for 11 studies was 0.45 (p = 0.001, 95% confidence interval [95% CI]: 0.34-0.56). The subgroup meta-analysis on the seven studies reporting rp and four studies reporting rs reported the pooled

  15. Teen Birth Rates for Urban and Rural Areas in the United States, 2007-2015.

    Science.gov (United States)

    Hamilton, Brady E; Rossen, Lauren M; Branum, Amy M

    2016-11-01

    Data from the National Vital Statistics System •Birth rates for teenagers aged 15-19 declined in urban and rural counties from 2007 through 2015, with the largest declines in large urban counties and the smallest declines in rural counties. •From 2007 through 2015, the teen birth rate was lowest in large urban counties and highest in rural counties. •Declines in teen birth rates in all urban counties between 2007 and 2015 were largest in Arizona, Massachusetts, Connecticut, Minnesota, and Colorado, with 17 states experiencing a decline of 50% or more. •Declines in teen birth rates in all rural counties between 2007 and 2015 were largest (50% or more) in Colorado and Connecticut. •In 2015, teen birth rates were highest in rural counties and lowest in large urban counties for non-Hispanic white, non-Hispanic black, and Hispanic females. Teen birth rates have demonstrated an unprecedented decline in the United States since 2007 (1). Declines occurred in all states and among all major racial and Hispanic-origin groups, yet disparities by both geography and demographic characteristics persist (2,3). Although teen birth rates and related declines have been described by state, patterns by urban-rural location have not yet been examined. This report describes trends in teen birth rates in urban (metropolitan) and rural (nonmetropolitan) areas in the United States overall and by state from 2007 through 2015 and by race and Hispanic origin for 2015. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

  16. How Long Can Students Pay Attention in Class? A Study of Student Attention Decline Using Clickers

    Science.gov (United States)

    Bunce, Diane M.; Flens, Elizabeth A.; Neiles, Kelly Y.

    2010-01-01

    Students enrolled in three levels of general chemistry self-reported their attention decline during both lecture and other teaching approaches via personal response devices (clickers). Students report attention declines of 1 min or less more often than longer attention lapses. The data suggest that student engagement alternates between attention…

  17. Analysis of FEV1 decline in relatively healthy heavy smokers

    DEFF Research Database (Denmark)

    Thomsen, Laura H.; Dirksen, Asger; Shaker, Saher B.;

    2014-01-01

    Progressive decline in lung function has been widely accepted as the hallmark of chronic obstructive pulmonary disease (COPD); however, recent evidence indicates that the rate of decline measured as decline in forced expiratory volume in one second (FEV1) is higher in mild to moderate COPD than...... in severe COPD. Usually changes in FEV1 are measured in ml that is "absolute"; however, changes can also be measured "relative" as a percentage of the actual FEV1. We hypothesize that relative measurements could be more appropriate than absolute measurements for describing changes in lung function. We...... analyzed data from 3,218 relatively healthy heavy smokers who participated in the Danish Lung Cancer Screening Trial. The influences of age, sex, height, body mass index, smoking, and severity of airflow limitation on FEV1 were analyzed in mixed effects models. In absolute terms those with the best lung...

  18. The study of human mutation rates. Progress report, 1989--1992

    Energy Technology Data Exchange (ETDEWEB)

    Neel, J.V.

    1992-12-01

    We will describe recent developments regarding the question of induced mutations in the survivors of the atomic bombings of Hiroshima and Nagasaki. As part of that work we, describe some developments with respect to the Amerindian blood samples collected under DoE sponsorship between 1964 and 1982. Then developments regarding the application of two-dimensional polyacrylamide gel electrophoresis (2-D PAGE) to the study of genetic variation and mutation affecting protein characteristics. In particular, we will report on the identification and isolation of genes of especial interest as reflected in the behavior of the proteins which they encode.

  19. Global amphibian declines: perspectives from the United States and beyond

    Science.gov (United States)

    Densmore, Christine L.; Cipriano, R.C.; Bruckner, A.W.; Shchelkunov, I.S.

    2011-01-01

    Over recent decades, amphibians have experienced population declines, extirpations and species-level extinctions at an alarming rate. Numerous potential etiologies for amphibian declines have been postulated including climate and habitat degradation. Other potential anthropogenic causes including overexploitation and the frequent introductions of invasive predatory species have also been blamed for amphibian declines. Still other underlying factors may include infectious diseases caused by the chytrid fungus Batrachochytrium dendrobatidis, pathogenic viruses (Ranavirus), and other agents. It is nearly certain that more than one etiology is to blame for the majority of the global amphibian declines, and that these causal factors include some combination of climatological or physical habitat destabilization and infectious disease, most notably chytridiomycosis. Scientific research efforts are aimed at elucidating these etiologies on local, regional, and global scales that we might better understand and counteract the driving forces behind amphibian declines. Conservation efforts as outlined in the Amphibian Conservation Action Plan of 2005 are also being made to curtail losses and prevent further extinctions wherever possible.

  20. Socioeconomic status and fertility decline

    DEFF Research Database (Denmark)

    Dribe, Martin; Breschi, Marco; Gagnon, Alain

    2017-01-01

    The timings of historical fertility transitions in different regions are well understood by demographers, but much less is known regarding their specific features and causes. In the study reported in this paper, we used longitudinal micro-level data for five local populations in Europe and North ...

  1. Recent Honey Bee Colony Declines

    Science.gov (United States)

    2007-06-20

    production ([http://www.nass.usda.gov/QuickStats/]). Melon production is based on reported 2002 harvested acreage. c. Apricots, avocados , blueberries...crops are almost totally (90%-100%) dependent on honey bee pollination, including almonds, apples, avocados , blueberries, cranberries, cherries, kiwi...is regularly posted to the website of the Mid-Atlantic Apiculture Research and Extension Consortium (MAAREC), which represents beekeeping

  2. Dissolution rates and surface chemistry of feldspar glass and crystal. Final technical report, June 15, 1995 - August 14, 2001

    Energy Technology Data Exchange (ETDEWEB)

    Brantley, S.; Pantano, C.

    2002-06-11

    Final report summarizing the completed work of the project entitled 'Dissolution of Feldspar in the Field and Laboratory.' One of the highly debated questions today in low-temperature geochemical kinetics centers upon the rate and mechanism of dissolution of feldspar, the most common mineral in the crust. In this project, the mechanisms of feldspar dissolution were investigated by emphasizing experiments with feldspar glass and crystal while comparing surface and solution chemistry. Specifically, laboratory work focused on the structure of altered surface layers on feldspars, the rate of dissolution of feldspar crystal and glass, and the presence of porosity and surface coatings on feldspars. In a complementary field project, the use of Sr concentrations and isotopic ratios were used to calculate feldspar dissolution rates.

  3. Relationship between staff-reported culture change and occupancy rate and organizational commitment among nursing homes in South Korea.

    Science.gov (United States)

    Lee, Minhong; Choi, Jae-Sung; Lim, Jinseop; Kim, Young Sun

    2013-04-01

    This study aims to examine culture change in nursing homes in South Korea and to identify the outcomes of culture change implementation. Data were taken from survey responses from 223 top- or mid-level staff among nursing homes in South Korea that were selected through a proportionate random-stratified sampling method from four regions nationwide. Culture change in nursing homes was operationalized by five person-directed care (PDC) constructs and three organizational environment constructs, and outcome quality was indicated by changes to occupancy rate and organizational commitment. After controlling for facility characteristics, the effect of staff-reported culture change on occupancy rate and organizational commitment was analyzed through the multiple-regression method. Consistent with previous research, this study revealed positive effects of culture change for nursing homes in South Korea. The study found that staff-reported culture change correlated with occupancy rate and organizational commitment. Given that culture change variables were significantly related to occupancy rate and organizational commitment, the findings of the study provide a persuasive argument that policies and/or programs to support culture change in nursing homes should be enhanced. Management-level workers in these facilities should have the skills and knowledge to foster more PDC and a more person-directed environment.

  4. On-demand Reporting of Risk-adjusted and Smoothed Rates for Quality Profiling in ACS NSQIP.

    Science.gov (United States)

    Cohen, Mark E; Liu, Yaoming; Huffman, Kristopher M; Ko, Clifford Y; Hall, Bruce L

    2016-12-01

    Surgical quality improvement depends on hospitals having accurate and timely information about comparative performance. Profiling accuracy is improved by risk adjustment and shrinkage adjustment to stabilize estimates. These adjustments are included in ACS NSQIP reports, where hospital odds ratios (OR) are estimated using hierarchical models built on contemporaneous data. However, the timeliness of feedback remains an issue. We describe an alternative, nonhierarchical approach, which yields risk- and shrinkage-adjusted rates. In contrast to our "Traditional" NSQIP method, this approach uses preexisting equations, built on historical data, which permits hospitals to have near immediate access to profiling results. We compared our traditional method to this new "on-demand" approach with respect to outlier determinations, kappa statistics, and correlations between logged OR and standardized rates, for 12 models (4 surgical groups by 3 outcomes). When both methods used the same contemporaneous data, there were similar numbers of hospital outliers and correlations between logged OR and standardized rates were high. However, larger differences were observed when the effect of contemporaneous versus historical data was added to differences in statistical methodology. The on-demand, nonhierarchical approach provides results similar to the traditional hierarchical method and offers immediacy, an "over-time" perspective, application to a broader range of models and data subsets, and reporting of more easily understood rates. Although the nonhierarchical method results are now available "on-demand" in a web-based application, the hierarchical approach has advantages, which support its continued periodic publication as the gold standard for hospital profiling in the program.

  5. Influence of hydrologic loading rate on phosphorus retention and ecosystem productivity in created wetlands. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Mitsch, W.J.; Cronk, J.K.

    1995-01-01

    Four 2- to 3-ha constructed freshwater riparian wetlands in Lake County, Illinois, were subjected to two hydrologic regimes of pumped river water to simulate nonpoint source pollution. The experimental wetlands at the Des Plaines River Wetland Demonstration Project were designed to develop and test wetland design principles, construction methods, and management programs needed to create and maintain wetlands for the purposes of water quality management, flood control, and fish and wildlife habitat. High-flow wetlands (HFW) with short retention times received 34 to 38 cm of river water per week, and low-flow wetlands (LFW) with high retention times received 10 to 15 cm per week. This report summarizes research results for phosphorus dynamics and retention, macrophyte development, periphyton productivity, and overall water column metabolism through 1992. All of these functions were hypothesized to be related to hydrologic conditions.

  6. Can turnout measurements be used to predict physiotherapist-reported injury rates in dancers?

    Science.gov (United States)

    Jenkins, Jo Baker; Wyon, Matthew; Nevill, Alan

    2013-12-01

    Research has suggested that dancers may be more at risk of injury when they excessively utilise non-hip components of turnout to compensate for deficits in hip external rotation when trying to achieve maximal total turnout. However, recently different measures of turnout have been cited in the literature as well as suggestions for derived variables to account for shortfalls in particular components of turnout. This study aimed to assess whether measurements of turnout can predict the number of injuries (0 or 1 injury, or 2+ injuries) over a 10-month period. At the beginning of the academic year, 47 female, full-time, contemporary dance students (mean age 19.9 ± 2.51 yrs; height 1.65 ± 0.05 cm; weight 56.23 ± 6.51 kg) were screened as part of a biannual screening process. Measurements, summed of both legs, were obtained for passive hip external rotation (pER), total passive turnout (TPT), and total active turnout (TAT). From these, three further variables were derived: compensated turnout, muscular turnout, and active ER lag. At the end of 10 months, the dancers' physiotherapist-reported and self-reported injuries were obtained. Binary regression analyses for the six turnout variables identified compensated and muscular values as having significant positive effects. For every 1% increase in compensated and muscular values, there was a corresponding 9% or 8.4% increase in the odds that the dancer would sustain 2 or more injuries compared to 0 or 1 injury. Screening compensated and muscular values may be useful to address shortfalls to prevent injuries in the future.

  7. Partners' Empathy Increases Pain Ratings: Effects of Perceived Empathy and Attachment Style on Pain Report and Display

    Science.gov (United States)

    Hurter, Sarah; Paloyelis, Yannis; de C. Williams, Amanda C.; Fotopoulou, Aikaterini

    2014-01-01

    Pain can be influenced by its social context. We aimed to examine under controlled experimental conditions how empathy from a partner and personal attachment style affect pain report, tolerance, and facial expressions of pain. Fifty-four participants, divided into secure, anxious, and avoidant attachment style groups, underwent a cold pressor task with their partners present. We manipulated how much empathy the participants perceived that their partners had for them. We observed a significant main effect of perceived empathy on pain report, with greater pain reported in the high perceived empathy condition. No such effects were found for pain tolerance or facial display. We also found a significant interaction of empathy with attachment style group, with the avoidant group reporting and displaying less pain than the secure and the anxious groups in the high perceived empathy condition. No such findings were observed in the low empathy condition. These results suggest that empathy from one's partner may influence pain report beyond behavioral reactions. In addition, the amount of pain report and expression that people show in high empathy conditions depends on their attachment style. Perspective Believing that one's partner feels high empathy for one's pain may lead individuals to rate the intensity of pain as higher. Individual differences in attachment style moderate this empathy effect. PMID:24953886

  8. Transport and transfer rates in the waters of the Continental Shelf. Annual report

    Energy Technology Data Exchange (ETDEWEB)

    Biscaye, P.E.

    1978-07-01

    The present contract year has been one of transition from an emphasis on field work and sample gathering to the predominance of sample and data analysis and the formulation of testable hypotheses concerning specific processes in the New York Bight. We have begun to understand the seasonal transition in the role of phytoplankton vs. grazing zooplankton in forming the particles on which some reactive pollutants are removed. Using natural radioactive tracers we have estimated the removal rates of reactive metals from the surface waters and these range over an order of magnitude from most rapid nearshore to least rapid over the upper continental slope. Once removed nearshore, however, these tracers, and the pollutants for which they proxy, do not remain permanently in the sediments but appear to be remobilized (probably by oxidation) during the winter and are reintroduced into the water column. Work on transport and mixing processes of pollutants which are or behave like those in solution has continued along several fronts. Hydrographic data on the structure of the water column continues to give a description of the system that is crucial to understanding geochemical and biological processes which affect pollutants. Hydrographic characterization of water masses from the data sets of cruises has resulted in hypotheses concerning the renewal of shelf water by direct exchange between shelf and upper slope water.

  9. Fe-burden quality at high coal injection rates. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Muelheims, K.; Rosenplaenter, R.; Hess, E.; Lectard, E.; Sert, D.; Pastore, M.; Lindert, M.Te.; Matthews, T. [TKS, Duisburg (Germany)

    2002-07-01

    The aim of the project, funded by the ECSC, was to investigate the chemical and physical properties of different production and laboratory sinter and to improve the sinter quality to characterise the quality requirements for high coal injection rates in the blast furnace. Studies on synthetically prepared material have shown that softening is triggered by the initial formation of metal within the core region of partly reduced iron bearing material. The temperatures at which the deformation of pellets or sinter started do not correspond with the temperatures detected by the differential thermal analysis on single phases. From sinter pot and sinter plant test results it could be confirmed that sinter disintegration can be influenced by its chemical composition. The basicity has a dominant influence on the sinter quality. The sinter degradation decreases as the FeO content increases and the porosity decreases. Results from the melting down tests showed that the reduction of sinter at different temperatures progresses faster as the porosity increases. Further on, the beginning of the melting down temperature increases as the reduction degree increases. Pilot blast furnace trials increased confidence in the validity of the melting down test in evaluating key material parameters and assisted in establishing realistic gas/temperature reducing cycles. The ASAM tests highlighted the importance of gangue composition in determining the sinter's melting/dripping qualities.

  10. Aging, Terminal Decline, and Terminal Drop

    Science.gov (United States)

    Palmore, Erdman; Cleveland, William

    1976-01-01

    Data from a 20-year longitudinal study of persons over 60 were analyzed by step-wise multiple regression to test for declines in function with age, for terminal decline (linear relationship to time before death), and for terminal drop (curvilinear relationship to time before death). There were no substantial terminal drop effects. (Author)

  11. NIDI scenario. Strong population decline in China

    OpenAIRE

    de Beer, J.A.A.

    2016-01-01

    United Nations projections assume that by the end of this century one third of the world population will live in India, China or Nigeria. While population growth in India will slow down and the population size of China will decline, population growth in Nigeria will accelerate. A new NIDI scenario projects less population growth in Nigeria and sharp population decline in China.

  12. Reliability of a patient-reported outcome measure in schizophrenia: Results from back-to-back self-ratings.

    Science.gov (United States)

    Takeuchi, Hiroyoshi; Fervaha, Gagan; Remington, Gary

    2016-10-30

    This study aimed to assess patient's capacity to perform a patient-reported outcome (PRO) measure (i.e., a self-rating scale) and examine its relationship with clinical characteristics including cognition. Fifty patients with schizophrenia were asked to rate the Subjective Well-being under Neuroleptics scale - Short form (SWNS) twice; the second rating was started immediately after they completed the first to minimize the gap between ratings. At the same time, the Positive and Negative Symptoms Scale (PANSS) and Brief Neurocognitive Assessment (BNA) were administered. The correlations between the two ratings for the SWNS total and each item scores were high (rs=0.94 and rs=0.60-0.84, respectively); however, for 16 (80%) of 20 items, 5 or more patients (i.e., ≥10%) demonstrated a>1 point score difference. There was no significant correlation between the SWNS total score difference and any clinical characteristics including age, education duration, illness duration, antipsychotic dose, psychopathology, and cognition. In contrast, the number of items with a>1 point score difference was significantly correlated with disorganized symptoms and overall severity (rs=0.29 for both), as well as working memory and global cognition (rs=-0.41 and rs=-0.40, respectively). These findings suggest that PROs should be interpreted with caution in patients with schizophrenia with prominent disorganization and cognitive impairment.

  13. Improving the Success Rate of Delivering Annual Occupational Dosimetry Reports to Persons Issued Temporary External Dosimeters

    Energy Technology Data Exchange (ETDEWEB)

    Mallett, Michael Wesley [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2014-09-09

    Workers who are not routinely monitored for occupational radiation exposure at LANL may be issued temporary dosimeters in the field. Per 10CFR835 and DOE O 231.1A, the Laboratory's radiation protection program is responsible for reporting these results to the worker at the end of the year. To do so, the identity of the worker and their mailing address must be recorded by the delegated person at the time the dosimeter is issued. Historically, this data has not been consistently captured. A new online application was developed to record the issue of temporary dosimeters. The process flow of the application was structured such that: 1) the worker must be uniquely identified in the Lab's HR database, and 2) the mailing address of record is verified live time via a commercial web service, for the transaction to be completed. A COPQ savings (Type B1) of $96K/year is demonstrated for the new application.

  14. High Repetition Rate, LINAC-based Nuclear Resonance Fluorescence FY 2009 Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Mathew Kinlaw; Scott Watson; James Johnson; Alan Hunt; Heather Seipel; Edward Reedy

    2009-10-01

    Nuclear Resonance Fluorescence (NRF), which is possible for nuclei with atomic numbers greater than helium (Z=2), occurs when a nuclear level is excited by resonant absorption of a photon and subsequently decays by reemission of a photon. The excited nuclear states can become readily populated, provided the incident photon’s energy is within the Doppler-broadened width of the energy level being excited. Utilizing continuous energy photon spectra, as is characteristic of a bremsstrahlung photon beam, as the inspection source, ensures that at least some fraction of the impinging beam will contribute to the population of the excited energy levels in the material of interest. Upon de-excitation, either to the ground state or to a lower-energy excited state, the emitted fluorescence photon’s energy will correspond to the energy difference between the excited state and the state to which it decays. As each isotope inherently contains unique nuclear energy levels, the NRF states for each isotope are also unique. By exploiting this phenomenon, NRF photon detection provides a well-defined signature for identifying the presence of individual nuclear species. This report summarizes the second year (Fiscal Year [FY] 2009) of a collaborative research effort between Idaho National Laboratory, Idaho State University’s Idaho Accelerator Center, and Pacific Northwest National Laboratory. This effort focused on continuing to assess and optimize NRF-based detection techniques utilizing a slightly modified, commercially available, pulsed medical electron accelerator.

  15. From mild cognitive impairment to subjective cognitive decline: conceptual and methodological evolution

    Science.gov (United States)

    Cheng, Yu-Wen; Chen, Ta-Fu; Chiu, Ming-Jang

    2017-01-01

    Identification of subjects at the early stages of Alzheimer’s disease (AD) is fundamental for drug development and possible intervention or prevention of cognitive decline. The concept of mild cognitive impairment (MCI) evolved during the past two decades to define subjects at the transitional stage between normal aging and dementia. Evidence from cross-sectional and longitudinal studies has shown that MCI is associated with an increased risk of positive AD biomarkers and an increased annual conversion rate of 5%–17% to AD. The presence of AD biomarkers in subjects with MCI was associated with an even higher risk of progression to dementia. However, earlier clinical trials for pharmacotherapy in subjects with MCI were disappointing. To extend the spectrum of AD to an earlier stage before MCI, subjective cognitive decline (SCD) was introduced and was defined as self-reported cognitive decline before the deficits could be detected by cognitive tests. Subjects with SCD have an increased risk of underlying AD pathology. However, SCD can also develop secondary to other heterogeneous etiologies, including other neurodegenerative and psychiatric diseases, personality traits, physical conditions, and medication use. Several clinical and biomarker features were proposed to predict risk of conversion to AD in subjects with SCD. Further longitudinal studies are needed to support the validity of these high-risk features. PMID:28243102

  16. Preliminary report of pulsed dose rate brachytherapy in head-and-neck cancer

    Energy Technology Data Exchange (ETDEWEB)

    Ziemlewski, A.; Zienkiewicz, J. [Medical Univ. of Gdansk (Poland). Dept. of Oral and Maxillofacial Surgery; Serkies, K.; Badzio, A. [Medical Univ. of Gdansk (Poland). Dept. of Oncology and Radiotherapy

    2007-09-15

    Purpose: To assess the feasibility and acute/delayed toxicity of pulsed-dose-rate brachytherapy (PDR BT) in head-and-neck tumors. Patients and Methods: 45 head and neck cancer patients underwent interstitial or contact PDR BT at a dose of 10.2-70 Gy (median, 70 Gy) and 0.6 or 1.0 Gy/pulse/h. 42 patients were administered BT as part of their curative treatment; 32 of them had sole BT. Three reirradiated patients with recurrent tumor had palliative BT. Results: PDR BT was well tolerated. Intense bleeding was the only complication associated with catheter removal from the tongue and bucca. 44 patients who completed BT experienced acute mucositis. Grade 3 toxicity of skin and oral mucosa occurred in three (6.8%) and six patients (13.6%), respectively. At a median follow-up of 22 months (range, 2-67 months), late serious toxicity (grade 4, for soft tissue and bone) was seen in seven patients (15.9%). Among the parameters analyzed, only dental care performed before BT had a significant impact on mucosal side effects. Acute severe mucositis was observed in 23% of patients without dental care compared to 0% of those with dental care (p = 0.044). Late severe mucositis occurred in 17.7% and 26.9% of the respective patients (p = 0.035), overall in 23%. The larger the volume encompassed by the reference isodose, the more late (p = 0.004) mucosal reactions were observed. Conclusion: PDR BT continued over a few days is a feasible and safe approach in head-and-neck tumors; however, it is accompanied by some toxicity. Dental care should precede isotope application. (orig.)

  17. Changes in Endopeptidase Activity during Photosynthetic Declination in Rice Leaf

    Institute of Scientific and Technical Information of China (English)

    DENGZhi-rui; ZHANGRong-xian

    2004-01-01

    Two japonica rice varieties, Wuyujing 3 and 97-7, were used to study the changes in contents of soluble protein, free amino acids and endopeptidase activity, during photosynthetic declination. The content of soluble protein in flag leaf of cv.Wuyujing 3 was higher than that of cv. 97-7, but decreased rapidly in Wuyujing 3. Free amino acids in flag leaf and the thirteenth leaf of Wuyujing 3 started to increase 10 days before the turning point of photosynthetic declination (TPPD), while it occurred just 1-2 days before TPPD in the flag leaf and the thirteenth leaf of 97-7. During reversible phase of photosynthetic declination,endopeptidase activity remained at a low level and increased slightly only in the later part of this phase. Then it rose up rapidly at irreversible decline phase and reached a vety high level. For Wuyujing 3, the change in endopeptidase activity in the thirteenth leaf was parallel to that in flag leaf. However, for 97-7, the rapid increase of endopeptidase activity in the thirteenth leaf started later than that of flag leaf. The results implied that the rate of protein breakdown and conversion to transportable nitrogen in leaves of 97-7 was slower than that in leaves of Wuyujing 3 during photosynthetic declination and it led to relativeh" lower seed setting rate and fully filling grains rate in 97-7. This may be one of the important reasons why 97-7 could not bring the high yicld potentiality into play and the findings may be taken into consideration while breeding for high potential varieties in future.

  18. Changes in Endopeptidase Activity during Photosynthetic Declination in Rice Leaf

    Institute of Scientific and Technical Information of China (English)

    DENG Zhi-rui; ZHANG Rong-xian

    2004-01-01

    Two japonica rice varieties, Wuyujing 3 and 97-7, were used to study the changes in contents of soluble protein, free amino acids and endopeptidase activity during photosynthetic declination. The content of soluble protein in flag leaf of cv.Wuyujing 3 was higher than that of cv. 97-7, but decreased rapidly in Wuyujing 3. Free amino acids in flag leaf and the thirteenth leaf of Wuyujing 3 started to increase 10 days before the turning point of photosynthetic declination (TPPD), while it occurred just 1-2 days before TPPD in the flag leaf and the thirteenth leaf of 97-7. During reversible phase of photosynthetic declination,endopeptidase activity remained at a low level and increased slightly only in the later part of this phase. Then it rose up rapidly at irreversible decline phase and reached a very high level. For Wuyujing 3, the change in endopeptidase activity in the thirteenth leaf was parallel to that in flag leaf. However, for 97-7, the rapid increase of endopeptidase activity in the thirteenth leaf started later than that of flag leaf. The results implied that the rate of protein breakdown and conversion to transportable nitrogen in leaves of 97-7 was slower than that in leaves of Wuyujing 3 during photosynthetic declination and it led to relatively lower seed setting rate and fully filling grains rate in 97-7. This may be one of the important reasons why 97-7 could not bring the high yield potentiality into play and the findings may be taken into consideration while breeding for high potential varieties in future.

  19. Increased error rates in preliminary reports issued by radiology residents working more than 10 consecutive hours overnight.

    Science.gov (United States)

    Ruutiainen, Alexander T; Durand, Daniel J; Scanlon, Mary H; Itri, Jason N

    2013-03-01

    To determine if the rate of major discrepancies between resident preliminary reports and faculty final reports increases during the final hours of consecutive 12-hour overnight call shifts. Institutional review board exemption status was obtained for this study. All overnight radiology reports interpreted by residents on-call between January 2010 and June 2010 were reviewed by board-certified faculty and categorized as major discrepancies if they contained a change in interpretation with the potential to impact patient management or outcome. Initial determination of a major discrepancy was at the discretion of individual faculty radiologists based on this general definition. Studies categorized as major discrepancies were secondarily reviewed by the residency program director (M.H.S.) to ensure consistent application of the major discrepancy designation. Multiple variables associated with each report were collected and analyzed, including the time of preliminary interpretation, time into shift study was interpreted, volume of studies interpreted during each shift, day of the week, patient location (inpatient or emergency department), block of shift (2-hour blocks for 12-hour shifts), imaging modality, patient age and gender, resident identification, and faculty identification. Univariate risk factor analysis was performed to determine the optimal data format of each variable (ie, continuous versus categorical). A multivariate logistic regression model was then constructed to account for confounding between variables and identify independent risk factors for major discrepancies. We analyzed 8062 preliminary resident reports with 79 major discrepancies (1.0%). There was a statistically significant increase in major discrepancy rate during the final 2 hours of consecutive 12-hour call shifts. Multivariate analysis confirmed that interpretation during the last 2 hours of 12-hour call shifts (odds ratio (OR) 1.94, 95% confidence interval (CI) 1.18-3.21), cross

  20. Violent crime rates as a proxy for the social determinants of sexually transmissible infection rates: the consistent state-level correlation between violent crime and reported sexually transmissible infections in the United States, 1981-2010.

    Science.gov (United States)

    Chesson, Harrell W; Owusu-Edusei, Kwame; Leichliter, Jami S; Aral, Sevgi O

    2013-11-01

    Numerous social determinants of health are associated with violent crime rates and sexually transmissible infection (STI) rates. This report aims to illustrate the potential usefulness of violent crime rates as a proxy for the social determinants of STI rates. For each year from 1981 to 2010, we assessed the strength of the association between the violent crime rate and the gonorrhoea (Neisseria gonorrhoeae) rate (number of total reported cases per 100?000) at the state level. Specifically, for each year, we calculated Pearson correlation coefficients (and P-values) between two variables (the violent crime rate and the natural log of the gonorrhoea rate) for all 50 states and Washington, DC. For comparison, we also examined the correlation between gonorrhoea rates, and rates of poverty and unemployment. We repeated the analysis using overall syphilis rates instead of overall gonorrhoea rates. The correlation between gonorrhoea and violent crime was significant at the Ppoverty, and in 17 of the 30 years for that between gonorrhoea and unemployment. Because violent crime is associated with many social determinants of STIs and because it is consistently associated with STI rates, violent crime rates can be a useful proxy for the social determinants of health in statistical analyses of STI rates.

  1. Report on the Study of the Tax and Rate Treatment of Renewable Energy Projects

    Energy Technology Data Exchange (ETDEWEB)

    Hadley, S.W.

    1993-01-01

    This study was conducted in response to Section 1205 of the Energy Policy Act of 1992 (EPACT), requiring the U.S. Department of Energy in conjunction with state regulatory commissions to determine if conventional tax measures and ratemaking procedures provide economic barriers to or incentives for the adoption of renewable electric generating plants compared to conventional ones. For this study, we defined barriers and incentives in terms of financial criteria used by investor-owned utilities (IOUs) and nonutility electricity generators (NUGs) when making decisions on technologies for new generating plants. For IOUs, the major criterion used was the levelized cost of producing power over the useful life of the technology. For NUGs, the major criterion used was the internal rate of return. Clearly, there are many factors outside the scope of this study that relate to the decisionmaking process of IOUs and NUGs. This study to determine barriers and incentives does not attempt to determine which technologies would most likely be adopted by IOUs and NUGs. Technologies are only cost (in)effective relative to a given power system and its set of internal and external conditions. Other technology-related factors such as availability, dispatchability, diversity, and reliability of generating alternatives are also considered in the decisionmaking process used by IOUs and NUGs. The results of this study show only the relative impact of certain tax measures and ratemaking procedures on financial criteria that IOUs and NUGs use as inputs to make technology-adoption decisions. Where these tax measures and ratemaking procedures provide incentives for an alternative, they increase the likelihood that the alternative will be selected by IOUs or NUGs when making generating-resource decisions. In quantifying the parameters of the seven renewable and four conventional generating options studied, we used today's ''conventional wisdom'' on the values of

  2. Birthspacing and fertility decline in Costa Rica

    Directory of Open Access Journals (Sweden)

    Víctor Gómez

    2013-07-01

    Full Text Available RESUMENEste trabajo utiliza datos de las Encuestas Comparativas de Fecundidad de América Latina, así como de la Encuesta Mundial de Fecundidad para estudiar las tendencias y diferenciales en el espaciamiento de los nacimientos entre las mujeres alguna vez casadas en Costa Rica durante el período 1945-1974. Una buena parte de la atención se pone en el ritmo de la fecundidad en las etapas umbral, temprana y tardía de la disminución de la fecundidad que este país experimentó durante los años sesenta y principios de los setenta. Los resultados muestran bastante similitud en el tempo de la reproducción en los diferentes niveles paridez y áreas geográficas. Sin embargo, un análisis de las variables del entorno que afectan espaciamiento de los nacimientos muestra diferencias entre las zonas urbanas y rurales. Por último, se postula que el reciente estancamiento en las tasas de período puede ser una consecuencia de los cambios en el tempo de construcción de la familia, con mujeres de baja paridez que postergan los nacimientos, lo que contrarresta las tendencias de descenso que generan las mujeres de mayor paridez quienes aún pueden estar restringiendo su reproducción.ABSTRACTThis paper uses data from the Latin American Comparative Fertility Surveys as well as from the World Fertility Survey to study trends and differentials in birthspacing among ever married women in Costa Rica during the period 1945-1974. A good deal of attention is placed on the pace of fertility in threshold, early and late stages of the fertility decline that this country experienced during the sixties and early seventies. The results show a good deal of similarity in the tempo of reproduction across parities and geographical areas.However, an analysis of the background variables affecting birthspacing shows differences between urban and rural zones. Finally, it is postulated that the recent plateau in period rates may be a consequence of changes in the tempo of

  3. Monty Roberts’ Public Demonstrations: Preliminary Report on the Heart Rate and Heart Rate Variability of Horses Undergoing Training during Live Audience Events

    Directory of Open Access Journals (Sweden)

    Loni Loftus

    2016-09-01

    Full Text Available Effective training of horses relies on the trainer’s awareness of learning theory and equine ethology, and should be undertaken with skill and time. Some trainers, such as Monty Roberts, share their methods through the medium of public demonstrations. This paper describes the opportunistic analysis of beat-to-beat (RR intervals and heart rate variability (HRV of ten horses being used in Monty Roberts’ public demonstrations within the United Kingdom. RR and HRV was measured in the stable before training and during training. The HRV variables standard deviation of the RR interval (SDRR, root mean square of successive RR differences (RMSSD, geometric means standard deviation 1 (SD1 and 2 (SD2, along with the low and high frequency ratio (LF/HF ratio were calculated. The minimum, average and maximum RR intervals were significantly lower in training (indicative of an increase in heart rate as measured in beats-per-minute than in the stable ( p = 0.0006; p = 0.01; p = 0.03. SDRR, RMSSD, SD1, SD2 and the LF/HF ratio were all significantly lower in training than in the stable ( p = 0.001; p = 0.049; p = 0.049; p = 0.001; p = 0.01. When comparing the HR and HRV of horses during Join-up ® to overall training, there were no significant differences in any variable with the exception of maximum RR which was significantly lower ( p = 0.007 during Join-up ® , indicative of short increases in physical exertion (canter associated with this training exercise. In conclusion, training of horses during public demonstrations is a low-moderate physiological, rather than psychological stressor for horses. The physiological stress responses observed within this study were comparable or less to those previously reported in the literature for horses being trained outside of public audience events. Furthermore, there is no evidence that the use of Join-up ® alters HR and HRV in a way to suggest that this training method negatively affects the psychological welfare

  4. Monty Roberts' Public Demonstrations: Preliminary Report on the Heart Rate and Heart Rate Variability of Horses Undergoing Training during Live Audience Events.

    Science.gov (United States)

    Loftus, Loni; Marks, Kelly; Jones-McVey, Rosie; Gonzales, Jose L; Fowler, Veronica L

    2016-09-09

    Effective training of horses relies on the trainer's awareness of learning theory and equine ethology, and should be undertaken with skill and time. Some trainers, such as Monty Roberts, share their methods through the medium of public demonstrations. This paper describes the opportunistic analysis of beat-to-beat (RR) intervals and heart rate variability (HRV) of ten horses being used in Monty Roberts' public demonstrations within the United Kingdom. RR and HRV was measured in the stable before training and during training. The HRV variables standard deviation of the RR interval (SDRR), root mean square of successive RR differences (RMSSD), geometric means standard deviation 1 (SD1) and 2 (SD2), along with the low and high frequency ratio (LF/HF ratio) were calculated. The minimum, average and maximum RR intervals were significantly lower in training (indicative of an increase in heart rate as measured in beats-per-minute) than in the stable ( p = 0.0006; p = 0.01; p = 0.03). SDRR, RMSSD, SD1, SD2 and the LF/HF ratio were all significantly lower in training than in the stable ( p = 0.001; p = 0.049; p = 0.049; p = 0.001; p = 0.01). When comparing the HR and HRV of horses during Join-up (®) to overall training, there were no significant differences in any variable with the exception of maximum RR which was significantly lower ( p = 0.007) during Join-up (®) , indicative of short increases in physical exertion (canter) associated with this training exercise. In conclusion, training of horses during public demonstrations is a low-moderate physiological, rather than psychological stressor for horses. The physiological stress responses observed within this study were comparable or less to those previously reported in the literature for horses being trained outside of public audience events. Furthermore, there is no evidence that the use of Join-up (®) alters HR and HRV in a way to suggest that this training method negatively affects the psychological welfare of

  5. Predicting functional decline and survival in amyotrophic lateral sclerosis.

    Science.gov (United States)

    Ong, Mei-Lyn; Tan, Pei Fang; Holbrook, Joanna D

    2017-01-01

    Better predictors of amyotrophic lateral sclerosis disease course could enable smaller and more targeted clinical trials. Partially to address this aim, the Prize for Life foundation collected de-identified records from amyotrophic lateral sclerosis sufferers who participated in clinical trials of investigational drugs and made them available to researchers in the PRO-ACT database. In this study, time series data from PRO-ACT subjects were fitted to exponential models. Binary classes for decline in the total score of amyotrophic lateral sclerosis functional rating scale revised (ALSFRS-R) (fast/slow progression) and survival (high/low death risk) were derived. Data was segregated into training and test sets via cross validation. Learning algorithms were applied to the demographic, clinical and laboratory parameters in the training set to predict ALSFRS-R decline and the derived fast/slow progression and high/low death risk categories. The performance of predictive models was assessed by cross-validation in the test set using Receiver Operator Curves and root mean squared errors. A model created using a boosting algorithm containing the decline in four parameters (weight, alkaline phosphatase, albumin and creatine kinase) post baseline, was able to predict functional decline class (fast or slow) with fair accuracy (AUC = 0.82). However similar approaches to build a predictive model for decline class by baseline subject characteristics were not successful. In contrast, baseline values of total bilirubin, gamma glutamyltransferase, urine specific gravity and ALSFRS-R item score-climbing stairs were sufficient to predict survival class. Using combinations of small numbers of variables it was possible to predict classes of functional decline and survival across the 1-2 year timeframe available in PRO-ACT. These findings may have utility for design of future ALS clinical trials.

  6. Asymmetric disassembly and robustness in declining networks.

    Science.gov (United States)

    Saavedra, Serguei; Reed-Tsochas, Felix; Uzzi, Brian

    2008-10-28

    Mechanisms that enable declining networks to avert structural collapse and performance degradation are not well understood. This knowledge gap reflects a shortage of data on declining networks and an emphasis on models of network growth. Analyzing >700,000 transactions between firms in the New York garment industry over 19 years, we tracked this network's decline and measured how its topology and global performance evolved. We find that favoring asymmetric (disassortative) links is key to preserving the topology and functionality of the declining network. Based on our findings, we tested a model of network decline that combines an asymmetric disassembly process for contraction with a preferential attachment process for regrowth. Our simulation results indicate that the model can explain robustness under decline even if the total population of nodes contracts by more than an order of magnitude, in line with our observations for the empirical network. These findings suggest that disassembly mechanisms are not simply assembly mechanisms in reverse and that our model is relevant to understanding the process of decline and collapse in a broad range of biological, technological, and financial networks.

  7. Early-Transition Output Decline Revisited

    Directory of Open Access Journals (Sweden)

    Crt Kostevc

    2016-05-01

    Full Text Available In this paper we revisit the issue of aggregate output decline that took place in the early transition period. We propose an alternative explanation of output decline that is applicable to Central- and Eastern-European countries. In the first part of the paper we develop a simple dynamic general equilibrium model that builds on work by Gomulka and Lane (2001. In particular, we consider price liberalization, interpreted as elimination of distortionary taxation, as a trigger of the output decline. We show that price liberalization in interaction with heterogeneous adjustment costs and non-employment benefits lead to aggregate output decline and surge in wage inequality. While these patterns are consistent with actual dynamics in CEE countries, this model cannot generate output decline in all sectors. Instead sectors that were initially taxed even exhibit output growth. Thus, in the second part we consider an alternative general equilibrium model with only one production sector and two types of labor and distortion in a form of wage compression during the socialist era. The trigger for labor mobility and consequently output decline is wage liberalization. Assuming heterogeneity of workers in terms of adjustment costs and non-employment benefits can explain output decline in all industries.

  8. Poor decision making is a consequence of cognitive decline among older persons without Alzheimer's disease or mild cognitive impairment.

    Directory of Open Access Journals (Sweden)

    Patricia A Boyle

    Full Text Available Decision making is an important determinant of health and well-being across the lifespan but is critical in aging, when many influential decisions are made just as cognitive function declines. Increasing evidence suggests that older adults, even those without dementia, often make poor decisions and are selectively vulnerable to scams. To date, however, the factors associated with poor decision making in old age are unknown. The objective of this study was to test the hypothesis that poor decision making is a consequence of cognitive decline among older persons without Alzheimer's disease or mild cognitive impairment.Participants were 420 non-demented persons from the Memory and Aging Project, a longitudinal, clinical-pathologic cohort study of aging in the Chicago metropolitan area. All underwent repeated cognitive evaluations and subsequently completed assessments of decision making and susceptibility to scams. Decision making was measured using 12 items from a previously established performance-based measure and a self-report measure of susceptibility to scams.Cognitive function data were collected over an average of 5.5 years prior to the decision making assessment. Regression analyses were used to examine whether the prior rate of cognitive decline predicted the level of decision making and susceptibility to scams; analyses controlled for age, sex, education, and starting level of cognition. Among 420 persons without dementia, more rapid cognitive decline predicted poorer decision making and increased susceptibility to scams (p's<0.001. Further, the relations between cognitive decline, decision making and scams persisted in analyses restricted to persons without any cognitive impairment (i.e., no dementia or even mild cognitive impairment.Poor decision making is a consequence of cognitive decline among older persons without Alzheimer's disease or mild cognitive impairment, those widely considered "cognitively healthy." These findings suggest

  9. The decline in stomach cancer mortality : exploration of future trends in seven European countries

    NARCIS (Netherlands)

    Amiri, Masoud; Janssen, Fanny; Kunst, Anton E.

    2011-01-01

    Mortality from stomach cancer has fallen steadily during the past decades. The aim of this paper is to assess the implication of a possible continuation of the decline in stomach cancer mortality until the year 2030. Annual rates of decline in stomach cancer mortality from 1980 to 2005 were determin

  10. The decline in stomach cancer mortality: exploration of future trends in seven European countries

    NARCIS (Netherlands)

    M. Amiri (Masoud); F. Janssen (Fanny); A.E. Kunst (Anton)

    2010-01-01

    textabstractMortality from stomach cancer has fallen steadily during the past decades. The aim of this paper is to assess the implication of a possible continuation of the decline in stomach cancer mortality until the year 2030. Annual rates of decline in stomach cancer mortality from 1980 to 2005 w

  11. The decline in stomach cancer mortality: exploration of future trends in seven European countries

    NARCIS (Netherlands)

    Amiri, M.; Janssen, F.; Kunst, A.E.

    2011-01-01

    Mortality from stomach cancer has fallen steadily during the past decades. The aim of this paper is to assess the implication of a possible continuation of the decline in stomach cancer mortality until the year 2030. Annual rates of decline in stomach cancer mortality from 1980 to 2005 were

  12. The decline in stomach cancer mortality: exploration of future trends in seven European countries

    NARCIS (Netherlands)

    M. Amiri (Masoud); F. Janssen (Fanny); A.E. Kunst (Anton)

    2011-01-01

    textabstractMortality from stomach cancer has fallen steadily during the past decades. The aim of this paper is to assess the implication of a possible continuation of the decline in stomach cancer mortality until the year 2030. Annual rates of decline in stomach cancer mortality from 1980 to 2005

  13. The decline in stomach cancer mortality : exploration of future trends in seven European countries

    NARCIS (Netherlands)

    Amiri, Masoud; Janssen, Fanny; Kunst, Anton E.

    Mortality from stomach cancer has fallen steadily during the past decades. The aim of this paper is to assess the implication of a possible continuation of the decline in stomach cancer mortality until the year 2030. Annual rates of decline in stomach cancer mortality from 1980 to 2005 were

  14. The decline in stomach cancer mortality: exploration of future trends in seven European countries

    NARCIS (Netherlands)

    M. Amiri (Masoud); F. Janssen (Fanny); A.E. Kunst (Anton)

    2011-01-01

    textabstractMortality from stomach cancer has fallen steadily during the past decades. The aim of this paper is to assess the implication of a possible continuation of the decline in stomach cancer mortality until the year 2030. Annual rates of decline in stomach cancer mortality from 1980 to 2005 w

  15. The decline in stomach cancer mortality: exploration of future trends in seven European countries

    NARCIS (Netherlands)

    Amiri, M.; Janssen, F.; Kunst, A.E.

    2011-01-01

    Mortality from stomach cancer has fallen steadily during the past decades. The aim of this paper is to assess the implication of a possible continuation of the decline in stomach cancer mortality until the year 2030. Annual rates of decline in stomach cancer mortality from 1980 to 2005 were determin

  16. Parental report of vaccine receipt in children with autism spectrum disorder: Do rates differ by pattern of ASD onset?

    Science.gov (United States)

    Goin-Kochel, Robin P; Mire, Sarah S; Dempsey, Allison G; Fein, Rachel H; Guffey, Danielle; Minard, Charles G; Cunningham, Rachel M; Sahni, Leila C; Boom, Julie A

    2016-03-01

    A contentious theory espoused by some parents is that regressive-onset of autism spectrum disorder (ASD) is triggered by vaccines. If this were true, then vaccine receipt should be higher in children with regressive-onset ASD compared with other patterns of onset. Parental report of rate of receipt for six vaccines (DPT/DTaP, HepB, Hib, polio, MMR, varicella) was examined in children with ASD (N=2755) who were categorized by pattern of ASD onset (early onset, plateau, delay-plus-regression, regression). All pairwise comparisons were significantly equivalent within a 10% margin for all vaccines except varicella, for which the delay-plus-regression group had lower rates of receipt (81%) than the early-onset (87%) and regression (87%) groups. Findings do not support a connection between regressive-onset ASD and vaccines in this cohort.

  17. Quarterly progress report, January 1--March 30, 1979 - Study of plutonium oxide leak rates from shipping containers.

    Energy Technology Data Exchange (ETDEWEB)

    Schwendiman, L.C.; Madia, W.J.; Mishima, J.; Sutter, S.L.; Owzarski, P.C.; Bander, T.J.; Schmidt, E.W.; Yesso, J.D.

    1979-05-01

    The study was initiated in October 1976, as outlined in the 189 research proposal submitted previously. Several tasks are to be undertaken in this study which, when combined, have the end objective of defining the leak rates of plutonium oxide powder from characterized leaks. Progress during the reporting period is briefly described on the following tasks: review of the literature and theoretical work relating to transmission of particles through channels; investigation of the relationship of gas flow rates, leak geometries, pressure and temperatures; measurement of the transmission of a well-characterized simulant (UO/sub 2/ powder) through leaks characterized in Task B; measurement of the fuel grade PuO/sub 2/ leaks through a standard leak incorporated into a suitable container; and investigation of PuO/sub 2/ leaks through simulated defected containers. (TFD)

  18. Effects of surface wind speed decline on hydrology in China

    Science.gov (United States)

    Liu, X.; Zhang, X.; Tang, Q.; Zhang, X.

    2013-12-01

    Surface wind speed decline in China has been widely reported, but its effects on hydrology have not been fully evaluated to date. In this study, we evaluate the effects of wind speed decline on hydrology in China during 1966-2011 by using the Variable Infiltration Capacity (VIC) hydrological model. Two model experiments, i.e. VIC simulations with the observed (EXP1) and detrended wind speed (EXP2), are performed in the major river basins in China. The differences between the two experiments are analyzed to assess the effects of wind speed decline on hydrology. Results show that wind speed has decreased by 29% of its mean in China, even by 80% for some areas in the northern China. The wind speed decline have resulted in a decrease of evapotranspiration by 1-3% of mean annual evapotranspiration and an increase of runoff by 1-6% of mean annual runoff at most basins in China. The effect of wind speed on runoff and soil moisture is large in the northern basins where small change in hydrological conditions would have significant implications for water management. In addition, Wind speed decline has offset the expansion of the drought area in China. It has contributed to a reduction of drought areas by 21%, 17%, 15% and 12% for the mean drought area in the Songhuajiang River, Hai River, Liao River and Yellow River basins, respectively, and by 8.8% of the mean drought area over China. The effect of wind speed decline on soil moisture drought is large in most basins in China expect for the Southwest and Pearl River basins.

  19. The decline of hysterectomy for benign disease.

    LENUS (Irish Health Repository)

    Horgan, R P

    2012-01-31

    Hysterectomy is one of the most common gynaecological surgical procedures performed but there appears to be a decline in the performance of this procedure in Ireland in recent times. We set out to establish the extent of the decline of hysterectomy and to explore possible explanations. Data for hysterectomy for benign disease from Ireland was obtained from the Hospital In-Patient Enquiry Scheme (HIPE) section of the Economic and Social Research Institute for the years 1999 to 2006. The total number of hysterectomies performed for benign disease showed a consistent decline during this time. There was a 36% reduction in the number of abdominal hysterectomy procedures performed.

  20. The analysis of speed-reporting rates from a cellular network based on a fingerprint-positioning algorithm

    Directory of Open Access Journals (Sweden)

    Chi-Hua Chen

    2013-05-01

    Full Text Available The collection of real-time traffic information is an important part of intelligent transportation systems. In particular, cellular floating vehicle data (CFVD technology has become increasingly widespread, and more and more popular for measuring and forecasting real-time traffic information, based on anonymous sampling of the positions of mobile phones. This study proposes an analytical model to analyse the speed-reporting rates based on communication behaviour, traffic conditions, and the two consecutive fingerprint-positioning locations from the call arrival and call completion signals of the same call for a feasibility evaluation of CFVD.

  1. Annual Report to the Nation, 1975-2014

    Science.gov (United States)

    A press release from the American Cancer Society and NCI about the Annual Report to the Nation on the Status of Cancer, 1975-2014, reports that overall cancer death rates continue to decline, however, death rates for some cancers increased or stabilized.

  2. Understanding Amphibian Declines Through Geographic Approaches

    Science.gov (United States)

    Gallant, Alisa

    2006-01-01

    Growing concern over worldwide amphibian declines warrants serious examination. Amphibians are important to the proper functioning of ecosystems and provide many direct benefits to humans in the form of pest and disease control, pharmaceutical compounds, and even food. Amphibians have permeable skin and rely on both aquatic and terrestrial ecosystems during different seasons and stages of their lives. Their association with these ecosystems renders them likely to serve as sensitive indicators of environmental change. While much research on amphibian declines has centered on mysterious causes, or on causes that directly affect humans (global warming, chemical pollution, ultraviolet-B radiation), most declines are the result of habitat loss and habitat alteration. Improving our ability to characterize, model, and monitor the interactions between environmental variables and amphibian habitats is key to addressing amphibian conservation. In 2000, the U.S. Geological Survey (USGS) initiated the Amphibian Research and Monitoring Initiative (ARMI) to address issues surrounding amphibian declines.

  3. The global financial crisis and neighborhood decline

    NARCIS (Netherlands)

    Zwiers, M.D.; Bolt, G.; Van Ham, M.; Van Kempen, R.

    2016-01-01

    Neighborhood decline is a complex and multidimensional process. National and regional variations in economic and political structures (including varieties in national welfare state arrangements), combined with differences in neighborhood history, development, and population composition, make it impo

  4. Long-term growth decline in Toona ciliata in a moist tropical forest in Bangladesh: Impact of global warming

    Science.gov (United States)

    Rahman, Mizanur; Islam, Rofiqul; Islam, Mahmuda

    2017-04-01

    Tropical forests are carbon rich ecosystems and small changes in tropical forest tree growth substantially influence the global carbon cycle. Forest monitoring studies report inconsistent growth changes in tropical forest trees over the past decades. Most of the studies highlighted changes in the forest level carbon gain, neglecting the species-specific growth changes which ultimately determine community-level responses. Tree-ring analysis can provide historical data on species-specific tree growth with annual resolution. Such studies are inadequate in Bangladesh, which is one of the most climate sensitive regions in the tropics. In this study, we investigated long-term growth rates of Toona ciliata in a moist tropical forest of Bangladesh by using tree-ring analysis. We sampled 50 trees of varying size, obtained increment cores from these trees and measured tree-ring width. Analyses of growth patterns revealed size-dependent growth increments. After correcting for the effect of tree size on tree growth (ontogenetic changes) by two different methods we found declining growth rates in T. ciliata from 1960 to 2013. Standardized ring-width index (RWI) was strongly negatively correlated with annual mean and maximum temperatures suggesting that rising temperature might cause the observed growth decline in T. ciliata. Assuming that global temperatures will rise at the current rate, the observed growth decline is assumed to continue. The analysis of stable carbon and oxygen isotopes may reveal more insight on the physiological response of this species to future climatic changes.

  5. Problems Associated with Declining National Oil Production

    Science.gov (United States)

    Jackson, J. S.

    2009-12-01

    Forecasts of peak oil production have focussed on the global impacts of declining production. Meanwhile, national oil production has declined in 20 countries, leading to local problems that receive little comment outside of the effected regions. Two problems deserve wider recognition: declining state revenues and fuel substitution. Most oil producing countries with large reserves adopted licensing practices that provide significant revenues to the host governments such that oil revenues generate from 40 to 80 percent of total government funds. Typically these governments allocate a fraction of this revenue to their state oil companies, utilizing the remainder for other activities. As oil revenues decline with falling production, host governments face a dilemma: either to increase state oil company budgets in order to stem the decline, or to starve the state oil company while maintaining other government programs. The declining oil revenues in these states can significantly reduce the government's ability to address important national issues. Mexico, Indonesia, and Yemen illustrate this situation in its early phases. Fuel substitution occurs whenever one fuel proves less expensive than another. The substitution of coal for wood in the eighteenth century and oil for coal in the twentieth century are classic examples. China and India appear to be at peak oil production, while their economies generate increasing demand for energy. Both countries are substituting coal and natural gas for oil with attendant environmental impacts. Coal-to-liquids projects are proposed in in both China, which will require significant water resources if they are executed. These examples suggest that forecasting the impact of peak oil at a regional level requires more than an assessment of proven-probable-possible reserves and a forecast of supply-demand scenarios. A range of government responses to declining oil income scenarios must also be considered, together with scenarios describing

  6. School-Based Administration of ADHD Drugs Decline, along with Diversion, Theft, and Misuse

    Science.gov (United States)

    DuPont, Robert L.; Bucher, Richard H.; Wilford, Bonnie B.; Coleman, John J.

    2007-01-01

    Since 2000 researchers have reported a decline in the administration of attention-deficit/hyperactivity disorder (ADHD) medications given by school nurses, although no decline has been noted in the incidence of ADHD in school-age populations. Government data for the same period show reduced levels of methylphenidate abuse as measured by its…

  7. LMFBR (LIQUID METAL FAST BREEDER REACTOR) READTION RATE AND DOSIMETRY 3RD QUARTERLY PROGRESS REPORT DECEMBER 1971 JANUARY FEBRUARY 1972

    Energy Technology Data Exchange (ETDEWEB)

    MCELROY WN

    1972-03-01

    This report was compiled at the Hanford Engineering Development Laboratory operated by Westinghouse Hanford Company, a subsidiary of Westinghouse Electric Corporation, for the United States Atomic Energy Commission, Division of Reactor Development and Technology, under Contract No. AT (45-1) 2170. It describes technical progress made in the Interlaboratory LMFBR Reaction Rate Program during the reporting period. The Interlaboratory LMFBR Reaction Rate (ILRR) program has been established by USAEC/RDT to develop a capability to accurately measure neutron-induced reaction rates for LMFBR fuels and materials development programs. The initial goal for the principal fission reactions, {sup 235}U, {sup 238}U, and {sup 239}Pu, is an accuracy to within {+-}5 at the 95% confidence level. Accurate measurement of other fission and non-fission reactions will be required, but to a lesser accuracy, between {+-}5 to 10% at the 95% confidence level. A secondary program objective is improvement in knowledge of the nuclear parameters involved in fuels and materials dosimetry measurements of neutron flux, spectra, fluence, and burnup. These accuracy goals for the ILRR program are severe; measurements of fast-neutron-induced reaction rates have not been rapidly moving toward this level of precision. Using a number of techniques in well established neutron environments of current interest for fast reactor development and critically evaluating the results will help establish existing levels of accuracy and indicate the scale of effort required for improvement. To accomplish the objectives of this program, reliable and documented experimental values of reaction rates and ratios will be determined for various well established and permanent neutron fields. The Coupled Fast Reactivity Measurement Facility (CFRMF) at Aerojet Nuclear Company (ANC) is the first neutron field being studied because of the similarity of its spectrum to that of a fast reactor and the range and reproducibility of

  8. Quantitative EEG and Cognitive Decline in Parkinson’s Disease

    Directory of Open Access Journals (Sweden)

    Vitalii V. Cozac

    2016-01-01

    Full Text Available Cognitive decline is common with the progression of Parkinson’s disease (PD. Different candidate biomarkers are currently studied for the risk of dementia in PD. Several studies have shown that quantitative EEG (QEEG is a promising predictor of PD-related cognitive decline. In this paper we briefly outline the basics of QEEG analysis and analyze the recent publications addressing the predictive value of QEEG in the context of cognitive decline in PD. The MEDLINE database was searched for relevant publications from January 01, 2005, to March 02, 2015. Twenty-four studies reported QEEG findings in various cognitive states in PD. Spectral and connectivity markers of QEEG could help to discriminate between PD patients with different level of cognitive decline. QEEG variables correlate with tools for cognitive assessment over time and are associated with significant hazard ratios to predict PD-related dementia. QEEG analysis shows high test-retest reliability and avoids learning effects associated with some neuropsychological testing; it is noninvasive and relatively easy to repeat.

  9. Common European birds are declining rapidly while less abundant species' numbers are rising.

    Science.gov (United States)

    Inger, Richard; Gregory, Richard; Duffy, James P; Stott, Iain; Voříšek, Petr; Gaston, Kevin J

    2015-01-01

    Biodiversity is undergoing unprecedented global decline. Efforts to slow this rate have focused foremost on rarer species, which are at most risk of extinction. Less interest has been paid to more common species, despite their greater importance in terms of ecosystem function and service provision. How rates of decline are partitioned between common and less abundant species remains unclear. Using a 30-year data set of 144 bird species, we examined Europe-wide trends in avian abundance and biomass. Overall, avian abundance and biomass are both declining with most of this decline being attributed to more common species, while less abundant species showed an overall increase in both abundance and biomass. If overall avian declines are mainly due to reductions in a small number of common species, conservation efforts targeted at rarer species must be better matched with efforts to increase overall bird numbers, if ecological impacts of birds are to be maintained. © 2014 John Wiley & Sons Ltd/CNRS.

  10. Regular physical activity modifies smoking-related lung function decline and reduces risk of chronic obstructive pulmonary disease: a population-based cohort study

    DEFF Research Database (Denmark)

    Garcia-Aymerich, J; Lange, Peter; Benet, M

    2007-01-01

    RATIONALE: We have previously reported that regular physical activity reduces risk of chronic obstructive pulmonary disease (COPD) exacerbation. We hypothesized that higher levels of regular physical activity could reduce the risk of COPD by modifying smoking-related lung function decline....... OBJECTIVE: To estimate the longitudinal association between regular physical activity and FEV(1) and FVC decline and COPD risk. METHODS: A population-based sample (n = 6,790) was recruited and assessed with respect to physical activity, smoking, lung function, and other covariates, in Copenhagen in 1981......-1983, and followed until 1991-1994. Mean level of physical activity between baseline and follow-up was classified into "low," "moderate," and "high." FEV(1) and FVC decline rates were expressed as milliliters per year. COPD was defined as FEV(1)/FVC physical activity and FEV...

  11. The lognormal handwriter: learning, performing and declining.

    Directory of Open Access Journals (Sweden)

    Réjean ePlamondon

    2013-12-01

    Full Text Available The generation of handwriting is a complex neuromotor skill requiring the interaction of many cognitive processes. It aims at producing a message to be imprinted as an ink trace left on a writing medium. The generated trajectory of the pen tip is made up of strokes superimposed over time. The Kinematic Theory of rapid human movements and its family of lognormal models provide analytical representations of these strokes, often considered as the basic unit of handwriting. This paradigm has not only been experimentally confirmed in numerous predictive and physiologically significant tests but it has also been shown to be the ideal mathematical description for the impulse response of a neuromuscular system. This latter demonstration suggests that the lognormality of the velocity patterns can be interpreted as reflecting the behaviour of subjects who are in perfect control of their movements. To illustrate this interpretation, we present a short overview of the main concepts behind the Kinematic Theory and briefly describe how its models can be exploited, using various software tools, to investigate these ideal lognormal behaviors. We emphasize that the parameters extracted during various tasks can be used to analyze some underlying processes associated with their realization. To investigate the operational convergence hypothesis, we report on two original studies. First, we focus on the early steps of the motor learning process as seen as a converging behaviour toward the production of more precise lognormal patterns as young children practicing handwriting start to become more fluent writers. Second, we illustrate how aging affects handwriting by pointing out the increasing departure from the ideal lognormal behaviour as the control of the fine motricity begins to decline. Overall, the paper highlights this developmental process of merging toward a lognormal behaviour with learning, mastering this behaviour to succeed in performing a given task

  12. Participation Rates in the Aid to Families with Dependent Children Program: Trends for 1967 through 1984.

    Science.gov (United States)

    Ruggles, Patricia; Michel, Richard C.

    This report examines participation rates in the Aid to Families with Dependent Children (AFDC) program. TRIM2, a microsimulation model that simulated the eligibility and benefit rules of the AFDC program on a state-by-state basis, showed that there had been a dramatic decline after 1981 in the rate at which AFDC families were applying for and…

  13. Reproduction and microhabitat selection in a sharply declining Northern Bobwhite population

    Science.gov (United States)

    Collins, B.M.; Williams, C.K.; Castelli, Paul M.

    2009-01-01

    Northern Bobwhite (Colinus virginianus) populations have been declining throughout their range, but some of the sharpest declines have been documented in the Mid-Atlantic states. We conducted a 2 year (2006-2007) breeding season (1 May-30 Sep) telemetry study in southern New Jersey to collect baseline data on Northern Bobwhite reproductive rates, and nest and brood microhabitat selection. We located 23 Northern Bobwhite nests, of which 21 were usable for survival analyses. Incubation-period nest survival rate was 0.454 ?? 0.010 (95 CI =0.2800.727). Mean clutch size was 14.2 ?? 0.58 (range 10-19, n = 20) and hatching success was 96.1 ?? 2.0 (range 86-100%, n = 10). The estimated probability that an individual that entered the breeding season would initiate incubation of ???1 nest was 0.687 for females and 0.202 for males. Nest microhabitat selection was positively related to visual obstruction and percentage of litter. Brood microhabitat selection was positively related to visual obstruction, vegetation height, and percentage of forbs but negatively related to percentage of cool season grass and litter. Fecundity metrics for Northern Bobwhites in southern New Jersey appear similar to those reported elsewhere in the species' range. Conservation efforts to increase Northern Bobwhite reproductive success in southern New Jersey should focus on increasing the quantity of available breeding habitat. ?? 2009 by the Wilson Ornithological Society.

  14. Targeting Functional Decline in Alzheimer Disease: A Randomized Trial.

    Science.gov (United States)

    Callahan, Christopher M; Boustani, Malaz A; Schmid, Arlene A; LaMantia, Michael A; Austrom, Mary G; Miller, Douglas K; Gao, Sujuan; Ferguson, Denisha Y; Lane, Kathleen A; Hendrie, Hugh C

    2017-02-07

    Alzheimer disease results in progressive functional decline, leading to loss of independence. To determine whether collaborative care plus 2 years of home-based occupational therapy delays functional decline. Randomized, controlled clinical trial. (ClinicalTrials.gov: NCT01314950). Urban public health system. 180 community-dwelling participants with Alzheimer disease and their informal caregivers. All participants received collaborative care for dementia. Patients in the intervention group also received in-home occupational therapy delivered in 24 sessions over 2 years. The primary outcome measure was the Alzheimer's Disease Cooperative Study Group Activities of Daily Living Scale (ADCS ADL); performance-based measures included the Short Physical Performance Battery (SPPB) and Short Portable Sarcopenia Measure (SPSM). At baseline, clinical characteristics did not differ significantly between groups; the mean Mini-Mental State Examination score for both groups was 19 (SD, 7). The intervention group received a median of 18 home visits from the study occupational therapists. In both groups, ADCS ADL scores declined over 24 months. At the primary end point of 24 months, ADCS ADL scores did not differ between groups (mean difference, 2.34 [95% CI, -5.27 to 9.96]). We also could not definitively demonstrate between-group differences in mean SPPB or SPSM values. The results of this trial are indeterminate and do not rule out potential clinically important effects of the intervention. The authors could not definitively demonstrate whether the addition of 2 years of in-home occupational therapy to a collaborative care management model slowed the rate of functional decline among persons with Alzheimer disease. This trial underscores the burden undertaken by caregivers as they provide care for family members with Alzheimer disease and the difficulty in slowing functional decline. National Institute on Aging.

  15. Life-Space Mobility and Cognitive Decline Among Mexican Americans Aged 75 Years and Older.

    Science.gov (United States)

    Silberschmidt, Seraina; Kumar, Amit; Raji, Mukaila M; Markides, Kyriakos; Ottenbacher, Kenneth J; Al Snih, Soham

    2017-07-01

    To examine the association between life-space mobility and cognitive decline over a five-year period among older Mexican Americans. Longitudinal study. Hispanic Established Population for the Epidemiologic Study of the Elderly survey conducted in the southwestern of United States (Texas, Colorado, Arizona, New Mexico, and California). Four hundred thirty-two Mexican Americans aged 75 and older with normal or high cognitive function at baseline. Socio-demographic factors, living arrangement, type of household, social support, financial strain, self-reported medical conditions, Mini-Mental State Examination (MMSE), depressive symptoms, activities of daily living (ADLs), and Short Physical Performance Battery. Life-space assessment (LSA) during the past 4 weeks was assessed during in-home interview. Scores ranged from 0 (daily restriction to the bedroom) to 120 (daily trips outside of their own town without assistance) and categorized as 0 to 20, 21 to 40, 41 to 60, 61 to 80, and 81 to 120. Because of the small sample size in the category of 81 to 120, the two highest categories were combined into a single group. The mean LSA score and MMSE score of participants at baseline was 44.6 (Standard Deviation [SD], 20.7) and 25.7 (SD, 3.2), respectively. Mixed Model analyses showed that participants in the highest life-space category (≥61) experienced slower rates of cognitive decline over time compared to participants in the lowest category (0 to 20) (β = 1.03, Standard Error [SE] = 0.29, P = 0.0004), after adjusting for all covariates. Greater life-space mobility at baseline was predictor of slower rates of cognitive decline over 5 years in older Mexican Americans. © 2017, Copyright the Authors Journal compilation © 2017, The American Geriatrics Society.

  16. Annual US Air Force Sexually Transmitted Disease (STD) Report, 1995.

    Science.gov (United States)

    1996-05-01

    This report evaluates the 1995 US Air Force (USAF) Sexually Transmitted Diseases ( STD ) Prevention and Control Program. The report analyzes data from...88 medical treatment facilities worldwide and compares 1995 data with that from 1992-94. The 1995 USAF active duty total STD incidence rate was 7.64...cases per 1,000 personnel. This rate represents a 18.9% decline from the 1994 reported STD incidence rate of 9.41 per 1,000 personnel. Among active

  17. The Most Slowly Declining Type Ia Supernova 2001ay

    CERN Document Server

    Krisciunas, Kevin; Matheson, Thomas; Howell, C Andrew; Stritzinger, Maximilian; Aldering, Greg; Berlind, Perry L; Calkins, M; Challis, Peter; Chornock, Ryan; Conley, Alexander; Filippenko, Alexei V; Ganeshalingam, Mohan; Germany, Lisa; Gonzalez, Sergio; Gooding, Samuel D; Hsiao, Eric; Kasen, Daniel; Kirshner, Robert P; Marion, G H "Howie"; Muena, Cesar; Nugent, Peter E; Phelps, M; Phillips, Mark M; Qiu, Yulei; Quimby, Robert; Rines, K; Silverman, Jeffrey M; Suntzeff, Nicholas B; Thomas, Rollin C; Wang, Lifan

    2011-01-01

    We present optical and near-infrared photometry, as well as ground-based optical spectra and Hubble Space Telescope ultraviolet spectra, of the Type Ia supernova (SN) 2001ay. At maximum light the Si II and Mg II lines indicated expansion velocities of 14,000 km/sec, while Si III and S II showed velocities of 9,000 km/sec There is also evidence for some unburned carbon at 12,000 km/sec. SN 2001ay exhibited a decline-rate parameter Delta m_15(B) = 0.68 \\pm 0.05 mag; this and the B-band photometry at t > +25 d past maximum make it the most slowly declining Type Ia SN yet discovered. Three of four super-Chandrasekhar-mass candidates have decline rates almost as slow as this. After correction for Galactic and host-galaxy extinction, SN 2001ay had M_B = -19.19 and M_V = -19.17 mag at maximum light; thus, it was not overluminous in optical bands. In near-infrared bands it was overluminous only at the 2-sigma level at most. For a rise time of 18 d (explosion to bolometric maximum) the implied Ni-56 yield was (0.58 \\p...

  18. Gestalt perception and the decline of global precedence in older subjects.

    Science.gov (United States)

    Staudinger, Markus R; Fink, Gereon R; Mackay, Clare E; Lux, Silke

    2011-01-01

    Our visual world is hierarchically organized. Hierarchical processing is frequently investigated using Navon figures (large letters made up of smaller ones). In young adults, many studies reported faster reaction times (RT) to target letters presented at the global level [i.e., global precedence (GP)]. Furthermore, an age-related decline of this GP has been reported. We tested whether deficits in perceptual grouping via Gestalt laws (Gestalt principles of Proximity and Continuity) might contribute to this decline. In a directed attention task with valid and invalid cues, 20 young (mean age 22) and 20 older (mean age 57) male subjects had to indicate whether a target letter appeared at the global or local level of a Navon figure. The number of local letters forming the global figure was modulated in 5 steps. As expected, during valid trials, young adults showed a GP that linearly increased with increasing numbers of local letters (i.e., GP enhancement). This suggests that GP is related to perceptual grouping via Gestalt laws. By contrast, the group of older subjects demonstrated no precedence effect in RT and a non-significant trend toward GP in error rates (ER). No GP enhancement with an increasing number of local elements was observed. Exploratory analysis revealed that individual insensitivity to the modulation of matrix density, as revealed by a lack of global RT acceleration, was restricted to subjects that showed an overall local precedence (LP). Because older subjects tended to more frequently display an insensitivity to matrix modulation and an LP, we conclude that deficient Gestalt detection as indicated by non-enhanced global RT might contribute to the RT-related decline of GP with age. Copyright © 2010 Elsevier Srl. All rights reserved.

  19. Evaluating the links between climate, disease spread, and amphibian declines.

    Science.gov (United States)

    Rohr, Jason R; Raffel, Thomas R; Romansic, John M; McCallum, Hamish; Hudson, Peter J

    2008-11-11

    Human alteration of the environment has arguably propelled the Earth into its sixth mass extinction event and amphibians, the most threatened of all vertebrate taxa, are at the forefront. Many of the worldwide amphibian declines have been caused by the chytrid fungus, Batrachochytrium dendrobatidis (Bd), and two contrasting hypotheses have been proposed to explain these declines. Positive correlations between global warming and Bd-related declines sparked the chytrid-thermal-optimum hypothesis, which proposes that global warming increased cloud cover in warm years that drove the convergence of daytime and nighttime temperatures toward the thermal optimum for Bd growth. In contrast, the spatiotemporal-spread hypothesis states that Bd-related declines are caused by the introduction and spread of Bd, independent of climate change. We provide a rigorous test of these hypotheses by evaluating (i) whether cloud cover, temperature convergence, and predicted temperature-dependent Bd growth are significant positive predictors of amphibian extinctions in the genus Atelopus and (ii) whether spatial structure in the timing of these extinctions can be detected without making assumptions about the location, timing, or number of Bd emergences. We show that there is spatial structure to the timing of Atelopus spp. extinctions but that the cause of this structure remains equivocal, emphasizing the need for further molecular characterization of Bd. We also show that the reported positive multi-decade correlation between Atelopus spp. extinctions and mean tropical air temperature in the previous year is indeed robust, but the evidence that it is causal is weak because numerous other variables, including regional banana and beer production, were better predictors of these extinctions. Finally, almost all of our findings were opposite to the predictions of the chytrid-thermal-optimum hypothesis. Although climate change is likely to play an important role in worldwide amphibian declines

  20. Associations of interleukin-1 gene cluster polymorphisms with C-reactive protein concentration and lung function decline in smoking-induced chronic obstructive pulmonary disease.

    Science.gov (United States)

    Wang, Yu; Shumansky, Karey; Sin, Don D; Man, S F Paul; Akhabir, Loubna; Connett, John E; Anthonisen, Nicholas R; Paré, Peter D; Sandford, Andrew J; He, Jian-Qing

    2015-01-01

    We reported association of haplotypes formed by IL-1b (IL1B)-511C/T (rs16944) and a variable number of tandem repeats (rs2234663) in intron 3 of IL-1 receptor antagonist (IL1RN) with rate of lung function decline in smoking-induced COPD. The aim of current study was to further investigate this association. We genotyped an additional 19 polymorphisms in IL1 cluster (including IL1A, IL1B and IL1RN) in non-Hispanic whites who had the fastest (n = 268) and the slowest (n = 292) decline of FEV1% predicted in the same study. We also analyzed the association of all 21 polymorphisms with serum CRP levels. None of 21 polymorphisms showed significant association with rate of decline of lung function or CRP levels after adjusting for multiple comparisons. Before adjusting for multiple comparisons, only IL1RN_19327 (rs315949) showed significant association with lung function decline (P = 0.03, additive model). The frequencies of genotypes containing the IL1RN_19327A allele were 71.9% and 62.2%, respectively in the fast and slow decline groups (P = 0.02, odds ratio = 1.6, 95% confidence interval = 1.1-2.3); the IL1B_5200 (rs1143633) and rs2234663 in IL1RN were associated with serum CRP levels (P=0.04 and 0.03, respectively). No single marker was significantly associated with either rate of lung function decline or serum CRP levels.

  1. A TOMM40 poly-T variant modulates gene expression and is associated with vocabulary ability and decline in nonpathologic aging.

    Science.gov (United States)

    Payton, A; Sindrewicz, P; Pessoa, V; Platt, H; Horan, M; Ollier, W; Bubb, V J; Pendleton, N; Quinn, J P

    2016-03-01

    The Translocase of Outer Mitochondrial Membrane 40 Homolog and Apolipoprotein E (TOMM40-APOE) locus has been associated with a number of age-related phenotypes in humans including nonpathologic cognitive aging, late-onset Alzheimer's disease, and longevity. Here, we investigate the influence of the TOMM40 intron 6 poly-T variant (rs10524523) on TOMM40 gene expression and cognitive abilities and decline in a cohort of 1613 community-dwelling elderly volunteers who had been followed for changes in cognitive functioning over a period of 14 years (range = 12-18 years). We showed that the shorter length poly-T variants were found to act as a repressor of luciferase gene expression in reporter gene constructs. Expression was reduced to approximately half of that observed for the very long variant. We further observed that the shorter poly-T variant was significantly associated with reduced vocabulary ability and a slower rate of vocabulary decline with age compared to the very long poly-T variants. No significant associations were observed for memory, fluid intelligence or processing speed, although the direction of effect, where the short variant was correlated with reduced ability and slower rate of decline was observed for all tests. Our results indicate that the poly-T variant has the ability to interact with transcription machinery and differentially modulate reporter gene expression and influence vocabulary ability and decline with age.

  2. Accuracy of self-report, biological tests, collateral reports and clinician ratings in identifying substance use disorders among adults with schizophrenia.

    Science.gov (United States)

    Desmarais, Sarah L; Van Dorn, Richard A; Sellers, Brian G; Young, M Scott; Swartz, Marvin S

    2013-09-01

    Identifying substance use disorders among adults with schizophrenia presents unique challenges but is critical to research and practice. This study examined: (a) the accuracy of assessments completed using various approaches in identifying substance use disorders, (b) their ability to discriminate between disorders of abuse and dependence, and (c) the benefits of using multiple indicators to identify substance use disorders. Data are from the Clinical Antipsychotic Trials of Intervention Effectiveness study. The sample comprised 1,460 community-based adults with schizophrenia, 15.8% (n = 230) of whom were positive for a current (past month) drug or alcohol use disorder using the Structured Clinical Interview for DSM-IV Disorders (SCID). Clinician ratings, self-report, collateral reports, and results of hair and urine tests were compared to SCID diagnoses. Congruence with SCID diagnoses was good across approaches and evidence for superiority of one approach over another was limited. No approach discriminated between abuse and dependence. There was limited benefit of using multiple indicators. Findings suggest that the decision regarding the "best" approach for identifying substance use disorders among adults with schizophrenia may be made through consideration of practical issues and assessment purpose, rather than selection of the approach that yields the most accurate diagnostic assessment.

  3. Devastating decline of forest elephants in central Africa.

    Science.gov (United States)

    Maisels, Fiona; Strindberg, Samantha; Blake, Stephen; Wittemyer, George; Hart, John; Williamson, Elizabeth A; Aba'a, Rostand; Abitsi, Gaspard; Ambahe, Ruffin D; Amsini, Fidèl; Bakabana, Parfait C; Hicks, Thurston Cleveland; Bayogo, Rosine E; Bechem, Martha; Beyers, Rene L; Bezangoye, Anicet N; Boundja, Patrick; Bout, Nicolas; Akou, Marc Ella; Bene, Lambert Bene; Fosso, Bernard; Greengrass, Elizabeth; Grossmann, Falk; Ikamba-Nkulu, Clement; Ilambu, Omari; Inogwabini, Bila-Isia; Iyenguet, Fortune; Kiminou, Franck; Kokangoye, Max; Kujirakwinja, Deo; Latour, Stephanie; Liengola, Innocent; Mackaya, Quevain; Madidi, Jacob; Madzoke, Bola; Makoumbou, Calixte; Malanda, Guy-Aimé; Malonga, Richard; Mbani, Olivier; Mbendzo, Valentin A; Ambassa, Edgar; Ekinde, Albert; Mihindou, Yves; Morgan, Bethan J; Motsaba, Prosper; Moukala, Gabin; Mounguengui, Anselme; Mowawa, Brice S; Ndzai, Christian; Nixon, Stuart; Nkumu, Pele; Nzolani, Fabian; Pintea, Lilian; Plumptre, Andrew; Rainey, Hugo; de Semboli, Bruno Bokoto; Serckx, Adeline; Stokes, Emma; Turkalo, Andrea; Vanleeuwe, Hilde; Vosper, Ashley; Warren, Ymke

    2013-01-01

    African forest elephants- taxonomically and functionally unique-are being poached at accelerating rates, but we lack range-wide information on the repercussions. Analysis of the largest survey dataset ever assembled for forest elephants (80 foot-surveys; covering 13,000 km; 91,600 person-days of fieldwork) revealed that population size declined by ca. 62% between 2002-2011, and the taxon lost 30% of its geographical range. The population is now less than 10% of its potential size, occupying less than 25% of its potential range. High human population density, hunting intensity, absence of law enforcement, poor governance, and proximity to expanding infrastructure are the strongest predictors of decline. To save the remaining African forest elephants, illegal poaching for ivory and encroachment into core elephant habitat must be stopped. In addition, the international demand for ivory, which fuels illegal trade, must be dramatically reduced.

  4. Devastating decline of forest elephants in central Africa.

    Directory of Open Access Journals (Sweden)

    Fiona Maisels

    Full Text Available African forest elephants- taxonomically and functionally unique-are being poached at accelerating rates, but we lack range-wide information on the repercussions. Analysis of the largest survey dataset ever assembled for forest elephants (80 foot-surveys; covering 13,000 km; 91,600 person-days of fieldwork revealed that population size declined by ca. 62% between 2002-2011, and the taxon lost 30% of its geographical range. The population is now less than 10% of its potential size, occupying less than 25% of its potential range. High human population density, hunting intensity, absence of law enforcement, poor governance, and proximity to expanding infrastructure are the strongest predictors of decline. To save the remaining African forest elephants, illegal poaching for ivory and encroachment into core elephant habitat must be stopped. In addition, the international demand for ivory, which fuels illegal trade, must be dramatically reduced.

  5. Feeding Activity, Rate of Consumption, Daily Ration and Prey Selection of Major Predators in John Day Reservoir, 1985: Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Palmer, Douglas E.; United States. Bonneville Power Administration; U.S. Fish and Wildlife Service; National Fishery Research Center (U.S.)

    1986-10-01

    This report summarizes activities in 1985 to determine the extent of predation on juvenile salmonids in John Day Reservoir. To estimate consumption of juvenile salmonids we used the composition of the natural diet of predators and in the laboratory determined rate of gastric evacuation by predators. Salmonids were the single most important food item for northern squawfish (Ptychocheilus oregonensis) at McNary tailrace during all sampling periods and at John Day forebay during July. Salmonids accounted for 11.6% of the diet of walleye (Stizostedion vitreum vitreum) in 1985 which was about twice that found in previous years. Salmonids contributed little to smallmouth bass (Micropterus dolomieui) diet but comprised about 25% of the diet of channel catfish (Ictalurus punctatus). Composition of prey taxa in beach seine catches in 1985 was similar to 1983 and 1984 with chinook salmon (Oncorhynchus tschawytscha), northern squawfish, largescale sucker (Catostomus macrocheilus), and sand roller (Percopsis transmontana) dominating the catch at main channel stations and crappies (Pomoxis spp.) and largescale sucker dominating at backwater stations. Preliminary results of beach seine efficiency studies suggest that seine efficiency varied significantly among prey species and between substrate types in 1985. Results of digestion rate experiments indicate that gastric evacuation in northern squawfish can be predicted using water temperature, prey weight, predator weight and time. 19 refs., 19 figs., 13 tabs.

  6. Systematic review of reporting rates of adverse events following immunization: an international comparison of post-marketing surveillance programs with reference to China.

    Science.gov (United States)

    Guo, Biao; Page, Andrew; Wang, Huaqing; Taylor, Richard; McIntyre, Peter

    2013-01-11

    China is the most populous country in the world, with an annual birth cohort of approximately 16 million, requiring an average of 500 million vaccine doses administered annually. In China, over 30 domestic and less than 10 overseas vaccine manufacturers supply over 60 licensed vaccine products, representing a growing vaccine market mainly due to recent additions to the national immunization schedule, but data on post-marketing surveillance for adverse events following immunization (AEFI) are sparse. To compare reporting rates for various categories of AEFI from China with other routine post-marketing surveillance programs internationally. Systematic review of published studies reporting rates of AEFI by vaccine, category of reaction and age from post-marketing surveillance systems in English and Chinese languages. Overall AEFI reporting rates (all vaccines, all ages) in Chinese studies were consistent with those from similar international studies elsewhere, but there was substantial heterogeneity in regional reporting rates in China (range 2.3-37.8/100,000 doses). The highest AEFI reporting rates were for diphtheria-tetanus-pertussis whole-cell (DTwP) and acellular (DTaP) vaccines (range 3.3-181.1/100,000 doses for DTwP; range 3.5-92.6/100,000 doses for DTaP), with higher median rates for DTwP than DTaP, and higher than expected rates for DTaP vaccine. Similar higher rates for DTwP and DTaP containing vaccines, and relatively lower rates for vaccines against hepatitis B virus, poliovirus, and Japanese encephalitis virus were found in China and elsewhere in the world. Overall AEFI reporting rates in China were consistent with similar post-marketing surveillance systems in other countries. Sources of regional heterogeneity in AEFI reporting rates, and their relationships to differing vaccine manufacturers versus differing surveillance practices, require further exploration. Copyright © 2012 Elsevier Ltd. All rights reserved.

  7. Forest productivity decline caused by successional paludification of boreal soils.

    Science.gov (United States)

    Simard, Martin; Lecomte, Nicolas; Bergeron, Yves; Bernier, Pierre Y; Paré, David

    2007-09-01

    Long-term forest productivity decline in boreal forests has been extensively studied in the last decades, yet its causes are still unclear. Soil conditions associated with soil organic matter accumulation are thought to be responsible for site productivity decline. The objectives of this study were to determine if paludification of boreal soils resulted in reduced forest productivity, and to identify changes in the physical and chemical properties of soils associated with reduction in productivity. We used a chronosequence of 23 black spruce stands ranging in postfire age from 50 to 2350 years and calculated three different stand productivity indices, including site index. We assessed changes in forest productivity with time using two complementary approaches: (1) by comparing productivity among the chronosequence stands and (2) by comparing the productivity of successive cohorts of trees within the same stands to determine the influence of time independently of other site factors. Charcoal stratigraphy indicates that the forest stands differ in their fire history and originated either from high- or low-severity soil burns. Both chronosequence and cohort approaches demonstrate declines in black spruce productivity of 50-80% with increased paludification, particularly during the first centuries after fire. Paludification alters bryophyte abundance and succession, increases soil moisture, reduces soil temperature and nutrient availability, and alters the vertical distribution of roots. Low-severity soil burns significantly accelerate rates of paludification and productivity decline compared with high-severity fires and ultimately reduce nutrient content in black spruce needles. The two combined approaches indicate that paludification can be driven by forest succession only, independently of site factors such as position on slope. This successional paludification contrasts with edaphic paludification, where topography and drainage primarily control the extent and rate

  8. The role of morbidity in the mortality decline of the nineteenth century: evidence from the military population at Gibraltar 1818-1899.

    Science.gov (United States)

    Padiak, Janet

    2005-01-01

    The causes of the nineteenth-century decline of mortality, characterized by lower mortality rates and increased longevity, have been the subject of debate among researchers for the past half-century. Because of a paucity of reliable data, little is understood about the role of morbidity, or illness episodes, in the mortality decline. This article introduces the results of a study that looks at the relationship of morbidity in the mortality decline during this portion of the epidemiological transition. The data are comprised of hospital admissions and deaths collected by the British army on the soldiers of the Gibraltar garrison from 1819 to 1899. Morbidity dropped during this period, but at a slower rate than mortality, and all categories of disease did not fall in concert; in some categories, morbidity rose as mortality dropped. Statistical modeling is used to analyze the categories of diseases that were most influential in the decline of mortality in this group. This research shows that there are discernible relationships between morbidity and mortality and that the two parameters are responding to different driving forces. Because changes within the military medical system may have had an effect on the relationship of the morbidity and mortality rates of the soldiers, surviving medical reports are used to reconstruct the medical care of the troops during the study period.

  9. Medicare Program; FY 2016 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements. Final rule.

    Science.gov (United States)

    2015-08-06

    This final rule will update the hospice payment rates and the wage index for fiscal year (FY) 2016 (October 1, 2015 through September 30, 2016), including implementing the last year of the phase-out of the wage index budget neutrality adjustment factor (BNAF). Effective on January 1, 2016, this rule also finalizes our proposals to differentiate payments for routine home care (RHC) based on the beneficiary's length of stay and implement a service intensity add-on (SIA) payment for services provided in the last 7 days of a beneficiary's life, if certain criteria are met. In addition, this rule will implement changes to the aggregate cap calculation mandated by the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act), align the cap accounting year for both the inpatient cap and the hospice aggregate cap with the federal fiscal year starting in FY 2017, make changes to the hospice quality reporting program, clarify a requirement for diagnosis reporting on the hospice claim, and discuss recent hospice payment reform research and analyses.

  10. Developing IntegRATE: a fast and frugal patient-reported measure of integration in health care delivery

    Directory of Open Access Journals (Sweden)

    Glyn Elwyn

    2015-03-01

    Full Text Available Background: Efforts have been made to measure integration in health care delivery, but few existing instruments have adopted a patient perspective, and none is sufficiently generic and brief for administration at scale. We sought to develop a brief and generic patient-reported measure of integration in health care delivery.Methods: Drawing on both existing conceptualisations of integrated care and research on patients’ perspectives, we chose to focus on four distinct domains of integration: information sharing,consistent advice, mutual respect and role clarity. We formulated candidate items and conducted cognitive interviews with end users to further develop and refine the items. We then pilot-tested the measure.Results: Four rounds of cognitive interviews were conducted (n = 14 and resulted in a four-item measure that was both relevant and understandable to end users. The pilot administration of the measure (n = 15 further confirmed the relevance and interpretability of items and demonstrated that the measure could be completed in less than one minute.Conclusions: This new measure, IntegRATE, represents a patient-reported measure of integration in health care delivery that is conducive to use in both routine performance monitoring and research. The psychometric properties of the measure will be assessed in the next stage of development. 

  11. Declining trends in exposures to harmful policing among people who inject drugs in Vancouver, Canada.

    Science.gov (United States)

    Landsberg, Adina; Kerr, Thomas; Milloy, Michael-John; Dong, Huiru; Nguyen, Paul; Wood, Evan; Hayashi, Kanna

    2016-01-01

    In 2006, the Vancouver Police Department (VPD) developed an organization-wide drug policy approach, which included endorsing harm reduction strategies for people who inject drugs (PWID). We sought to examine rates of potentially harmful policing exposures and associated HIV risk behaviour among PWID in Vancouver, Canada before and after the VPD policy change. Data were derived from two prospective cohort studies of PWID. Multivariable generalized estimating equation models were used to examine changes in the risk of confiscation of drug use paraphernalia and physical violence by the police, as well as changes in the relationship between exposures to the two policing practices and sharing of drug use paraphernalia, before and after the policy change. Among 2193 participants, including 757 (34.5%) women, the rates of experiencing police confiscation of drug use paraphernalia declined from 22.3% in 2002 to 2.8% in 2014, and the rates of reporting experiencing physical violence by the police also declined from 14.1% in 2004 to 2.9% in 2014. In multivariable analyses, the post-policy change period remained independently and negatively associated with reports of confiscation of drug use paraphernalia (adjusted odds ratio (AOR): 0.25; 95% confidence interval (CI): 0.21 to 0.31) and reported physical violence by the police (AOR: 0.76; 95% CI: 0.63 to 0.91). However, experiencing both confiscation of drug use paraphernalia and physical violence by the police (AOR: 1.92; 95% CI: 1.10 to 3.33) and experiencing only confiscation of drug use paraphernalia (AOR: 1.71; 95% CI: 1.34 to 2.19) remained independently and positively associated with sharing of drug use paraphernalia during the post-policy change period. In our study, two policing practices known to increase HIV risk among PWID have declined significantly since the local police launched an evidence-based drug policy approach. However, these practices remained independently associated with elevated HIV risk after the

  12. Incidental lung nodules on CT examinations of the abdomen: Prevalence and reporting rates in the PACS era

    Energy Technology Data Exchange (ETDEWEB)

    Rinaldi, Maria Francesca [Radiologia III - Azienda Ospedaliera Pol. S.Orsola-Malpighi, via Massarenti 9 - 40138 Bologna (Italy); Bartalena, Tommaso, E-mail: t.bartalena@email.i [Radiologia III - Azienda Ospedaliera Pol. S.Orsola-Malpighi, via Massarenti 9 - 40138 Bologna (Italy); Giannelli, Giovanni; Rinaldi, Giovanni [Radiologia III - Azienda Ospedaliera Pol. S.Orsola-Malpighi, via Massarenti 9 - 40138 Bologna (Italy); Sverzellati, Nicola [Dipartimento di Scienze Cliniche, sezione di Radiologia - Universita di Parma, via Gramsci 14 - 43100 Parma (Italy); Canini, Romeo [Dipartimento Clinico di Scienze Radiologiche ed Istocitopatologiche, divisione di Diagnostica per Immagini - Universita di Bologna, via Massarenti 9 - 40138 Bologna (Italy); Gavelli, Giampaolo [Servizio di Diagnostica per Immagini, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (I.R.S.T.), via Piero Maroncelli, 40 - 47014 Meldola (Italy)

    2010-06-15

    Objectives: To retrospectively evaluate prevalence, reporting rates and clinical implications of incidental pulmonary nodules detected in multidetector computed tomography (MDCT) abdominal studies. Materials and methods: Abdominal MDCT studies of 243 consecutive patients, 94 of whom had a history of cancer, were evaluated. Lung bases included in the scan were reviewed on a PACS workstation with different window settings and post-processing techniques. Nodules were classified according to their density (calcified, solid noncalcified, non-solid, part-solid) and size (<4 mm; 4-6 mm; 6-8 mm; >8 mm). The study findings were compared with the corresponding radiologic reports. Previous of following CT studies, when available from the PACS, were also reviewed to evaluate changes in number and size of the detected nodules. Results: An average of 8.2 cm of lung parenchyma was imaged in each patient. 213 noncalcified nodules (NCNs) were identified in 95 patients (39.1%) but only 8 patients (8.4%) had it mentioned in the final report. Comparison CT studies were available for 44 out of the 95 positive patients showing disappearance of the nodules in 2 cases, no interval change in 26 and progression in size and/or number in 16 patients, in whom a final diagnosis of metastasis or primary lung cancers was achieved. Conclusion: Radiologists tend to overlook lung portions on abdominal CT studies. Underreporting may affect patient care and have medico-legal implications since images are permanently stored in digital format on PACS and CD-ROMs. Management of the discovered nodules should be tailored to the clinical situation of the patient, and particular care should be reserved to patients with oncologic history.

  13. MELT RATE ENHANCEMENT FOR HIGH ALUMINUM HLW (HIGH LEVEL WASTE) GLASS FORMULATION FINAL REPORT 08R1360-1

    Energy Technology Data Exchange (ETDEWEB)

    KRUGER AA; MATLACK KS; KOT W; PEGG IL; JOSEPH I; BARDAKCI T; GAN H; GONG W; CHAUDHURI M

    2010-01-04

    This report describes the development and testing of new glass formulations for high aluminum waste streams that achieve high waste loadings while maintaining high processing rates. The testing was based on the compositions of Hanford High Level Waste (HLW) with limiting concentrations of aluminum specified by the Office of River Protection (ORP). The testing identified glass formulations that optimize waste loading and waste processing rate while meeting all processing and product quality requirements. The work included preparation and characterization of crucible melts and small scale melt rate screening tests. The results were used to select compositions for subsequent testing in a DuraMelter 100 (DM100) system. These tests were used to determine processing rates for the selected formulations as well as to examine the effects of increased glass processing temperature, and the form of aluminum in the waste simulant. Finally, one of the formulations was selected for large-scale confirmatory testing on the HLW Pilot Melter (DM1200), which is a one third scale prototype of the Hanford Tank Waste Treatment and Immobilization Plant (WTP) HLW melter and off-gas treatment system. This work builds on previous work performed at the Vitreous State Laboratory (VSL) for Department of Energy (DOE) to increase waste loading and processing rates for high-iron HLW waste streams as well as previous tests conducted for ORP on the same high-aluminum waste composition used in the present work and other Hanford HLW compositions. The scope of this study was outlined in a Test Plan that was prepared in response to an ORP-supplied statement of work. It is currently estimated that the number of HLW canisters to be produced in the WTP is about 13,500 (equivalent to 40,500 MT glass). This estimate is based upon the inventory of the tank wastes, the anticipated performance of the sludge treatment processes, and current understanding of the capability of the borosilicate glass waste form

  14. Is the crime drop of the 1990s in Canada and the USA associated with a general decline in risky and health-related behavior?

    Science.gov (United States)

    Mishra, Sandeep; Lalumière, Martin

    2009-01-01

    Crime rates dropped unexpectedly and dramatically in the 1990s in Canada and the USA. The decline was not restricted to particular types of crime, the particular methodologies of crime reports, demographic characteristics, or geographical areas. Psychological studies of individuals have suggested a link between crime and different types of risky behavior (e.g., dangerous driving, unsafe sex, substance use). Based on this link, we examined whether national rates of various risky behaviors declined in the 1990s, and whether rates of crime and risky behavior covary over time. Several American and Canadian databases reporting annual or biennial data on risky behavior indicators were examined. Results indicate that most of the risky behavior indicators in the domains of violent behavior, accidents, sexual behavior, and school dropout declined in the 1990s. Furthermore, time series analyses suggest that rates of various risky behaviors tend to covary with homicide over long periods of time. An important exception to these results is substance use in various contexts. We discuss some theoretical implications of the results.

  15. Decline of the performance of a portable axial-flow fan due to the friction and duct bending loss of a connected flexible duct.

    Science.gov (United States)

    Ojima, Jun

    2017-03-28

    In a job site, a portable fan is often used to ventilate a confined space. When a portable fan is applied to such a space, the actual ventilation flow rate must be accurately estimated in advance because the safety level of contaminant and oxygen concentrations in the space will determine the ventilation requirements. When a portable fan is used with a flexible duct, the actual flow rate of the fan decreases due to the friction and duct bending loss of the duct. Intending to show the decline of a fan performance, the author conducted laboratory experiments and reported the quantitative effect of the friction and duct bending loss of a flexible duct to the flow rate of a portable fan. Four commercial portable fans of different specifications were procured for the experiments, and the decline of the performance of each portable fan due to the friction loss etc. of a connected flexible duct was investigated by measuring actual flow rate. The flow rate showed an obvious decrease from the rated flow rate when a flexible duct was connected. Connection of a straight polyester flexible duct and a straight aluminum flexible duct reduced the flow rates to 81.2 - 52.9% and less than 50%, respectively. The flow rate decreased with an increase of the bend angle of the flexible duct. It is recommended that flow rate check of a portable fan should be diligently carried out in every job site.

  16. Report: EPA Has Not Met Statutory Requirements for Hazardous Waste Treatment, Storage and Disposal Facility Inspections, but Inspection Rates Are High

    Science.gov (United States)

    Report #16-P-0104, March 11, 2016. Although the EPA’s overall inspection completion rate is high, the agency did not fully meet the legal requirement for inspecting 100 percent of operating TSDFs for fiscal year 2014.

  17. Predictive Value of Baseline Electronic Columbia–Suicide Severity Rating Scale (eC–SSRS) Assessments for Identifying Risk of Prospective Reports of Suicidal Behavior During Research Participation

    OpenAIRE

    Greist, John H.; Mundt, James C.; Gwaltney, Chad J.; Jefferson, James W.; Posner, Kelly

    2014-01-01

    Objective: Examine the ability of baseline electronic Columbia–Suicide Severity Rating Scale lifetime suicidal ideation and behavior categories to predict prospective reports of suicidal behavior in psychiatric and non-psychiatric research participants.

  18. Political Factors in Public School Decline.

    Science.gov (United States)

    Peltzman, Sam

    1993-01-01

    Teacher unionization, centralization of financial control, desegregation, and weakening in business involvement are among the political factors that have contributed to the decline in public school performance between 1965 and 1980. Research into these factors confirms the importance of political influences on schooling and suggests that…

  19. Why Do Patients with COPD Decline Rehabilitation

    DEFF Research Database (Denmark)

    Mathar, Helle; Fastholm, Pernille; Hansen, Ida Rode

    2016-01-01

    AIM: This paper aimed to suggest possible answers to the question: Why do patients with COPD decline pulmonary rehabilitation (PR)? METHOD: The study is a metasynthesis inspired by Noblit of the existing qualitative research on the area. The data were collected during 2014. Six studies were found...

  20. Afterword: The Management and Consequences of Decline.

    Science.gov (United States)

    Boyd, William Lowe

    1983-01-01

    Stresses the need for aggressive, farsighted management of decline and for more Federal and State aid to local school administrators to combat the negative effects of school closures and retrenchment, and to ensure that retrenched school systems still serve children effectively. (Author/MJL)

  1. The Decline of Literature: A Public Perspective

    Science.gov (United States)

    Albalawi, Mohammed

    2015-01-01

    After centuries of dominance, literature has not been in a robust health for the last few decades. Several scholars have addressed the decline of literature in a number of books and articles attributing it to institutional and economic reasons. However, a major factor has not been taken into account. It is the larger audience who receives and…

  2. NIDI scenario. Strong population decline in China

    NARCIS (Netherlands)

    de Beer, J.A.A.

    2016-01-01

    United Nations projections assume that by the end of this century one third of the world population will live in India, China or Nigeria. While population growth in India will slow down and the population size of China will decline, population growth in Nigeria will accelerate. A new NIDI scenario

  3. The Decline in China Textile Exports Narrowed

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    This is a crucial moment for China’s textile export industry, which is in the midst of deep economic downturn. In the January-Novem- ber 2009 period, the decline in accumulated textile and apparel exports was being constantly reduced and the tendency of rebound is

  4. Episodic memory decline and healthy aging

    NARCIS (Netherlands)

    Wang, W.C.; Daselaar, S.M.; Cabeza, R.

    2017-01-01

    One of the cognitive functions most affected by the aging process is our memory for personally experienced past events or episodic memory (EM). The advent of functional neuroimaging has greatly advanced our knowledge of the neural basis of EM and its decline with age. The current chapter revi

  5. Exploring the Global Decline of Music Education

    Science.gov (United States)

    Aróstegui, José Luis

    2016-01-01

    This article seeks to explain the disjuncture between the decline of music education in schools and the importance music has in popular youth culture and in creativity within the new knowledge economy. The data discussed in this article have been derived from analyses of major documents on curriculum reform as well as e-mail responses from music…

  6. Why Employee Motivation Has Declined in America.

    Science.gov (United States)

    Grant, Philip C.

    1982-01-01

    Examines possible reasons for declining employee motivation: greater instability and diversity of values; more guaranteed rewards; inability of rewards to satisfy emerging needs; disappearing work ethic; reduced costs of failure; rising income and progressive taxation; more group production and problem solving; decreased employee loyalty; less…

  7. Cholesterol and late-life cognitive decline.

    Science.gov (United States)

    van Vliet, Peter

    2012-01-01

    High cholesterol levels are a major risk factor for cardiovascular disease, but their role in dementia and cognitive decline is less clear. This review highlights current knowledge on the role of cholesterol in late-life cognitive function, cognitive decline, and dementia. When measured in midlife, high cholesterol levels associate with an increased risk of late-life dementia and cognitive decline. However, when measured in late-life, high cholesterol levels show no association with cognitive function, or even show an inverse relation. Although statin treatment has been shown to associate with a lower risk of dementia and cognitive decline in observational studies, randomized controlled trials show no beneficial effect of statin treatment on late-life cognitive function. Lowering cholesterol levels may impair brain function, since cholesterol is essential for synapse formation and maturation and plays an important role in the regulation of signal transduction through its function as a component of the cell membrane. However, membrane cholesterol also plays a role in the formation and aggregation of amyloid-β. Factors that influence cholesterol metabolism, such as dietary intake, are shown to play a role in late-life cognitive function and the risk of dementia. In conclusion, cholesterol associates with late-life cognitive function, but the association is strongly age-dependent. There is no evidence that treatment with statins in late-life has a beneficial effect on cognitive function.

  8. The Decline of Direct Newspaper Competition.

    Science.gov (United States)

    Rosse, James N.

    1980-01-01

    Describes the decline of direct newspaper competition in terms of the loss of effective newspaper market segmentation. Examines the following influences on market segmentation: shift in advertising demand, advertiser preferences for differentiated audiences, shift in subscriber demand, growth of alternative media, increasing production costs, and…

  9. The complexity of amphibian population declines: understanding the role of cofactors in driving amphibian losses.

    Science.gov (United States)

    Blaustein, Andrew R; Han, Barbara A; Relyea, Rick A; Johnson, Pieter T J; Buck, Julia C; Gervasi, Stephanie S; Kats, Lee B

    2011-03-01

    Population losses and extinctions of species are occurring at unprecedented rates, as exemplified by declines and extinctions of amphibians worldwide. However, studies of amphibian population declines generally do not address the complexity of the phenomenon or its implications for ecological communities, focusing instead on single factors affecting particular amphibian species. We argue that the causes for amphibian population declines are complex; may differ among species, populations, and life stages within a population; and are context dependent with multiple stressors interacting to drive declines. Because amphibians are key components of communities, we emphasize the importance of investigating amphibian declines at the community level. Selection pressures over evolutionary time have molded amphibian life history characteristics, such that they may remain static even in the face of strong, recent human-induced selection pressures.

  10. [Forest degradation/decline: research and practice].

    Science.gov (United States)

    Zhu, Jiao-Jun; Li, Feng-Qin

    2007-07-01

    As one of the most critical environmental problems in the 21st century, forest degradation has been facing worldwide. There are many definitions about forest degradation, but its common features are the permanent loss of forests, stand structure destructed, forest quality decreased, and forest functions lowered. Forest decline or tree decline in fact is one of the causes of forest degradation, which includes the general reduction of trees in vigor, low level growth of trees in productivity, death of trees, and even, decline of soil fertility. Many researches indicated that deforestation is the permanent loss of forests in area, which is shifted to other land uses. Deforestation is the product of the interactions between environmental, social, economic, cultural, and political forces at work in any given country/region, and thus, more and more attention is focused on the negative socioeconomic and environmental effects after forest degradation, especially on the reduction of forest area induced by deforestation. The effects of any decisions or policies in national and international levels on forest degradation induced by deforestation have been paid attention as well. How to make efforts and strengthen the worldwide cooperation to combat the forest degradation induced by deforestation must be challenged to find appropriate solutions. There are many researches on forest decline, because of its complexity and uncertainties. The major causes of forest decline include: 1) pollution from both industry and agriculture, 2) stress factors, e.g., desiccation, 3) changes in stand dynamics, 4) decline disease of forest or diseases of complex etiology, 5) degradation of productivity and/or soil fertility in pure plantation forests. Forest degradation in China is similar to that all over the world, but with the characteristics in forest components, i.e., 1) secondary forests are the major forest resources, 2) China has the most plantation forests in the world, some of which have

  11. Convergent Validity with the BERS-2 Teacher Rating Scale and the Achenbach Teacher's Report Form: A Replication and Extension

    Science.gov (United States)

    Benner, Gregory J.; Beaudoin, Kathleen; Mooney, Paul; Uhing, Brad M.; Pierce, Corey D.

    2008-01-01

    In the present study, we sought to extend instrument validation research for a strength-based emotional and behavior rating scale, the "Teacher Rating Scale of the Behavior and Emotional Rating Scale-Second Edition" (BERS-2; Epstein, M. H. (2004). "Behavioral and emotional rating scale" (2nd ed.). Austin, TX: PRO-ED) through…

  12. Convergent Validity with the BERS-2 Teacher Rating Scale and the Achenbach Teacher's Report Form: A Replication and Extension

    Science.gov (United States)

    Benner, Gregory J.; Beaudoin, Kathleen; Mooney, Paul; Uhing, Brad M.; Pierce, Corey D.

    2008-01-01

    In the present study, we sought to extend instrument validation research for a strength-based emotional and behavior rating scale, the "Teacher Rating Scale of the Behavior and Emotional Rating Scale-Second Edition" (BERS-2; Epstein, M. H. (2004). "Behavioral and emotional rating scale" (2nd ed.). Austin, TX: PRO-ED) through…

  13. Student Self-Regulated Learning in an Urban High School: Predictive Validity and Relations between Teacher Ratings and Student Self-Reports

    Science.gov (United States)

    Cleary, Timothy J.; Callan, Gregory L.

    2014-01-01

    This study examined the predictive validity of a teacher rating scale called the Self-Regulation Strategy Inventory-Teacher Rating Scale (SRSI-TRS) and its level of convergence with several student self-report measures of self-regulated learning (SRL). Eighty-seven high school students enrolled in one of four sections of a mathematics course in an…

  14. Are Student Ratings of Communication Instructors Due to "Easy" Grading Practices? An Analysis of Teacher Credibility and Student-Reported Performance Levels.

    Science.gov (United States)

    Beatty, Michael J.; Zahn, Christopher J.

    1990-01-01

    Investigates the empirical relationships between student ratings of teachers and student-reported performance. Finds that students discriminate between sociability and qualification-related aspects of teacher performance and that student ratings were not the product of "easy" grading practices. (SR)

  15. Reported Diabetes Mellitus Prevalence Rates in the Colombia Healthcare System from 2009 to 2012: Analysis by Regions Using Data of the Official Information Sources.

    Science.gov (United States)

    Barengo, Noël C; Tamayo, Diana Carolina

    2015-01-01

    The objective of this study was to describe the reported diabetes mellitus (DM) prevalence rates of the 20-79-year-old population in Colombia from 2009 to 2012 reported by the healthcare system. Information on number of patients treated for DM was obtained by the Integral Information System of Social Protection (SISPRO), the registry of the Ministry of Health and Social Protection, and the High Cost Account (CAC), an organization to trace high expenditure diseases. From both sources age-standardized reported DM prevalence rates per 100.000 inhabitants from 2009 to 2012 were calculated. Whereas the reported DM prevalence rates of SISPRO revealed an increase from 964/100.000 inhabitants (2009) to 1398/100.000 inhabitants in 2012 (mean annual increase 141/100.000; p value: 0.001), the respective rates in the CAC register were 1082/100.000 (2009) and 1593/100.000 in 2012 (mean annual increase 165/100.000; p value: 0.026). The number of provinces reporting not less than 19% of the highest national reported DM prevalence rates (1593/100.000) increased from two in 2009 to ten in 2012. Apparently, the registries and the information retrieving system have been improved during 2009 and 2012, resulting in a greater capacity to identify and report DM cases by the healthcare system.

  16. Reported Diabetes Mellitus Prevalence Rates in the Colombia Healthcare System from 2009 to 2012: Analysis by Regions Using Data of the Official Information Sources

    Science.gov (United States)

    Barengo, Noël C.; Tamayo, Diana Carolina

    2015-01-01

    The objective of this study was to describe the reported diabetes mellitus (DM) prevalence rates of the 20–79-year-old population in Colombia from 2009 to 2012 reported by the healthcare system. Information on number of patients treated for DM was obtained by the Integral Information System of Social Protection (SISPRO), the registry of the Ministry of Health and Social Protection, and the High Cost Account (CAC), an organization to trace high expenditure diseases. From both sources age-standardized reported DM prevalence rates per 100.000 inhabitants from 2009 to 2012 were calculated. Whereas the reported DM prevalence rates of SISPRO revealed an increase from 964/100.000 inhabitants (2009) to 1398/100.000 inhabitants in 2012 (mean annual increase 141/100.000; p value: 0.001), the respective rates in the CAC register were 1082/100.000 (2009) and 1593/100.000 in 2012 (mean annual increase 165/100.000; p value: 0.026). The number of provinces reporting not less than 19% of the highest national reported DM prevalence rates (1593/100.000) increased from two in 2009 to ten in 2012. Apparently, the registries and the information retrieving system have been improved during 2009 and 2012, resulting in a greater capacity to identify and report DM cases by the healthcare system. PMID:26494999

  17. Progresión de la Poliquistosis renal autosómica dominante: Influencia de polimorfismos de genes de sintasa endotelial del óxido nítrico (ecNOS y del sistema renina-angiotensina Glomerular filtration rate decline in autosomic dominant polycystic kidney disease. Influence of endothelial NO synthase (ecNOS and renin angiotensin system gene polymorphisms

    Directory of Open Access Journals (Sweden)

    Pablo Azurmendi

    2004-04-01

    Full Text Available La velocidad de progresión (VdP de la poliquistosis renal autosómica dominante (PQRAD es variable. Estudiamos la asociación de los polimorfismos AGTM235T (angiotensinógeno, AT1A1166C (ATR1 y ecNOSGlu298Asp (NO sintasa endotelial con la VdP en 88 pacientes. VdP fue estimada por 1/Cr pl vs edad. Consideramos edades de Cr pl 2 y 6 mg/dl como comienzo de progresión (E2 y arribo a insuficiencia renal crónica terminal (E6, respectivamente. Los polimorfismos se estudiaron por PCR-RFLP. El grupo en su totalidad presentó VdP (ml/min/año de 6.9±0.5, E2 y E6 de 48.9±1.3 y 55.0±1.4 años y tensión arterial media (TAM de 111.2±1.2 mmHg. Según E6 observamos dos grupos (£ y > a 55 años. En £ 55 (fenotipo PKD1, n=42, E2 y E6 del genotipo CC de AT1A1166C fueron 36.0±1.2 y 41.4±0.9 años vs. AA-AC (42.8±1.0 y 47.5±0.8, p Glomerular filtration rate decline (GFRd is variable in autosomic dominant polycystic kidney disease (ADPKD. In 88 ADPKD patients, GFRd was assessed by 1/S Cr and compared with the association to AT1A1166C (AT1R, AGTM235T (angiotensinogen and ecNOSGlu298Asp (NO endothelial synthase polymorphisms. Age at S Cr values of 2 and 6 mg/dl were assumed as beginning of progressive phase (A2 and end-stage-renal disease (A6, respectively. Polymorphisms were studied by PCR-RFLP. The group as a whole showed GFRd (ml/min/year of 6.9±0.5; A2 and A6 of 48.9±1.3 and 55.0±1.4 years and mean arterial pressure of 111.2±1.2 mmHg. When A6 was considered, two populations were defined (£ and > 55 years. In £ 55 (assumed as PKD1 phenotype (n=42, A2 and A6 of the AT11166CC genotype were 36.0±1.2 and 41.4±0.9 years vs AA-AC (42.8±1.0 and 47.5±0.8, p<0.001. A2 and A6 of the ecNOS298Asp/Asp genotype were 34.8±1.5 and 41.1±0.6 years vs. Glu/Glu-Glu/Asp (42.4±0.9 and 47.1±0.8, p<0.02. In AGT235TT genotype, GFRd was 12.4±2.2 ml/min/year vs MM-MT (7.9±0.7, p<0.03. This difference was also observed when all ADPKD patients were considered (TT

  18. Climate change, multiple stressors, and the decline of ectotherms.

    Science.gov (United States)

    Rohr, Jason R; Palmer, Brent D

    2013-08-01

    Climate change is believed to be causing declines of ectothermic vertebrates, but there is little evidence that climatic conditions associated with declines have exceeded critical (i.e., acutely lethal) maxima or minima, and most relevant studies are correlative, anecdotal, or short-term (hours). We conducted an 11-week factorial experiment to examine the effects of temperature (22 °C or 27 °C), moisture (wet or dry), and atrazine (an herbicide; 0, 4, 40, 400 μg/L exposure as embryos and larvae) on the survival, growth, behavior, and foraging rates of postmetamorphic streamside salamanders (Ambystoma barbouri), a species of conservation concern. The tested climatic conditions were between the critical maxima and minima of streamside salamanders; thus, this experiment quantified the long-term effects of climate change within the noncritical range of this species. Despite a suite of behavioral adaptations to warm and dry conditions (e.g., burrowing, refuge use, huddling with conspecifics, and a reduction in activity), streamside salamanders exhibited significant loss of mass and significant mortality in all but the cool and moist conditions, which were closest to the climatic conditions in which they are most active in nature. A temperature of 27 °C represented a greater mortality risk than dry conditions; death occurred rapidly at this temperature and more gradually under cool and dry conditions. Foraging decreased under dry conditions, which suggests there were opportunity costs to water conservation. Exposure to the herbicide atrazine additively decreased water-conserving behaviors, foraging efficiency, mass, and time to death. Hence, the hypothesis that moderate climate change can cause population declines is even more plausible under scenarios with multiple stressors. These results suggest that climate change within the noncritical range of species and pollution may reduce individual performance by altering metabolic demands, hydration, and foraging effort

  19. [Cupressus dupreziana A. Camus: distribution, decline and regeneration on the Tassili n'Ajjer, central Sahara].

    Science.gov (United States)

    Abdoun, Fatiha; Beddiaf, Mohamed

    2002-05-01

    As soon as it was first discovered in 1924, on the heights of the Tassili n'Ajjer, Cupressus dupreziana (A. Camus) was declared an endangered species. The few ancient trees to be seen in the beds of wadis gave reason to suppose that they were isolated individuals left behind from a forest that had flourished in a damper climate. Attempts at a census of the trees were made on a number of occasions, the fullest, in 1972, reporting a total of 230 living specimens. The revision of this inventory between 1997 and 2001 has now enabled us to draw the boundaries of the present range of this species, to assess its rate of decline over the last three decades and, for the first time, to record some regeneration, with the presence of new, young trees.

  20. Optional time-of-use prices for electricity: Analysis of PG&E`s experimental TOU rates. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Train, K.; Mehrez, G.

    1992-07-01

    We examine customers` time-of-use (TOU) demand for electricity and their choice between standard and TOU rate schedules. We specify an econometric model in which the customer`s demand curves determine the customer`s choice of rate schedule. We estimate the model on data from Pacific Gas & Electric Company`s experiment with optional TOU prices in the residential sector. With the model, we compare the TOU consumption and price elasticities of customers who chose TOU rates with those who chose standard rates. We also estimate the impact of the TOU rates on the utility`s revenues and costs. The analysis suggests that the TOU rates offered under PG&E`s experiment decreased PG&E`s profits and hence contributed to higher general rate levels. The model can be used, however, to design optional TOU rates that increase profits and lower general rate levels.

  1. An empirical study of decline in empathy in medical school.

    Science.gov (United States)

    Hojat, Mohammadreza; Mangione, Salvatore; Nasca, Thomas J; Rattner, Susan; Erdmann, James B; Gonnella, Joseph S; Magee, Mike

    2004-09-01

    It has been reported that medical students become more cynical as they progress through medical school. This can lead to a decline in empathy. Empirical research to address this issue is scarce because the definition of empathy lacks clarity, and a tool to measure empathy specifically in medical students and doctors has been unavailable. To examine changes in empathy among medical students as they progress through medical school. A newly developed scale (Jefferson Scale of Physician Empathy [JSPE], with 20 Likert-type items) was administered to 125 medical students at the beginning (pretest) and end (post-test) of Year 3 of medical school. This scale was specifically developed for measuring empathy in patient care situations and has acceptable psychometric properties. In this prospective longitudinal study, the changes in pretest/post-test empathy scores were examined by using t-test for repeated measure design; the effect size estimates were also calculated. Statistically significant declines were observed in 5 items (P < 0.01) and the total sores of the JSPE (P < 0.05) between the 2 test administrations. Although the decline in empathy was not clinically important for all of the statistically significant findings, the downward trend suggests that empathy could be amenable to change during medical school. Further research is needed to identify factors that contribute to changes in empathy and to examine whether targeted educational programmes can help to retain, reinforce and cultivate empathy among medical students for improving clinical outcomes.

  2. Physiological levels of nitrate support anoxic growth by denitrification of Pseudomonas aeruginosa at growth rates reported in cystic fibrosis lungs and sputum

    DEFF Research Database (Denmark)

    Klitten, Laura Line; Alhede, Morten; Kolpen, Mette

    2014-01-01

    reported that O2 is mainly consumed by the activated PMNs, while O2 consumption by aerobic respiration is diminutive and nitrous oxide (N2O) is produced in infected CF sputum. This suggests that the reported growth rates of P. aeruginosa in lungs and sputum may result from anaerobic respiration using...

  3. Status Report - Cane Fiberboard Properties and Degradation Rates for Storage of the 9975 Shipping Package in KAMS

    Energy Technology Data Exchange (ETDEWEB)

    Daugherty, W. L.

    2013-01-31

    Thermal, mechanical and physical properties have been measured on cane fiberboard samples following accelerated aging for up to approximately 7 years. The aging environments have included elevated temperature < 250 ?F (the maximum allowed service temperature for fiberboard in 9975 packages) and elevated humidity. The results from this testing have been analyzed, and aging models fit to the data. Correlations relating several properties (thermal conductivity, energy absorption, weight loss and height decrease) to their rate of change in potential storage environments have been developed. Combined with an estimate of the actual conditions the fiberboard experiences in KAMS, these models allow development of service life predictions. Some of the predicted degradation rates presented in this report are relatively extreme. However, these relate to environments that do not exist within KAMS, or would be postulated only as upset conditions that would not likely persist for an extended period. For a typical package with ~10 watts internal heat load or less, and ambient temperatures below 90 ?F, the fiberboard experiences storage conditions less severe than any of the aging environments. Little or no degradation of the fiberboard is expected for typical storage conditions. It should be noted that the ultimate service life will be determined by the cumulative effect of degradation from all the conditions these packages might encounter. The assumptions and inputs behind the models in this report should be well understood before attempting to identify an actual service life in KAMS. Additional data continue to be collected to permit future refinements to the models and assumptions. For developing service life predictions, the ambient conditions within KAMS can be reasonably identified, and the temperature profiles within the various packages (with a range of heat loads and at varying locations within an array of packages) can be calculated. However, the humidity within the

  4. Testing The Cas A Neutron Star Temperature Decline With Other Chandra Instruments

    Science.gov (United States)

    Elshamouty, Khaled; Heinke, C. O.; Ho, W. C. G.; Patnaude, D. J.; Shternin, P. S.; Yakovlev, D. G.

    2012-01-01

    The neutron star in the Cassiopeia A supernova remnant is 330 years old, making it the youngest neutron star in the Milky Way. Heinke & Ho (2010) reported a rapid cooling drop of 4% in its surface temperature (21% drop in observed flux) from Chandra ACIS-S archival data between 2000 and 2009. This opened the suggestion of enhanced neutrino emission due to a superfluid transition in the core to account for the observed rapid cooling (Page et al. 2011, Shternin et al. 2011). Here we present analysis of archival Chandra ACIS-I, HRC-I and HRC-S data over the same time period to test the rate. We used the best ACIS-S carbon atmosphere spectral fits to infer the countrates corresponding to various temperatures, along with current (CALDB 4.4.6) estimates of the effective area and its changes over time for these cameras, to calculate the temperature drops in each instrument. We find that the HRC-I data are consistent with the ACIS-S result, though tending to smaller declines. The ACIS-I data suggest a slightly larger drop. The HRC-S data (with the longest exposures) indicate a marginal temperature decline of 0.9+0.7-0.7 % (90% conf.) over 9 years.

  5. Declining age of puberty of school girls in southern Thailand

    Institute of Scientific and Technical Information of China (English)

    Somchit Jaruratanasirikul; Atchariya Chanpong; Nuttaporn Tassanakijpanich; Hutcha Sriplung

    2014-01-01

    Background: Declines in the onset age of secondary sexual development have been reported in a number of recent studies in western and Asian countries. A study of Hat-Yai school girls in 1994 in Thailand showed that the ages at thelarche and menarche were 9.9 and 12.4 years, respectively. This study was to determine whether there was a decline in the average age of puberty in Hat-Yai school girls from 1994 to 2012. Methods: A cross-sectional study was conducted in 2140 healthy Hat-Yai school girls, aged 6-18 years, from June 2011 to March 2012. Breast and pubic hair development was assessed by the Tanner staging method. Probit analysis was used to calculate the median ages of different stages of breast and pubic hair development, and the age of menarche. Results: The median ages of girls having thelarche and menarche were 9.6 (95% CI, 9.4-9.8) and 12.2 (95% CI, 11.9-12.4) years, which declined from 9.9 (95% CI, 9.7-10.1) and 12.4 years (95% CI, 12.2-12.6) in the 1994 study respectively, however, without statistical significance. The youngest ages of girls who had breast stage 2 and menarche were 7.2 and 9.2 years, respectively. The fi nal height at age 14 years in this cohort (157.3 cm) was 2.3 cm greater than that of girls in 1994 (155.0 cm). Conclusions: From 1994 to 2012, the age at onset of thelarche and menarche of girls in Hat-Yai municipality declined by 0.2 and 0.3 years, respectively. The earlier age at onset of puberty had no effect on fi nal adult height.

  6. China's fertility drop lowers world growth rate.

    Science.gov (United States)

    Haub, C

    1993-06-01

    China practices a stringent and compulsory program of family planning and population control. This approach has, however, served to increase the number of domestic IUD insertions and sterilizations. Contraceptive prevalence has reached 83% and total fertility (TFR) is estimated to be 1.9. This Chinese accomplishment has helped reduce TFR for all East Asia to 1.8, which is lower than that for northern Europe, and bring the world population growth rate down from the 1992 level of 1.68% to 1.63%. This latter rate is reported in the 1993 Population Reference Bureau's (PRB) World Population Data Sheet and is the lowest world population growth rate since PRB's first annual edition in 1962. Despite these reductions, world population still grows by 90 million annually. No one can say for sure whether or not observed fertility decline in China is permanent. China's birth rate rose twice in the 1980s and it could certainly rebound once again. A popular backlash to population policy or a relaxing of policy due to international pressure to reduce the level of compulsion in the program are 2 factors which might increase overall fertility and population growth. Fertility is also declining in subSaharan Africa, but not universally. Birth rates are rapidly declining in eastern Europe and the former USSR as economic conditions and outlooks pale. The populations of Estonia, Latvia, Ukraine, and possible Russia are even declining, while only mixed data are available from Yugoslavia. New statistical publications reflect changing borders. Finally, while Slovakia is the only country added to this year's sheet, Eritrea and the Channel Islands will likely be included in next year's.

  7. A summary of the performance of exposure rate and dose rate instruments contained in instrument evaluation reports NRPB-IE1 to NRPB-IE13

    CERN Document Server

    Burgess, P H

    1979-01-01

    The various radiations encountered in radiological protection cover a wide range of energies and radiation measurements have to be carried out under an equally broad spectrum of environmental conditions. This report is one of a series intended to give information on the performance characteristics of radiological protection instruments, to assist in the selection of appropriate instruments for a given purpose, to interpret the results obtained with such instruments, and, in particular, to know the likely sources and magnitude of errors that might be associated with measurements in the field. The radiation, electrical and environmental characteristics of radiation protection instruments are considered together with those aspects of the construction which make an instrument convenient for routine use. To provide consistent criteria for instrument performance, the range of tests performed on any particular class of instrument, the test methods and the criteria of acceptable performance are based broadly on the a...

  8. Decline in Memory, Visuospatial Ability, and Crystalized Cognitive Abilities in Older Adults: Normative Aging or Terminal Decline?

    Directory of Open Access Journals (Sweden)

    R. Bendayan

    2017-01-01

    Full Text Available The aim of this study is to explore the pattern of change in multiple measures of cognitive abilities in a sample of oldest-old adults, comparing two different time metrics (chronological age and time to death and therefore examining both underlying conceptual assumptions (age-related change and terminal decline. Moreover, the association with individual characteristics as sex, education, and dementia diagnosis was also examined. Measures of cognitive status (Mini-Mental State Examination and the Swedish Clock Test and tests of crystallized (knowledge and synonyms, memory (verbal memory, nonverbal long-term memory, recognition and correspondence, and short-term memory, and visuospatial ability were included. The sample consisted of 671 older Swedish adult participants of the OCTO Twin Study. Linear mixed models with random coefficients were used to analyse change patterns and BIC indexes were used to compare models. Results showed that the time to death model was the best option in analyses of change in all the cognitive measures considered (except for the Information Test. A significant cognitive decline over time was found for all variables. Individuals diagnosed with dementia had lower scores at the study entrance and a faster decline. More educated individuals performed better in all the measures of cognition at study entry than those with poorer education, but no differences were found in the rate of change. Differences were found in age, sex, or time to death at baseline across the different measures. These results support the terminal decline hypothesis when compared to models assuming that cognitive changes are driven by normative aging processes.

  9. Inferring species decline from collection records

    DEFF Research Database (Denmark)

    Carpaneto, Giuseppe Maria; Mazziotta, Adriano; Valerio, Laura

    2007-01-01

    The decline of roller dung beetles (Coleoptera, Scarabaeidae) in Italy, at national and regional level, was described using a database of both literature and unpublished data, since the late of 19th century. The probability of finding roller species was assessed for each decade of the 20th century...... UTM cells dropped by 23%. Six roller species showed a significant decline in Italy from the first to the second part of the 20th century, and nine in the last 30years. Other two species disappeared from the majority of the northern regions. Finally, the values of all the extinction indexes were...... strongly correlated and detected a high risk of extinction in Italy for six species. A gradual change in land use during the last three decades, consisting of a reduced extension of grasslands in favour of either intensive agriculture or reforestation after abandonment of livestock raising, was likely...

  10. The Rise and Decline of Japanese Pacifism

    Directory of Open Access Journals (Sweden)

    Yuan Cai

    2008-12-01

    Full Text Available The Japanese pacifist constitution has been a symbol of Japan’s commitment to peace and more importantly its renunciation of wartime militarism. There has been strong support for its continuing existence amongst the Japanese populace despite persistent attempts by the Japanese government to amend it. However, the prevalent pacifist sentiment is showing signs of fading vitality in recent times. This article purports to examine the underlying forces that contributed to the development and the decline of Japanese pacifism. A host of domestic and international factors were responsible for the growth of pacifism and its subsequent decline, but only three important domestic factors will be examined in detail: the concept of victimhood in the development of pacifism and its implication for its continuing strength, the importance of peace education and the role played by the influential Japan’s Teachers’ Union on the formation of pacifist conscience and finally, the influence of leftist organisations on the organised peace movement.

  11. Inferring species decline from collection records

    DEFF Research Database (Denmark)

    Carpaneto, Giuseppe Maria; Mazziotta, Adriano; Valerio, Laura

    2007-01-01

    increased clearly as a consequence of the escalation of entomological surveys. Nevertheless, comparing R species (rollers) with all the scarab dung beetles from the first to the last quarter of the 20th century, the relative frequency of roller records decreased by 31%, while the relative number of occupied......The decline of roller dung beetles (Coleoptera, Scarabaeidae) in Italy, at national and regional level, was described using a database of both literature and unpublished data, since the late of 19th century. The probability of finding roller species was assessed for each decade of the 20th century...... UTM cells dropped by 23%. Six roller species showed a significant decline in Italy from the first to the second part of the 20th century, and nine in the last 30years. Other two species disappeared from the majority of the northern regions. Finally, the values of all the extinction indexes were...

  12. Functional and cognitive decline in hospitalized elderly

    Directory of Open Access Journals (Sweden)

    EUGÉNIA MENDES

    2016-12-01

    Full Text Available ABSTRACT Aim – Understand if functional and cognitive decline is accentuated during hospitalization in elderly patients. Method – It was design a descriptive and correlational study. The Functional Independence Measure (FIM and the Mini-Mental State Examination (MMSE were used. Results – Were evaluated at admission and discharge 51 elderly (75.53 ± 7.16 years, 53% women, admitted in an internal medicine unit with a length of stay of 14.27±6.45 days. For FIM and MMSE were found statistically significant differences with lower scores from admission to discharge. Negative correlations between age and length of stay and the scores of all measures were found. Except for the Cognitive FIM at admission, all elderly residents at home fared better than the institutionalized in all measures. Conclusions – The hospitalization contributes to a greater weakness/frailty of the elderly and is considered high risk for decline in physical fitness and cognitive function.

  13. The rise (and decline?) of biotechnology.

    Science.gov (United States)

    Kinch, Michael S

    2014-11-01

    Since the 1970s, biotechnology has been a key innovator in drug development. An analysis of FDA-approved therapeutics demonstrates pharmaceutical companies outpace biotechs in terms of new approvals but biotechnology companies are now responsible for earlier-stage activities (patents, INDs or clinical development). The number of biotechnology organizations that contributed to an FDA approval began declining in the 2000s and is at a level not seen since the 1980s. Whereas early biotechnology companies had a decade from first approval until acquisition, the average acquisition of a biotechnology company now occurs months before their first FDA approval. The number of hybrid organizations that arise when pharmaceutical companies acquire biotechnology is likewise declining, raising questions about the sustainability of biotechnology. Copyright © 2014 Elsevier Ltd. All rights reserved.

  14. Analysis of production decline in geothermal reservoirs

    Energy Technology Data Exchange (ETDEWEB)

    Zais, Elliot J.; Bodvarsson, Gunnar

    1980-09-01

    The major objectives of the Decline Curve project were to: (1) test the decline analysis methods used in the petroleum industry on geothermal production data; (2) examine and/or develop new analysis methods; and (3) develop a standard operating procedure for analyzing geothermal production data. Various analysis methods have long been available but they have not been tested on geothermal data because of the lack of publicly available data. The recent release to publication of substantial data sets from Wairakei, New Zealand, Cerro Prieto, Mexico and The Geysers, USA has made this study possible. Geothermal reservoirs are quite different from petroleum reservoirs in many ways so the analysis methods must be tested using geothermal data.

  15. Lithuania: Fertility decline and its determinants

    Directory of Open Access Journals (Sweden)

    Aiva Jasilioniene

    2008-07-01

    Full Text Available Since the beginning of the 1990s, Lithuania has been undergoing significant transformations in family life and has experienced a precipitous decline in fertility. The determinants of the changes are diverse in character and are associated with socioeconomic transformations, economic difficulties faced by the post-Soviet society, inadequate social and family policies and changing value orientations and life styles. This article traces the fertility trends in Lithuania from the period and cohort perspective, providing adjusted TFR estimates that reveal the significance of the tempo effect on the recent decline in fertility. Furthermore, the main factors leading to the recently observed changes in family and fertility are identified and analysed. Finally, the characteristic features and necessary improvements of current Lithuanian family policy and its possible effects on individual behaviour and fertility trends are discussed.

  16. Gender-specific patterns in age-related decline in general health among Danish and Chinese: A cross-national comparative study

    DEFF Research Database (Denmark)

    Wu, Yili; Zhang, Dongfeng; Pang, Zengchang

    2012-01-01

    Aim:  Studies carried out in Western populations have shown age-related changes in multiple health domains together with gender-specific patterns. By focusing on five health domains, self-rated health, hand grip strength, sit-to-stand test, cognitive performance and depression, we examined the age...... together with gender- and population-specific patterns in age-related decline. Results:  Better self-rated health for males than for females was observed in both countries, and Danes reported better health than the Chinese for both genders. For hand grip strength, significant gender differences were shown....... Conclusion:  Our cross population analysis identified significant gender and population differences suggesting endogenous biological, physical and social environmental determinants in age-related decline in general health. Geriatr Gerontol Int 2011; ••: ••-••....

  17. Dehydroepiandrosterone and age-related cognitive decline

    OpenAIRE

    Sorwell, Krystina G.; Urbanski, Henryk F.

    2009-01-01

    In humans the circulating concentrations of dehydroepiandrosterone (DHEA) and DHEA sulfate (DHEAS) decrease markedly during aging, and have been implicated in age-associated cognitive decline. This has led to the hypothesis that DHEA supplementation during aging may improve memory. In rodents, a cognitive anti-aging effect of DHEA and DHEAS has been observed but it is unclear whether this effect is mediated indirectly through conversion of these steroids to estradiol. Moreover, despite the de...

  18. MIND diet slows cognitive decline with aging

    OpenAIRE

    Morris, Martha Clare; Tangney, Christy C.; Wang, Yamin; Sacks, Frank Martin; Barnes, Lisa L.; Bennett, David William; Aggarwal, Neelum T

    2015-01-01

    INTRODUCTION: The Mediterranean and dash diets have been shown to slow cognitive decline; however, neither diet is specific to the nutrition literature on dementia prevention. METHODS: We devised the Mediterranean-Dietary Approach to Systolic Hypertension (DASH) diet intervention for neurodegenerative delay (MIND) diet score that specifically captures dietary components shown to be neuroprotective and related it to change in cognition over an average 4.7 years among 960 participants ...

  19. The Decline of Air Assault Operations

    Science.gov (United States)

    2016-05-26

    criticality of mission focus to the success of air assaults . However, 31 1st Infantry Division, AAR—Operation Junction City for 22 February 1967 to 15...product life cycle theory is a great way to visualize the fifty-year life of air assault operations; however, its explanatory powers are limited. The 1962...The Decline of Air Assault Operations A Monograph by MAJ Jason S. Raub United States Army School of

  20. Breeding ecology of the southern shrike, Lanius meridionalis, in an agrosystem of south–eastern Spain: the surprisingly excellent breeding success in a declining population

    Energy Technology Data Exchange (ETDEWEB)

    Moreno-Rueda, G.; Abril-Colon, I.; Lopez-Orta, A.; Alvarez-Benito, I.; Castillo-Gomez, C.; Comas, M.; Rivas, J.M.

    2016-07-01

    The southern shrike, Lanius meridionalis, is declining at the Spanish and European level. One cause of this decline could be low reproductive success due to low availability of prey in agricultural environments. To investigate this possibility we analysed the breeding ecology of a population of southern shrike in an agrosystem in Lomas de Padul (SE Spain). Our results suggest the population is declining in this area. However, contrary to expectations, the population showed the highest reproductive success (% nests in which at least one egg produces a fledgling) reported for this species to date (83.3%), with a productivity of 4.04 fledglings per nest. Reproductive success varied throughout the years, ranging from 75% in the worst year to 92.9% in the best year. Similarly, productivity ranged from 3.25 to 5.0 fledglings per nest depending on the year. Other aspects of reproductive biology, such as clutch size, brood size, and nestling diet, were similar to those reported in other studies. Based on these results, we hypothesise that the determinant of population decline acts on the juvenile fraction, drastically reducing the recruitment rate, or affecting the dispersion of adults and recruits. Nevertheless, the exact factor or factors are unknown. This study shows that a high reproductive success does not guarantee good health status of the population. (Author)

  1. Heart Rate Variability and Cardiac Vagal Tone in Psychophysiological Research – Recommendations for Experiment Planning, Data Analysis, and Data Reporting

    Science.gov (United States)

    Laborde, Sylvain; Mosley, Emma; Thayer, Julian F.

    2017-01-01

    Psychophysiological research integrating heart rate variability (HRV) has increased during the last two decades, particularly given the fact that HRV is able to index cardiac vagal tone. Cardiac vagal tone, which represents the contribution of the parasympathetic nervous system to cardiac regulation, is acknowledged to be linked with many phenomena relevant for psychophysiological research, including self-regulation at the cognitive, emotional, social, and health levels. The ease of HRV collection and measurement coupled with the fact it is relatively affordable, non-invasive and pain free makes it widely accessible to many researchers. This ease of access should not obscure the difficulty of interpretation of HRV findings that can be easily misconstrued, however, this can be controlled to some extent through correct methodological processes. Standards of measurement were developed two decades ago by a Task Force within HRV research, and recent reviews updated several aspects of the Task Force paper. However, many methodological aspects related to HRV in psychophysiological research have to be considered if one aims to be able to draw sound conclusions, which makes it difficult to interpret findings and to compare results across laboratories. Those methodological issues have mainly been discussed in separate outlets, making difficult to get a grasp on them, and thus this paper aims to address this issue. It will help to provide psychophysiological researchers with recommendations and practical advice concerning experimental designs, data analysis, and data reporting. This will ensure that researchers starting a project with HRV and cardiac vagal tone are well informed regarding methodological considerations in order for their findings to contribute to knowledge advancement in their field.

  2. Large Decadal Decline of the Arctic Multiyear Ice Cover

    Science.gov (United States)

    Comiso, Josefino C.

    2012-01-01

    The perennial ice area was drastically reduced to 38% of its climatological average in 2007 but recovered slightly in 2008, 2009, and 2010 with the areas being 10%, 24%, and 11% higher than in 2007, respectively. However, trends in extent and area remained strongly negative at -12.2% and -13.5% decade (sup -1), respectively. The thick component of the perennial ice, called multiyear ice, as detected by satellite data during the winters of 1979-2011 was studied, and results reveal that the multiyear ice extent and area are declining at an even more rapid rate of -15.1% and -17.2% decade(sup -1), respectively, with a record low value in 2008 followed by higher values in 2009, 2010, and 2011. Such a high rate in the decline of the thick component of the Arctic ice cover means a reduction in the average ice thickness and an even more vulnerable perennial ice cover. The decline of the multiyear ice area from 2007 to 2008 was not as strong as that of the perennial ice area from 2006 to 2007, suggesting a strong role of second-year ice melt in the latter. The sea ice cover is shown to be strongly correlated with surface temperature, which is increasing at about 3 times the global average in the Arctic but appears weakly correlated with the Arctic Oscillation (AO), which controls the atmospheric circulation in the region. An 8-9-yr cycle is apparent in the multiyear ice record, which could explain, in part, the slight recovery in the last 3 yr.

  3. The PR interval and QRS duration could be predictors of renal function decline.

    Science.gov (United States)

    Majima, Saori; Tanaka, Muhei; Okada, Hiroshi; Senmaru, Takafumi; Asano, Mai; Yamazaki, Masahiro; Toda, Hitoshi; Oda, Yohei; Hasegawa, Goji; Nakamura, Naoto; Fukui, Michiaki

    2015-05-01

    Previous studies have implicated PR interval (iPR) and QRS duration (dQRS) obtained by electrocardiography in independent predictors of cardiovascular disease, which often precedes renal dysfunction. The aim of this study was to examine whether iPR or dQRS could be a predictor of renal function decline in a community-based cohort. We enrolled 1149 healthy subjects, and retrospectively evaluated the relationships between iPR or dQRS and renal function decline, observation period of which was 3 years, and assessed whether iPR or dQRS could predict renal function decline. The iPR (r=-0.102, p=0.0006) or dQRS (r=-0.097, p=0.0010) was negatively associated with a rate of decline in estimated glomerular filtration rate (eGFR). Multiple regression analyses revealed that iPR (β=-0.095, p=0.0023) or dQRS (β=-0.069, p=0.0351) was an independent determinant of the rate of decline in eGFR after adjustment for covariates. Logistic regression analyses demonstrated that the longest iPR (odds ratios (OR), 2.03; 95% confidence intervals (CI), 1.49 to 2.76; pfunction decline in healthy subjects. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  4. Differences in quantitative methods for measuring subjective cognitive decline - results from a prospective memory clinic study

    DEFF Research Database (Denmark)

    Vogel, Asmus; Salem, Lise Cronberg; Andersen, Birgitte Bo

    2016-01-01

    influence reports of cognitive decline. METHODS: The Subjective Memory Complaints Scale (SMC) and The Memory Complaint Questionnaire (MAC-Q) were applied in 121 mixed memory clinic patients with mild cognitive symptoms (mean MMSE = 26.8, SD 2.7). The scales were applied independently and raters were blinded...... decline are not interchangeable when used in memory clinics and the application of different scales in previous studies is an important factor as to why studies show variability in the association between subjective cognitive decline and background data and/or clinical results. Careful consideration...

  5. Age-Related Decline in Cardiorespiratory Fitness among Career Firefighters: Modification by Physical Activity and Adiposity

    Directory of Open Access Journals (Sweden)

    Dorothee M. Baur

    2012-01-01

    We found as expected that CRF declines with advancing age; however, the decline is greatly attenuated among leaner firefighters who report more physical activity. Furthermore, in a linear regression model including age, BMI, and variables describing physical activity behaviors, we could predict CRF (R2=0.6286. The total weekly duration of aerobic exercise as well as the duration of weight lifting sessions both had significant impacts on age-related decline. We conclude that firefighters are more likely to maintain the high levels of CRF needed to safely perform their duties if they engage in frequent exercise and maintain healthy weights.

  6. Acquaintance ratings of the Big Five personality traits: incremental validity beyond and interactive effects with self-reports in the prediction of workplace deviance.

    Science.gov (United States)

    Kluemper, Donald H; McLarty, Benjamin D; Bing, Mark N

    2015-01-01

    It is widely established that the Big Five personality traits of conscientiousness, agreeableness, and emotional stability are antecedents to workplace deviance (Berry, Ones, & Sackett, 2007). However, these meta-analytic findings are based on self-reported personality traits. A recent meta-analysis by Oh, Wang, and Mount (2011) identified the value of acquaintance-reported personality in the prediction of job performance. The current investigation extends prior work by comparing the validities of self- and acquaintance-reported personality in the prediction of workplace deviance across 2 studies. We also hypothesized and tested an interactive, value-added integration of self- with acquaintance-reported personality using socioanalytic personality theory (R. T. Hogan, 1991). Both studies assessed self- and acquaintance-rated Big Five traits, along with supervisor-rated workplace deviance. However, the studies varied the measures of workplace deviance, and the 2nd study also included a self-rated workplace deviance criterion for additional comparison. Across both studies, the traits of conscientiousness and agreeableness were strong predictors of workplace deviance, and acquaintance-reported personality provided incremental validity beyond self-reports. Additionally, acquaintance-reported conscientiousness and agreeableness moderated the prediction of workplace deviance by interacting with the corresponding self-reported traits. Implications for personality theory and measurement are discussed along with applications for practice.

  7. Phylogenetic escalation and decline of plant defense strategies.

    Science.gov (United States)

    Agrawal, Anurag A; Fishbein, Mark

    2008-07-22

    As the basal resource in most food webs, plants have evolved myriad strategies to battle consumption by herbivores. Over the past 50 years, plant defense theories have been formulated to explain the remarkable variation in abundance, distribution, and diversity of secondary chemistry and other defensive traits. For example, classic theories of enemy-driven evolutionary dynamics have hypothesized that defensive traits escalate through the diversification process. Despite the fact that macroevolutionary patterns are an explicit part of defense theories, phylogenetic analyses have not been previously attempted to disentangle specific predictions concerning (i) investment in resistance traits, (ii) recovery after damage, and (iii) plant growth rate. We constructed a molecular phylogeny of 38 species of milkweed and tested four major predictions of defense theory using maximum-likelihood methods. We did not find support for the growth-rate hypothesis. Our key finding was a pattern of phyletic decline in the three most potent resistance traits (cardenolides, latex, and trichomes) and an escalation of regrowth ability. Our neontological approach complements more common paleontological approaches to discover directional trends in the evolution of life and points to the importance of natural enemies in the macroevolution of species. The finding of macroevolutionary escalating regowth ability and declining resistance provides a window into the ongoing coevolutionary dynamics between plants and herbivores and suggests a revision of classic plant defense theory. Where plants are primarily consumed by specialist herbivores, regrowth (or tolerance) may be favored over resistance traits during the diversification process.

  8. Sex Education in Connecticut High Schools: Teachers' Reports of Content and Importance Ratings According to the SIECUS Guidelines

    Science.gov (United States)

    Obloj, Wallace; Lynn, Donna

    2010-01-01

    The purpose of this study was to examine Connecticut teachers' reports of the sex education content taught to high school students as well as teachers' reports of the degree of importance for Connecticut high school students to understand according to the SIECUS Guidelines. The data revealed that participants (N=125) reported teaching 72% of the…

  9. Can mindful parenting be observed? Relations between observational ratings of mother-youth interactions and mothers' self-report of mindful parenting.

    Science.gov (United States)

    Duncan, Larissa G; Coatsworth, J Douglas; Gayles, Jochebed G; Geier, Mary H; Greenberg, Mark T

    2015-04-01

    Research on mindful parenting, an extension of mindfulness to the interpersonal domain of parent-child relationships, has been limited by its reliance on self-report assessment. The current study is the first to examine whether observational indices of parent-youth interactions differentiate between high and low levels of self-reported mindful parenting. The Iowa Family Interaction Rating Scales (IFIRS) were used to code interactions between mothers and their 7th grade youth. Mothers drawn from the top and bottom quartiles (n = 375) of a larger distribution of self-reported interpersonal mindfulness in parenting (N = 804) represented clearly defined high- and low-mindful parenting groups. Discriminant function analysis (DFA) was used to analyze how well 6 composite IFIRS observational rating variables (e.g., parental warmth, consistent discipline) discriminated between high and low self-reports of mindful parenting. DFA results were cross-validated, with statistically significant canonical correlations found for both subsamples (p < .05). Subsequent independent samples t tests revealed that group means were significantly different on all 6 IFIRS composite ratings. Confirmation of the relations between self-report mindful parenting and the observational ratings was also provided through hierarchical regression analyses conducted with a continuous predictor of mindful parenting using the full sample. Thus, the present study provides preliminary evidence for a link between self-reported mindful parenting and observed interactions between parents and youth.

  10. Implications of Severe Economic Decline & Demographic Pressures on Youth Literacy in Sub-Saharan Africa

    Science.gov (United States)

    Okpala, Comfort O.

    2009-01-01

    Although literacy rates have improved somehow in recent years, there are still large numbers of people that are illiterates in developing countries. This paper examines the impact of severe economic decline and demographic pressures on youth literacy rate in Sub-Saharan Africa. In this study, a cross-sectional data of 39 Sub-Saharan African…

  11. 17 CFR 240.17g-3 - Annual financial reports to be furnished by nationally recognized statistical rating organizations.

    Science.gov (United States)

    2010-04-01

    ...) Include a balance sheet, an income statement and statement of cash flows, and a statement of changes in... financial condition, results of operations, cash flows, revenues, analyst compensation, and credit rating... financial statements of the nationally recognized statistical rating organization or audited consolidated...

  12. Antihypertensive treatments, cognitive decline, and dementia.

    Science.gov (United States)

    Duron, Emmanuelle; Hanon, Olivier

    2010-01-01

    Chronic hypertension is associated with an increased risk of both vascular dementia and Alzheimer's disease (AD). In this context, the role of anti-hypertensive therapy for the prevention and delay of cognitive decline and dementia is of central importance. Most longitudinal studies have shown a significant inverse association between anti-hypertensive therapies and dementia incidence and for some of these, particularly in AD. Seven randomized, double blind placebo-controlled trials have evaluated the benefit of antihypertensive treatments on cognition. Three of them found positive results in term of prevention of dementia (SYST-EUR) or cognitive decline (PROGRESS, HOPE). Others disclosed non-significant results (MRC, SHEP, SCOPE, HYVET-COG). This discrepancy emphasizes the difficulty to perform such trials: the follow-up has to be long enough to disclose a benefit, a large number of patients is needed for these studies, and because of ethical reasons some anti-hypertensive treatments are often prescribed in the placebo group. Results of the two more recent meta-analyses are inconsistent, possibly due to methodological issues. Antihypertensive treatments could be beneficial to cognitive function by lowering blood pressure and/or by specific neuroprotective effect. Three main antihypertensive subclasses have been associated with a beneficial effect on cognitive function beyond blood pressure reduction (calcium channel blockers, angiotensin converting enzyme inhibitor, angiotensin-AT1-receptor-blockers). Further long-term randomized trials, designed especially to assess a link between antihypertensive therapy and cognitive decline or dementia are therefore needed with cognition as the primary outcome. A low blood pressure threshold that could be deleterious for cognitive function should also be determined.

  13. Causes of mortality in California sea otters during periods of population growth and decline

    Science.gov (United States)

    Estes, J.A.; Hatfield, B.B.; Ralls, K.; Ames, J.

    2003-01-01

    Elevated mortality appears to be the main reason for both sluggish growth and periods of decline in the threatened California sea otter population. We assessed causes of mortality from salvage records of 3,105 beach-cast carcasses recovered from 1968 through 1999, contrasting two periods of growth with two periods of decline. Overall, an estimated 40%-60% of the deaths were not recovered and 70% of the recovered carcasses died from unknown causes. Nonetheless, several common patterns were evident in the salvage records during the periods of population decline. These included greater percentages of (1) prime age animals (3-10 yr), (2) carcasses killed by great white shark attacks, (3) carcasses recovered in spring and summer, and (4) carcasses for which the cause of death was unknown. Neither sex composition nor the proportion of carcasses dying of infectious disease varied consistently between periods of population increase and decline. The population decline from 1976 to 1984 was likely due to incidental mortality in a set-net fishery, and the decline from 1995 to 1999 may be related to a developing live-fish fishery. Long-term trends unrelated to periods of growth and decline included a decrease in per capita pup production and mass/length ratios of adult carcasses over the 31-yr study. The generally high proportion of deaths from infectious disease suggests that this factor has contributed to the chronically sluggish growth rate of the California sea otter population.

  14. Neighborhood Integration and Connectivity Predict Cognitive Performance and Decline

    Directory of Open Access Journals (Sweden)

    Amber Watts PhD

    2015-08-01

    Full Text Available Objective: Neighborhood characteristics may be important for promoting walking, but little research has focused on older adults, especially those with cognitive impairment. We evaluated the role of neighborhood characteristics on cognitive function and decline over a 2-year period adjusting for measures of walking. Method: In a study of 64 older adults with and without mild Alzheimer’s disease (AD, we evaluated neighborhood integration and connectivity using geographical information systems data and space syntax analysis. In multiple regression analyses, we used these characteristics to predict 2-year declines in factor analytically derived cognitive scores (attention, verbal memory, mental status adjusting for age, sex, education, and self-reported walking. Results: Neighborhood integration and connectivity predicted cognitive performance at baseline, and changes in cognitive performance over 2 years. The relationships between neighborhood characteristics and cognitive performance were not fully explained by self-reported walking. Discussion: Clearer definitions of specific neighborhood characteristics associated with walkability are needed to better understand the mechanisms by which neighborhoods may impact cognitive outcomes. These results have implications for measuring neighborhood characteristics, design and maintenance of living spaces, and interventions to increase walking among older adults. We offer suggestions for future research measuring neighborhood characteristics and cognitive function.

  15. Neighborhood Integration and Connectivity Predict Cognitive Performance and Decline

    Directory of Open Access Journals (Sweden)

    Amber Watts PhD

    2015-08-01

    Full Text Available Objective: Neighborhood characteristics may be important for promoting walking, but little research has focused on older adults, especially those with cognitive impairment. We evaluated the role of neighborhood characteristics on cognitive function and decline over a 2-year period adjusting for measures of walking. Method: In a study of 64 older adults with and without mild Alzheimer’s disease (AD, we evaluated neighborhood integration and connectivity using geographical information systems data and space syntax analysis. In multiple regression analyses, we used these characteristics to predict 2-year declines in factor analytically derived cognitive scores (attention, verbal memory, mental status adjusting for age, sex, education, and self-reported walking. Results : Neighborhood integration and connectivity predicted cognitive performance at baseline, and changes in cognitive performance over 2 years. The relationships between neighborhood characteristics and cognitive performance were not fully explained by self-reported walking. Discussion : Clearer definitions of specific neighborhood characteristics associated with walkability are needed to better understand the mechanisms by which neighborhoods may impact cognitive outcomes. These results have implications for measuring neighborhood characteristics, design and maintenance of living spaces, and interventions to increase walking among older adults. We offer suggestions for future research measuring neighborhood characteristics and cognitive function.

  16. Ecological consequences of sea-ice decline.

    Science.gov (United States)

    Post, Eric; Bhatt, Uma S; Bitz, Cecilia M; Brodie, Jedediah F; Fulton, Tara L; Hebblewhite, Mark; Kerby, Jeffrey; Kutz, Susan J; Stirling, Ian; Walker, Donald A

    2013-08-02

    After a decade with nine of the lowest arctic sea-ice minima on record, including the historically low minimum in 2012, we synthesize recent developments in the study of ecological responses to sea-ice decline. Sea-ice loss emerges as an important driver of marine and terrestrial ecological dynamics, influencing productivity, species interactions, population mixing, gene flow, and pathogen and disease transmission. Major challenges in the near future include assigning clearer attribution to sea ice as a primary driver of such dynamics, especially in terrestrial systems, and addressing pressures arising from human use of arctic coastal and near-shore areas as sea ice diminishes.

  17. Callosal tissue loss parallels subtle decline in psychomotor speed. A longitudinal quantitative MRI study. The LADIS Study

    DEFF Research Database (Denmark)

    Jokinen, Hanna; Frederiksen, Kristian S; Garde, Ellen;

    2012-01-01

    tissue loss on cognitive decline was analyzed with hierarchical linear regression models. After controlling for age, sex, education, and baseline cognitive performance, the rates of tissue loss in the total CC area, and in rostrum/genu and midbody subregions were significantly associated with decline...

  18. [Successful outcome of a pregnancy with an extremely low fetal heart rate (34 bpm) due to isolated complete heart block--case report].

    Science.gov (United States)

    Hamela-Olkowska, Anita; Dangel, Joanna; Miszczak-Knecht, Maria

    2009-09-01

    Isolated complete congenital heart block (CHB) in the majority of cases is associated with the presence of autoantibodies to SSA (Ro) and SSB (La) antigens in the maternal serum. The prognosis is less favorable in fetuses with a ventricular rate bpm. We have reported a case of a fetus with an isolated non-autoimmune CHB with an extremely low ventricular rate (34bpm) in which the outcome was favorable. In the neonate the non-compaction of the myocardium was diagnosed.

  19. Injectivity decline prediction for Campos Basin reservoirs; Previsao da perda de injetividade para reservatorios da Bacia de Campos

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Adriano dos [Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN (Brazil); Bedrikovetsky, Pavel [Universidade Estadual do Norte Fluminense (UENF), Campos dos Goytacazes, RJ (Brazil); Furtado, Claudio J.A. [PETROBRAS S.A., Rio de Janeiro, RJ (Brazil). Centro de Pesquisas (CENPES)

    2008-07-01

    A simulator for prediction of injectivity decline in perforated water injection wells is presented. The model parameters (filtration and formation damage coefficients) were determined from history data fitting, allowing injectivity decline prediction for various perforated water injectors. The injectivity model, considering both internal and external filtration, fitted the history data very well and allowed a comprehensive analysis of injectivity decline. The simulations revealed that, after the perforations filling, the injectivity decline rate becomes much more intensive. Therefore, the time necessary for perforations filling is an important variable on work over planning. (author)

  20. Shifting base-lines, declining coral cover, and the erosion of reef resilience: comment on Sweatman et al. (2011)

    Science.gov (United States)

    Hughes, T. P.; Bellwood, D. R.; Baird, A. H.; Brodie, J.; Bruno, J. F.; Pandolfi, J. M.

    2011-09-01

    Formal monitoring of the Great Barrier Reef was initiated in 1986 in response to the clear scientific evidence (and growing public concern) over the loss of corals caused by two protracted outbreaks of crown-of thorns starfish, which began in 1962 and 1979. Using monitoring data from manta tows along and across the Great Barrier Reef, Sweatman et al. (Coral Reefs 30:521-531, 2011) show that coral cover after these outbreaks declined further from 28 to 22% between 1986 and 2004. Pointing to the current levels of protection of the Great Barrier Reef, they state that earlier estimates of losses of coral cover since the early 1960s have been exaggerated. However, the loss of close to one-quarter of the coral cover over the past two decades represents an average loss of 0.34% cover per year across the whole GBR after 1986, which is very similar to previously reported rates of annual loss measured over a longer timeframe. The heaviest recent losses have occurred on inshore and mid-shelf reefs, which Sweatman et al. (Coral Reefs 30:521-531, 2011) attribute to a natural cycle of disturbance and recovery. But there has been very limited recovery. While coral cover has increased for short periods on some individual reefs, it has declined sharply on many more to produce the observed system-wide trend of declining cover. Close to 40% of coral cover on inner reefs has been lost since 1986. Of particular significance is the new evidence that coral cover has remained unchanged or declined further from a low 1986 baseline in 28 out of 29 sub-regions of the Great Barrier Reef, indicating a gradual erosion of resilience that is impeding the capacity of this huge reef system to return towards its earlier condition. This result, and other clear evidence of widespread incremental degradation from overfishing, pollution, and climate change, calls for action rather than complacency or denial.